ESITO - Taster Online Application Form

Taster Online Application Form

I am interested in applying for a place on a two-week ESITO Taster Course in the following area during the school holidays.

Course Location:
Christchurch Auckland Hamilton Palmerston North Kawerau
Surname:	*
Given Name:	*
Preferred Name:	*
Date of Birth:	*
Residential Address:	*
How did you hear about this course? (You must choose at least one)
ESITO Website Career Advisor Career Expo School Careers Event Newspaper Word of Mouth
Your school:
Daytime phone number:	*
Mobile:
Email:	*
I confirm that I have completed unit standards 6401 & 6402 or if not, I will complete them before the taster course starts.
I confirm that I am a NZ Citizen / Permanent Resident.
For statistical purposes only, please tick the boxes next to the ethnic groups you belong to:(You must choose at least one)
NZ European NZ Maori Tongan Samoan Tokelauan Cook Island Maori Fijian Niuean Asian Other If your ethnicity is not listed above enter here: