Enrol in a course - College of Natural Health & Homeopathy

Which qualification do you wish to study?*

Name*

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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*

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