Initial Teacher Education Programme Entry Form

This form must be completed by the applicant and not an agent or representative, as it contains personal background information which will only be known by the applicant.

You should set aside a minimum of 30 minutes to complete this form. Please note it is not possible to partially complete sections of this form and return to it later.

Please note that any information supplied by you to AUT will be subject to the Oﬃcial Information Act 1982 and the Privacy Act 1993. AUT may seek clariﬁcation from you, or request further information in relation to any information you provide in this form.

Personal details

Family name * legal name as specified on your passport/identification documents

First name(s) * Please include middle name(s) as specified on your passport/identification documents

Preferred name

AUT student ID number * You will have received a unique student ID when you applied online

Email address *

Contact phone number *

Gender *

Male
Female
Other

Date of birth *

Day Month Year

Place of birth * Town/state/city

Country of birth *

NZ Driver Licence number

Previous names

Please include other alias or alternate names; married name if not your primary name; previous/maiden/name changed by deed poll or statutory declaration.

Previous name(s)

Add another previous name

Previous name(s)

Permanent residential address

Number and street *

Suburb

City / town / rural district *

Post code

Programme(s) you have applied for

Which programme have you applied for admission online? *

Bachelor of Education (Early Childhood or Primary Teaching)
Graduate Diploma in Secondary Teaching
Master/PGDip Teaching and Learning (Early Childhood Education)
Master/PGDip Teaching and Learning (Primary)

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Questions about the form

If you have any questions about the form, please contact us, so we can help you clarify why we require this information and how to proceed.