Course you are enrolling for(Required)30th & 31st October ’24 ZOOM NZQA Urine Collection and drug screening US25458 & 25511 (2 x 2.5 hour sessions over two days)4th & 5th November ’24 ZOOM NZQA Oral fluid drug testing US32327 & 32328 (2 x 2.5 hour sessions over two days)25th & 26th November ’24 ZOOM NZQA Urine Collection and drug screening US25458 & 25511 (2 x 2.5 hour sessions over two days)16th & 17th December ’24 ZOOM NZQA Oral fluid drug testing US32327 & 32328 (2 x 2.5 hour sessions over two days)This registration is for...(Required) a new course registration for a refresher course Prior training provider(Required) (Training establishment)Date initial NZQA unit standards attained:(Required) Day Month Year Your current employer Group organiser's email addressThis is only required if you are attending as part of a group from the same company. Your namePlease note that the name entered in the section below will appear on your NZQA Record of Learning and certificates.Please bracket your preferred name if different, for use in your hard copy certificate. For example: Jonathan Dennis (Jono) SmithGiven name(s) (to match the existing NZQA records)Last name Permanent residential address of attendee(Required) Street Address City ZIP / Postal Code This should be your permanent address, NOT your work address or a temporary address used while attending a teaching institution.Email address of attendee(Required) Date of birth of attendee(Required) Day Month Year Contact number of attendee(Required) Ethnic group(Required) NZ European/Pakeha New Zealand Māori Samoan Tongan Niuean Tokelauan Fijian Chinese Asian Indian Other Pacific Island Other Tick box(es) next to the ethnic group(s) you feel you belong to (for statistical purposes only).Attendee is...(Required) Male Female Rather not say Tick appropriate box (for statistical purposes only)Please add your ethnic group here(Required) Declaration(Required) I declare that I agree to comply with the Code of Practice of InScience Ltd with regard to this training and I note that fluent written and spoken English are required for entry to InScience Ltd Courses. I understand that on submission of this enrolment form, an invoice will be issued for prior payment (unless you are an account holder). If enrolling in a Zoom course, I agree to comply with the requirement for a video and audio connection, with video on at all times.
