Register your interest

You are welcome to register your interest for future cohorts or noho. After you register your interest one of our team will be in touch.

Kia kaha, Kia māia, Kia manawanui.
Māia rōpū.

"*" indicates required fields

Step 1 of 2

50%

Which programme are you registering your interest for?*

Āwhinatanga Programme

Puāwai Programme

Ingoa | Name*

Ingoa tuatahi | First name Ingoa whānau | Last name

Preferred name

Optional

Īmēra | Email*

Waea pūkoro | Phone number*

Date of birth*

DD slash MM slash YYYY

Wāhi noho | Address*

Street Address Address Line 2 City Region Postal Code Country

What ethnicities do you self identify with?*

If other, please indicate. We use this for social impact reporting.

Māori

Hamoa • Samoan

Māori Kuki Airani • Cook Island Māori

Tonga • Tongan

Niue • Niuean

Tokelau • Tokelauan

Whiti • Fijian

Pākehā • New Zealand European

Other

Other ethnicity?

Which age group are you in?*

We use this for social impact reporting.

Which Iwi do you whakapapa to or self identify with?

Are you are māmā takakau (solo māmā)?*

Tell us about you and your whānau...*

What is your greatest challenge at the moment?*

Write us a blurb about yourself and your whānau that you are happy for us to share with your new kaiārahi (your tuakana/mentor).*

Include your whānau, your strengths, and greatest challenge at the moment, and what your passions/interests are.

In 5 years time, you would like to be doing...*

What does mana-enhancing mean to you?*

Of the 4 hauora domains (Taha wairua | Spiritual, Taha hinengaro | Mental/emotional, Taha tinana | Physical, Taha whānau | Social) what area/s of wellbeing do you know the most about?*

Which domain/s of wellbeing do you know the least about?

Are you comfortable to share a living space with another wahine?*

Our accommodation provider has a shared living space, and your own personal room with ensuite.

Āe (yes)

Kao (no – please discuss with our coordinator)

What are your expectations of a Māia kaiārahi | mentor?*

What are your expectations of the Āwhinatanga programme?*

What are your expectations of the retreat?*

Why do you want to be mentored?*

Describe your ideal kaiārahi | mentor...*

How would you prefer to communicate with your Māia kaiārahi | mentor?

Īmēra • Email

Waea pūkoro • Phone

Zui • Zoom / Facetime

Social Media

Other:

Other communication method?*

Support person

Do you have a support person you can kōrero with or we can contact with your permission in the event of an emergency?
E.g., a trusted whānau member or GP.

Support Person Name*

First Last

Support person mobile*

If we have a koha of AWWA Periodcare, what size would you like?*

If we have a koha of a tī-hate (t-shirt), what size would you like?*

Do you consent to having your photo taken at Māia events and being in any Māia Collective social media platforms?*

Āe

Kāore

Code of Conduct*

Āe, yes I agree to the Code of Conduct

This retreat is designed to provide a safe, supportive, and rejuvenating space for solo mothers. By registering for our noho you agree to follow the code of conduct:

Treat all participants, staff, and volunteers with courtesy and respect. This includes respecting diverse backgrounds, experiences, and opinions.

Respect the privacy of others. Avoid sharing personal information about other wāhine without their consent.

Be aware of your surroundings and take responsibility for your own safety.

Report any safety hazards or concerns/incidents to a retreat facilitator immediately, and/or via the incident reporting link.

Respect that this is a drug and alcohol free noho.

We reserve the right to ask any participant who is disruptive, disrespectful, or violates this code of conduct to leave the retreat. No refunds will be provided in cases of dismissal due to code of conduct violations.

Thank you for your cooperation in creating a positive and supportive environment for all wāhine attending!

Privacy*

Āe, yes I agree to the Privacy Statement. I understand and agree to providing information to Māia Collective.

Māia Collective is a kaitiaki of your information and is collecting your information to be used to assist in providing services. Māia Collective will keep this information within the confines of the Māia Collective programme, and will not reveal personal information publicly or to a third party (unless required or permitted to by law) except for those persons that are involved in running the Māia Collective programme and when using non-identifiable information as part of our social impact reporting or research purposes. As kaitiaki, Māia Collective will take all reasonable steps to ensure the personal information it holds is protected against loss, access, use or modification by anyone. As no data transmission over the internet can be guaranteed to be completely secure, we cannot ensure or warrant the security of any information you transmit or receive through this site but we value kaitiakitanga and will do all in our power to protect your data.

Untitled