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NZSE College

International Application Form 2023


PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE YOU COMPLETE THIS APPLICATION FORM
All international students studying are covered by the new Code of Practice for the Pastoral Care of Domestic Tertiary International Learners.
You can access full information – “Know the Code” on the NZQA website.

APPLICANT INFORMATION

ARE YOU UNDER 18 YEARS OF AGE?


Yes No
Please note: If the applicant is under 18 years of age, the application must be signed by the parent/legal guardian and all correspondence regarding your application
will be forwarded to your education agent and/or to your parent/guardian. An applicant that is under 18 years of age must also complete one of the following: (tick)
Appendix 1 - Designated Caregiver Form and Appendix 2 - Designated Caregiver Agreement (to be completed completed by Designated Caregiver)
Appendix 3 - Homestay Application Form

WILL YOU BE STUDYING WITH NZSE COLLEGE IN NEW ZEALAND OR OFFSHORE (IN YOUR OWN COUNTRY)?
New Zealand Offshore (in my own country)

HOW DID YOU FIND OUT ABOUT US?


Facebook/Social Media Google/Google Ads School Teacher/Career Advisor Word of mouth Event Agent
Our websites Other

1. PERSONAL DETAILS (AS SHOWN ON PASSPORT)


FAMILY NAME GIVEN NAME(S)

DATE OF BIRTH PREFERRED TITLE GENDER


DDāMMāYYYY Mr Mrs Ms Other Male Female Other
PASSPORT NUMBER CITIZENSHIP

DO YOU HAVE A DISABILITY AND/OR MEDICAL CONDITION (INCLUDING ALLERGIES) THAT MAY REQUIRE THE SCHOOL TO
PROVIDE ASSISTANCE? PLEASE OUTLINE YOUR NEEDS BELOW. (NOTE: THIS INFORMATION WILL REMAIN CONFIDENTIAL).
Yes No
IF “YES”, PLEASE SPECIFY

2. CONTACT DETAILS
NZ ADDRESS OR OVERSEAS ADDRESS (AS APPLICABLE)

MOBILE PHONE E-MAIL

EMERGENCY CONTACT DETAILS


FULL NAME RELATIONSHIP TO APPLICANT

ADDRESS

MOBILE PHONE E-MAIL

NZSE College • +64 9 827 6100 • nzse.ac.nz PO Box 151293, New Lynn, Auckland 0640, New Zealand
Seafield School of English • +64 9 369 1906 • seafield.ac.nz New Zealand Skills and Education College and Seafield School of English are part of the New Zealand Skills and Education Group.
EMERGENCY CONTACT DETAILS IN NEW ZEALAND (IF APPLICABLE)
FULL NAME RELATIONSHIP TO APPLICANT

ADDRESS

MOBILE PHONE E-MAIL

3. ETHNICITY
PLEASE TICK ALL THAT APPLY
New Zealand Māori Dutch Latin American Tongan
New Zealand European Fijian Middle Eastern Vietnamese
Australian Filipino Niuean Other - Asian
African German Polish Other - European
British/Irish Greek Samoan Other - Pacific
Cambodian Indian South Slav Other - South East Asian
Chinese Italian Sri Lankan Other
Cook Island Māori Korean Tokelauan
IF “OTHER”, PLEASE SPECIFY IF YOU IDENTIFIED AS “NEW ZEALAND MĀORI”, WITH WHICH IWI DO YOU IDENTIFY?

4. PROGRAMME DETAILS
Please list the programme(s) details you wish to enrol for. (Full details can be found on our websites, nzse.ac.nz or seafield.ac.nz)

1. PROGRAMME NAME AUCKLAND/HAMILTON/OFFSHORE START DATE LENGTH OF COURSE


DDāMMāYYYY

DDāMMāYYYY

DDāMMāYYYY

WHAT ARE YOUR CAREER INTENTIONS AND GOALS? HOW WILL PURSUING THIS PROGRAMME OF STUDY ASSIST YOU IN
ACHIEVING THOSE GOALS?

WHAT ARE YOUR IMMEDIATE PLANS AFTER YOU HAVE COMPLETED THIS PROGRAMME?

