APPLICATION TO ENROL

AT SYDNEY CATHOLIC SCHOOLS

Dear Parents and Carers

Thank you for deciding to apply to enrol your child in a Sydney Catholic school. Choosing a school for your child is an important decision for every parent and carer. Catholic schools are warm, welcoming communities and we focus on the development of the whole child. Our Catholic identity, supported by the Gospel values of love, compassion, tolerance and forgiveness, sits at the heart of everything that happens in our schools. The learning environment is dynamic, our teachers are highly trained and there are opportunities for every student to thrive. Please take the time to read and complete this form carefully. You will notice that there are also links in the form to important system policy documents. It is important to read these documents as well. If you require assistance completing this form, please contact your local school. They will provide you with the support you require. Thank you again for considering a Catholic school for your child. We hope to be able to welcome you into one of our school communities in the near future.

With my warmest wishes

Dr Dan White Executive Director Sydney Catholic Schools

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PART A

Application to enrol at Sydney Catholic Schools

All information provided in this application is treated in accordance with the Sydney Catholic Schools Privacy Policy and Standard Collection Notice.

Proposed school: Suburb: Please list any schools you have applied to attend 1. Suburb: 2. Suburb: 3. Suburb:

Name of student Current school (or preschool if applicable)

Family Contact/Mailing Details t Family surname Mail to (e.g. Mr & Mrs Smith) Street address

Suburb

Postcode

Current Parish

Children in family at Sydney Catholic Schools t Please list below all children in the family attending Sydney Catholic Schools Birth order

Full Student Name

School they attend

Child 1 Child 2 Child 3 Child 4

Student details t First name

Commencement year

Middle name

Year e.g. Kinder, Year 7

Surname

Previous School

Preferred name

Date arrived in Australia (if applicable)

Sex (please tick one)

o Male

o Female

Start date

Year level

First Australian school year (e.g. 2013)

Date of birth

Religion

Country of birth

Main language spoken at home

Nationality

Other language(s) spoken at home

Ethnic origin

Does your child attend a Community Language School o Yes o No

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Sacramental Details t Sacrament

Date Received

Parish Received

Copy of Certificate

Baptism

o Yes o No

Reconciliation

o Yes o No

Eucharist

o Yes o No

Confirmation

o Yes o No

Indigenous Identifier t Is the student of Aboriginal or Torres Strait Islander origin? o Aboriginal

o Yes o No

o Torres Strait Islander

(If Yes, please tick one box below) o Both Aboriginal and Torres Strait Islander

Student’s Residency Status t What is the student’s residency status? (Evidence must be provided) o Australian Citizen

o New Zealand Citizen (ETV)

o Permanent Resident (PRS)

o Temporary Visa Holder (ETV)

o Bridging Visa (BRVS)

o Tourist or Visitor Visa (RSVS)

o Full Fee Paying Overseas Student (OS)

For students born overseas, on what date did the student last arrive in Australia? If the student is a visa holder please provide the following information: Current visa sub-class

Visa number

Visa expiry date

Passport number

Passport expiry date

Kindergarten Students ONLY t In the year before school, has the student been in non-parental care on a regular basis and/or attended any other educational programs? o Yes o No If yes, indicate any of the following that apply and show if this was part time (less than 15 hours per week) or full time (15 hours or more per week). o Preschool

o Part time

o Full time

Postcode:

o Long Day Care (with a preschool program)

o Part time

o Full time

Postcode:

o Long Day Care (without a preschool program)

o Part time

o Full time

Postcode:

o Family Day Care

o Part time

o Full time

Postcode:

o Grandparent

o Part time

o Full time

o Other formal or informal care (e.g. occasional care, playgroup, other relative, nanny, friend, neighbour)

o Part time

o Full time

Name of preschool/long day care centre or other formal care service: Preschools usually operate on school days and in school terms, and provide structured early learning to children in the year or two before school. Long day care services offer all-day care for most of the year for children aged 0 to 6. They may also offer ‘preschool programs’ specifically for children in the year or two before school.

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Previous Schools t Please provide details of any school where the student has previously been enrolled (NSW, interstate or overseas) starting with the most recent. If more space is needed, please attach a page marked ‘Previous Schools.’ Name of School(s) attended (start with most recent)

Location of School(s)

Dates of Attendance

For enrolments in Year 7 or Year 11, please provide the name of the school where the student is currently enrolled.

