Y•Futures Enquiry

Y•Futures Enquiry Form

Thanks for your interest in the Y•Futures programme. Just fill out the form below, hit send, and we'll be in touch soon. Please note this is a referral-only programme. If you (or the person you're enquiring for) are eligible, we'll complete a full referral form with you.

"*" indicates required fields

Your Details

Name*
MM slash DD slash YYYY

Your Details (or those of person you're interested in referring)

Gender*
Ethnicity*
Address*

Student Information

This helps us to identify your study history.
Have you (or person you're interested in referring) achieved NCEA Level 1?*
Have you (or person you're interested in referring) achieved NCEA Level 2?*

How did you hear about Y•Futures?

Please tick all that apply.