International Enrolment Form_V5 November 2022
International Enrolment Form_V5 November 2022
International Students
All references to UCOL on this enrolment form should be read as references to Te Pūkenga – New Zealand Institute of Skills and Technology
trading as UCOL.
Thank you for applying to study with us. Please complete this form and return it to us as soon as possible. If you
need assistance or further information, please email [email protected]
Have you previously applied or enrolled at UCOL, or Whanganui Regional Community Polytechnic?
No Yes - Please provide student ID No:
1 MY PERSONAL DETAILS
Enter your name as it appears on your passport.
Current Address
ADDRESS 1
Telephone/Mobile Number
( COUNTRY CODE ) ( AREA CODE ) Email address
2 QUALIFICATION
I wish to study the following qualification(s) (see International Prospectus or UCOL Website)
Qualification Name/s
Elective Sheets will be provided if appropriate for the qualification you have chosen to study.
Identify your programme preferred start date as listed on the UCOL website or International Prospectus
MONTH YEAR
Qualification: Institution:
What are your intentions after you have finished this study programme? e.g. further study?
Your answers to these questions will help us ensure that you are choosing the most appropriate study programme for the educational outcomes you
are seeking.
4 MY EDUCATIONAL HISTORY
SECONDARY SCHOOL RECORD
Name of the last secondary school you attended
What is the highest level of achievement you hold from a secondary school?
Date you completed your last year at secondary school: MONTH YEAR
Do you want to apply for credit of papers completed at another tertiary institution? Yes No You will be required to submit additional forms.
ENGLISH LANGUAGE PROFICIENCY
Have you completed an English Language Proficiency test? Yes No If “Yes”, please specify ie IELTS, OET etc.
Please attach your most recent test results.
PRIOR ACTIVITY
What was your main activity or occupation as at 1 October last year?
Polytechnic Student Secondary School Student University Student Wage or Salary Earner
House Person or Retired Private Training Establishment Student Self Employed Unemployed Other
DISABILITY
Do you have a disability? Yes No Impairment? Yes No
If you have a pre-existing medical condition, non-disclosure may make your insurance invalid.
If you already have medical and travel insurance please attach a copy of your policy and certificate.
7 ACCOMMODATION
Please tick your preferred accommodation option:
I will make my own arrangements. I do not want accommodation booked for me.
Please remember if you arrange your own accommodation you must keep us informed of where you are living.
I would like UCOL to arrange a Homestay (requirement for under 18). Homestay accommodation is where you live with a New Zealand
family. You are provided with your own fully furnished room and three meals a day.
Please note, special accommodation requirements apply to you if you are under 18 years old when you commence your study at UCOL.
You must advise us of your arrival details at least two weeks prior to your arrival.
1. In completing this form, I am applying and provisionally enrolling at UCOL, and if UCOL confirms my enrolment in writing and if UCOL
receives my acceptance of an offer of place before its expiry date then I agree:
I. To pay to UCOL in full relevant tuition fees and all other fees set by UCOL before the first date that teaching starts on the qualification I am
enrolled in.
II. To comply with all UCOL’s statutes, policies and procedures (including all amendments and new statutes, policies and procedures
introduced after the date of this Enrolment Form (International Students).
III. I acknowledge that in applying for enrolment I have not relied on UCOL’s (and / or UCOL’s recruitment agents or contractors) judgement
that qualification(s) / course(s) are suitable for any particular purpose or will achieve any particular result unless notified to me, in writing, by
UCOL.
IV. In applying for enrolment I acknowledge that, apart from the statements and warranties expressly given to me in writing by UCOL and not
any recruitment agent, all other statements and warranties (express or implied) are excluded except as prohibited by law.
V. I have received full written details of all fees, and any items that are or may be required by UCOL to be purchased or provided by me, for
the qualification(s) / course(s) I have chosen.
VI. I agree that the provisions of this Enrolment Form (International Students), together with the Further Terms and Conditions for
International Students that were attached to this form, and which I have kept, current at the date I sign this form, form my contract with
UCOL. That contract can only be varied by UCOL in writing, signed by UCOL.
