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First Name
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Middle Name
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Last Name
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Date of Birth
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Mobile Phone
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Email
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Address line 1
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Address line 2
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Suburb
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City
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Postcode
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Country
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Ethnicity
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Ethnicity (If not found on the list, please specify your ethnicity below)
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How Did You Hear About Us?
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Google
Facebook
Instagram
Other Media (eg Print, TV, Radio)
Friends / Family / Iwi / Hapu
Teacher / Careers Advisors / School
Etco Staff Member
Event / Expo
Electrical Company
Other (Please State)
How Did You Hear About Us Other
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Citizenship Status
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New Zealand Citizen
Australian Citizen
NZ Permanent Resident
Other
If Citizenship Other, Please state
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NZ Drivers Licence Class
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No Licence
Learners
Restricted Manual
Restricted Automatic
Full
What secondary school did you attend?
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If you are still at school, what year level are you in?
Not at School
Year 10
Year 11
Year 12
Year 13
What is the highest NCEA level have you achieved?
NCEA Level 1
NCEA Level 2
NCEA Level 3
Didn't do NCEA
Didn't achieve NCEA
NSN (National Student Number)
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Please list any Level 1 English credits achieved
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Please list any Level 1 Science credits achieved
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Please list any Level 1 Mathematics credits achieved
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Please list any Level 2 English credits achieved
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Please list any Level 2 Science credits achieved
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Please list any Level 2 Mathematics credits achieved
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Please list any Level 3 English credits achieved
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Please list any Level 3 Science credits achieved
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Please list any Level 3 Mathematics credits achieved
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Please state your Maths, Science and English results from high school if NCEA was not completed
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Pre-trade Electrical Engineering Level 3 – Currently attending or completed?
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Pre-trade Electrical Engineering Level 3 – Currently attending or completed?
No
Pre-trade Electrical Engineering Level 3 – Currently attending or completed?
Yes
Pre-trade completion date:
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Pre-trade provider?
Ara Institute of Canterbury
Eastern Institute of Technology
Manukau Institute of Technology
New Zealand Management Academies
Northland Polytechnic
Otago Polytechnic
Skills Update
Southern Institute of Technology
The Electrical Training Company (Etco)
Toi Ohomai Institute of Technology
Unitec New Zealand
Universal College of Learning (UCOL)
Waikato Institute of Technology
Wellington Institute of Technology
Western Institute of Technology at Taranaki
Whitireia Community Polytechnic
Other
I have not completed a pre-trade course
If successful, when would you like to start your apprenticeship approximately?
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What will be your nearest Etco Training Centre?
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Auckland
Rotorua
Tauranga
Hamilton
Wellington
Christchurch
Dunedin
Invercargill
Your Comments
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I confirm that I have read EWRB's definition of a Fit and Proper person and confirm that I meet these criteria.
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I declare that the NCEA Level 1,2, and/or 3, or the equivalent results and all other information in this application that I have provided are true and correct.
By submitting this form, I authorise Etco to search the NZQA framework for any record they have regarding my educational achievements.
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