Application for Enrolment

1

Student Information

Basic details for the student applying for enrolment.

Given name * Surname * Address * Suburb * Post code * Date of birth * Gender Nationality Course / program * Preferred intake or year Present school or provider Current grade or level Country of birth Place of birth Permanent resident Visa type or number Visa expiry First language

Aboriginal and Torres Strait Islander status Aboriginal Torres Strait Islander Aboriginal and Torres Strait Islander Neither

2

Parent and Guardian Information

Primary contacts, custody details, and emergency contacts.

Parent / Guardian 1

Relationship * Title First name * Surname * Address Mobile * Email * Occupation Employer

Parent / Guardian 2

Relationship Title First name Surname Address Mobile Email Occupation Employer

Legal guardianship details Who the student lives with most of the time Emergency contact 1 Emergency contact 1 phone Emergency contact 2 Emergency contact 2 phone

3

Student Needs and Medical

Learning support, disability, medical, doctor, and consent information.

Diagnosed by Date of diagnosis Additional learning support information

Medical details Medicare number Medicare expiry Doctor name Doctor phone Ambulance cover Photo/video consent

4

Financial Details and Documents

Fee payer details and supporting documents to prepare for enrolment review.

Fee payer name * Relationship to student * Responsible percentage Fee payer email * Fee payer postal address

Documents available Birth certificate Visa or citizenship certificate Immunisation history Latest school reports NAPLAN reports Medical or disability specialist reports Medical action plan

Other notes

5

Declaration

Confirm the information is accurate and may be used to assess the enrolment application.

Privacy and consent

The information in this application will be used to assess enrolment, contact guardians, support student welfare, and manage admissions records.

Applicant / guardian name * Date *