This form is to be used by IPLS trainees who wish to withdraw from the course, transfer to an alternative intake, defer an assessment, complete a seminar and assessment in a subsequent intake, complete new assessment/s or appeal a grade. It must be read in conjunction with the Application Policy and Procedures document in your Trainee Handbook.

Trainee Name*

Please enter your full name

Preferred name*

Your First name or the name you are usually known as

Your email address*

Enter Email Confirm Email

Instructor

Please enter your instructor's name

I am currently enrolled in the following centre*

I am enrolled in intake/seminar*

Please enter your intake or seminar

I apply to*

Seminar/s*

Please enter which seminar/s you wish to sit a further assessment

Intake to which I wish to transfer*

My reason for this application*

Please give your reason for this request

I apply to appeal my grade under regulation:*

Terms

In submitting this form electronically I have agreed to the provisions stated on this page and understand that I will be invoiced in accordance with the published fee schedule.

Fees Payable

Information on other fees can be found here.

You undertake to pay all fees as they become due and to meet any late fees and collection charges associated with debt recovery. Credit card surcharges apply to all payments made by credit card (2.35% for course fees and assessment fees and 2.85% for transfer and appeal fees).

Declaration

I declare that to the best of my knowledge all the information supplied on, and with, this form is true and complete. I consent to the disclosure of personal information and I undertake to pay fees and comply with the IPLS regulations and policies as described above.

This Application Form covers Regulations 4(4), 4(7), 12, 13, 16, 17, 18, 19, 21

Agreement*

I agree to the conditions above
I do not agree to the conditions above

Supporting Documents

NOTE: Supporting documents should be emailed separately to tuaform@ipls.org.nz as soon as possible

TUA Form

Trainee Universal Application Form

Terms

Declaration

Supporting Documents