Online Ballot Application Form – Waimahia Intermediate School

Ballot Application Form for an Out of Zone Enrolment

If you are living outside of our school zone, it is only possible to secure a place at the school if there is a vacancy. An enrolment scheme exists to ensure that class sizes do not exceed the Ministry of Education Property resources of a given school.

Children living outside our zone may apply for a place through the ballot system, which will be used if there are vacancies to fill. Please complete the form below and return it as soon as possible. We will contact you within three days of the ballot to let you know whether we can offer a position at the school or not. (Please complete a separate form for each child)

Please note maximum Total file size allowed on this form is 8 MB.

Child Information
Date of Application*
DD slash MM slash YYYY
Child's Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Start Date*
DD slash MM slash YYYY

(I would like my child to start on the following date)
Current Year Level*
Parent/Caregivers Information
Your Name*
First Last
Email*
Phone*
Mobile*
Address*
Street Address Address Line 2 City Suburb Post Code
Proof of Address*
Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 8 MB.
Council rates, water care, electricity bill etc.
Applications for enrolment will be processed in the following order of priority (1-6):
1. Students who have been accepted for enrolment in the following special programmes run
  by the school and approved by the Secretary of Education (a) Māori Bilingual, (b) Samoan
  Bilingual.
2. Applicants who are siblings of current students.
3. Applicants who are siblings of former students.
4. Applicant who is a child of a former student of the school.
5. Applicant who is either a child of an employee of the school or a child of a member of the
  board of the school.
6. All other applicants.
Applicants seeking second or third priority status may be required to give proof of a sibling relationship.
My child qualifies for Priority No:*
- 1
- 2
- 3
- 4
- 5
- 6
Priority 2: Please enter name of sibling currently attending.*
Priority 3: Please enter name of sibling who previously attended and dates attended.*
Priority 4: Please enter name of parent who previously attended and dates attended.*
Priority 5: Please enter name of School Employee/Board Member*
Please enter your full name as digital signature*
Date*
DD slash MM slash YYYY
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Ballot Application Form for an Out of Zone Enrolment

Child Information

Parent/Caregivers Information