Enrol In A Course | College Of Natural Health & Homeopathy

This application form is for new students only

All returning students, please use the Re-Enrolment form

Which qualification do you wish to study?*

Name*

First Last

Address*

Street Address Address Line 2 City Country

Email*

Phone / Mobile*

Date of Birth*

Do you live with the effects of significant injury, long term illness, or disability? (The information you supply is confidential)**

If “Yes”, how would you describe your impairment, disability, or long term medical condition?

Citizenship and Residency

Are you a domestic or international student?*

During your enrolment in this qualification will you be residing in New Zealand or overseas?*

What was your MAIN activity or occupation during the last year?*

What is the highest level of achievement you hold from a secondary school?*

Will this be the first year you have ever enrolled in Tertiary Study either in New Zealand or overseas since leaving high school?*

Please list any tertiary qualifications you have completed or are currently studying at other universities/colleges/providers

Signature - Please enter your FULL NAME as your signature*

Date*

How did you hear about us?*