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How did you find out about the kiwiMANA programme? Check all that apply. FacebookInstagramSomeone told me about itI know someone who has done itI saw it in the papersI saw it onlineI heard about it on the radioI received an emailBald Angels newslettersOther
Who are you? A youth wanting to Step Up and learn new life skills?A social worker wanting to refer potential candidates?A parent or caregiver wanting to refer someone?A teacher wanting to refer someone?A potential employer offering work experience opportunities?A provider offering services?OtherJust wanting more information(Please check our Q&A's first)
Are you registered with WINZ (MSD)? YesNo
Are you under 18 years on December 1st 2018? YesNo
Why would you like to do the KiwiMANA programme? I understand that KiwiMANA cannot take everyone and selection on for each programme will be after an interview process. YesNoDon't Know I understand that someone may call me to arrange this interview time. YesNoDon't KnowI don’t have a phone, please call my guardian / parents
I will have the support of my whanau/guardians to do this course YesNoDon't Know
Are they registered with WINZ (MSD)? YesNo
I don't know their client number Their case manager’s name? (required) Their WINZ office location (required)
Are they capable of applying themselves? YesNo
Please explain why you are applying on their behalf (required)
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