I UNDERSTAND AND AGREE THAT THE OUTCOMES OF THE PROGRAMME ALIGN WITH MY REQUIREMENTS
Yes No

5. ACADEMIC BACKGROUND
SECONDARY SCHOOL/HIGH SCHOOL QUALIFICATION NAME OF SCHOOL (AND COUNTRY) START DATE END DATE
DDāMMāYYYY DDāMMāYYYY

TERTIARY STUDY QUALIFICATION NAME OF INSTITUTE (AND COUNTRY) START DATE END DATE
DDāMMāYYYY DDāMMāYYYY

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
6. WORK EXPERIENCE
DO YOU HAVE ANY WORK EXPERIENCE RELEVANT TO THE PROGRAMME YOU ARE APPLYING FOR?
(IF YES, PLEASE ATTACH RELEVANT REFERENCES AND/OR JOB OFFER LETTERS FOR EACH POSITION LISTED BELOW)
Yes No
POSITION HELD NAME OF EMPLOYER PERIOD OF EMPLOYMENT

7. ROLE PRIOR TO APPLICATION (PREVIOUS YEAR)


WHAT WAS YOUR MAIN ACTIVITY OR OCCUPATION ON 01 OCTOBER IN THE YEAR PRIOR TO YOUR PLANNED STUDY?
College of Education Student PTE Student Polytechnic Student Secondary School Student University Student
Wananga Student House-person or Retired Non-employed of Beneficiary Self-employed Wage or Salary Worker
Overseas

8. ENGLISH PROFICIENCY
WHAT IS YOUR FIRST LANGUAGE?

ENGLISH PROFICIENCY EVIDENCE OUTCOME DATE OBTAINED


DDāMMāYYYY

I HAVE BOOKED AN IELTS, LANGUAGECERT, PTE, TOEFL OR RECOGNISED EQUIVALENT TEST (PROVIDE DATE)
Yes No DDāMMāYYYY

I WOULD LIKE TO BOOK A LANGUAGECERT TEST WITH NZSE COLLEGE/SEAFIELD (PROVIDE PREFERRED DATE)
Yes No DDāMMāYYYY

9. DISABILITIES/HEALTH
This information is confidential to NZSE College/Seafield School of English but it could be used by the Student Advisors to obtain further resources and support that
will assist you in your studies.

DO YOU LIVE WITH THE EFFECTS OF SIGNIFICANT INJURY, LONG TERM ILLNESS OR DISABILITY?
Yes No
IF “YES”, PLEASE INDICATE WHICH OF THE FOLLOWING IS AFFECTED:
Vision Mobility/Movement Communication/Speech/Written Hearing Concentration/Learning
Other, please specify:

10. INSURANCE/ACCOMMODATION/AIRPORT PICK-UP (NOT APPLICABLE FOR OFFSHORE ONLINE)


DO YOU WANT THE SCHOOL TO ARRANGE YOUR INSURANCE?
IF “YES”, PLEASE SPECIFY DATE THAT YOU WISH YOUR INSURANCE COVER TO BEGIN.
Yes No DDāMMāYYYY

Travel/Medical insurance is compulsory for International students in New Zealand and must be confirmed BEFORE arrival to New Zealand.
SCTI NZ - International Student Travel Insurance: https://www.scti.co.nz/our-policies/international-student/premiums
Orbit Protect - International Student Insurance: https://orbitprotect.com/insurance-products/international-student-insurance/pricing/

DO YOU WANT THE SCHOOL TO ARRANGE HOMESTAY ACCOMMODATION FOR YOU?


IF “YES”, PLEASE FILL OUT APPENDIX 3 - HOMESTAY APPLICATION FORM.
Yes No

Please complete Homestay Application Form at least four weeks before your arrival date and pay for the accommodation fees along with your tuition fees.

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
DO YOU WANT THE SCHOOL TO ARRANGE YOUR AIRPORT PICK-UP?
IF “YES”, PLEASE SPECIFY WHICH AIRPORT AND REPORT YOUR FLIGHT DETAILS.
Yes No
Auckland Airport Hamilton Airport
Please specify which airport and report your flight details at least four weeks before your arrival date to the school, and pay the airport pick-up fee along with your
tuition fees.

