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Personal Details*
First and Second Names: Last Name/Family Name:
Date of Birth*

Day
Month
Year
Gender*
- Male
- Female
Course of Interest*
Please tick the name of the qualification/programme you wish to enrol in 2022:
- Automotive Training
- Carpentry & Construction
- Early Childhood Education
- Koe Mokai Ako (KMA) Intensive Literacy & Numeracy
- Pasifika Youth (Tupu Aotearoa)
- Pasifika Employment (Tupu Aotearoa)
- Not in Employment, Education or Training (NEET)
- Young Parent / Youth Payment
- Employment Preparation & Placement
Citizenship and Residency:*
- New Zealand Citizen NZL
- Australian Citizen AUS
- Permanent Resident
Ethnicity*
Income Type*
- No income
- Full-time wage
- Part-time wage
- COVID-19 Wage Subsidy
- Sole Parent Benefit
- Job Seeker Support
- Disability Allowance
- Young Parent Payment
- Youth Payment
Education and Training*
Do you already have Level 3?
- Yes
- No
- Unsure
If “Yes”, you are overqualified for our QES Courses, see NZQA web site
Training and Tertiary Study:
Will this be the first time you have ever enrolled in a Private Training Establishment?
- Yes
- No
If you answered “No”, please enter the name of the institution you studied at and year of your first enrolment.
Name of Institute:
Year of
Documentation Proof of Identity:*
Tick the box – Please upload one of the below documents indicated
- Birth certificate with place of birth stated as New Zealand, Cook Islands, Tokelau, or Niue.
- New Zealand passport.
- Australian passport
- Certificate of citizenship or letter of confirmation.
- Overseas passport with residency stamp.
Please upload one of the above documents indicated*
Max. file size: 300 MB.
Current Address:
Street Address Address Line 2 City
Phone*
Mobile
Email*
Privacy – QES collects and stores information from this form to:
- Manage the business of QES (including internal reporting, administrative processes)
- Comply with the requirements of The Privacy Act 1993 and other legislation relating to maintenance of collecting, use, disclosure, storage and access to personal information.
- Comply with the requirements of the Education Act 1989 and other legislation relating to maintenance of records and accountability for public funding.
DECLARATION:*
I agree to declaration
I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above.
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Info

Contact or Visit Us

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Position Address:

59 Tidal Road, Mangere, Auckland, 2022

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Position Phone Numbers

Admissions:
(09) 252 0055
General Info:
0800 004 222

Email Address

katarainah@qes.org.nz

Opening Hours

Monday – Friday
8:30am – 5:00pm

Contact Us

Campus

59 Tidal Road, Mangere, Auckland, 2022

Opening Hours

Monday – Friday
8:30am – 5:00pm

Youth Education

Automotive Training

Carpentry & Construction

Youth Support

Youth Payment

Young Parent Payment

NEET

Employment

Employment Preparation & Placement

Pacific Peoples

Pasifika Employment & Education

Courses

Adult & Community Education

Intensive Literacy & Numeracy

Privacy Policy