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Unified Academy of Innovation (UAI) Application Form
If you already have an account for Unified Academy of Innovation (UAI) LMS, please log in now to prevent creation of duplicate data about you! Once logged in, you can find the form under People > Students in the main menu. If you do not have an account for Unified Academy of Innovation (UAI) LMS, please use the form below.

Student

Student Personal Data

Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters
Chinese or other character-based name.
Gender *
Date of Birth *
Format: dd/mm/yyyy

Student Background

Home Language - Primary *
The primary language used in the student's home.
Home Language - Secondary
First Language *
Student's native/first/mother language.
Second Language
Third Language
Country of Birth *
Citizenship *
Citizenship Passport Number
New Zealand ID Card Number
New Zealand Residency/Visa Type
New Zealand Visa Expiry Date
Format: dd/mm/yyyy. If relevant.

Student Contact

Email
Phone 1
Type, country code, number.
Phone 2
Type, country code, number.

Special Educational Needs & Medical

Please indicate whether or not your child has any known, or suspected, special educational needs, or whether they have been assessed for any such needs in the past. Provide any comments or information concerning your child's development that may be relevant to your child's performance in the classroom or elsewhere? Incorrect or withheld information may affect continued enrolment.

Special Educational Needs (SEN)
Are there any known or suspected SEN concerns, or previous SEN assessments?
Medical Information
Please indicate any medical conditions.

Student Education

Anticipated Year of Entry *
What school year will the student join in?
Intended Start Date *
Student's intended first day at school.
Format: dd/mm/yyyy
Year Group at Entry *
Which year level will student enter.
Previous Schools *
Please give information on the last two schools attended by the applicant.
School NameAddressGrades
Attended
Language of
Instruction
Joining Date
dd/mm/yyyy

Home Address

This address will be used for all members of the family. If an individual within the family needs a different address, this can be set through Data Updater after admission.

Home Address *
Unit, Building, Street
Home Address (District) *
County, State, District
Home Address (Country) *

Parent/Guardian 1 (e.g. mother)

Parent/Guardian 1 Personal Data

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters
Chinese or other character-based name.
Gender *
Relationship *

Parent/Guardian 1 Personal Background

First Language
Second Language
Citizenship
New Zealand ID Card Number
New Zealand Residency/Visa Type
New Zealand Visa Expiry Date
Format: dd/mm/yyyy. If relevant.

Parent/Guardian 1 Contact

Email *
Phone 1 *
Type, country code, number.
Phone 2
Type, country code, number.

Parent/Guardian 1 Employment

Profession *
Employer

Parent/Guardian 2 (e.g. father)

Do not include a second parent/guardian

Parent/Guardian 2 Personal Data

Title *
Surname *
Family name as shown in ID documents.
First Name *
First name as shown in ID documents.
Preferred Name *
Most common name, alias, nickname, etc.
Official Name *
Full name as shown in ID documents.
Name In Characters
Chinese or other character-based name.
Gender *
Relationship *

Parent/Guardian 2 Personal Background

First Language
Second Language
Citizenship
New Zealand ID Card Number
New Zealand Residency/Visa Type
New Zealand Visa Expiry Date
Format: dd/mm/yyyy. If relevant.

Parent/Guardian 2 Contact

Email *
Phone 1 *
Type, country code, number.
Phone 2
Type, country code, number.

Parent/Guardian 2 Employment

Profession *
Employer

Siblings

Please give information on the applicants's siblings.

Sibling NameDate of Birth
dd/mm/yyyy
School AttendingJoining Date
dd/mm/yyyy



Scholarships

Interest
Indicate if you are interested in a scholarship.
Yes No
Required?
Is a scholarship required for you to take up a place at the school?
Yes No

Payment

If you choose family, future invoices will be sent according to your family's contact preferences, which can be changed at a later date by contacting the school. For example you may wish both parents to receive the invoice, or only one. Alternatively, if you choose Company, you can choose for all or only some fees to be covered by the specified company.

Send Future Invoices To
Family Company
Company Name *
Company Contact Person *
Company Address *
Company Emails *
Comma-separated list of email address.
CC Family?
Should the family be sent a copy of billing emails?
Company Phone

Miscellaneous

How Did You Hear About Us? *
* denotes a required field