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Application to be a Residential Caregiver

  • Parent 1 Details

  • MM slash DD slash YYYY
  • Parent 2 Details

  • MM slash DD slash YYYY
  • Emergency Contact

  • Medical Information

  • Household Members

  • CHILD 1
  • MM slash DD slash YYYY
  • CHILD 2
  • MM slash DD slash YYYY
  • CHILD 3
  • MM slash DD slash YYYY
  • CHILD 4
  • MM slash DD slash YYYY
  • Household Pets

  • Household Information

  • Family Information

  • Please give us a brief description of a typical week in your household (activities, sports, work, school, hobbies, after school activities etc):
  • International Student Preferences

  • International Student Arrangements

  • Safety Checks

  • As part of its obligations under The Education (Pastoral Care of International Students) Code of Practice 2016, Pukekohe High School, is required to complete a safety check of residential caregivers (Clause 26 (1) (b) of the Code).

    NZQA expects that a police or criminal check on all persons aged 18 years and over living in accommodation where international students under 18 years old are being hosted. If there are members of the family that are turning 18 years old during an international student stay in the house, the Police Vet will need to be carried out for them too.

    Please have all family members and other persons living on the property aged 18 years old, sign the following declaration:

    Police Vetting Declaration I hereby give permission for Pukekohe High School to request a police vet:
  • Clear Signature
  • Clear Signature
  • Clear Signature
  • Referees

  • Please nominate two referees (not immediate family) who can provide information on your suitability to care for an international student in your home. One must be your current or previous employer, professional body or registration authority. If you have provided residential care before, the person or organisation who employed you in that situation should be one of your referees.
  • Bank Account Details

  • Declaration

  • I declare that this information is true and complete to the best of my knowledge
  • Clear Signature

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BYOD for Learning

With the resurfacing of COVID in our region and changes in
Alert Levels causing students to continue their learning from home, having a
reliable device at home to access online learning, remain connected with
teachers, and receive feedback about their work makes 
BYOD more essential than
ever.

Click here for a reminder of our BYOD recommendations.