Westlake Girls High School Signup Form

Fields marked with * are required.

Student Details
First name (as on passport)
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Middle names (as on passport)
Last name (as on passport)
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Preferred first name
Date of Birth
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Country of Birth
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Gender
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Ethnicity
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First Language
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Overseas Address
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*
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Overseas phone number
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New Zealand mobile number
Email address
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How long have you studied English
Years Months
Sporting Interests
Other:
Cultural Interests
Other:
Agent Details (Only applicable if you are an agent)
Name
Email
Previous Applications
What was the name of the last school you attended?
Have you applied to Westlake Girls High School before?
If yes, when?
Have you studied in New Zealand before?
If yes, please state which school
Has your sister enrolled at Westlake Girls High School before?
Name
Year Attended
Travel Details
Arrival date (if available)
Passport number
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Passport expiry
Student Visa number
Student Visa issued
Student Visa expiry
Parents/Caregivers Details
Mother/Caregiver 1 Details:
First name
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Middle names
Last name
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Relationship (Mother,Father,Aunt,Guardian)
Occupation
Overseas address
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*
*

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Phone number
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Work number
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Mobile number
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Email address
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Father/Caregiver 2 Details:
First name
*
Middle names
Last name
*
Relationship (Mother,Father,Aunt,Guardian)
Occupation
Overseas address
*
*
*

Phone number
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Work number
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Mobile number
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Email address
*
Accommodation Details
Where will you be staying? *
Homestay Information
Letter to Homestay
Please paste in a short letter (below) to introduce yourself to your new host family. Tell them what you like, why you're coming to New Zealand any anything else you want them to know.
Important Homestay Considerations
Please include any important homestay requirements, such as vegetarian, or that you are allergic to cats etc. This information is used to help us choose the best homestay for you.
*

Parent/Designated Caregiver (DCG) Details
First name
Middle names
Last name
Relationship (Mother,Father,Aunt,Guardian)
Occupation
Overseas address




Phone number
Work number
Mobile number
Email address

Please note: A DCG must be a relative or close family friend of the family. This accommodation must be approved by Westlake Girls High School prior to the student's arrival. Please provide a copy of the passport (and visa if applicable).


Medical Details
Do you wish to purchase insurance through the school? *

Insurance must cover travel and health for entire length of stay in New Zealand as per school's terms and conditions.

Insurance company
Insurance policy number
Insurance policy expiry
Medical Information
You must declare all medical details. Withholding information may result in your contract being terminated.

The school WILL dispense any over the counter medications as it sees fit to students UNLESS specified above.
Current Medications
Allergies
Doctor name (in home country)
Doctor phone
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Emergency Contact (If other than parent)
First name
Family name
Relationship
Phone number
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Address
Email address
Course Details
Study Programme
When will you start?
Year Term
Duration of study?
Terms

Please be aware this is for indication purposes only and not a guarantee of your placement in a selected subject.

You are advised to consult the Curriculum Handbooks which is on our school website before you make your final subject selection.

Please read the notes regarding each year level before you select:

Year 9 students will study from eight learning areas as per the NZ Curriculum. The Arts, English , Mathematics, Science, Social Studies, Health and Physical Education, Languages and Technology studies. Please select two subjects from each of these learning areas.

Year 10 students must study English, Mathematics, Physical Education/Health, Science, Social Studies AND must pick THREE ADDITIONAL subjects from the Year 10 selection.

Year 11 students will be placed in English and Mathematics courses appropriate to their level. Please select science and three other course from the Year 11 selection.

Year 12 students will be placed in an English or EAPS (English for Academic Purposes) appropriate to their needs. Students are required select 5 additional options from the Year 12 list.

Year 13 - Select five subjects from the list. You are advised to consult the Curriculum Handbook which is on our school website before you make your final subject selection.

Year/Subjects
Learning Difficulties
You must declare any learning difficulties you may have. Failure to notify of any difficulties may result in your enrolment being terminated.
Comments
Is there anything you would like to tell us?
Declarations

Full terms and conditions can be found here.

Please download print and sign the declaration form, then scan it and attach it below.

File Uploads
Passport
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Your Photo
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Last Two years School Reports
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Insurance Certificate
Signed Declaration (see above)
*