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This form is for students who are currently enrolled in a course leading to employment in the New Zealand education sector and who are not currently earning a wage or salary in a centre, school or Ministry of Education worksite.

When you begin paid employment in a centre, school or Ministry of Education worksite, you will need to rejoin NZEI Te Riu Roa as a full member - you can do that by filling in the form located here: http://www.nzei.org.nz/NZEI/Join/join-page.aspx

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Personal Information

Surname: *

First name: *

Middle names:

Preferred name (If different from first name):

Date of Birth (dd/mm/yy):

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Are you:

Female

Male

Other

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Ethnicity:

European/Pakeha

Māori

Pacific Island

Other (please specify)

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Contact Details

Email Address: *

Mobile: *

Address 1(postal) *

Address 2

City/Town:

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Education Details

Your training institution:

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Where is your institution located:

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I am studying

Primary

ECE

Psychology (education)

Speech Language Therapy

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Personal Information

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Are you:

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Ethnicity:

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Contact Details

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Education Details Your training institution:

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Where is your institution located:

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I am studying

Education Details

Your training institution: