Y•Skills for Life Enrolment Form – Ashburton

Thanks for your interest in the Y•Skills for Life programme in Ashburton. Just fill out the form below, hit send, and we’ll be in touch soon.

“In accordance with section 234B of the Education Act 1989, The National Council of YMCA’s of NZ has no known material conflicts of interest of any of the governing members of the establishment”.

(Educational programmes are delivered under sub-contracted agreement with the National Council of YMCAs of New Zealand (NZQA Registered PTE).)

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* 1. Your Details

Full Name

Date of Birth - DD/MM/YYYY

Home Address

Contact Phone Number

Alternate Phone Number

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* 2. Gender

Female

Male

Gender Diverse

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* 3. Ethnicity

NZ European

Maori

Pacific Island

Asian

Other

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* 4. National Student Number (NSN)

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* 5. Have you achieved NCEA Level 1?

Yes

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* 6. Have you achieved NCEA Level 2?

Yes

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* 7. How did you find out about us?

Website

Facebook

School

Word-of-mouth

Other (please specify)