College House Expression of Interest Form
Parents can express their interest in enrolling their son at Palmerston North Boys’ High School College House by filling in the form below or by following the process here: http://www.pnbhs.school.nz/college-house/college-house-enrolment/

Contact will be made by the College House Manager in the year preceding the year of entry regarding the application process.  
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Year to commence at College House *
Eg. 2019
Year Level *
Please select the Year Level which you are applying for.
STUDENT INFORMATION
Legal Surname *
Legal First Name(s) *
Date of Birth *
Residential Address *
Post Code *
Mail to Whom *
Home Phone *
Student's Mobile *
Student's Email *
Current School *
Current Year Level *
Ethnicity *
Nationality *
First Language *
Name(s) of Brother(s) currently at PNBHS *
If none, please write N/A
STUDENT INTERESTS AND ACHIEVEMENTS
Academic *
Sporting: *
Performing Arts and Cultural *
Other Activities (hobbies, personal and community interests): *
PARENT INFORMATION
Parent 1 Title *
Parent 1 Surname *
Parent 1 First Name *
Parent 1 Living with Son *
Parent 1 Residential Address *
Parent 1 Post Code *
Parent 1 Occupation *
Parent 1 Email *
Parent 1 Home Phone *
Parent 1 Work Phone *
Parent 1 Mobile Phone *
Parent 2 Title
Parent 2 Surname
Parent 2 First Name
Parent 2 Currently Living with Son
Clear selection
Parent 2 Residential Address
Parent 2 Post Code
Parent 2 Occupation
Parent 2 Email
Parent 2 Home Phone
Parent 2 Work Phone
Parent 2 Mobile Phone
REASONS TO ATTEND
 Please list your reasons for applying to College House.
Parent's Reasons *
Student's Reasons *
Submit
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