Te Ara Oranga application

Submit your application using the online form below.

Please note: once you start your application online you can't save and complete at a later date.

If you need assistance with your application please email us on tearaoranga@manukau.ac.nz.

Required fields are marked with an asterisk (*).

1. Ethnicity

Are you of New Zealand Māori descent? *

Iwi Applicable if you selected yes to the above.

Hapū Applicable if you selected yes to the above.

Marae Applicable if you selected yes to the above.

Are you of Pacific descent? *

Pacific nation(s) Applicable if you selected yes to the above.

Island(s) Applicable if you selected yes to the above.

Village(s) Applicable if you selected yes to the above.

Do you identify with any other ethnicities? *

If yes, please list below

2. Personal details

Title *

Family name *

First name *

Gender *

Date of birth *

MIT ID Number (type n/a if unknown) *

3. Contact details

Contact phone number *

Email address *

Preferred contact method

Postal address *

Suburb *

Town/City *

Postcode *

4. Area of study

What programme are you enrolled in? Or what programme do you anticipate you will enrol in? *

5. Motivation for applying

Please explain why you are passionate about improving health outcomes for Māori and Pasifika *

6. Declaration

Declaration *

I declare that I wish to be considered for entry onto Te Ara Oranga. I hereby declare that the information and attached documentation provided by me on this application form are true and correct. I acknowledge that Manukau Institute of Technology (MIT) can terminate my application if false or incomplete information has been provided. MIT observes the principles governing the release of personal information as set out in the Privacy Act 1993. I understand that the primary purpose of gathering this information is to allow MIT to carry out the functions required of it under the Education Act 1989, and its obligations under other enactments. MIT may also collect and use my personal information for research and marketing purposes related to the Te Ara Oranga project. I authorise MIT to disclose this information to MIT academic and administrative staff where relevant to their duties, to other educational institutions for the purpose of verifying and maintaining academic records, to the Ministry of Health and Counties Manukau Health for research and reporting purposes relating to the Te Ara Oranga project, and to Government agencies or other authorities as permitted or required by law. I will have the right to access and have corrected, personal information about me which has been collected by MIT.

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