VII. I have read the UCOL International Prospectus, Study Guide and Website and I understand them.
VIII. I agree to supply all information UCOL asks me to supply.
IX. UCOL can use any photograph, video and/or recording taken of me for the purpose of marketing and media during and after my enrolment
at UCOL. I agree to sign other documents required by UCOL for this purpose.
X. I acknowledge that I am aware of the Education (Pastoral Care of International Students) Code of Practice 2016 (including Amendments
2019) and the Dispute Resolution Scheme (DRS), and I have received clear and sufficient information enabling me to make an informed
choice about studying at UCOL.
XI. I agree that where I am transferring to UCOL from another education provider in New Zealand I consent to UCOL obtaining all information
concerning me from that provider.
XII. I have read the Privacy Statement in the Further Terms and Conditions attached to this Enrolment Form (International Students) and in
signing this Form I agree to it.
XIII. If this Enrolment Form (International Students) is translated into another language, I must sign the English version and only the English
version applies.
2. I agree that if UCOL confirms my enrolment, in writing, and if UCOL receives my acceptance of the UCOL offer of place, I may only
withdraw if UCOL’s International Recruitment and Conversion team are notified in accordance with the UCOL International Student
Fees and Refunds Procedure current at the time I sign this form. My eligibility for a partial refund of the tuition fees and when I have not
already paid fees my obligation to pay fees, depends on whether I am within the timeframes stipulated in the International Student Fees
and Refunds Procedure attached to this form, and a copy of which I have kept.
9 DECLARATION
I declare that, to the best of my knowledge, all the information I have provided on the Enrolment Form (International Students) is true and complete,
that I have read, I understand, and I agree to the terms and conditions on this form, and the further terms and conditions attached to this form, and
that all references to UCOL, including on the further terms and conditions, were read as referring to Te Pūkenga – New Zealand Institute of Skills and
Technology trading as UCOL.
Signature Date
DAY MONTH YEAR
Parents/Guardian of applicant under 18 years old must also sign an additional form before they can be enrolled.
Application is fully completed, dated and signed by me, and my parent / legal guardian (if applicable)
I have attached a certified1 copy of the photo page and address page of my passport.
I have attached certified1 proof of my highest level of education achievement (certificate and transcript).
My parent/legal guardian has completed an Authority and agreement form for international applicants under 18 years (if applicable).
1
A certified copy is a photocopy of the original document, which is signed by a Solicitor, Justice of the Peace, Notary Public or authorised UCOL
person as being a true copy of the original document.
The following are the further terms and conditions of your enrolment with UCOL as an International student, in addition to those terms and
conditions on the Enrolment Form (International Students) you signed.
4. Privacy Statement
In signing the Enrolment Form (International Students) you agree that:
Privacy Statement
I agree that this privacy statement applies to me for considering every enrolment application I make to UCOL, during each period I am
enrolled (if any) and at any time after my enrolment.
UCOL will collect some of this information directly from me. I also authorise the collection of personal information about me from other
sources (including for verification).
Disclosure
I agree that the information collected about me and held may be disclosed by UCOL to:
i. Government departments and agencies in New Zealand.
ii. Organisations involved in delivery of qualifications including placements and quality assurance providers.
iii. Professional registration bodies and professional accreditation bodies, when relevant.
iv. English language testing organisations and organisations that verify qualifications and / or experience.
v. Service providers, when relevant.
vi. My parents or legal guardians if I am under 18 years old.
vii. Scholarship providers / sponsors / employers.
viii. Entities involved in pastoral care.
ix. Entities related to my financial support.
In signing the Enrolment Form (International Students) I authorise the collection, holding, use and disclosure of information referred to
above.
Access
I understand that I have the right to access personal information about me (subject to exceptions in the Privacy Act). I can ask that the
information held be corrected.
6. Enrolment Decisions
You acknowledge that you have (or where you are under 18 years old your parent / legal guardian has) made well informed decisions
that are appropriate for the educational outcomes you want. You are responsible for ensuring that you are enrolling in the correct
qualification and courses that you are eligible to study.
