Te Pūkenga Assessor 4098 Course Registration Form
Title
*
Mr
Mrs
Ms
Dr
Miss
Prof
First Name
*
Last Name
*
Preferred First Name
Gender
*
Male
Female
Gender diverse
Date of Birth
*
NZQA Number (also called NSN #)
Email address
*
Mobile Phone
*
Employer
*
Residential Status
*
New Zealand Citizen
New Zealand Resident
Australian Citizen
Overseas
Unknown
Australian Resident
Postal Address
Address Line 1
*
Address Line 2
Address Line 3
City
Postcode
*
Country
Electronic Assessment Disclosure
I understand I may be sent electronic versions of assessment tasks and material to complete as part of the programme that I am currently completing with Te Pūkenga.
I understand these documents are the copyrighted property of Te Pūkenga. I declare that I will be the only user of these assessment documents and I will not reproduce, sell, store or modify the assessment documents.
Employer Interaction
If your company has arranged this training and/or assessment your manager and/or supervisor will be kept informed of your progress
Complaints Process
If at any point you have a complaint or issues about any facet of course we welcome your feedback. You can contact the Moderation and Assessment Manager at Te Pūkenga by email, telephone, fax or mail.
Contact Te Pūkenga
Physical address: Level 2, Wynyard Wood House, The Crossing, 60 Highbrook Drive, East Tamaki 2013.
Email:
4098@earnlearn-tepukenga.ac.nz
Declaration
By submitting this form, you declare the details provided are correct and that you have read and understood the information.