New Zealand Institute of Sport
Quality Careers in
Sport, Fitness & Recreation
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Course Selection
I wish to apply for the following course:
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-- Select Course --
NZIS Certificate in Sport Management and Exercise Prescription (Level 4, Year 1)
NZIS Diploma in Sport - Sport Management (Level 5, Year 2)
NZIS Diploma in Sport - Exercise Prescription (Level 5, Year 2)
NZIS Certificate in Sport Studies
NZIS Pre Police Proficiency Certificate
NZIS Certificate in Personal Training
NZIS Sportszone Certificate
How did you hear about us:
from a friend
web search
TV ad
print ad
radio ad
Please consider my application for:
*
-- Select Location --
Auckland
Wellington
Christchurch
Application for study in .. (eg 2010)
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Yes, I wish to be considered for an NZIS Scholarship
Please attach your CV here:
Personal Details
First name:
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Middle name(s):
Last name:
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Street address:
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Suburb:
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Town/city
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Post code:
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Country
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Phone number
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Alternate number:
Date of birth
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January
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2010
Email address
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NZQA record of learning ID number:
Are you a New Zealand resident?:
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Yes
No
NZ Drivers license:
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-- Select License --
Full license
Restricted license
Learners license
none
Do you have a criminal record?:
*
No
Yes
Yes, please specity:
Ethnicity
*
-- Select Ethnicity --
NZ Maori
Pacific Island
NZ European
Other
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
Credits
1
2
3
4
5
6
NCEA Level 2
Subject
Credits
1
2
3
4
5
6
NCEA Level 3
Subject
Credits
1
2
3
4
5
6
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.
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Achivements and Qualifications
List all awards gained - Sport, Academic & Other (state years):
*
List all representative honours achieved (state years):
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Outline any particular strengths, experiences or interests you have:
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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 be completing?
*
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