Praxis Application 2020
Name *
Your answer
Postal Address *
Please provide steet, city and postal code
Your answer
Phone *
Your answer
Email *
Your answer
Date of birth *
MM
/
DD
/
YYYY
I am applying for entry to
Please select course and region
Which culture do you identify with (statistical purposes only) *
Required
Are you a permanent NZ resident *
Required
Please scan & send a letter about your previous experience in working with young people and your reasons for wanting to do the course to admin@praxis.org.nz or answer the next three questions. *
Required
What has your previous experience (if any) in youth or community work been
Your answer
Why do you want to do this course?
Your answer
What plans do you have for using what you will learn?
Your answer
Have you completed any other qualifications? e.g., Cert, Diploma, Degree *
Please scan copies of documents and send to admin@praxis.org.nz
Your answer
Your proposed Agency *
Please provide the name of the agency as well as a contact person, their phone, email and postal address details. Please send a letter of support from your Agency sating that they are prepared to support your year of trainng with Praxis. Send to admin@praxis.org.nz
Your answer
References *
Please give details for 2 personal referees including name, phone number and email address, that we can talk to about your suitability for youth work
Your answer
Survey *
How did you find out about this course
Required
Remember scan and send to admin@praxis.org.nz
Declaration *
I understand that making a false statement is an offence under the Crimes Act 1961. Pursuant to Principle 11(d) of the Privacy Act 1993. I agree to the disclosure and use of information on this form by Praxis to authorised bodies in response to requests under statutory authority. I hereby declare that the information I have given above is true and correct, and that documentation provided is certified copies of genuine documents. No information that has been provided is incorrect. No information which could have a material bearing on my enrolment has been withheld. I understand that under the Privacy Act 1993, I have the right of access to all personal information held by the Polytech and by Praxis about me, I also have the right to ask the Polytech or Praxis to correct any information which is inaccurate. I have an obligation to advise Praxis of any changes to the personal information I have provided when this occurs. I understand that course photos (with me in them) taken during course may be used in publicity material for Praxis or my agency and that I am able to object at the time if I don’t want to be in a picture.
Required
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