Pacific Students

Pacific Students

Pacific Student Mentoring Programme

Sign up for a Mentor (first year students only)

Given Name

Family Name

Student Number

Student username

Phone

Mobile

Email

Preferred form of contact
Email
Mail
Text Message
Phone Call

Age

Gender
male
female

Prior to studying at UC, were you
At school
Working
At another tertiary institution
Other (please specify)

Are you entering the university as
University Entrance using NCEA (All Students)
Admission Ad Eundem (using Overseas or International qualification) (All Students)
Special Admission (All Students)
Discretionary Entrance (Domestic students only)
Adult Entry (Domestic students only)
Postgraduate admissions (International and Domestic Students)
Certificate in University Preparation (Preparatory programme, Domestic students only)
Certificate in Foundation Studies (Preparatory programme, International Students only)
Other (please specify)

Main course of study

Ethnicity/Citizenship

Interests

Is there any other information that will assist in matching you with a mentor? (for example, do you have a strong preference for a mentor who has similar cultural or religious background, family situation or gender - please list this below if you do)

By submitting this form, I agree to allow my contact details to be provided to the mentor I am matched with.

All information in this form will be used by the Pacific Development Team for University purposes only.