Apply for 2012 - Limited Places Available!

Online Application

Use this form to submit an application to study at the New Zealand Institute of Sport in Auckland, Wellington, or Christchurch.
If you prefer, please download the PDF Application Form and send it to PO Box 1260, Wellington, New Zealand.

Make sure your online application includes the items noted in the Application Checklist. For help please contact NZIS Head Office.

NZIS Online Application Form

Fields marked with * must be completed.

Course Details

Course Selection: *

How did you hear about us: * (Check all that apply)
 From a current NZIS student From a past NZIS student From an NZIS staff member From a friend Google search Yahoo! search Bing search TV ad Print ad Radio ad

Please consider my application for: *

Application for study in: (eg 2012) *

Yes, I wish to be considered for an NZIS Scholarship
 Yes
If Yes, please attach your CV here:

Personal Details

First name: *

Middle name(s):

Last name: *

Street address: *

Suburb: *

Town/city: *

Post code: *

Country: *

Phone number: *

Alternate number:

Date of birth *

Email address *

NZQA record of learning ID number:

Are you a New Zealand resident? *
 Yes No

NZ Drivers license: *

Do you have a criminal record? *
 Yes No
Yes, please specify:

Ethnicity: *

Other please specify:

Weight (kg): *

Height (cm): *

Please list your sport(s) of interest: *

Education

Secondary school(s) and years attended (eg Naenae College, 2000-2004): *

List any languages other than English that you are competent in:

NCEA Level 1
Subject 1: Credits:
Subject 2: Credits:
Subject 3: Credits:
Subject 4: Credits:
Subject 5: Credits:
Subject 6: Credits:
NCEA Level 2
Subject 1: Credits:
Subject 2: Credits:
Subject 3: Credits:
Subject 4: Credits:
Subject 5: Credits:
Subject 6: Credits:
NCEA Level 3
Subject 1: Credits:
Subject 2: Credits:
Subject 3: Credits:
Subject 4: Credits:
Subject 5: Credits:
Subject 6: Credits:

Employment, Achievements & Qualifications

State any employment specifically related to sports you have undertaken (if not covered above) and comment on your experience. Include tasks like coaching, team management, event management, arranging sponsorship, etc. *

Achievements and Qualifications

List all awards gained - Sport, Academic & Other (state years): *

List all representative honours achieved (state years): *

Outline any particular strengths, experiences or interests you have: *

References & Personal Comment

Reference/Referee 1
Name: *

Position:

Address:

Phone number: *

Alternate number:

Relationship to you: *

Reference/Referee 2
Name: *

Position:

Address:

Phone number: *

Alternate number:

Relationship to you: *

Personal Comment

Briefly outline why you want to enrol at the New Zealand Institute of Sport: *

What do you hope to get out of the tertiary course that you'll be completing? *

Receive news and information from NZIS?
 Yes

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