Services Academy Application Form

In partnership with the New Zealand Armed Forces and the Ministry of Education

INSTRUCTIONS FOR NEW APPLICANTS:

Before starting the application form, please download the Information Sheet to read over.
All questions and sections must be completed
Parents/Guardians must be made aware of your intent to apply.

Full Name

Address

Phone Number

Tutor Group

Year Level

Ethnicity

Gender

Date of Birth

Country of Birth

Citizenship Status

Immigration status

Health - do you currently suffer from, or use medication for: (tick all that apply)

Asthma Diabetes Epilepsy No medical conditions

Family Doctor

Consent of Parent or Guardian (if the applicant is under 18 years of age). Please tick:

My Parent / Guardian has consented to this application for the Services Programme. My Parent / Guardian is aware that I may have to undergo a complete medical check prior to being selected for this Academy. My Parent / Guardian may be contacted to confirm consent using the below contact information:

Parent / Guardian Name

Parent / Guardian Mobile Number

Parent / Guardian Email

James Cook High School

James Cook High School

SERVICES ACADEMY APPLICATION FORM

In partnership with the New Zealand Armed Forces and the Ministry of Education

INSTRUCTIONS FOR NEW APPLICANTS:

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