New Zealand Certificate in Medical Transcription and Editing Level 4 Enrolment Form
Sue’s Unlimited Ltd trading as Sue’s Computer Training Company

Mailing Address:
112 Osprey Drive, Welcome Bay
Tauranga
Phone 07 544 3172
Email chris@computertraining.co.nz
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Email *
Welcome to Sue’s Computer Training Co.  Please read the instructions below carefully before you complete this application form.
The purpose of this enrolment form is to obtain from you the information we need to enrol you into a qualification or course at our organisation. We also need to collect information from you which is required by government agencies for statistical and registration reasons.
Please fill in the form properly by:
-Completing all sections of the form.
-Typing your answers, or by ticking the box that applies for multi-choice questions.
-Emailing any additional documentation that is required for government funding purposes. To chris@computertraining.co.nz (A description of the required documentation is provided in the documentation section of this form)

Programme *
New Zealand Certificate in Medical Transcription and Editing Level 4
Please enter your preferred start date (scheduled start dates can be found on our website)
New Zealand Certificate in Medical Transcription and Editing Level 4 (Course ID NZ2970) includes all of the following courses.
1EE         English Essentials
1WB Medical Word Building
1MSW MS Word
1PQGS Production, Quality & Goal Setting
1Prof Professionalism Block 1

2GD General Documentation
2PLMED         Pharmacology and Laboratory
2HMED Haematology
2HMEDTX Haematology transcription
2LMED Lymphatic Systems
2LMEDTX Lymphatic Systems transcription
2CMED Cardiology
2CMEDTX Cardiology transcription
2RMED Respiratory
2RMEDTX Respiratory transcription
2Prof Professionalism Block 2

3ATXI Additional Transcription I
3NMED Neurology
3NMEDTX Neurology transcription
3OBMED OB/GYN
3OBMEDTX OB/GYN transcription
3GUMED GU/Male Reproductive
3GUMEDTX GU/Male Reproductive transcription
3GMED Gastrointestinal
3GMEDTX Gastrointestinal transcription
3Prof Professionalism Block 3

4ATXII Additional Transcription II
4OASSMED Opthalmology, Audiology and Special Senses
4OASSMEDTXOpthalmology, Audiology and Special Senses transcription
4DMED Dermatology
4DMEDTX Dermatology transcription
4EMED Endocrinology
4EMEDTX Endocrinology transcription
4GMED Geriatrics
4GMEDTX Geriatrics transcription
4PMED Paediatrics
4PMEDTX Paediatrics transcription
4Prof Professionalism Block 4

5ATXIII Additional Transcription III
5PMED Psychiatry
5PMEDTX Psychiatry transcription
5OPMED Oncology / Pathology
5OPMEDTX Oncology / Pathology transcription
5GNMED Genetics
5GNMEDTX Genetics transcription
5IMED Infectious Diseases  
5IMEDTX Infectious Diseases transcription
5EMMED Emergency Medicine
5EMMEDTX Emergency Medicine transcription
5Prof Professionalism Block 5

6ATXIV Additional Transcription IV
6RNMED Radiology and Nuclear Medicine
6RNMEDTX Radiology and Nuclear Medicine transcription
6GSMED General Surgical Procedures
6GSMEDTX General Surgical Procedures transcription
6OMED Orthopaedics
6OMEDTX Orthopaedics transcription
6Prof Professionalism Block 6


