First Name (required)
Last Name (required)
Email Address (required)
SWN - (WINZ Client number if applicable)
Confirm NZ employment status (required) ---Unemployed and registered with MSDUnemployed and registeredUnderemployed (not enough hours)Employed wanting a career change
Are you a NZ citizen or NZ permanent resident? YESNO
Date of Birth (required)
Phone Number (required)
Address (required)
Town/City (required)
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Yes - I agree to receive information from Agri Training and any of its affiliate partners involved in the Rural Retraining programme. We won’t pass your details to any other third party. Some of the information collected is also required by the Ministry for Primary Industries and the Ministry of Social Development for statistical and registration reasons.
