Page 1 of 10 1 2 3 4 5 6 7 8 9 10 Welcome to the MITO learner pre-enrolment form. This form will take approximately 15 minutes to complete. We recommend that both you and your employer complete this form together as it requires information from both parties.Alternatively, if you are an employer that already has access to the MITO Portal you can enrol an employee via the Portal.Required documentationYou will need to upload a copy of your citizenship documentation to support your enrolment. Please ensure you have this ready before completing this form.This should be one of the following supplied in a PDF or JPEG file format: Passport NZ Birth Certificate NZ Certificate of Citizenship. If you are not a New Zealand citizen, you will need to upload a copy of your Passport, Work Visa and/or Residents Permit where applicable.Fees FreeTertiary education may be fees free for eligible first time tertiary students. To determine your eligibility, please visit the Fees Free website before completing this form - https://www.feesfree.govt.nz.Privacy StatementThe information you are providing to MITO will be used for the purpose of enrolling you into and administering your MITO training programme, and for statistical purposes. We will keep your information secure, and will only share it with other parties that are involved in the funding, administration or delivery of your MITO training programme. If any of the information requested is not provided, we will be unable to process your application. Your information will be retained by MITO in accordance with the Privacy Act 2020. You can request a copy of your information at any time and ask for it to be updated. If you have any questions, please contact MITO on 0800 88 21 21.Internet AccessMITO learners will need access to the internet to log onto their MITO Portal. Some programmes require learners to complete their practical assessments and/or eLearning and access their goal sheets online - learners will need suitable devices to complete this.Please complete all sections of this formWhen you have completed this form please click the SUBMIT button. You will be redirected to a page that confirms your form has been submitted. MITO will take care of the next steps and be in contact with you directly.When you are ready to complete this form, click the NEXT button below. PLEASE COMPLETE ALL SECTIONS OF THIS FORM______ Learner full name * Have you enrolled with MITO previously? No Yes MITO ID (If known): Name of the programme you wish to enrol in * SECTION A - CITIZENSHIP DOCUMENTS______ Are you a New Zealand citizen? Yes No If yes, please provide a copy of ONE of the following: NZ Passport NZ Birth Certificate NZ Certificate of Citizenship Please upload a copy of your citizenship documentation here Please upload a copy of your citizenship documentation here Are you a Permanent Resident? Yes No Please upload a copy of your valid passport Please upload a copy of your Residency Visa Do you hold a Work Visa? Yes No Please upload a copy of your valid passport Please upload a copy of your Work Visa I confirm that I have attached the required evidence documentation as stated above. * The Employer confirms that they have sighted the original and/or a certified copy of the evidence documentation supplied. * Please note: you will not be able to enrol in a MITO training programme if you are not a New Zealand Citizen, Permanent Resident, or hold a Work Visa. Please call MITO on 0800 88 21 21 if you have any questions. section b - fees free______Tertiary education may be fees free for eligible first time tertiary students. To find if you may be eligible go to the Fees Free website - www.feesfree.govt.nzTo be eligible for fees-free for an apprenticeship or training programme in 2019, you must:be enrolling in a New Zealand Apprenticeship or other programme of at least 120 credits that starts in 2019, is funded by the Tertiary Education Commission, recognised by the New Zealand Qualifications Authority, and is at New Zealand Qualifications Framework (NZQF) level 3 or above; and be entitled to work in New Zealand; and have either:a) been enrolled in a school in or after 2017, other than as an adult student, orb) not undertaken more than half a year of equivalent full-time tertiary education (0.5 EFTS or 60 credits) at level 3 or above on the NZQF, including tertiary education at an equivalent level undertaken in any country. The following credits must not be included in measures of prior tertiary education to determine eligibility for fees-free:any tertiary education undertaken while enrolled in school prior to 1 January 2019 (except for tertiary education undertaken as an adult student), and any tertiary courses undertaken as part of the student’s or trainee’s school learning programme or secondary-tertiary programme on or after 1 January 2019, and any credits achieved as part of any industry training programme that consists of fewer than 120 credits that are reported after 1 January 2018. We understand the eligibility criteria above and have visited the fees free website www.feesfree.govt.nz and can confirm: 1. Yes, we are eligible for fees free (i.e. my status is “YES” on the fees free website and I am enrolling in an eligible programme, and I was not enrolled in a similar programme in 2017). 2. No, we are not eligible for fees free (i.e. my status is “No” on the fees free website). 