College House Expression of Interest Form
Students can express their interest 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.

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