Forms

  • Graduation Ceremony Requirements with payment

  • Confirmation I no longer wish to attend Graduation

  • Application to resit an examination

  • Return of Marked Exam Paper

    Use this form to request your marked exam papers are returned to you.

    There is no fee for this service.

    • Requests for marked paper(s) will be processed after the closing date for reconsideration applications.
    • Marking schedules and feedback are not provided for marked exams.

    Please note there can be delays in the delivery of your returned exam papers by the courier service.

  • Contact our Commercial team

    If you'd like to know more about what Open Polytechnic can offer your organisation, fill out the form below or call us on the number below and we'll be in touch.

  • Introduction to Infection Prevention – SIGN UP

    Thanks. You’ve taken the next step to getting the skills you need to confidently prepare yourself and those around you to respond best to highly infectious viruses.

     

    Just fill in the details below to sign up.

    Then what happens?

    1. You’ll receive an email with a link asking you to create a password and login to makeyourmove.iqualify.com
    2. You’ll also receive an email to let you know you been added to the Introduction to Infection Prevention course.
    3. Create your password and login to get started.

    The course is self-directed and doesn’t have academic support assigned to it – but there are no start and finish dates and you can work through it at a pace that suits you. At the completion of the course, you will be awarded a digital badge to acknowledge your success!

     

    Note: Signing up to this course will NOT enrol you into Open Polytechnic.

    If you are an existing Open Polytechnic student, this course will sit separately to your other courses and will not appear on your student dashboard.

  • Library and Learning Centre Request form

    Need help from the Library and Learning Centre?

    We're happy to help! Just fill out the form below and we'll be in touch within two working days.

    We can help with things like; Library logins, using ebooks, searching databases, assignment writing and APA referencing.

  • Pharmacy Employer Form

    Thank you for agreeing to fill out this form with employer and verifier details on behalf of the pharmacy applicant.

     The Open Polytechnic requires the details of the applicant's employer, and those of a pharmacist verifier for the application to progress.

    The verifier is the person who will verify work-based study tasks that may make up some of the assessments. The Open Polytechnic can discuss the student’s enrolment status and academic progress with your verifier. If your organisation has a partnership agreement with the Open Polytechnic, your organisation's nominated coordinator will also receive regular engagement and progress data. 

    The student’s enrolment cannot be completed until this verification form has been returned.

    If you have further questions, please contact pharmacy@openpolytechnic.ac.nz

  • Pharmacy Employer Form NZ1886

    Thank you for agreeing to fill out this form with employer and verifier details on behalf of the pharmacy applicant.

    The Open Polytechnic requires the details of the applicant's employer, and those of a pharmacist verifier for the application to progress.

    The verifier is the person who will verify work-based study tasks that may make up some of the assessments. The Open Polytechnic can discuss the student’s enrolment status and academic progress with your verifier. If your organisation has a partnership agreement with the Open Polytechnic, your organisation's nominated coordinator will also receive regular engagement and progress data.  

    The student’s enrolment cannot be completed until this verification form has been returned.

    If you have further questions, please contact pharmacy@openpolytechnic.ac.nz

  • NZ Certificate in Animal Care - Workplace Facilitator Form

    Thank you for agreeing to fill out this form with employer and verifier details on behalf of the NZ Certificate in Animal Care applicant.

     

    The Open Polytechnic requires the details of the applicant's employer, and those of a verifier for the applicant to progress.

    The workplace verifier should be someone who can verify that all workplace assessment is an accurate account of what has been completed in the workplace and who can say that all practical work meets the requirements of the workplace. It could be a manager, or a supervisor.

     

    The student’s enrolment cannot be completed until this verification form has been returned.

    If you have further questions, please contact customer.services@openpolytechnic.ac.nz

  • NZ Certificate in Animal Care - Workplace Facilitator: submitting verifier details

    Please use this form to submit details for the verifier you are nominating.

     

    The Open Polytechnic requires the details of a verifier for the applicant to progress.

     

    The workplace verifier should be someone who can verify that all workplace assessment is an accurate account of what has been completed in the workplace and who can say that all practical work meets the requirements of the workplace. It could be a manager, or a supervisor.

     

    The student’s enrolment cannot be completed until this verification form has been returned.

    If you have further questions, please contact customer.services@openpolytechnic.ac.nz

  • Registration of Interest – NZ2459 New Zealand Diploma in Business [version 3]

    Open Polytechnic plan to offer a new version of NZ2459 New Zealand Diploma of Business from February 2022.

     Enrolments for this programme will open on 16 November 2021.

