Mana Rangatahi 2024 Intake. Expression of Interest - Youth registration
Email *
Full Name *
Age (please note if you are outside of the listed ages, please specify by selecting 'other category') this will help us consider expanding to other age groups in future. *
Required
Where are you located?: *
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Preferred contact number *
Were you referred by someone?  (if so, please include their name here to help us acknowledge all awesome people or organisations that refer you)
What would you like to achieve upon doing this programme?
On a scale of 1 to 10, how would you rate your confidence of finding a new job or the job of your dreams?
Low
High
Clear selection
On a scale of 1 to 10, how would you rate your confidence of starting a business and being your own boss?
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High
Clear selection
On a scale of 1 to 10, how would you rate your confidence of exploring further study/education/training?
Low
High
Clear selection
On a scale of 1 to 10, how would you rate your confidence of making new friends, meeting new people? 10 = High
Low
High
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If you are based in Dunedin, we have the following time slots available (please note, we only have 10 spaces available for the 2024 cohort), but we will register those who miss out on our waiting lists. *
Required
If you are based in Central Otago, can you please list your preferred location for training? *
Required
If you are based in Central Otago, can you please confirm your preferred times for training? *
Required
If you are based in South Otago or North Otago can you please confirm your preferred times for training?  *
Required
Would you like to attend an online introductory session to learn more about it? *
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Is there anything more you would like to know? If not, thanks so much for your feedback :)
A copy of your responses will be emailed to the address you provided.
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