3. Unknown (i.e. my status is showing as “unknown” on the fees free website) and we are not submitting a “Statutory Declaration” to Fees Free and expect to be invoiced for our training fees. 4. Unknown (i.e. my status is showing as “unknown” on the fees free website) and we have completed the “Statutory Declaration” application and this has been sent to the TEC for approval. A copy of this application is attached to this form. Please upload a copy of the "Statutory Declaration" application section c - learner and employer declaration______ We confirm there is an employment agreement in place. This is a requirement for signing into a MITO Training Agreement. * We understand that MITO charges a training fee and the invoiced party will be the employer or the learner. The training fee is to be paid by the employer upon signing the MITO Training Agreement (terms and conditions apply). * We understand that the learner will be requested to complete two online assessments on the Literacy and Numeracy Assessment Tool and that the completion of these assessments is a requirement for enrolment with MITO. Instructions will be sent via email. * As an employer, we confirm that the Learner will be actively supported by us in their MITO Training Programme to ensure that they complete their programme within duration and achieve the expected credit achievement. * We understand that MITO programmes include eLearning modules and that the learner requires access to a device with internet connection to complete these. * We confirm that the core functions of the learner's position enables them to gain the practical skills and evidence to meet the programme requirements. * We understand that the Learner may be required to provide evidence of a valid ‘My Vaccine Pass’ to access workshop(s), off-job training and/or assessments. * WE CONFIRM ON BEHALF OF THE EMPLOYER THAT THE INFORMATION SUPPLIED IN THIS PRE-ENROLMENT FORM IS ACCURATE AND CORRECT:___________ Form completed by (full name required): * Date (DD/MM/YY) * If you have any questions, please call MITO on 0800 88 21 21. EMPLOYER DETAILS______ Company MITO ID (If known) Trading Name * Full Legal Name of Company OR Owner(s)/Partners. For registered Limited Liability Companies & Partnerships, the full title as registered must be shown. * New Zealand Business Number (If known) Site Address * Is the postal address the same as the site address? Yes No Postal Address Phone Number (including area code) if applicable * Company Email Address * Primary Contact Name * Primary Contact Position/Title * Primary Contact Email Address * Finance Contact Name * Finance Contact Position/Title * Finance Contact Email Address * Learner Supervisor Full Name * Learner Supervisor Position/Title * Learner Supervisor Email Address (Learner information, including progress reports, will be sent to this address. This must be a unique email address). * Learner Supervisor Contact Phone Number * LEARNER ENROLMENT DETAILS______Learner to complete remaining sections of this form. First Name * Middle/Second Name(s) Surname * Preferred Name (if applicable) Maiden Name (If applicable) Date of Birth (DD/MM/YY) * Gender Male Female Diverse Permanent Home Address (including post code) * Cell Phone Number * Phone Number (including area code) if applicable Email Address (please supply a unique address for the learner)* * *We understand the learner must have a unique email address and that correspondence will be sent to the learner and/or supervisor email. National Student Number (NSN) Do you have a National Student Number? Yes No National Student Number (if known) Ethnicity Select the ethnic group(s) you feel you most belong to (for statistical purposes only): New Zealand European Māori Please state your iwi British/Irish Dutch South Slav Italian German Samoan Cook Island Maori Tongan Niuean Tokelauan Fijian Other Pacific Peoples Chinese Indian Sri Lankan Middle Eastern Latin American Greek African Filipino Cambodian Vietnamese Japanese Korean Other South East Asian Other Asian Other Please state your ethnicity: Citizenship New Zealand Citizen New Zealand Permanent Resident Work Permit/Visa Holder Tokelauan Citizen Niuean Citizen Cook Island Citizen Australian Citizen Australian Permanent Resident Please provide details of your New Zealand Work Permit/Visa. This must be valid for at least 6 months at the time of enrolment and must be for the Employer in which you are employed. Visa number Expiry Date (DD/MM/YY) Language Is English your second language? Yes No Please specify your first language Disabilities (including learning disability e.g. numeracy/literacy) Do you live with the effects of injury, long-term illness or disability? Yes No Please specify Other enrolments Are you or have you previously been enrolled with another Training Provider? Yes No Training Provider Please state any qualifications received* *If you have completed an automotive qualification at another Training Provider, please attach a copy of your NZQA endorsed certificate and/or statement of attainment issued by the Training Provider. Prior activity What was your main activity in New Zealand at 1 October last year? Secondary School Student University Student Private Training Student Polytechnic Student Wananga Student College of Education Student Wage or Salary Worker Self-employed I was overseas House-person or Retired Non-employed or other beneficiary Secondary School/Prior Achievement What was the last year you attended Secondary School (e.g. 2017) * What was the full name of the last secondary school you attended?