You acknowledge that if you are under 18 years old your parent / legal guardian has participated in your enrolment decisions.
7. Enrolment obligations
Before signing this Enrolment Form (International Students) you have (or your parent / legal guardian if you are under 18 years old has)
information required to understand your interest and obligations if UCOL offers you a place and if you accept.
If you become enrolled in a qualification, course or training, UCOL may cancel your enrolment at UCOL, and refuse to enrol you again on
the grounds that:
i. You are not of good character; or
ii. You are guilty of misconduct or a breach of discipline; or
iii. You are enrolled full-time at another education provider; or
iv. You have made insufficient progress in your study or training after a reasonable trial at UCOL or at another institution; or
v. Are permitted or required by law.
When you are studying at UCOL in New Zealand you understand that the Education (Pastoral Care of International Students) Code of
Practice 2016 and the Disputes Resolution Scheme applies. You acknowledge that you have received information about both.
8. Insurance
If you become enrolled for two weeks or more at UCOL in New Zealand, you will obtain those insurances specified in the Education
(Pastoral Care of International Students) Code of Practice 2016 (clause 16.5) for the entire period that you are enrolled at UCOL.
UCOL will arrange insurance on your behalf, and invoice you accordingly. If you do not wish to receive this insurance cover then you
must opt-out and provide a copy of your insurance policy and certificate.
You agree not to withhold any information and not to specify any false information that would entitle the insurer not to respond to any
claim or to cancel the insurance policies.
9. Immigration
You agree that you have taken reasonable precautions to ensure that you are entitled to study in the qualification at UCOL in New
Zealand.
10. Accommodation
If you are under 18 years old at the date that you commence your study with UCOL, you understand that if you are not living with your
parent/legal guardian or with a UCOL approved residential caregiver, you must be in a properly supervised group of students and your
qualification at UCOL must not be longer than three months.
Responsibility: Executive Director Business & Industry Partnerships Date Last Reviewed: March 2021
PURPOSE
To describe and detail Student Fees, Charges and Refunds, including providing the framework for assessing applications for refund of fees
for international students.
SCOPE
This is a UCOL wide policy.
RESPONSIBILITY
The International Recruitment and Conversion team are responsible for the implementation of this policy.
REQUIREMENTS
1. Payment of fees
1.1 All fees and charges are in New Zealand dollars unless otherwise stated.
1.2 UCOL must receive payment in full of the tuition fees and student services levy (SSL) from an International Student no later than the
first date that they commence their programme.
1.3 In exceptional circumstances, and only with prior approval, arrangement may be made to pay fees by instalments. Students are
advised to review these arrangements in conjunction with Immigration New Zealand.
1.4 The total amount paid to UCOL must include any bank fees that may be incurred by UCOL.
1.5 Fees can be paid by credit card; these credit card transactions incur a merchant service charge from the bank.
1.6 No refunds of tuition fees and SSL will be paid to International Students, except as expressly provided for in Schedule A of this policy.
3. Withdrawal
3.1 An international student can only withdraw from a programme of study at UCOL by written confirmation, preferably by completing,
signing and returning to UCOL a UCOL Change of Details/Circumstances form, or by another form of written confirmation, including
email.
3.2 Except as expressly provided for in this procedure, no refund will be granted to an International Student who does not withdraw from
a programme in accordance with Clause 3.1 above.
UCOL International Student Fees and Refunds Procedure. Controlled Document – refer to Intranet for latest version Version: 21.1
5. Refunds as a Result of a Change in Residency Status
5.1 If an international student gains Permanent Residency during their programme of study, the student will not receive a refund of fees
for the courses already commenced unless:
(i) Residency was granted before the end of two weeks from the course commencement date; and
(ii) UCOL can access funding for the international student as an equivalent full-time student; and
(iii) The International Student has withdrawn in accordance with Clause 3.1 of this Policy and has enrolled at UCOL as a Domestic
Student.
5.2 Domestic fees will apply for the courses commencing in the following semester. No rebate will be offered for fees paid for any prior
study.
