Application Form

Student Details
Family Name:  
Given Name:  
I like to be called
Date of Birth (d/m/y): / /
Passport Number
Passport Expiry Year:
Issuing Country
Email:  
Nationality:
First Language:
Home Address: (In own country)
Interests
Please list the student’s interests. (For example, piano, basketball, reading).
Student Parent's Information
Father's Name:
Mother's Name:
Telephone numbers of parents (please include country and city code)
  Home
  Mother's Work
  Father's Work
  Mother's Mobile
  Father's Mobile
  Fax:
    
Email Addresses  
Mother email
Father email
    
Occupation  
Mother
Father
    
Name of emergency contact in own country:
(This must be someone who does not live with the parents, eg. relative or close friend)
Name
Telephone:
Email Address
Academic Information
Date on which the student intends to commence study at Avonside:
Proposed length of stay at Avonside:
Level of study applied for - please tick:




School currently attending (or last attended):
In your country?
In New Zealand?
Has the student attended a school in New Zealand before?
Which school?
How many years has she studied English?:
Subjects the students would like to take:
(In order of preference)
(Please refer to International Prospectus)
1. 2.
3. 4.
5. 6.
7. 8.
Does the student intend to enter NCEA?
Does the student intend to attend University or higher education in New Zealand?
Other plans for the future:
Health
It is compulsory for the student to have full health and travel insurance.
Has insurance already been arranged for the student?
If yes, state insurance company name, and policy number:
Do you wish Avonside to arrange insurance on behalf of the student?
Does she have any medical problems?
If your answer if yes – please write about these problems here:
Agent name and full contact details
Company Name
Contact Person Name:
Address
Phone:
Fax:
Email:
Accommodation

A designated caregiver must be a relative or close family friend who has known the student for some years, and a caregiver indemnity form must be signed by the parents and by the designated caregiver.
The school must approve the designated caregiver.

If the Agent is intending to find accommodation for the student, Avonside will police-check the family and must approve the accommodation and family. The Agent must provide details of the family before the application will be accepted.

Please organise homestay with a NZ family?
OR the designated caregiver will be
Name
Address
Home Phone Number
Mobile Phone Number
Email:
Does the caregiver speak English?
Personal Statement
The student is to describe briefly, in English, why she would like to study at Avonside Girls' High School. Use a separate piece of paper, or write in this space.
Contract and Declaration
To be agreed to by a Parent of the Student
I have read the Prospectus for International Students or had it fully explained to me.
I agree that my daughter:
  • will abide by the Rules for Avonside Girls' High School International Students, conditions of the Tutition Contract, and the Homestay Contract and Rules
  • will have approved medical and travel insurance
  • will attend regularly

I accept the right of the school to change the level and course of study if this is seen to be in the interest of my daughter.
I guarantee the good behaviour of my daughter whilst in New Zealand.
I agree to my daughter appearing in photographs being taken for school publicity purposes.
I give permission for teachers or a person authorised by the school to take or send my daughter out of school with other members of her class to visit places of interest or instruction in the community as part of their organised study, or in a group or team to take part in organised so-curricular activity.

Full name of signatory:
Relationship to student

Upon filling in this form, you must send the following supporting documents via mail or email to the address below:

  • Certified Copy of latest academic results (in English)
  • Photocopy of birth certificate or passport
  • Passport photo
  • Personal statement of student (if not entered above)

An application will not be processed without all parts completed and all forms attached.
Should this application be successful, the student/Agent/parent will receive an offer of place, invoice for fees, homestay and tution contract, refund policy, complaints policy.
These documents need to be completed and returned, and fees paid to enable the student to apply for a Student Visa.
A student cannot be enrolled without a Student Visa.

The Director of International Students
180 Avonside Drive
Christchurch 8061
New Zealand
Telephone: +64 3 389 7199
Fax: +64 3 389 9250
Email: international@avonside.school.nz or rjohnson@avonside.school.nz

Avonside Girls' High School 2008 Dates Avonside Girls' High School Stationary Fees