Please provide your full legal name. *
Preferred title *
Required
Previous Name(s) you have been known by. (maiden name, previous married name) *
Preferred first name.
Date of Birth *
Gender *
Required
Have you studied at Sue’s Computer Training before? If yes, what was your ID number? If you have previously enrolled at Sue’s under another name, what was that name? *
Do you intend to study Full or Part Time *
Address while you are Studying, Please include your post code.
*
Postal address, please include your post code. (if different from above)
Contact phone number (s) *
Email address *
Nominated contact/Next of Kin
-If you are under 18yrs of age please provide the name and phone number of your next of kin.
-If you are over 18 yrs of age please provide the name and phone number for your nominated contact.
We are required to have this information on file and your nominated contact/next of kin would be contacted if we have serious concerns for your wellbeing and have been unable to make contact with you personally.
*
If you know your NSN (National Student Number), please write it here. *
Citizenship and Residency *
Required
Citizenship and Residency
If you answered Other in the previous question please enter your Country of Citizenship below.
During your time studying in this qualification will you be resident in New Zealand or overseas? *
Required
Please also specify your fee/assistance status *
Required
What ethnic group do you belong to?
You may tick up to three boxes.
*
Required
If “Other Pacific Peoples”, “Other European”, “Other Southeast Asian”, "Other Asian" or "Other” please specify what specific ethnicity below.
Iwi: If you identified as Māori, what is the name of your Iwi? You may enter more than one Iwi. If you do not know your Iwi, please enter 'Don't Know'.
Would you like to involve your wider community in your study?  What, if any, role would you need Sue’s Computer Training Company to play in that involvement?  Please note any culturally targeted support you may require during your study.
What was your MAIN activity or occupation in New Zealand at 1 October 2021 – that is before you began your study. You may tick only one box. *
Required
Disability: Do you live with the effects of significant injury, long term illness, or disability? The information you supply is confidential. *
What was the name of the last secondary school you attended? State “overseas”, if applicable. *
What was your last year at secondary school? *
What is the highest level of achievement you hold from a secondary school? Your highest achievement may be a “traditional” award such as School Certificate, or you may have achieved a number of credits or a National Certificate at a certain level on the National Qualifications Framework. Your NZQA Record of Achievement shows you the standards, credits and qualifications you have achieved. Tick only one box. *
Required
Regarding the above, please specify if “Overseas qualification” or “Other”.
Will this be the first time you have ever enrolled in a University, Subsidiaries of Te Pukenga (New Zealand Institute of Skills and Technology, Polytechnic), College of Education, Industry Training Organisation, Government Training Establishment, Private Training Establishment or Wānanga either in New Zealand or overseas since leaving school? Do not include enrolments in community classes. *
If you answered “No”, please enter the name of the organisation you studied at and the year of your first enrolment:
What year do you expect to complete the academic requirements of your course/s in order to graduate with your qualification?
Please list all of the tertiary qualifications you hold, the month and year you completed each and the tertiary education organisation that it was completed at. Alternatively email a copy of your academic transcript from the tertiary education organisation and/or a copy of your NZQA record of achievement.
Documentation
To be treated as a domestic student, and so be entitled to the Government tuition subsidy, you must be:
a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship) or
a permanent resident of New Zealand or
a citizen or permanent resident of Australia residing in New Zealand or
a citizen of New Zealand (including students from the Cook Islands, Tokelau, or Niue who have New Zealand citizenship).
If you are studying overseas full-time and face-to-face at a campus or delivery site of a New Zealand tertiary education organisation (TEO), you may also qualify as a domestic student if
you are a permanent resident of New Zealand or a citizen or permanent resident of Australia and
you are studying in an approved country and
the overseas study is Level 7 or above on the New Zealand Qualification Framework.
The 29 approved countries are in the Asia, Latin America and Middle East regions. A full list is available on the Education New Zealand website.
You must provide evidence of citizenship or permanent residency. To do so you must produce one of the following:
- Birth certificate with place of birth stated as New Zealand, Cook Islands, Tokelau, or Niue.
- New Zealand passport.
- A certificate of identity.
- A statement of Whakapapa, including date of birth, countersigned by a kaumatua.
- A New Zealand certificate of citizenship.
-       Overseas passport with residency stamp.
You can bring the original documentation to the enrolment desk, alternatively please provide a certified copy. This means a photocopy, photograph or scanned copy of your original document, signed as being a true and accurate copy by a Justice of the Peace (JP), Barrister or Solicitor, Notary Public, Court Register or Deputy Registrar, Member of Parliament, Land Transport New Zealand, Public trust, or local authority employee designated for this purpose.  When a learner is in a remote community and unable to access a person listed in the Oaths and Declarations Act, a member of the New Zealand Police, school principal, minister of religion, or general practitioner is acceptable.
International students must bring their passport with them when they enrol.
Please note that your name, date of birth and residency as entered on this enrolment form will be included in the National Student Index, and will be used in an Authorised Information Matching programmes with official governement information such as the New Zealand Birth Register, to verify the information provided.  