6. Programme Transfer
6.1 International students can transfer to an alternate programme of study at UCOL by completing, signing and returning, to UCOL a UCOL
Change of Details/Circumstances form, by email notification or other written confirmation.
6.2 Subject to the international student gaining the entry requirements, correct visa and complying with all terms and conditions of
enrolment, then the new enrolment can be completed.
6.3 If an international student wishes to transfer to an alternative programme of study at UCOL the student will not receive a refund of
fees for the courses already commenced unless.
(i) Request for transfer was received before the end of two weeks from the course commencement date; and
(ii) The International Student has notified their change of circumstances in accordance with Clause 3.1 of this Policy and has re-
enrolled at UCOL in an alternative programme.
6.4 If the international student does not meet the entry requirements, or does not receive a new visa for the new programme of study,
then the fees and any refund due revert to the original programme of study.
8. Payment of Refunds
8.1 Refunds to international students can be made by direct credit and will be returned to the original payee (less an administration
fee) or as directed in writing by the international student if they were the original payee. If UCOL does not receive such reasonable
written directions within 28 days of the date of withdrawal, UCOL may forward payment of the refund to the residential address of the
international student inserted on the international student’s Enrolment Form.
8.2 All refunds will be denoted in New Zealand Dollars. To refund the payment into the student’s bank account they must provide third
party verification of their bank account number, which should include the bank logo, the account number and the account name.
Refer to Creditor Supplier Payments Procedure, clause 1.
Relevant Legislation
• Education and Training Act 2020 and amendments
• Human Rights Act 1993 and amendments
• New Zealand Bill of Rights Act 1990
• Judicature Act 1903
UCOL International Student Fees and Refunds Procedure. Controlled Document – refer to Intranet for latest version Version: 21.1
Related Documentation
• Education (Pastoral Care of International Students) Code of Practice 2016 (including Amendments 2019)
• International Student Contract Disputes Resolution Scheme (DRS) 2016
• UCOL International Prospectus: International Student Fee Refund
• Admission and Enrolment Policy
• International Students Procedure
• Student Complaints Policy
• Student Concerns and Complaints Procedure
• Student Financial Support Policy
• Student Financial Support Procedure
• Creditor Supplier Payment Procedure
• Tuition Fees, Course Costs and Other Charges Policy and Procedure
Reason for Withdrawal1 Documentation required Date of Withdrawal Amount of Refund Admin Charge
Failure to obtain Written notification of Prior to commencing the 100% of the fees3 $250
appropriate visa from withdrawal. programme. received by UCOL, less the
Immigration New Zealand2. administration charge.
The Student no longer Written notification of Two or more weeks 100% of the fees3 $500
wishes to study at UCOL withdrawal4. before commencing the received by UCOL, less the
(for students issued a visa programme. administration charge.
in the name of UCOL).
Between 2 weeks prior and 90% of the fees3 received
2 weeks after commencing by UCOL, less the
the programme. administration charge.
UCOL is no longer able to No documentation Prior to commencing the 100% of the fees3 received Nil
provide tertiary education required. programme. by UCOL.
services, withdraws an
offer of place or is unable
to provide the programme
for any reason.
Exceptional circumstances Documentation supporting At any time. The amount and approval $500
(for example serious an application for a refund. of any refund is at the
illness). discretion of the Chief
Executive, or delegate. The
student is expected to seek
redress from their insurer
before applying to UCOL.
Any reason not detailed Less than two weeks 90% of the fees3 received $500
above. before commencing the by UCOL, less the
programme. administration fee.
Note:
1
UCOL reserves the right to withdraw an Offer of Place because of incorrect or incomplete information supplied by a student or student’s agent, and
retain part or all of the fees3 paid.
2
Prospective students should not pay fees until such time as they have approval in writing of a ”Visa in Principle” from Immigration New Zealand.
3
Fees: aligns with the tuition fees, Student Services Levy, insurance and all other charges detailed on the Offer of Place.
4
If a student has arrived in New Zealand, proof they have returned to their normal country of residence, or received an alternate visa to remain in
New Zealand.
UCOL International Student Fees and Refunds Procedure. Controlled Document – refer to Intranet for latest version Version: 21.1