If you are a new ākonga (student) or starting a new programme with us and are unvaccinated, please complete the form below. The information you provide will help us to explore options or alternatives (where possible) for you to study with Whitireia and WelTec. All sections of the form need to be completed so that your situation can be considered.
Please tell us about yourself
Tell us about your situation
Please provide the dates of the first and second vaccine (bookings) below and attach evidence at the end of this form
Please attach evidence at the end of this form
By submitting this form you authorise such disclosure on the understanding that Whitireia and WelTec will observe the conditions governing the release of information, as set out in the Privacy Act 2002, the Education Act 1989 and other relevant legislation. Whitireia or WelTec may contact you via telephone, post, email and/or text message regarding your request.
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