The information below must be completed in order to download the full application for admission.

Note: The form below is not an application for admission; you will receive a link upon submitting the form to the full length application with instructions on how to finish the application process. Please know that your information will not be distributed to any other parties, as your confidentiality is important to us. No one from Mercy Ministries New Zealand will contact you as a result of providing this information. This information is for our records only. Once you have provided the required information in all of the spaces below, please click "Submit" and continue to follow the prompts for downloading an application.

* If you would rather speak to a Mercy Ministries staff member, please call the intake department on (09) 443 7136 or 0508 2 MERCY (0508 263 729).

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First Name
Last Name
Address
City
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Email Address