11. DETAILS OF EDUCATION AGENT (IF APPLICABLE)


AGENCY NAME (COMPANY CONTACT PERSON

COUNTRY E-MAIL CONTACT NUMBER

AGENT SIGNATURE

AUTHORISATIONS AND DECLARATIONS


Please note that the following declarations apply to any future applications by the applicant to any NZSE College programmes.

12. IMAGE DISCLAIMER


I acknowledge that my image and personality may be captured on photograph, video, sound recording, live action internet
transmission. NZSE College/Seafield may wish to use these images for promotional and other business purposes. I hereby relinquish
and waive all my rights relating to the content of the images and their being captured, reproduced, and used (whether or not for profit)
on any such media form(s) as long as it associates with the branding of NZSE College/Seafield.
(NOTE: I understand that I will need to provide one photograph for completion of my enrollment process)
I accept I decline
Note: If you have chosen to decline this disclaimer, you must accept responsibility for ensuring that you are not included in any photographs/video etc being taken by an
NZSE College/Seafield staff member as these may be used for media purposes.

13. AUTHORISATION TO SHARE PERSONAL INFORMATION


NZSE College/Seafield may release my personal information, including enrolment records, academic records, to the following people:
My parents My agent Third Party

I accept I decline
This authorization expires on my last day as a student of NZSE College/Seafield or until NZSE College/Seafield receives my written request to end this authorization.
I may end this authorization at any time. I must do so in writing and submit to NZSE College/Seafield.

14. AUTHORISATION TO CONTACT EMPLOYER AFTER YOUR PROGRAMME


I authorise NZSE College to contact my employer to get industry feedback about my programme of study. I understand this is
undertaken to ensure that the programme is fit for industry and the communication with the employer will be limited to academic
inquiry only.
I accept I decline

15. DEVICE DECLARATION


Some NZSE College/Seafield programmes have been developed for online distance/blended delivery allowing students to complete
studies remotely, away from NZSE College/Seafield campuses. To be able to complete such programmes, you need to have access to
the following: (please tick)
Stable/reliable Internet access from home/work
Access to a laptop/desktop that can connect to the internet with a web browser and a required minimum screen size of 10 inches
Video recording capability (required only for some programmes)
If you do not access to the above, please contact us for alternative arrangements. Should there be a government mandated lockdown due to the Covid 19 situation, all
NZSE College/Seafield programmes will be delivered online during the lockdown period.

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
16. IMMUNISATION DECLARATION
Please confirm that your immunisations are up to date:
(Answering dishonestly or inaccurately can endanger the health and well-being of others)
Yes No

HEALTHCARE AND EARLY CHILDHOOD EDUCATION PROGRAMMES:


As is mandated by the government, for work experience in a healthcare setting or in a licensed childhood setting the student must be
fully vaccinated for Covid-19. NZSE College will require that you provide proof of full immunisation against Covid 19. Please confirm
that you can provide this evidence:
Yes No
(Refer www.covid19.govt.nz: Health and disability sector vaccinations - www.education.govt.nz: Vaccinations: information for schools, kura and early learning services)

17. DECLARATION - GENERAL


I declare that to the best of my knowledge, all the information supplied on, and with this application form is true and complete.
I agree to abide by the conditions above, the conditions set out in the Supplementary Information (page 5), and I consent to the
disclosure of personal information as described above.

I authorise the sharing of information between NZSE College/ Seafield and Immigration New Zealand. I understand that
Immigration New Zealand will be notified if my enrolment is cancelled due to my poor attendance and/or academic progress.
Yes No

IF APPLICANT IS UNDER 18 YEARS OF AGE


APPLICANT SIGNATURE PARENT/LEGAL GUARDIAN SIGNATURE

DATE DATE
DDāMMāYYYY DDāMMāYYYY

Parent/Legal Guardian please attach a copy of Photo ID (e.g. Passport, Driver’s


License)

HAVE YOU COMPLETED ALL RELEVANT SECTIONS AND APPENDICES ON THIS FORM?
PLEASE ENSURE YOU HAVE ATTACHED ALL NECESSARY DOCUMENTS:
Certified Copy of Passport Certified copies of all relevant Academic transcripts (in English)
Certified Copy of English Proficiency Evidence Evidence of relevant work experience (if applicable)

