Practical Assessment Application

Trainee Information

TRAINEE FULLNAME

First name *

First name is required.

Middle name

Last name *

Last name is required.

Preferred name

OTHER DETAILS

Email *

Please enter a valid email.

Please use trainee's own email as it will be the trainee's username on the eLearning portal

Mobile phone *

Please enter a valid mobile phone number.

This is recommended so the trainer can call you (or your staff member) on the day of the course if you are late.

Date of Birth *

Please enter date of birth.

Position

NZTA ID Number

Please enter a valid NZTA ID number.

You can find your NZTA ID number here (If it doesn't show up NZTA may still be processing your registration then leave this field blank).

NSN Number

Please enter a valid NSN number.

This is required for recording the TTM Worker Unit Standard to your Record of Achievement. The National Student Number (NSN) is a unique number given to every student by the Ministry of Education.

Current Qualifications *
Select all that apply

Please select current qualifications

ORGANISATION

Organisation *

Please select organisation.

Key Contact Name The key contact will be the main point of contact regarding all trainee application/s.

Key Contact Email This email address will be sent all relevant information regarding the trainee's application and review of the calendar scheduling and terms and conditions for the requested practical assessments.

Please enter a valid key contact email.

Key Contact Phone Number

Please enter a valid key contact phone number.

Assessment Preferences

Assessment Type *

Please select required assessments

Time *

Day

Night

Weekend Only

Assessment Region *

Please select assessment region

Preferred Pre-assessment Date & Time *
Please select pre-assessment date While we make every effort to schedule pre-assessments on your preferred date, please note that due to demand and capacity this is not always possible. Date selected is subject to change.

Please select pre-assessment date

Preferred Assessment Date & Time *
Please select assessment date While we make every effort to schedule assessments on your preferred date, please note that due to demand and capacity this is not always possible. We will liase further with you via email to confirm your assessment date during the application process. Date selected is subject to change.

Please select assessment date

On Road TTM Hire *
Hire equipment, vehicles and TTM personnel for your assessment?

Please select one option

PO Number Additional Information