Enrolment Form - ACG Norton College

Enrolment

Your Email Address *

some helpful prompt text would go here

Student Information
Family Name*
Given Names*
Date of Birth*
Gender*
Passport Number*
Home Address*
Country*
Religious Affiliation
First Language*
Present School/College/University
Present Class/Course
Have you ever attended any other educational institution in New Zealand?*
If yes, state when & where
Current/Previous ACG Student ID Number
Home Telephone
Fax
Email*
Country of Permanent Residence*
Country of Citizenship*
Ethnicity*
Do you have any allergies or medical conditions?*
If yes, please disclose any medical condition (including allergies) which requires medication and/or supervision
Highest Qualification
English Language Standards
Are you a New Zealand Citizen or New Zealand Permanent Resident?*
Do your parents hold a current New Zealand Work Permit?*
If yes, please indicate which parent holds the permit
Please indicate expiry date of work permit.
Family Information
1. Father/Guardian Information
  
  Title
  Family Name
  Given Names
  Email
  Home Phone
  Business Phone
  Home Address
  Country
  Profession
  Company/Employer
2. Mother/Guardian Information
  
  Title
  Family Name
  Given Names
  Email
  Home Phone
  Business Phone
  Home Address
  Country
  Profession
  Company/Employer
3. Contact in New Zealand (If Known)
  
  Title
  Relationship to Student
  Email
  Phone (day)
  Phone (evening)
  Family Name
  Given Names
  Postal Address
  Company/Employer
Programme Selection
1. ACG English School
  ACG English School
  ACG English School
  Intensive General English
  Intensive Academic English
  Start Date
  End Date
  No of Weeks
  Intensive IELTS Preparation
  Intensive IELTS Preparation
  Proposed Start Date
  Please indicate your level of English
2. ACG Foundation Studies
  The University of Auckland Certificate in Foundation Studies
  The University of Auckland Certificate in Foundation Studies
  Course Length
  Proposed Start Date
  AUT International Foundation Certificate
  AUT International Foundation Certificate
  Foundation Focus
  Course Length
  Proposed Start Date
3. ACG Parnell College
  ACG Parnell College
  ACG Parnell College
  Proposed Start Date
  Proposed Entry Level
4. ACG Senior College
  ACG Senior College
  ACG Senior College
  Proposed Start Date
  Proposed Entry Level
5. ACG Strathallan
  ACG Strathallan
  ACG Strathallan
  Proposed Start Date
  Proposed Entry Level
6. ACG Sunderland
  ACG Sunderland
  ACG Sunderland
  Proposed Start Date
  Proposed Entry Level
Accommodation Selection
Type of Accommodation selected
Homestay Choice
Do you object to cats in your homestay?
Do you object to dogs in your homestay?
Do you smoke?
Is there any food you cannot eat?
If yes please list the foods you cannot eat.
Do you require any special food?
If yes please list what special foods you require.
Are you allergic to animals?
If yes please give details
Any other requests?
Do you wish to be met by a representative of ACG at the airport and transferred to your accommodation?*
Arrival Date
Time of Arrival
Airline
Flight Number
Final Details
Where did you hear about ACG?*
If Other please specify
ACG Agent Code (If known)
Company

Click here for Terms and Conditions.
Acceptance of Terms and Conditions*

If this online application fails to submit, please use the following link admissions@acgedu.com to complete your application.

ACG reserves the right to change without notice programmes, terms and conditions both before and after students' admission. ACG will undertake best endeavours to inform you of any changes.

Enrolment

Student Information

Family Information

Father/Guardian Information

Mother/Guardian Information

Contact in New Zealand (If Known)

Programme Selection

ACG English School

ACG Foundation Studies

ACG Parnell College

ACG Senior College

ACG Strathallan

ACG Sunderland

Accommodation Selection

Final Details