Sign the form above and send your application to your Agent or to us below:
International Enrolment Team Phone: +64 9 827 6100
P.O. Box 151293, New Lynn, Auckland 0600 Email: study@nzse.ac.nz or study@seafield.ac.nz

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
SUPPLEMENTARY INFORMATION
PRIVACY, FEES AND RULES
Privacy: The Organisation collects and stores information from this form to comply with the requirements of the Ministry of Education (MOE), New Zealand Qualifications Authority (NZQA),
Tertiary Education Commission (TEC), Industry Training Organisations (ITO), Ministry of Social Development, Inland Revenue Department (IRD), Department of Immigration and Agencies who
support particular students through scholarships and prizes, payment of fees or other awards (if you are a recipient of one of these awards) and employers. The information is also used to
select students for qualifications, to manage internal administrative processes, and for internal reporting. Information about students may be supplied to, and sought from, other educational
organisations for the purpose of verifying academic records.

When required by law, the Organisation will release information to parents, caregivers, agents and to government agencies such as the New Zealand Police, Department of Justice, Oranga
Tamariki, Inland Revenue, Ministry of Social Development and the Accident Compensation Corporation. You have the right to access and correct personal information about you which has been
collected by NZSE College/ Seafield School of English in accordance with NZSEG’s Privacy of Information Policy and Procedures.

In signing this application form you authorise such disclosure on the understanding that the Organisation will observe the general conditions governing the release of information, as set out in
the Privacy Act 1993 and the Post-Compulsory Unique Identifier Code of Practice. You may see any information held about you and amend any errors in that information. To do so, contact the
Enrolment Officer.

NB: The Privacy Act came into force on 1 July 1993 with the stated aim of protecting the privacy of natural persons. It requires the Organisation to collect, hold, handle, use and disclose personal
information in accordance with the twelve information privacy principles in the Act.

Fees: In signing this application form you undertake to pay all fees as they become due, and to meet any late fees and collection charges associated with debt recovery. The Organisation’s policy
on withdrawal and refund of fees may be obtained from the Enrolment Officer.

Rules: In signing this application form you undertake to comply with the published rules and policies of the Organisation with regard to attendance, academic progress, standard of dress, health
and safety, and behaviour.

NZSE College and Seafield School of English are bound by the Education (Pastoral Care of Tertiary and International Learners) Code
of Practice 2021. The Code sets clear expectations for learner safety and wellbeing in tertiary education. Please find information
about the Code here:
https://www.education.govt.nz/further-education/information-for-tertiary-students/code-of-practice-pastoral-care-domestic-tertiary/

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
APPENDIX 1
INTERNATIONAL STUDENT UNDER 18 DESIGNATED CAREGIVER INFORMATION (2023)
To be filled if the International student under 18 years of age will be staying with a designated caregiver* approved by their parents or
legal guardian. All the information below is required to be provided under the Ministry of Education’s Code of Practice.

(*Designated Caregiver: A Designated Caregiver must be a relative or a close family friend and will be the caregiver and accommodation provider for the applicant)

APPLICANT & PARENT/GUARDIAN DETAILS


To be completed by the Applicant’s Parent/Legal Guardian only

APPLICANT FULL NAME DATE OF BIRTH


DDāMMāYYYY

PARENT/LEGAL GUARDIAN FULL NAME CONTACT NUMBER

ADDRESS E-MAIL

Attach proof of your parentage/legal guardianship status*


• I, as the parent/legal guardian** of the applicant, have chosen for them to stay with a Designated Caregiver (outlined below) that
was not arranged by NZSE College/Seafield.
• I confirm that the person nominated at designated caregiver is a bona fide relative or close family friend.
• I take full responsibility for the placement and ongoing welfare of the applicant for the duration of their stay with the Designated
Caregiver who will be responsible for the day-to-day care of the student.
• If NZSE College/Seafield deem the Designated Caregiver accommodation to be unsuitable, the school retains the right to refuse
enrolment to the applicant until suitable accommodation can be found.
**You are required to attach proof of your parentage/legal guardianship status. This can be the applicant’s birth certificate with the
parent’s name/s on it, or a legal document stating you have legal guardianship over the applicant (an agent cannot fill in this section
or sign on behalf of a parent/legal guardian).

