Enrolment • John Paul College

Student Details

Please note that students born outside of New Zealand will be required to produce their passport and student visa at the school office.

Student Legal Name *

First name

Middle name/s

Last name

Please enter the student's legal name as it appears on their Birth Certificate.

Preferred Name

First name

Middle name/s

Last name

Date of Birth *

Day

Month

Year

Gender

Select gender

Country of Birth *

Country or Jurisdiction of Citizenship *

Language Spoken at home *

Ethnicity * Select up to three options

Iwi

Previous School

The name of the school currently being attended

Residence A / Primary Contact Details*

Address *

Please type your primary residence addresss in the above address search

Flat/Unit

Street number and name

Rural Delivery

Suburb

Post Code

Town/City

Residence A - Caregiver 1

Full Name *

Email *

e.g. dsmith@gmail.com

Phone (Mobile) *

e.g. 022 123 4567

Phone (Home)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Work)

e.g. Please select your local phone prefix, eg 07 123 4567

Occupation

e.g. Teacher at John Paul College

Relationship

Relationship to the student

Residence A - Caregiver 2

Name

e.g. bsmith@gmail.com

Phone (Mobile)

e.g. 022 123 4567

Phone (Home)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Work)

e.g. Please select your local phone prefix, eg 07 123 4567

Occupation

e.g. Teacher at John Paul College

Relationship

Relationship to the student

Student has another residence Please tick if the student resides at another address at times

Residence B / Alternative Contact Details

Address *

Please type your alternate residence addresss in the above address search

Flat/Unit

Street number and name

Rural Delivery

Suburb

Post Code

Town/City

Residence B - Caregiver 1

Name

e.g. Father's name

e.g. dsmith@gmail.com

Phone (Home)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Work)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at John Paul College

Relationship

Relationship to the student

Residence B - Caregiver 2

Name

e.g. Step-Mother's name

e.g. dsmith@gmail.com

Phone (Home)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Work)

e.g. Please select your local phone prefix, eg 07 123 4567

Phone (Mobile)

e.g. 022 123 4567

Occupation

e.g. Teacher at John Paul College

Relationship

Relationship to the student

Health Details

If your child requires regular medication at school, please specifiy in the Health Notes box.

If your child has received or is currently receiving support from a teacher aide or specialist such as iCAMHS / MOE / RTLB / Vision & Hearing, please specify in the Additional Support Required box.

If your child receives or are eligible for funded learning support please specify in the Additional Support Required box.

Doctor Name

Health Notes

List any medical problems including hearing, allergies and diagnosed conditions

Additional Support Required

List any additional learning support, needs or requirements this student may have

Allowed Paracetamol

1 tablet

2 tablets

Allowed Ibuprofen

Yes

Emergency Contact

Please enter details of someone other than yourself for emergeny contact.

Emergency Contact 1

Contact Name *

Mobile Phone *

e.g. 022 123 4567

Home Phone

e.g. Please select your local phone prefix, eg 07 123 4567

Occupation

e.g. Teacher at John Paul College

Relationship to Student *

e.g. Grandmother

Emergency Contact 2

Contact Name

Home Phone

e.g. Please select your local phone prefix, eg 07 123 4567

Mobile Phone

e.g. 022 123 4567

Occupation

Relationship to Student

e.g. Grandfather

Attachments

If you have available please attach the following documents:

Catholic Diocese Contract - Click Here To Download
Preference Card (issued by the Parish office 07 348 0289) - Click Here For Preference Criteria
Copy of most recent school report (or portfolio at time of interview)
Handwriting Sample - Click Here For Template
Birth Certificate (a requirement set by the Ministry of Education)
Eligibility to study (if not a New Zealand resident)

If you do not have a printer or are able to attach digital copies, please call into the school office.

Attachments

Select only Images, PDFs or Word Documents.
Maximum file size: 8MB's

School Questions

Student's Cellphone Number

If you are available to coach or manage a sport / club / hobby, please list them here.

I give permission for my child to be taken to an emergency medical facility if caregivers or emergency contacts cannot be contacted. I understand that this will be at my own cost - Yes/No

Does your child have any siblings at JPC? If so please list their names here.

Does your child have a preferred house group?

If your child has previously been stood down or suspended please detail here.

If your child is NOT a New Zealand citizen, are they currently a resident of New Zealand?

If your child is currently out of the country what will be their date of arrival to New Zealand?

Agreements

Please click on the links below and carefully read the documents with your child.

Code of Conduct

Responsible Use of Technology Agreement

Confiscated Items

EOTC Agreement

Learning Support Authority

Code of Conduct *

I have read and agree to the Code of Conduct document above.

I agree

Digital Responsible Use *

I have read and agree to the Responsible Use Of Technology document above.

I agree

Confiscated Items *

I have read and agree to the Confiscated Items document above.

I agree

EOTC *

I have read and agree to the EOTC Approval document above.

I agree

Learning Support *

I have read and agree to the Learning Support Authority to Share document above.

I agree

Declaration *

I have read and agree to all of the above documents and I will support John Paul College with upholding these terms.

I agree

Before you submit the application please double check that all required fields marked with an asterix are filled in and are correct.

Enrolment -

Residence A - Caregiver 1

Residence A - Caregiver 2

Residence B - Caregiver 1

Residence B - Caregiver 2

Emergency Contact 1

Emergency Contact 2