     If you would like to be notified when this programme opens for enrolment, register your interest with us below and we will contact you when it opens.

  • HWB Employer Workplace Agreement Form

    Thank you for agreeing to provide a workplace agreement for your employee/volunteer. Please fill out the details below.

  • HWB Workplace Verifier form

    Learners are required to have a suitable workplace verifier who has a recognised health and wellbeing qualification or equivalency and/or has had experience in providing health and wellbeings service relevant to the course the learner is applying for.

    Role of a workplace verifier

    The workplace verifier will monitor the work of the learner, to verify that they have met workplace standards in the work they describe and that their written work is a true reflection of the work they have done.

     

    The workplace verifier should be someone the learner reports to, who can verify that all written work is an accurate account of what has been completed in the workplace and who can say that all practical work meets the requirements of the workplace. It could be a manager, learning and development person, team coach, or a supervisor. 

     

    Note: Workplace verifiers are not required to provide training nor are they required to carry out workplace assessments. Teaching and assessment is the responsibility of the Open Polytechnic. The Open Polytechnic will contact the verifier if there are any questions or concerns about the work of a learner.

     

  • Contact a Māori Student Mentor

    If you already study with us, and need advice or guidance about study skills, motivation, time-management, assessment extensions or Special Consideration, or have questions that are not course content or assessment-related, feel welcome to get in touch.

  • Dyslexia Experiences Feedback Form

    Open Polytechnic are currently working with Ako Aotearoa to meet the requirements for accreditation for the Dyslexia Friendly Quality Mark.

     

    We strive to ensure all aspects of the Open Polytechnic experience are dyslexia friendly and fully support dyslexic learners and other neurodiverse conditions to achieve to their full potential.

     

    We welcome feedback from Learners with Dyslexia or other neurodiverse conditions as we progress this important work.

     

    Please share your views and experiences below.

  • Pastoral Care Feedback Form

    Kia ora and thank you for taking the time to provide your thoughts on our Pastoral Care experience, your feedback is important to us.

  • Request to submit assessment in te reo Māori

    Te Puka Tono Aromatawai i te reo Māori

    Ka taea e koe te tono e tuku pai ai tō aromatawai i roto i te reo Māori.

    Me tutuki i ēnei e whai ake nei:

    • Me tono ā-tuhi mai, engari kia kaua e iti iho i te whā wiki i mua i te katinga o te aromatawai e tonoa ana.
    • Ki te kore e whai i tētahi kaimāka matatau ki te reo o tō kaupapa, ka whakapākehātia tō aromatawai e tutuki pai ai te wāhanga aromātai me te wāhanga whakataurite. Ka whakamōhio atu ki te ākonga mēnā ka mākahia nā runga i te whakawhitinga reo.
    • Ka whakahokia ngā kōrero mō te aromatawai i roto i te reo Māori me te reo Pākehā.

    The following conditions apply:

    • Learners should apply in writing as soon as possible and prior to the assessment due date.
    • If a suitable marker fluent in te reo Māori and the subject matter cannot be found, assessments will be translated for marking, review and moderation purposes. The learner will be notified that the assessment will be marked on the translation.
    • Feedback on the assessment will be in te reo Māori and English. 

     Please email any queries to exams@openpolytechnic.ac.nz

  • Certificate in Teacher Aiding Workplace Support Reference

  • Education Qualifications Emailable Reference Form

    The purpose of this report is to receive comment about the applicant to assess their suitability for teaching children against the New Zealand Education Council 'Good Character and Fit to be a Teacher' criteria. The information you provide is confidential to Open Polytechnic and will not be shared with the applicant.

    Please complete all relevant sections of this report, and indicate the applicant's level of personal skills and attributes as part of your overall recommendation.
    Please note: we require students to provide at least one reference who has observed them working with tamariki.

    If you have any reservations regarding the applicant's suitability, or any other information that you consider would help us make a decision about the applicant, please inform the Student Advisor by email or freephone 0508 650 200.

  • Education Qualification Partnership School - Placement Facilitator Form

    Open Polytechnic ākonga enrolling in ITE Programmes require the support of a partner school to be accepted into the programme.

    We have an applicant who has expressed interest in your school as a potential partner.

    The role of the partner school

    Open Polytechnic ITE programmes are designed to purposefully partner with schools to deliver high quality initial teacher education. To put it simply, the programme is designed to prepare ākonga for the classroom by being in the classroom.

    The programme conditions require ākonga spend two days each week of their programme enrolment as an active member of a school community. This time in a school enhances opportunities for ākonga to directly connect educational theory delivered in the Open Polytechnic course materials with practical experience.

