Out of Zone Enrolment
ID:0 | 10/05/2025 |

Recipient: Guest
Originator: Guest
1 1. Application Information
1. Application Information
2 2. Immigration Status
2. Immigration Status
3 3. Caregiver 1
3. Caregiver 1
4 4. Caregiver 2
4. Caregiver 2
5 5. Learning Needs
5. Learning Needs
6 6. Health Record & Permissions
6. Health Record & Permissions
7 7. Courses
7. Courses
8 8. BYOD
8. BYOD
9 9. Cybersafety
9. Cybersafety
10 10. The Selwyn Way
10. The Selwyn Way
* Mandatory fields | 
Print
1
Introduction

This is an application for out of zone students. If you live in our zone  please use the In Zone form instead.

Please complete each section - questions with an orange asterisk are compulsory.

Please do NOT use ALL CAPS. Questions should be completed in Title Case (for peoples names and street names) or in Sentence case.
1
About Yourself

This is an application for out of zone students. If you live in our zone  please use the In Zone form instead.

Name of the person completing this form *

Email Address *

Are you in zone for Selwyn? *

Do you have other immediate family members currently or historically enrolled at Selwyn College?

State the full name and relationship (to the student applicant) of any IMMEDIATE family members that are attending, or have ever attended Selwyn Collge and what year/s eg: John Bloggs - brother, 2022.
House of other family members:
1
The Privacy Act

We have read and agree to the terms of Selwyn College's Privacy Statement.

We acknowledge that the information we provide in relation to the student’s enrolment, and such updated information and other personal information collected from time to time by Selwyn College, is collected for the purpose of: 

- the Board and/or the School discharging their functions and obligations under the Education and Training Act 2020;
- the administration of Selwyn College;
- providing for the student’s educational and general advancement;
- maintaining student records;
- accounting purposes of the Selwyn College Board;
- communication with the Caregivers/Parents of students;
- incident reporting and the sharing of information to improve the health and safety and wellbeing of all at Selwyn College
- and communication with NZ Qualifications Authority examination information, Special Education Services, the Ministry of Social Development (Youth Services) and any other Government agency which may lawfully request such information from time to time.

We further accept that this information may later be used for statistical and/or research purposes and agree to its use for that purpose, provided that if the information is published in a way that will not identify me or the student. 

We authorise Selwyn College to obtain from any person or organisation any of the student’s personal information required for the purposes of the Board and/or the School discharging their functions and obligations under the Education and Training Act 2020, and we authorise that person or organisation to disclose such personal information to Selwyn College and/or the Board of Selwyn College.

We are aware that Selwyn College uses CCTV cameras for safety and security purposes.

We are aware that, pursuant to the Privacy Act 2020, we have the right to access and correct the student’s personal information held by Selwyn College. We shall notify the school of any change in the student’s personal information held by Selwyn College as soon as is reasonably practicable.

*
1
Student Personal Details







Legal surname: *

Preferred Surname: *

First Name:

Middle Name
Name preferred to be known by:
Gender:

Students Residential Address: Number and Street
Suburb:
City:

Postcode:
Student Mobile:
Student email:

Date of Birth:
National Students Number (NSN):


Incoming Year Level:
Intended start date (choose 30/01/2026 for next year): *



Country of Birth:
Country of Citizenship:
Birth Certificate Number: *

Upload evidence (scan a copy of your birth certificate) *

If your birth certificate is from a country other than NZ please also upload your current visa or an Australian Passport.
First Language:

Previous School in New Zealand / Overseas:
School report:

1
Ethnicities

Please nominate up to three ethnicities

Ethnicity:




1
Iwi affiliations

Please nominate up to three affiliations here, if you need more please let us know during the enrolment interview

Iwi affiliation(s):




2
Immigration Status

What is your citizenship status?:
Date of arrival in New Zealand:

Permit expiry date:
3
Caregiver 1

Family Name:
First Name(s):

Title:
Relationship to Student:

Home Phone:
Mobile Number:

Work Phone:
Email:

Occupation:
Name of Employer/Company:

Please tick the items that apply to Caregiver 1:
4
Caregiver 2

Enter details for a second caregiver, if residential details are the same as for caregiver one please leave these fields blank.