DESIGNATED CAREGIVER DETAILS


The Designated Caregiver will need to sign a Designated Caregiver Agreement (Appendix 2) in support of the student application

DESIGNATED CAREGIVER FULL NAME RELATIONSHIP TO APPLICANT

ADDRESS CONTACT NUMBER

E-MAIL

PARENT/LEGAL GUARDIAN SIGNATURE

DATE
DDāMMāYYYY

An NZSE College/Seafield staff representative will:


• Visit the designated caregiver’s home prior to enrolment to ensure the environment is safe.
• Carry out a police vetting of the Designated Caregiver
• May carry out police vetting of all adults over the age of 18 years living in the household

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
APPENDIX 2
INTERNATIONAL STUDENT UNDER 18 DESIGNATED CAREGIVER AGREEMENT
This agreement is to be completed by the Designated Caregiver, in support of the student application and in conjunction with
Appendix 1.

STUDENT APPLICANT DETAILS (AS SHOWN ON PASSPORT)


FAMILY NAME GIVEN NAME(S) DATE OF BIRTH
DDāMMāYYYY

DESIGNATED CAREGIVER’S DETAILS (AS SHOWN ON PASSPORT)


FAMILY NAME GIVEN NAME(S)

NZSE College/Seafield expects the Designated Caregiver appointed by the student’s parents to:
• Be a bona fide adult relative or close family friend of the student’s parents
• Be responsible for the student’s day to day care and safety, health, and wellbeing needs
• Provide a warm, caring environment where the physical and emotional well-being of the student can be nurtured
• Provide 3 meals a day (including any takeaways or meals out at the parents’ expense)
• Provide appropriate accommodation for the student
• Attend parent/teacher meetings as required by the school and be available for feedback surveys
• Care for the student as you would your own child
• Set reasonable rules and boundaries and discuss expectations of these with the student
• Ensure that the school has up-to-date information of parents’ addresses and student’s address and contact numbers at all time
• Contact the school immediately if there are any concerns whatsoever concerning the welfare, health and safety of the student – especially in the event of the
student being involved in any form of serious accident
• To inform the school in advance if the designated caregiver is going to be absent so that alternative arrangements can be made
• Forward to parents any formal communication they may receive from the school
• The Designated Caregiver is welcome to attend orientation.

The Designated Caregiver can expect NZSE College/Seafield to:


• Provide a safe learning environment for the student
• Ensure the student’s safety and emotional well-being is taken care of during school hours
• Provide additional learning support for students experiencing academic difficulties (if additional costs are involved, the parents may be asked to provide for this)
• Provide a 24/7 contact number for any emergencies
• Provide school reports to be sent to the student’s parents
• Provide an interpreter for liaison with the school if necessary
• Contact the Designated Caregiver immediately in the event of the student being involved in any form of serious accident and request appropriate emergency
medical services
• Maintain regular contact with the designated caregiver.

Terms and Declaration


Should there be a concern about the welfare of the student; NZSE College/Seafield will discuss the concern with the student’s parents or Designated Caregiver and
the students may be placed in an approved NZSE College Homestay. If necessary, the school will also refer the matter to any other appropriate outside agencies.
I agree to be NZ Police vetted by NZSE College/Seafield, and I understand that this must be completed prior to commencement of the student living with me. I
understand that if the NZ Police Vetting result is not acceptable, this agreement will be terminated effective immediately. NZSE College/Seafield may request for all
persons above 18 years of age living in the household to be police vetted.

