Accelerator Student Application Form 2019
If you would be like to be part of the 2019 Accelerator programme complete this application form by 29 March 2019. Please note places are limited.

The Accelerator programme includes a workplace mentor placement from 4 - 5 pm followed by a leadership coaching session 5 - 6.30 pm each Monday evenings in Term Two. Email belinda.mooney@taranakifutures.org for further information.

Email address *
Name: first name *
Your answer
Name: last name *
Your answer
During the application process, we communicate exclusively via email and txt so please check your email address/phone frequently. What is your preferred email address? *
Your answer
What is your cellphone number? *
Your answer
What is your date of birth (dd/mm/yy eg. 21/06/02) *
Your answer
What is your ethnicity? (our funders request this information. Your name will not be supplied to them)
Your answer
Which school do you attend? *
Who is your emergency contact? (Name, relationship to you eg. Mary Smith, mother) *
Your answer
What is their preferred contact phone number? *
Your answer
List any medical conditions.
Your answer
List any food allergies.
Your answer
State your preferred Vocational Pathway. If you don't know, check here: http://youthguarantee.net.nz/vocational-pathways/the-six-vocational-pathways/ *
Required
The Vocational Pathways
If you have already lined up a potential employment placement, state the name of the company here.
Your answer
Employers value skills along with qualifications. Please select 3 skills that you feel are applicable to you. *
Required
What are your goals or aspirations for when you leave school? *
Your answer
What are your current hobbies or activities? *
Your answer
Typically you will need to arrange your own transport to and from your business placement, and to the ACCELERATOR Leadership sessions. Please confirm you will be able to arrange this. *
I will commit to all 9 weekly business placements and ACCELERATOR leadership sessions. (Attendance is expected at all events but please indicate any prior commitments that may affect this. This may be taken into account in acceptance into the program.) *
Thank you - application complete! One of the team will be in touch within the next few weeks
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