Whanau Ora

Whanau Ora is a family centered approach to strengthening the wellbeing and future of Pasifika families

Whanau Ora will put you in your place! It will test you! You are the decision maker HERE. We have navigators ready to support you and work alongside you every step of the way from setting goals and reaching them to the best of your ability. This programme is life changing for thousands of Pasifika families around New Zealand. Yes, we work with families with high needs and can give assistance to those with low needs. Building and Strengthening families in Rotorua, New Zealand.

Assessment must be completed to see if you are eligible

WHANAU ORA AIM – 4 DOMAIN’S INCLUDING

• ECONOMIC – Living financial free: The goal of pasifika families enjoying a comparative lifestyle that is not hindered by financial constraints.
• EDUCATION – Lifelong Learning: The pathway to prosperity is through succeeding in education and developing skills for employment.
• HEALTH – Living longer and better: Improving wellbeing and encouraging independence and health literacy.
• LEADERSHIP – Leadership, safe living environment: Development of safe, healthy and violence-free living environments.

WHANAU ORA REGISTRATION FORM:

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NAME *

First

Last

INFORMATION: NAME ACTIVITIES?

EMAIL *

CONTACT PHONE NUMBER *

DATE OF BIRTH *

ADDRESS *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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GENDER *

• Male
• Female
• Prefer not to say
• Other

ETHNICITY *

• Tongan
• Samoan
• Cook Islands
• Fijian
• Tokelauan
• Niue
• Kiribati
• Maori
• European
• Other

PLEASE BRIEFLY EXPLAIN WHY YOU ARE REQUESTING TO CONNECT WITH OUR WHANAU ORA TEAM MEMBERS *

WHAT ARE YOUR CURRENT LIFE GOALS: *

PLEASE UPLOAD A CURRENT PHOTO OF YOUR IDENTIFICATION *

Click or drag files to this area to upload.

You can upload up to 2 files.

Example: Drivers lisence, Current Passport, 18+ Card.

EMERGENCY CONTACT NAME *

FULL NAME:

EMERGENCY CONTACT NUMBER *

CONTACT DETAILS:

EMERGENCY CONTACT DETAILS *

RELATIONSHIP TO YOU:

HEALTH INFORMATION: DO YOU HAVE ANY HEALTH OR PHYSICAL CONDITIONS/IMPAIRMENTS WHICH MAY AFFECT YOUR ABILITY TO PARTICIPATE IN OUR WHANAU ORA PROGRAMMES? *

• Yes
• No

If yes, please describe below:

IF CHECKBOX YES, PLEASE DESCRIBE BELOW:

HEALTH INFORMATION: HAVE YOU HAD ANY INJURIES OR MEDICAL CONDITIONS THAT MAY AGGRAVATE OR PREVENT YOU FROM PARTICIPATING IN PHYSICAL WELLBEING SESSIONS OR OTHER GROUP ACTIVITIES? *

• YES
• NO

If yes, please describe below

IF CHECKBOX YES, PLEASE DESCRIBE BELOW:

ROTORUA PACIFIC ISLANDS DEVELOPMENT CHARITABLE TRUST – PRIVACY STATEMENT

I GIVE PERMISSION TO RPIDCT: *

• I AGREE with the RPIDCT Privacy Statment and agree to the terms and conditions.
• I GIVE PERMISSION for the photos and videos to be taken of me for RPIDCT organizational purposes.
• I GIVE PERMISSION to recieve information or to be contacted about future services/programmes or events of the Rotorua Pacific Islands Development Charitable Trust.

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