I have attached copies of one Primary Identification document and one additional identification document that is from either of the Primary or Secondary
Identification document requirements - for the purposes of the NZ Police Vetting check.
Primary IDs include: Passport (NZ or Overseas), NZ Firearms Licence, NZ Full Birth Certificate (issued on or after 1998), NZ Citizenship Certificate, NZ Refugee Travel
Document, NZ Emergency Travel Document, NZ Certificate of Identity.
Secondary IDs include: NZ Driver Licence, 18+ card, NZ Full Birth Certificate (issued before 1998), Community Services card, SuperGold Card, NZ Employee Photo
Identification Card, NZ Student Photo Identification Card, Inland Revenue number, NZ issued utility bill (issued not more than six months earlier), NZ Teachers
Registration certificate, NZ Electoral Roll Record, International Driving Permit, Steps to Freedom Form

I understand and accept the terms and expectations as a Designated Caregiver for the above-named student
Yes No

DESIGNATED CAREGIVER FULL NAME

DESIGNATED CAREGIVER SIGNATURE DATE


DDāMMāYYYY

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
APPENDIX 3
INTERNATIONAL STUDENT HOMESTAY APPLICATION FORM
Please send a completed form at least four weeks prior to your arrival if you would like NZSE College/Seafield to book your homestay
accommodation.

1. APPLICANT DETAILS
FAMILY NAME GIVEN NAME(S)

DATE OF BIRTH PREFERRED TITLE GENDER


DDāMMāYYYY Mr Mrs Ms Other Male Female Other
STUDENT ID (IF APPLICABLE) NATIONALITY E-MAIL

WHAT LANGUAGE(S) DO YOU SPEAK?

PROGRAMME OF STUDY

START DATE FINISH DATE CAMPUS


DDāMMāYYYY DDāMMāYYYY

LENGTH OF STAY IN HOMESTAY


4 weeks only (minimum stay) More than 4 weeks
HOMESTAY START DATE HOMESTAY FINISH DATE
DDāMMāYYYY DDāMMāYYYY

2. ARRIVAL INFORMATION
We require your flight details at least 2 weeks prior to your arrival. Please provide confirmed flight details.

DATE OF ARRIVAL TIME OF ARRIVAL AIRPORT/CITY OF ARRIVAL


DDāMMāYYYY

AIRLINE NUMBER OR ARE YOU ALREADY IN NEW ZEALAND?


Yes No

3. EMERGENCY CONTACT DETAILS


FULL NAME RELATIONSHIP TO APPLICANT

ADDRESS

MOBILE PHONE E-MAIL

4. HEALTH, DIETARY AND ACCOMMODATION REQUIREMENTS


The purpose of this section is to help the school assist you during your stay in New Zealand.

DO YOU REQUIRE ?
FULL BOARD HALF BOARD
DO YOU HAVE A DISABILITY OR MEDICAL CONDITION? (I.E. ASTHMA, EPILEPSY, DIABETES, EYESIGHT PROBLEMS ETC.)
Yes No
HAVE YOU EVER BEEN TREATED FOR ANY MENTAL HEALTH ISSUES? (I.E. DEPRESSION, BIPOLAR, EATING DISORDER, AUTISM ETC.)
Yes No

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ARE YOU TAKING ANY MEDICATION AT THE MOMENT? (I.E. PAIN MEDICATION, ANTI-DEPRESSANTS, HEART PILLS, INSULIN ETC.)
Yes No
DO YOU HAVE ANY ALLERGIES TO MEDICATION, ANIMALS AND/OR FOODS? (I.E. BEES, PENICILLIN, DAIRY, SHELLFISH ETC.)
Yes No
DO YOU HAVE ANY DIETARY CONSIDERATIONS? (I.E. VEGETARIAN, GLUTEN FREE, ALLERGIES, RELIGIOUS)
Yes No
HAVE YOU HAD SURGERY OR ANY MAJOR INJURIES IN THE PAST 5 YEARS? (I.E. BROKEN BONES, HEAD TRAUMA ETC.)
Yes No
DO YOU SMOKE? (THIS INCLUDES CIGARETTES OR VAPING)
Yes No
IF YOU HAVE ANSWERED “YES” TO ANY OF THE ABOVE, PLEASE PROVIDE ADDITIONAL INFORMATION HERE

SOME HOST FAMILIES HAVE CHILDREN LIVING IN THE HOME. WHAT AGE CHILDREN ARE YOU HAPPY TO LIVE WITH?
Little Ones (0-4 years) Children (5-12 years) Teenagers (13+ years) No children
WHAT ACTIVITIES / HOBBIES DO YOU ENJOY?

ARE YOU HAPPY TO LIVE IN A HOME WITH PETS?


Yes No
Dog Cat Other (please specify)?