Medical Details t Parent/Carer Permission I give my permission for the school to seek information from the doctor/medical centre named below regarding any allergy or medical condition experienced by the student. o Yes o No Doctor/Medical Centre name

Phone number

Student’s Medicare number

Medicare expiry date

Immunisations: Is the student’s immunisation up to date?

o Yes o No

Date of last Tetanus injection/booster:

If no, I understand my child will be considered ‘at risk’ and may be excluded if there is an outbreak of an infectious disease in line with the SCS Childhood Infectious Diseases Policy. o Yes o No It is essential you inform the Principal before your child starts school if he or she has any allergies/medical alerts, including ANAPHYLAXIS, or other medical conditions (e.g. allergies to nuts, penicillin, bee stings, asthma, diabetes, epilepsy management etc.). You must also advise the school as soon as you are aware of any new allergies or other medical conditions. Anaphylaxis condition e.g. peanuts, insect stings

Carries EpiPen

o Yes o No

EpiPen expiry date:

Allergies e.g. hayfever Other medical condition (s) e.g. asthma, diabetes, epilepsy Medication Please list any prescribed medication to be taken by student

Special Circumstances t Are there any circumstances regarding the student seeking to be enrolled that the school should know prior to the enrolment? (e.g. mature age, living apart from parental supervision, subject of a court order, out-of-home care arranged by the state). If there are any court orders, please attach a copy of current court orders. o Yes o No

If yes, please provide a brief description of the circumstances.

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Special Circumstances CONTINUED t

Diverse Learning Needs t Indicate whether the student applying for enrolment has any known or suspected exceptional abilities, disability, complex social and emotional needs or other additional needs . Please indicate by ticking the boxes below. Please note if you have answered yes to any of the descriptors below, supporting documentation MUST be provided. Is your child a young person with (please tick as applicable): o Autism Spectrum Disorder

o Acquired permanent injury

o Specific learning disorder

o Complex social and emotional needs

o Intellectual disability/developmental disorder

o Hearing impairment

o Mental health disorder

o Receptive and/or expressive language disorder

o Vision impairment

o Mobility/physical disability

o Exceptional abilities (giftedness in any domain)

o Other (please specify):

In accordance with current legislation and educational best practice, Sydney Catholic Schools recognises that specific adjustments may be required to support students with exceptional abilities, disability, complex social and emotional needs or other additional needs. It is imperative that when applying for enrolment, parents provide copies of all current assessments, records of clinical interventions and contact details of treating professionals to assist the school in discerning the level of adjustments required for the prospective student. What was provided for your child in his/her previous school/preschool/educational setting? (Please tick as many as applicable). o Access to assistive technology o English language proficiency support o Reader or scribe

o Adjusted teaching and learning strategies o Adjustments to the educational environment (equipment, furniture and learning spaces) o Special provisions for learning tasks/assessments

o Hearing or vision supports o Personal care support o Oral interpreting

o Early intervention services, e.g. speech therapy, occupational therapy, other therapies, targeted teacher assistant support. o Other (please specify:

Please add any additional information that may assist the school to plan adjustments to meet your child’s particular needs. The development of a Personalised Plan for students is an imperative component of school support for students with particular needs.

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Diverse Learning Needs CONTINUED t Does your child have an existing Personalised Plan (developed in their previous school setting)? Is the student under the care of a specialist practitioner/s?

o Yes o No

o Yes o No

o Specialist name

Contact number

o Specialist name

Contact number

It is essential that the school have all the information about the needs of a student in order to assess what REASONABLE ADJUSTMENTS are required to meet those needs. The school MUST be advised promptly of any changes to the needs of the student.

Student’s History Relevant to Risk Assessment t This school has a legal responsibility under the relevant section of the Education Act 1990 to assess and manage any risk of harm to its staff and students. This application gives you the opportunity to provide information that will help facilitate the smooth transition of students into our school setting. This may include preparing a behaviour management plan, risk assessment and risk management plan or other appropriate strategies directed at meeting the particular needs of the student. The action taken in response to the information you provide will help to safely support students in our school and contribute to ensuring the safety of your child, other students and staff. To your knowledge, is there anything in the student’s history or circumstances (including medical history) which might pose a risk of any type to the student, other students or staff at this school? o Yes o No If yes, please complete the information below and provide a brief description of your child’s history or circumstances (including medical history), which might pose a risk of any type to him or her, other students or staff at this school.

