Expression of Interest Questionnaire Name * First Name Last Name How did you find out about Transformation Academy? * Word of Mouth Website Social Media (Facebook or Insta) Organisation Referral (e.g. Waipareira, Youthline etc) What course do you wish to enrol in? * New Zealand Certificate of Foundation Skills Level 1 New Zealand Certificate of Foundation Skills Level 2 What School are you currently, or most recently, enrolled in? * Do you have any behavioural needs? * [yes/no] [if yes, please explain] Do you have any disabilities? [yes/no] [if yes, please explain] Do you have any allergies? * [yes/no] [if so, please explain] Are you currently taking any medication? * [yes/no] [if yes, please explain] Do you wish to Study ONSITE or ONLINE? Onsite [at 88 College Road, Northcote] Online Section for those studying online Please complete the following questions if you are applying to study online. Do you have WiFi? * Yes No Do you have Mobile Data? * Yes No Do you have a Laptop? * Yes No Do you have a Smart Phone? * Yes No Do you have a Personal Email address you can access? * Yes No Email * If Yes, please enter personal email address you can access Do you have a Facebook Account? * Yes No If so, what is your Facebook Account Username? Thank you!Your submission was successful
