Scaffolding Application Form


Payment authorisation code*
First name*
Middle Name (mandatory if applicable)
Last name*
Date of birth (dd/mm/yyyy)*
Postal Address Line 1*
Postal Address Line 2
Postal Address Line 3
Mobile phone
Home number
Email address*
Programme applying For


By submitting this form, I confirm that:

  • I understand that payment is non-refundable
  • I have understood the eligibility criteria and evidence requirements and I am able to supply all the required information.
  • I have completed all required prerequisite training for the qualification that I am applying for.
  • The information contained in this application is true and correct and all evidence is my own.
  • I am aware that the evidence in my portfolio of evidence and a record of the competency discussion will be subject to quality assurance processes by Te Pūkenga (e.g. moderation, verification, validation).

Privacy Act 1993: The information requested in this form is collected by Te Pūkenga for the purpose of assessing your eligibility for pre-registration.