Family Name:
First Names:

Title:
Relationship to student:

Do you live with this student?
If not living with student - residential address: Number and Street

Suburb:
Post code:

Home Phone:
Mobile Phone Number:

Email:
Occupation:

Name of Employer/Company:
If this caregiver does not live with the student, do you require mail concerning student welfare to be sent to both caregivers?

Please check the items that apply to Caregiver 2:
Do you wish to have fees and charges split between caregiver 1 and 2?

Please upload any relevant evidence of caregiver arrangements (e.g. custody documents or court orders).
5
Learning Needs

Please describe any special learning needs:

Comments / Sensitive Data. Please give any specific information that we should be aware of in relation to caregiver/custody arrangements or any other information that may affect this student's learning.
6
Health Record & Permissions

This information is required to help us care for the student in times of illness or in emergencies. While this information is strictly confidential, it may be necessary for the safety of the student, or others, to inform relevant staff or medical personnel of medical conditions. Teachers may be informed of conditions affecting the student's education progress.

You will be asked to complete a more detailed medical form once your enrolment has been accepted. For now, please provide us with these initial details.
Medical condition(s):

Family Doctors Name:
Doctors Phone:

Dentist name:
Dentist Ph:

Please attach immunisation certificate:


Do you give permission for the school to give your child paracetamol? *

Do you give permission for the school to give your child antihistamine? *

This student can swim 60m *
7
Course Choices

Which courses would you like to study? Refer to the Course Guide on our enrolment page on our web site.

For Year 9 choose either:

  1. one Language or Literacy, one Art and one Technology OR 
  2. two Arts and two Technology

For Year 10 choose Full year or Semester PE, a Language or Literacy, one Technology and one Arts subject 

For Year 11 choose 3 options (English, Mathematics and Science are compulsory)

For Year 12 list 5 option choices (English is compulsory)

For Year 13 list 5 option choices.

You choices will be confirmed at your enrolment interview.
8
Considerations for BYOD: Bringing your own device

At Selwyn College, we provide a Wifi network and students are required to bring their own electronic devices from day one to support their learning.  We do not recommend a particular device because students’ needs differ. However, we do offer the following guidelines.

All our students are provided with a google apps account with 25GB of cloud-based storage to access word processing, presentations, spreadsheets, email and basic image manipulation through a browser. The performance of googleapps varies on different devices so this can be a good test to discriminate between devices.

Beyond this, the ideal device for school use

  • enables word processing, presentations, spreadsheets, image manipulation, video and audio editing
  • has some form of keyboard for typing (built-in or external)
  • is lightweight, but robust enough to handle daily use
  • has a protective carrying case
  • has 4-8 hours of battery power (or preferably more) and easy options for recharging
  • has built-in wireless capability 
  • has a common web browser (Google Chrome, Safari, Firefox)
  • is flexible, with USB ports and other options for expansion and connectivity
  • has some form of antivirus/anti-spyware protection

Suggestions for a Student Computer

If you are considering purchasing a new computer, it’s important to keep in mind what it might be used for. For example, photography students will need more processing power and storage than a computer that is used for general word processing and web browsing. However, even cheaper laptops are capable of running fairly demanding software.

While there are times when a smart phone or handheld device is an appropriate tool for a specific purpose, there are limitations that should be considered as well. One obvious problem is screen size. A small screen means it is harder to manipulate text or images than on a laptop, tablet or netbook. Lack of a physical keyboard on a handheld device makes any form of word processing much less efficient.

While we do not mandate any specific models, here are some suggestions:

  • Budget: Chromebooks, Netbooks or tablets with 2-4GB RAM and 16GB hard drive available between $400 and $500 
  • Mid range: laptops with 4GB RAM, 500GB - 1TB hard drive between $600 and $800
  • High end: laptops with 8GB of RAM and 500GB - 1TB hard drive with Windows or Mac OS between $1000 and $1400

Pricing is indicative only, and will vary/change with time, model, manufacturer and dealer

These or similar models are all available through PBTech or any other dealer in Auckland. Options such as extended warranties should be considered for computers which are going to be used on a daily basis at school.  

