International Application Form

Please read all the instructions carefully before you complete this form or email us at enquiries@ames.ac.nz.

The purpose of this application form is to gather all of the information needed for AMES personnel to be able to contact you in regards to your submission to partake on an AMES I.T. Academy course. The information is also needed as a requirement of the Ministry of Education and other Government agencies for statistical purposes.

Course Name*

Campus*

Start Date*

Family Name*

Given Name*

Preferred Name

Title*

Gender*

Male
Female

Date of Birth*

Open the calendar popup.

Phone*

Mobile

Email*

Home Address

Address*

Suburb/Town

City*

Postal Code

Country*

Postal Address (if different from above)

Address

Suburb/Town

City

Postal Code

Country

Citizenship

Have you completed secondary school?* Yes No	How many years did you attend?	City
Country
Will this be the first year you have ever enrolled in a University, Polytechnic, College of Education, Private Training Establishment, or Wananga either in New Zealand or overseas since leaving school* Yes No
If you answered “No”, please specify the following:
Name of Institution	Country	Programme of Study
Years Attended	Did you complete the academic requirements in order to graduate? Yes No

Accommodation
Please note that international students under the age of 18 are required to use AMES’ homestay accommodation.	Do you need AMES to arrange accommodation for you?* Yes No	If “Yes”, what type of accommodation is required?
Insurance	Airport Pickup
Would you like AMES to arrange travel and medical insurance for you?* Yes No	Would you like an AMES' representative to meet you at the airport?* Yes No

Name	Address	Suburb/Town
City	Postal Code	Country
Phone	Fax	Email