    During this school-based experience, ākonga will observe and be exposed to a range of teaching and learning experiences while developing their teaching practice alongside qualified teachers. Ākonga are expected to contribute to the mahi of their partner school, based on their own capabilities and areas of skill or interest.

    To support ākonga in these programmes partner schools are asked to:

    • Incorporate ākonga into the life of the school during their time in the school.
    • Provide a mentor teacher to guide and advise the ākonga throughout their time in the school. Mentor teachers work alongside ākonga to plan and guide their school-based learning activities (a payment will be provided for classroom release time). The mentor teacher will ensure the ākonga can experience a range of activities related to their online learning.
    • Provide an associate teacher for one eight-week practicum (associate teachers are paid according to the relevant Collective Agreement).

    The Open Polytechnic will provide a full package of resource material that details the respective responsibilities of ākonga, mentor teacher, and associate teacher, alongside regular contact and scheduled in school visits. If you would like more information before completing this form, please contact the partnership coordinator: vanessa.madhar@openpolytechnic.ac.nz or 04 916 6950 ext.6950

    This form will confirm that the applicant has the support of a partner school and that the school has a staff member who is able to mentor the ākonga. 
    Please note: the applicant’s enrolment cannot be completed until this form is returned.

  • Partner School - Registration of Interest 2023

    The role of the partner school

    Open Polytechnic ITE programmes are designed to purposefully partner with schools to deliver high quality initial teacher education. To put it simply, the programme is designed to prepare ākonga for the classroom by being in the classroom.

    The programme conditions require ākonga spend two days each week of their programme enrolment as an active member of a school community. This time in a school enhances opportunities for ākonga to directly connect educational theory delivered in the Open Polytechnic course materials with practical experience.

    During this school-based experience, ākonga will observe and be exposed to a range of teaching and learning experiences while developing their teaching practice alongside qualified teachers. Ākonga are expected to contribute to the mahi of their partner school, based on their own capabilities and areas of skill or interest.

    To support ākonga in these programmes partner schools are asked to:

    • Incorporate ākonga into the life of the school during their time in the school.
    • Provide a mentor teacher to guide and advise the ākonga throughout their time in the school. Mentor teachers work alongside ākonga to plan and guide their school-based learning activities (a payment will be provided for classroom release time). The mentor teacher will ensure the ākonga can experience a range of activities related to their online learning.
    • Provide an associate teacher for one eight-week practicum (associate teachers are paid according to the relevant Collective Agreement).

    The Open Polytechnic will provide a full package of resource material that details the respective responsibilities of ākonga, mentor teacher, and associate teacher, alongside regular contact and scheduled in school visits. If you would like more information before completing this form, please contact the partnership coordinator: vanessa.madhar@openpolytechnic.ac.nz or 04 916 6950 ext.6950

  • Registration of Interest – New Zealand Certificate in Business (Accounting Support Services) (Level 4) [VERSION 2]

    Open Polytechnic plans to offer the New Zealand Certificate in Business (Accounting Support Services) (Level 4) [VERSION 2] in the coming months

    If you would like to be notified when this programme opens for enrolment, register your interest with us below and we will contact you when it opens.

     

     

  • Registration of Interest – New Zealand Certificate in Project Management (Level 4) [Version 2]

    Open Polytechnic plans to offer the New Zealand Certificate in Project Management (Level 4) [Version 2] in the coming months.

    If you would like to be notified when this programme opens for enrolment, register your interest with us below and we will contact you when it opens.

  • Registration of Interest – New Zealand Certificate in Digital Media and Design (Level 4)

    Open Polytechnic plans to offer the New Zealand Certificate in Digital Media and Design (Level 4) in 2023

     

    If you would like to be notified when this programme opens for enrolment, register your interest with us below and we will contact you when it opens.

  • Open Polytechnic | Te Pūkenga Appeals

    If you wish to appeal a decision to the Open Polytechnic Appeals Committee, complete and submit this form within 7 days of being advised of an appealable decision. 

    Please note:

    • Appeals are processed in accordance with Kaupapa-here | Ākonga Appeals Policy
    • Appeal submissions cost $50. After you ‘submit’ this form, confirm your payment method details. Your appeal will be processed after your payment has been confirmed. 
  • New Zealand Certificate in Business (Introduction to Small Business) (Level 3) [Te Pūkenga]

    A new Te Pūkenga programme (Version 2) of this qualification will open for enrolment in the coming months. To be notified when the  New Zealand Certificate in Business (Introduction to Small Business) (Level 3) [Te Pūkenga] opens for enrolment, register your interest here.