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IRMTNZ-TER Course Registration Form (Funded)


It is intended that this course be completed within 12 weeks from registration. Extensions of time may be negotiated by writing to the Course Coordinator.

Please complete all details (required by Ministry of Education) and note the important information about Criminal Conviction History Report and Privacy. You will need to supply all information before you can be registered. Note that the Ministry of Education will subsidise the course fee for the first 5 candidates so you do not need to pay this unless instructed to do so by the IRMTNZ-TER Course Coordinator.

First Name

Last Name

Street Address (Line 1)

Street Address (Line 2)

City

State / Province

Postal / Zip Code

Country


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Sector

Name of School Phone Number Size of Groups/Class Levels

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Course Fee

Note: The Ministry of Education subsidises the first 10 participants.

Thereafter the participant will be required to pay for this course themselves. If directed by the IRMTNZ-TER Course Coordinator, you will need to pay the course fee before you can be registered for and begin undertaking the TER Course. GST No. 21 071-161

Refund Policy

If required to pay the TER course fee, the participant acknowledes that the course fee includes a non-refundable registration and assessment stage of $110 incl GST. A participant who withdraws part way through the TER course may be refunded for any full modules not completed at the discretion of the IRMTNZ-TER Course Coordinator.

Payment Information

Bank Name: ASB Bank Name: Institute of Registered Music Teachers of New Zealand Account Number: 12-3148-0151669-01 Note: Please ensure you include your name in the "Code" field and TER in the "Reference" field so that we know who has sent the payment and what it is for. Please send a screenshot or receipt of transaction to the Course Coordinator along with your registration form

Ministry of Justice Criminal Conviction Report

The Ministry of Education requires that all candidates undertaking the TER course have obtained a recent Crimial Conviction History (CCH) report. Please attach this to the application. If you do not have a recent CCH, please complete and send the following form to the Ministry of Justice, who will send you a report - you will need to attach the report to the application. Note that it takes 6-8 weeks to obtain the Criminal Conviction History report from the Ministry of Justice. https://www.justice.govt.nz/assets/Documents/Forms/request-by-individual.pdf

Please attach your CCH report here.

Privacy

Information you disclose to us on this application form will be kept secure. Please note that whilst your privacy will be respected, relevant professional bodies will be party to disclosed information and results as necessary.

Sending in your Registration

After submitting your completed form, you will receive a course confirmation email - if you don't see it please check all your email folders as sometimes the confirmation may appear in an Updates or Spam folder. If you have any questions or have not received confirmation please contact the IRMTNZ-TER Course Coordinator at: Email: irmtter@gmail.com Post: IRMTNZ-TER Coordinator; 513 Whitehead Road; Hastings 4120

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