PLEASE WRITE A BRIEF GREETING TO INTRODUCE YOURSELF TO YOUR HOST FAMILY

IF APPLICANT IS UNDER 18 YEARS OF AGE


APPLICANT FULL NAME PARENT/LEGAL GUARDIAN FULL NAME

APPLICANT SIGNATURE PARENT/LEGAL GUARDIAN FULL SIGNATURE

DATE DATE
DDāMMāYYYY DDāMMāYYYY

Parent/Legal Guardian please attach a copy of Photo ID (e.g. Passport, Driver’s


License)

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
CANCELLATION AND REFUND POLICY FOR INTERNATIONAL STUDENTS INCORPORATING
THE CONDITIONS FOR TERMINATING ENROLMENT AND THE CONDITIONS FOR
TERMINATING THE CONTRACT 
Refunds of programme fees will only be made in accordance with the following A01 Student Admission and Withdrawal Policy: 

By accepting a place in a programme of study at New Zealand Skills and Education College / Seafield School of English, a student enters a contract with NZSE College or Seafield School of
English for the period of one academic year (or the length of the programme if it is less than one year). This contract means there is an obligation to pay the fee for the year (or for the length of
the shorter programme). 

Students who wish to defer to the following term/semester must notify NZSE College/Seafield School of English at least two weeks prior to the programme commencement. 

Students withdrawing before commencing a NZSE College/Seafield School of English course will be given a full refund of fees less the registration and homestay placement fees. 

Students withdrawing up to the end of the second day after the start of a course of less than five (5) weeks duration: an amount equal to the fees paid less a deduction of 50 per cent. However,
if two days constitutes the full amount of tuition paid for by the student, NZSE College or Seafield School of English will retain 100 per cent of the payment. (As per section 235A(1)(c) and (d) of
the Education Act.) 

Students withdrawing up to the end of the fifth day of a course of five (5) weeks or more, but less than three (3) months: NZSE College or Seafield School of English must pay an amount equal to
the fees paid less a deduction of 25 per cent. (As per section 235A(1)(c) and (d) of the Education Act.) 

International students withdrawing at the end of the tenth working day after the first day on which the student is required to attend the course (courses three months or more (12 weeks)):
Full refund of fees less a deduction for costs incurred by the School, up to a maximum of 25% of the total fee paid. (NZSE College or Seafield School of English will provide details of the cost
components for the purpose of working out the maximum deductible percentage.) (As per section 235A(1)(a) and (b) of the Education Act and as set out in the Education (Refund Requirements
for International Students) Notice 2012. 

In normal circumstances, no refunds will be given after the tenth day of the programme/course commencement. If a student decides to withdraw from a programme/course once enrolment has
been finalised the student will need to complete a NZSE College/Seafield School of English Withdrawal Form which can be obtained from any of our Campuses. Any request for such a refund
must be made in writing to Group Academic Director of NZSE College/ Seafield School of English. The request must include a detailed explanation of the reasons for withdrawal from the
programme/course. At this time, the student’s family and Agent may be notified by NZSE College/Seafield School of English that a request for refund has been received. 

If a refund is given, it will be paid in NZ dollars and paid by direct credit either to:
• The original payer’s nominated bank account, or 
• If the Refund Authorisation Letter is completed by the original payer, to another party’s bank account 

Note: If the student is not the original payer, permission in writing from the original payer will need to be sought before the funds can be transferred to the student. 

Consideration of Refund Applications 

Applications for refunds will be considered according to the following table on page 12, which may require supporting documentation: 
(For further information, NZSE College/Seafield School of English have set up a web page to assist you. It has useful information about Policies, the Code of Practice and links to the student
handbook: https://www.nzse.ac.nz/student-support/student-resources)

