KiwiSkills Registration form Tell us a little about yourself and choose a local provider, to register for the KiwiSkills programme. (Also, please complete the quick pre-assessment.) Please fill in the following to register for the Kiwiskills programme. We need this information to process your application. Your details will be used by programme administrators and training partners, kept confidential and, if you include your email address, you will be emailed a copy when you press ‘Send’.Your Details:Gender:*MaleFemaleYour name:* Title Mr.Mrs.MissMs.Dr.Prof.Rev. First Last Date of birth:Your training provider will need your date of birth when setting up your training/testing login. You can give it then if you prefer.Email address:Please supply your email and/or a contact telephone number Enter Email Confirm Email Home address:*Please note: KiwiSkills is only available to New Zealand residents. Street address: Suburb: City/Region: Postcode: Home phoneMobile phoneEmployment status*Please tick all boxes that apply. On a benefit Job seeking Working part-time Studying (give details below) Other (give details below) Employment status detailsIf you clicked Studying or Other, please give details here.KiwiSkills pre-assessment*The KiwiSkills pre-assessment asks about your current computer skills and is quick and easy to do. Your KiwiSkills trainer will use this when advising you on your training programme. I did the pre-assessment onlineI did the pre-assessment on paperI haven't yet done the pre-assessmentEligibility statement:* I am a resident in New Zealand (Completing the pre-assessment will speed up your application. Click here to open the Kiwiskills Pre-assessment form in a new window. )KiwiSkills Training provider*Please choose a KiwiSkills provider from the dropdown list.Please choose from dropdown list...Gisborne (TaiTech)Hokitika (West REAP)Lower Hutt (ACTS Institute)Manawatu (Workskills Training, Palmerston North)Northland (Far North REAP, Kaitaia)Northland (Te Roroa Learning Assistance, Dargaville)Porangahau Hawke's Bay (Te Hohou Rongo Trust)Taranaki (Feats, Stratford)Taranaki (Taranaki CCAC, New Plymouth)Taranaki (Taranaki eLearning Trust, Eltham)Tararua (Tararua REAP)Taumarunui (Central King Country REAP)Taupo (REAP Central Plateau)Waikato (Moving Mountains, Tokoroa)Wairarapa REAPWellington (Lower Hutt ACTS Institute)Whakatane (Eastbay REAP)Private Test Centre SGAll other locations (KiwiSkills National Administrator)Agreement:* I agree to study and to take my certificate tests when I am ready to complete the programme Use of information* I understand that my information may be used for research purposes but I will not be personally identified Signed:*EmailThis field is for validation purposes and should be left unchanged.