Please provide names and contact details of health professionals or other relevant bodies that have knowledge of these issues.

Does your child have any past history of violent behaviour, including self harm? o Yes o No If yes, please provide details (including any Apprehended Violence Orders issued against the student).

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Student’s History Relevant to Risk Assessment CONTINUED t Has your child ever been suspended, transferred or excluded from any previous school, preschool or other educational institution? o Yes o No If yes, was this for (please tick) Actual violence to any person?

o Yes o No

Possession of a weapon or any item used to cause harm or injury?

o Yes o No

Threats of violence or intimidation of staff, students or others at the school?

o Yes o No

Illegal drugs?

o Yes o No

Other (please specify):

Are you aware of any other incidents of the kind listed above in which your child has been involved outside of the school setting? o Yes o No If yes, please provide a brief outline of these incidents.

Family and Relationships t This section is for the parents/guardians with whom the student normally lives. Copies of any applicable relevant family law or court orders must be provided. Details

Parent/Legal Guardian/Primary Carer with parental responsibility

Parent/Legal Guardian/Primary Carer with parental responsibility

Title First name Middle name Surname Date of birth (dd/mm/yyyy) Sex

o Male

o Female

o Male

o Female

Driver’s Licence Address - street Suburb and postcode Relationship to student Residential guardian

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o Yes

o No

o Yes

o No

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Family and Relationships CONTINUED t Parent/Legal Guardian/Primary Carer with parental responsibility

Details

Parent/Legal Guardian/Primary Carer with parental responsibility

Home phone number Work phone number Mobile Email address Fax Occupation Occupational Group Refer to the list of occupations on the SCS website (http://bit.ly/2kvqLyK) and tick the group that you think best describes your work. School Education What is the highest level of schooling completed? (If never attended school, tick Year 9 or equivalent or below).

Educational Qualifications What is the highest qualification completed?

Group 1

o

Group 1

o

Group 2

o

Group 2

o

Group 3

o

Group 3

o

Group 4

o

Group 4

o

Group 8

o

Group 8

o

Year 12 or equivalent

o

Year 12 or equivalent

o

Year 11 or equivalent

o

Year 11 or equivalent

o

Year 10 or equivalent

o

Year 10 or equivalent

o

Year 9 or equivalent or below

o

Year 9 or equivalent or below

o

Bachelor degree or above

o

Bachelor degree or above

o

Diploma/Advanced Diploma

o

Diploma/Advanced Diploma

o

Certificate I to IV (incl trade cert) o

Certificate I to IV (incl trade cert) o

No non-school qualification

No non-school qualification

o Yes o No Do you speak a language other than English at home?

Country of birth Nationality Ethnic origin Religion SIGNATURE

Print Name

Date

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o

If yes, please list below:

o Yes o No

1.

1.

2.

2.

o

If yes, please list below:

Contact Information t Details

Emergency Contact (must be provided) Please nominate a person other than the parent/ legal guardian/primary carer who may be contacted in the event of an emergency, if parent/legal guardian/primary carer cannot be contacted.

Non-residential Parent (if applicable) Please only complete if there is a parent/legal guardian/primary carer who does not reside at the student’s home address.

Title First name Middle name Surname Relationship to student Date of birth (dd/mm/yyyy) Sex Driver’s licence

o Male

o Female

o Male

o Female

N/A

Address - street Suburb and postcode Home phone number Work phone number Mobile Email address

N/A

Occupation

N/A

Occupational Group Refer to the list of occupations on the SCS website (http://bit.ly/2kvqLyK) and tick the group that you think best describes your work. School Education What is the highest level of schooling completed? (If never attended school, tick Year 9 or equivalent or below).

Educational Qualifications What is the highest qualification completed?

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N/A

N/A

N/A

Group 1

o

Group 2

o

Group 3

o

Group 4

o

Group 8

o

Year 12 or equivalent

o

Year 11 or equivalent

o

Year 10 or equivalent

o

Year 9 or equivalent or below

o

Bachelor degree or above

o

Diploma/Advanced Diploma

o

Certificate I to IV (incl trade cert) o No non-school qualification

o

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Contact Information t Emergency Contact (must be provided) Please nominate a person other than the parent/ legal guardian/primary carer who may be contacted in the event of an emergency, if parent/legal guardian/primary carer cannot be contacted.

Details

If yes, please list below:

o Yes o No Do you speak a language other than English at home?

