In Zone Enrolment
ID:0 | 08/12/2023 |

Recipient: Guest
Originator: Guest
1 1. Application Information
1. Application Information
2 2. Immigration Status
2. Immigration Status
3 3. Caregiver Details
3. Caregiver Details
4 4. Caregiver 2
4. Caregiver 2
5 5. Student`s Special Learning Needs
5. Student`s Special Learning Needs
6 6. Student Health Record
6. Student Health Record
7 7. Courses
7. Courses
8 8. BYOD
9 9. Cybersafety
9. Cybersafety
10 10. The Selwyn Way
10. The Selwyn Way
* Mandatory fields | 

This is an application for in zone students. If you live out of our zone  please use the Out of 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.

About Yourself

This is an application for in zone students. If you do not live in our zone  please use the Out of Zone form instead.

In order to complete this form you will need to provide several scanned documents: proof of residence (a photo or scanned copy of a rates bill or rental agreement and a utilities bill) and identification for your student (a scanned copy or photo of their passport, birth certificate or visa). If you cannot complete this form please contact our office for assistance.

Name of the person completing this form *

Email Address *

Are you in zone for Selwyn? *

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

State the full name and relationship (to the applicant) of current family members attending Selwyn Collge eg: John Bloggs - brother

House of other family members:

I give permission for senior Selwyn College staff to discuss matters relating to my child's learning with staff at their previous school. *
Student Personal Details

Legal surname: *

Preferred Surname: *

First Name:

Middle Name

Name preferred to be known by:


Students Residential Address: Number and Street




Tenancy agreement or rates: *

Recent Power Bill *

You will also need to download this Statutory Declaration form, complete it and bring it with you to your interview.

Student Mobile:

Student email:

Date of Birth:

Incoming Year Level:

Intended start date (choose 01/02/2024 for next year): *

Country of Birth:

Country of Citizenship:

Birth Certificate Number  or Passport Number:

Upload evidence (scan a copy of your NZ passport, NZ birth certificate, Visa etc)

You may choose up to three ethnicities.


Iwi affiliations

You can identify up to three affiliations here - if you need more please let us know during the enrolment process

Iwi affiliation(s):

Student Personal Details

First Language:

Previous School in New Zealand / Overseas:

School report:

National Students Number (NSN):
Immigration Status

What is your citizenship status?:

Date of arrival in New Zealand:

Permit expiry date:
Caregiver Details

Family Name:

First Name(s):


Relationship to Student:

Home Phone:

Mobile Number:

Work Phone:



Name of Employer/Company:

Please tick the items that apply to Caregiver 1:
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:


Relationship to student:

Do you live with this student?

If not living with student - residential address: Number and Street



Post code:

Home Phone:

Mobile Phone Number:


Work phone:


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 caregivers 1 and 2?

Please upload any relevant evidence of caregiver arrangements (e.g. custody documents or court orders).
Student's Special 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.

Please upload any documents relating to student learning (e.g. EdPsych report)
Student Health Record

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? *
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.

Considerations for BYOD: Bringing your own device