* *If your last secondary school was overseas, please state the full name and country. What is the highest academic award you hold from secondary school? (Please tick one only) 14 or more credits at any level NCEA Level 1 NCEA Level 2 NCEA Level 3 School Certificate Sixth Form Certificate Bursary or Scholarship University Entrance Overseas Qualification No formal secondary education While at Secondary School were you enrolled in the Gateway programme or did you attend a Trade Academy? Yes No Please specify What is your highest education achievement at the time of signing this training agreement? (Please tick one only) No qualification Level 1 Certificate Level 2 Certificate Level 3 Certificate Level 4 Certificate Level 5 Diploma/Certificate Level 6 Graduate Certificate, Level 6 Diploma/Certificate Bachelor Degree Level 7 Certificate/Diploma Postgraduate Certificate/Diploma Masters Degree Doctorate Degree END OF FORM - PLEASE SUBMIT BELOW Please note: once you click the submit button below, there may be a delay while your form is uploaded. This may take several minutes depending on the size of the citizenship documents you have uploaded. A reminder that these must be provided in a PDF or JPEG file format.Please ensure you wait until you see the confirmation message that your form has been received before clicking off this page. Prev Next
Page 1 of 10
Welcome to the MITO learner pre-enrolment form. This form will take approximately 15 minutes to complete. We recommend that both you and your employer complete this form together as it requires information from both parties.
Alternatively, if you are an employer that already has access to the MITO Portal you can enrol an employee via the Portal.
Required documentation
You will need to upload a copy of your citizenship documentation to support your enrolment. Please ensure you have this ready before completing this form.
This should be one of the following supplied in a PDF or JPEG file format:
If you are not a New Zealand citizen, you will need to upload a copy of your Passport, Work Visa and/or Residents Permit where applicable.
Fees Free
Tertiary education may be fees free for eligible first time tertiary students. To determine your eligibility, please visit the Fees Free website before completing this form - https://www.feesfree.govt.nz.
Privacy Statement
The information you are providing to MITO will be used for the purpose of enrolling you into and administering your MITO training programme, and for statistical purposes. We will keep your information secure, and will only share it with other parties that are involved in the funding, administration or delivery of your MITO training programme. If any of the information requested is not provided, we will be unable to process your application. Your information will be retained by MITO in accordance with the Privacy Act 2020. You can request a copy of your information at any time and ask for it to be updated. If you have any questions, please contact MITO on 0800 88 21 21.
Internet Access
MITO learners will need access to the internet to log onto their MITO Portal. Some programmes require learners to complete their practical assessments and/or eLearning and access their goal sheets online - learners will need suitable devices to complete this.
Please complete all sections of this form
When you have completed this form please click the SUBMIT button. You will be redirected to a page that confirms your form has been submitted. MITO will take care of the next steps and be in contact with you directly.
When you are ready to complete this form, click the NEXT button below.
Please note: you will not be able to enrol in a MITO training programme if you are not a New Zealand Citizen, Permanent Resident, or hold a Work Visa. Please call MITO on 0800 88 21 21 if you have any questions.
Tertiary education may be fees free for eligible first time tertiary students. To find if you may be eligible go to the Fees Free website - www.feesfree.govt.nz
To be eligible for fees-free for an apprenticeship or training programme in 2019, you must:
The following credits must not be included in measures of prior tertiary education to determine eligibility for fees-free:
We understand the eligibility criteria above and have visited the fees free website www.feesfree.govt.nz and can confirm:
WE CONFIRM ON BEHALF OF THE EMPLOYER THAT THE INFORMATION SUPPLIED IN THIS PRE-ENROLMENT FORM IS ACCURATE AND CORRECT:___________
If you have any questions, please call MITO on 0800 88 21 21.
Learner to complete remaining sections of this form.
*We understand the learner must have a unique email address and that correspondence will be sent to the learner and/or supervisor email.
Please provide details of your New Zealand Work Permit/Visa. This must be valid for at least 6 months at the time of enrolment and must be for the Employer in which you are employed.
*If you have completed an automotive qualification at another Training Provider, please attach a copy of your NZQA endorsed certificate and/or statement of attainment issued by the Training Provider.
*If your last secondary school was overseas, please state the full name and country.
Please note: once you click the submit button below, there may be a delay while your form is uploaded. This may take several minutes depending on the size of the citizenship documents you have uploaded. A reminder that these must be provided in a PDF or JPEG file format.
Please ensure you wait until you see the confirmation message that your form has been received before clicking off this page.
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