Contact

Contact Online Enrolment Form

Please contact us using the form below.

    How did you find the Evakona website?(Required)
    Have you studied at Evakona before?(Required)
    Applicant (Student) Contact Details
    Last name(Required)
    First name(Required)
    Email address(Required)
    Phone number(Required)
    Address
    Country of residence(Required)
    Postal code(Required)
    Prefecture / City(Required)
    Street address(Required)
    Building / Room number
    Personal Information
    Date of birth(Required)
    Gender(Required)
    Nationality(Required)
    Occupation(Required)
    Passport number(Required)
    What type of visa will you use for this stay in New Zealand?(Required)
    Emergency Contact
    Emergency contact name(Required)
    Emergency contact name (furigana)(Required)
    Relationship(Required)
    Emergency contact address(Required)
    Emergency contact email(Required)
    Emergency contact phone number(Required)
    About the Course
    Selected course(Required)
    Other course
    Number of study weeks
    Course start date
    What is your current English level?(Required)
    TOEIC/IELTS score
    Accommodation
    Would you like Evakona to arrange accommodation for you?(Required)
    Host family with children(Required)
    Host family with pets(Required)
    Please describe any animal/food allergies
    Please describe your hobbies and interests(Required)
    Airport Transfer
    Would you like pickup from Auckland (arrival)?(Required)
    Would you like transfer to Auckland (departure)?(Required)
    Would you like check-in assistance at Auckland Airport?(Required)
    Have you applied for the airline unaccompanied minor service?(Required)
    Health and Medical Information
    Would you like Evakona to arrange insurance for you?(Required)
    Is there anything the school should know in advance regarding learning, daily life skills, mental health, or physical health?(Required)
    If you answered "Yes" above, please provide details
    Declaration
    Is the applicant under 18 years old?(Required)
    Applicants under the age of 18 must have their application form completed by a parent or legal guardian.
    If "Yes" above, please answer:
    Was this application completed by a parent/guardian?
    Evakona uploads weekly school and activity photos to Facebook. May we post photos that include you?(Required)
    Do you allow photos/videos including you to be used in Evakona promotional materials?(Required)
    Do you consent to school/host family administering non-prescription medicines when needed (e.g. Paracetamol/Panadol, Ibuprofen, Antihistamines)?(Required)
    I consent to participation in program activities (kayaking, banana boat, sports, etc.). (Not applicable to parent-child course)(Required)
    I understand and accept the terms of the Evakona General Provisions and apply for admission(Required)

    By clicking “Submit”, you are deemed to have agreed to the Terms of Use and Privacy Policy.

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.