1. For students under 18 years of age their parent or guardian agrees to appoint and authorize NZSE College or Seafield School of English to:
2. Receive any information from any person, authority or corporate body concerning the student including, but not limited to, medical, educational or welfare information 
3. Provide consents in respect of any activity carried out and authorized by the provider 
4. Provide consents that may be necessary to be given on the students’ behalf in the event of a medical emergency where it is not reasonably practicable to contact the parent or guardian 
5. If applicable, advise the students’ Designated Caregiver of all matters and information required to be provided to parents of any student and agree to appoint the Designated Caregiver as
their agents in New Zealand to receive such information in substitution for the parent or guardian 
6. To take whatever steps are necessary to ensure the student complies with school rules and policies as set down by NZSE College/ Seafield School of English
7. To obtain at any time from any person or entity any information required to process and/or accept the application for tuition or to perform or complete NZSE College/Seafield School of
English various obligations under this agreement. The applicant authorizes any such person to release to NZSE College/Seafield School of English any personal information that person
holds concerning the student

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz
Conditions for terminating Evidence required  Timing  Amount of refund 
enrolment and contract 
Interim Visa issue, full visa An official letter from INZ indicating At any time  Tuition fee less Registration fee, less
declined the rejection of the visa application  charge equivalent to period studied on
the interim visa 
A visa was not granted  An official letter from INZ indicating At any time  Total tuition fee less registration fee 
the rejection of the visa application 

Extension of visa is not An official letter from INZ indicating At any time  Total tuition fee less registration fee 
granted  the rejection of the visa application 
NZSE College/Seafield is No documentation required from The refund is Total fee paid (however if the student
unable to proceed with the the student  automatic  transfers to another programme, the
programme  refund will be applied to the alternative
programme) 
OR 
If the programme contracted with New
Zealand Skills and Education College is
cancelled for whatever reason, then
the student shall be entitled to a
total refund of programme fees but
shall not be entitled to any other
compensation, costs or consequential
damages of whatsoever nature 
Student no longer wishes to A letter from the student outlining Before the Total fee paid less the registration fee,
study at NZSE College  the reason for their change of commencement of accommodation placement fee, and
circumstances New Zealand Skills the programme of any agency fees 
and Education College will advise study 
INZ and request cancellation of
student visa 
Up to the end of Total fee paid less the registration fee,
the 10th working accommodation placement fee, any
day after the course agency fees, and a cancellation fee of
start date  up to 25% of the programme fee 
Student no longer wishes to A letter from the student outlining Before the Total fee paid less the registration fee,
study at Seafield School of the reason for their change of commencement of accommodation placement fee, and
English  circumstances Seafield School of the programme of any agency fees
English will advise INZ and request study
cancellation of student visa
Up to the end of An amount equal to the fees paid less
the 2nd working a deduction of 50 per cent. However, if
day after the course two days constitutes the full amount of
start date (for tuition paid for by the student, Seafield
courses shorter than School of English will retain 100 per
5 weeks) cent of the payment
Up to the end of Amount equal to the fees paid less a
the 5th working day deduction of 25 per cent
after the course
start date (for
courses longer than
5 weeks but shorter
than 12 weeks)
Up to the end of the Full refund of fees less a deduction for
10th working day costs incurred by the School, up to a
after the first day on maximum of 25% of the total fee paid.
which the student
is required to attend
the course (courses
12 weeks or longer)
NZSE College • 0800 99 88 11 • nzse.ac.nz Page 12
Seafield School of English • +64 9 369 1906 • seafield.ac.nz
Conditions for terminating Evidence required  Timing  Amount of refund 
enrolment and contract 
Compassionate reasons Documentation supporting At any time  At the discretion of the Academic
(serious illness etc.)  application for a refund by the Director NZSE College / Seafield AND
student  the CEO (Chief Executive Officer) 
Non-attendance or failure to As per NZSE College/Seafield After the No refund 
achieve  International Policy  commencement of
the course 
Breach NZSE College/ As per NZSE College/Seafield At any time  No refund 
Seafield Regulations  Regulations 
 Gains Permanent Residency  An international student in a At any time  Will not receive a refund of fees for the
semester-based programme, gains semester in which residency is granted. 
Permanent Residency 
However, they will be treated as a
New Zealand Permanent Resident for
the following semester and refunded
any international fees paid beyond
the semester in which residency was
granted. 
International students in At any time  Must pay the international fees for
programmes designed with full year the full year, regardless of the date
non-semester-based courses gains Permanent Residence has been granted
Permanent Residency  during that year 

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Seafield School of English • +64 9 369 1906 • seafield.ac.nz

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