Non-residential Parent (if applicable) Please only complete if there is a parent/legal guardian/primary carer who does not reside at the student’s home address. o Yes o No

1.

1.

2.

2.

Country of birth

N/A

Nationality

N/A

Ethnic origin

N/A

Religion

N/A

If yes, please list below:

Are there any Family Court Orders/Parenting Plans that have been issued in relation to the enrolling student? o Yes o No

If yes, supporting documentation is required.

School Fee Administration t The collection of school fees will be in accordance with the SCS School Fee Collection Policy. Please complete as appropriate

PParent/Legal Guardian/ Primary Carer with parental responsibilityN/A

Billing title (e.g. Mr & Mrs Smith)

N/A

First name and surname

N/A

Billing address

N/A

Parent/Legal Guardian/ Primary Carer with parental responsibilityN

Non-Residential Parent if applicable

Suburb and postcode Billing email address

Preferred payment method

Preferred payment frequency

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o BPay

o BPay

o BPay

o CentrePay

o CentrePay

o CentrePay

o Direct Debit

o Direct Debit

o Direct Debit

o Standing Authority

o Standing Authority

o Standing Authority

o EFTPOS

o EFTPOS

o EFTPOS

o Cash

o Cash

o Cash

o Cheque

o Cheque

o Cheque

o Annual (start of year)

o Annual (start of year)

o Annual (start of year)

o Standard (first 3 terms)

o Standard (first 3 terms)

o Standard (first 3 terms)

o Fortnightly

o Fortnightly

o Fortnightly

o Monthly

o Monthly

o Monthly

Documentation Checklist t I/we have included copies of the following documents with this application for enrolment (please tick appropriate boxes):

o Birth Certificate o Baptismal Certificate o Evidence of residency status eg: Citizenship documentation, Visa Grant Notice, passport (where applicable) o Evidence of time out of the country e.g.: passport, plane tickets, overseas school reports (where applicable) o Most recent previous school reports and external test results (where applicable) o Relevant medical information including clinical/educational assessments (where applicable) o All current assessments, records of clinical interventions related to exceptional abilities, disability, complex social and emotional needs or other additional needs as named in the section on Diverse Learning Needs o Immunisation Certificate (Primary school applications only) o Volunteer clearance check – WWCC number o Any relevant court orders particularly Family Court orders or Apprehended Violence Orders (AVOs) applicable to this student

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PART B

Declaration t Please sign to acknowledge the following:

1. I/we consent to the school and/or the Sydney Catholic Schools Office gaining access to relevant information about the student on whose behalf this application for enrolment is made, held by previous educational institutions, healthcare professionals or other agencies as required, for the purposes of determining whether or not to accept this Application for Enrolment.

I/we understand that this may include visits to preschools or prior educational settings.



I/we understand that the information sought may include information related to any of the questions I/we have answered in this Application for Enrolment.

2. If I/we understand that the school and/or the Sydney Catholic Schools Office may approach previous educational institutions, healthcare professionals or other agencies directly to request information related to any of the questions I/we have answered in this Application for Enrolment.N/A 3. I/we declare that the information provided in this Application for Enrolment is to the best of my/our knowledge and belief, accurate and complete.N/A 4. I/we agree to notify the school and/or Sydney Catholic Schools of any change in circumstances including parental circumstances, care arrangements, financial circumstances and special needs of the student applying to enrol, that require amendment/s to the information provided in this Application for Enrolment.

I/we understand that I/we or another person may be requested to complete a new Application for Enrolment on behalf of the student and provide relevant documents.

5. I/we understand that if any misleading information has been provided, or any omission of significant, relevant information made in this application for enrolment, an Enrolment Offer will not be made, or if discovered after acceptance of the Enrolment Offer, Sydney Catholic Schools reserves its rights to withdraw the offer. Signature Parent/Guardian/Primary Carer PRINT NAME:

DATE:

Signature Parent/Guardian/Primary Carer PRINT NAME:

DATE:

Please note: • This Application for Enrolment is to register the parent/guardian’s interest in their child/dependent attending a Sydney Catholic school. • The purpose of this Application for Enrolment is to provide information required by the enrolment committee so that it can assess the information, make relevant enquiries and determine whether an Enrolment Offer will be made.

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STUDENT NAME

© Sydney Catholic Schools 38 Renwick Street, PO Box 217, Leichhardt NSW 2040 T (02) 9569 6111 • www.sydcatholicschools.nsw.edu.au PN 6177 • November 2016