When considering a device, please also bear in mind that students are responsible for ensuring that it is kept in good working order. Our IT Team can provide limited assistance with configuring the devices onto the wireless network, but cannot provide in-depth ongoing technical support.

If you have any further questions or comments, please feel free to contact Clare Linzey, Assistant Principal by email: linzeyc@selwyn.school.nz 

Does this student have their own device? *

9
Cybersafety Agreement

As part of enrolment, you must agree that you have read the following rules and accept the conditions for using ICT, as well as the consequences for misuse. These rules apply to all school-related activities and any privately owned devices brought to Selwyn College or to a school-related activity.

Once you agree, a personal account will be made providing access to school facilities: computers, WiFi, email, Spider and printing. Violation of this agreement may result in the withdrawal of any or all of these facilities.

As a member of the our community you agree to the Selwyn Way which states Our electronic gear – use it appropriately

  1. Using the Internet - access is allowed with the permission and supervision of a staff member.  This applies to all internet use including access on your own device while at school or on school related activities.
  2. Use of School Equipment – equipment may be used for the purpose it was lent.
  3. Mobile Phones and other Devices – will be used in class with the express permission of the teacher for a learning activity.  Devices must not be used for inappropriate activities such as upsetting or harassing students, staff or anyone else, even as a joke. 
  4. Care and Use of ICT - you must not damage or steal any equipment or try to damage the network. You and your family may be responsible for the cost of repair or replacement of any deliberately damaged equipment.
  5. Passwords - You must keep your passwords confidential and never share them with anyone else. 
  6. Permissions - You need permission from staff to contribute material to the school website or websites used for school related activities.You must not have involvement with any unofficial website that falsely claims to represent the school
  7. Consideration of Others - You must be considerate of others by:
  • sharing equipment with others;
  • not wasting resources through unnecessary uploads or downloads;
  • not intentionally disrupting the smooth running of any school computer or network;
  • not getting involved in any use of ICT that may be offensive to others including any form of “messaging”, or the creation or display of inappropriate graphics, audio or video files;
  • getting permission from anyone you want to photograph, video or record 

8. Respect - privacy, safety and security must be respected when using ICT. You must not get involved in any activity that might put yourself at risk or use ICT to upset harass or harm anyone else or the school.

  • You put yourself at risk if you use ICT to: harass; bully; be a nuisance; invade privacy; play games; impersonate or steal an identity; spoof; gamble; be fraudulent; infringe copyright; cheat, or change settings on any equipment without permission.  Websites must not be used in a way that could be a risk to the school.
  • If you accidentally access inappropriate, dangerous or illegal material you should:
    1. not show others
    2. close or minimise the window
    3. report the incident to a teacher immediately
    4. You must avoid doing anything that may put at risk the security of the school computer network.

Selwyn College reserves the right to check any work or data stored on or through the school’s computer network or Internet facilities.  For example, we may check your school email. If we suspect you have misused privately owned ICT at school or on school-related activities we may investigate the matter and you may be requested to allow your ICT equipment to be checked or audited. If you misuse equipment an appropriate response will be made such as: a discussion with you, informing your parent/caregiver, loss of access to school ICT, or another disciplinary action.  If ICT is used illegally, the school may inform the police.

Do you acknowledge that violation of this agreement may result in the withdrawal of access to any or all of the aforementioned facilities? 
10
The Selwyn Way

We have read and agree to fully abide by and support the expectations of the Selwyn Way.

  *

11
Next Temporary Save
Save & Submit Close

eForms Workflow statistics  
   Refresh
Please select the student associated with this eForm from the list
  Next  
Do you want to continue the partially filled eForm from the last session?


Yes, continue from where I leftNo, I want to fill a new eForm

Warning: Saving New eForm will destroy any partially filled old eForm!