On occasion, more than one National Student Number is created for an individual. The Ministry regularly monitors the quality of the National Student Index and, when duplicates or errors are discovered,  it works with providers and government agencies to merge duplicates and correct errors. This may require the documentation you provide at enrolment being shared between agencies authorised to access the National Student Index to make these corrections.

For further information please see: National Student Number (NSN): for schools – Education in New Zealand


Please list the documentation that you will be supplying by email or post. Email these documents to chris@computertraining.co.nz we will contact you as soon as these have been received. *
Do you currently have, or will you have a student loan while studying? *
Required
Will you be applying for FeesFree? *
Required
Will you be self funding the course fee?  If you plan to self-fund your study fees must be paid into the Public Trust account before the first day of the course.  The bank account number will be provided when your enrolment has been accepted. *
Required
How did you hear about this course? *
Required
Recognition of Prior Learning (RPL) *
Please refer to RPL section of the Information Pack for details and required supporting documents.  RPL Application forms can be downloaded from our website
Required
Declaration
Privacy – Sue’s Unlimited Ltd trading as Sue’s Computer Training Company collects and stores information from this form to:
manage the business of Sue’s Computer Training Company (including internal reporting, administrative processes and selection of scholarship and prize winners)
comply with the requirements of the Education and Training Act 2020 and other legislation[ ] relating to maintenance of records
supply information to government agencies and other organisations as set out below.
In signing this enrolment form you authorise the disclosure of your personal information on the understanding that Sue’s Computer Training Company will comply with the legal requirements in relation to the use and disclosure of personal information, as set out in the Privacy Act 2020, the Education and Training Act 2020 and other relevant legislation.  You are entitled to see any information that Sue’s Computer Training Company holds about you and request to correct any errors in that information.  To do so, contact the Enrolments Officer.
NB:  The Privacy Act came into force on 1 December 2020 with the stated aim of protecting the privacy of individuals.  The Privacy Act requires Sue’s Computer Training Company to collect, hold, handle, use and disclose personal information in accordance with the twelve information privacy principles in the Act. http://legislation.govt.nz/act/public/1993/0028/latest/DLM296639.html?src=qs.  
 Supply of information to government agencies and other organisations
Sue’s Computer Training Company supplies data collected on this form to government agencies, including:
the Ministry of Education
Education New Zealand
the New Zealand Qualifications Authority
the Tertiary Education Commission
the Ministry of Social Development (in relation to student loans and allowances) and Inland Revenue (student loans)
Immigration New Zealand (for those who are not New Zealand citizens or permanent residents) and the Ministry of Business, Innovation and Employment  
agencies which support particular students through scholarships, payment of fees or other awards (if you are a recipient of one of these awards).
Those agencies use the data collected from Sue’s Computer Training Company to:
administer the tertiary education system, including allocating funding and the administration of the Fees-Free and Fees-Free Trades Training initiatives
develop policy advice for government
conduct statistical analysis and research.
Your personal details (name, date of birth and residency) as entered on this form will be included in the National Student Index and may be used in an authorised information matching programme with the New Zealand Birth Register.

The government agencies above may supply data collected on this form to Statistics New Zealand for the purposes of integrating data with data collected by other government agencies, subject to the provisions of the Statistics Act 1975.  Integrated data is used for the production of official statistics, to inform policy advice to government and for research purposes.
In handling data supplied by you on this form, the government agencies are required to comply with the provisions of the Privacy Act 2020.
When required by law, Sue’s Computer Training Company releases information to government agencies such as the New Zealand Police, Department of Justice, Ministry of Social Development, and the Accident Compensation Corporation (ACC).
Information collected on this form may be supplied to other educational organisations for the purpose of verifying academic records.
Fees – In signing this enrolment form you undertake to pay all fees as they become due, and to meet any late fees and collection charges associated with debt recovery. Sue’s Computer Training Company’s policy on withdrawal and refund of fees may be obtained from the Enrolments Officer.
Rules – In signing this enrolment form you undertake to comply with the published rules and policies of Sue’s Computer Training Company with regard to attendance, academic integrity and progress, conduct and use of information systems.


Declaration – I declare that to the best of my knowledge all the information supplied on, and with, this enrolment form is true and complete, I agree to abide by the conditions described above, and I consent to the disclosure of personal information as described above. *
Required
A copy of your responses will be emailed to the address you provided.
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