St Augustine's F-12 College Kyabram - Application for Enrolment

This is a School which operates with the consent of the Bishop of the Catholic Diocese of Sandhurst and is owned, operated and governed by Catholic Education Sandhurst Limited (CES Ltd), where formation and education are based on the principles of Catholic doctrine, and where the teachers are outstanding in true doctrine and uprightness of life. This application form is part of the CES Ltd's Enrolment Framework.

DETAILS OF CHILD

Please enter the child
Please enter the child's first name
Please enter the child's preferred first name if applicable
Which year will the child come to our school
Please enter the child
Which religion does this child follow?
e.g. Female
What date will the child start school?

HOME ADDRESS OF CHILD

Please enter street number and name where the child lives?
Which suburb does the child live?
Please enter the postcode where the child lives?
Please enter a parent's mobile phone number.

PREVIOUS SCHOOL/PRESCHOOL PERMISSION

Please enter name and address of previous school/preschool.

SACRAMENTAL INFORMATION

Has the child completed any sacraments* - required
Sacramental Information
Please enter the date the child was Baptised (If applicable)
Which Parish was the child baptised?
Please enter the date the child received their Reconciliation (If applicable)
Which Parish did the child receive their reconciliation.
Please enter the date of Communion (if applicable).
Which Parish did the child receive their communion?
Please enter the date the child was Confirmed (If applicable)
Which Parish did the child receive their confirmation?
What is the child's current parish?

NATIONALITY (Government Requirement)

What is the child
What ethnicity is the child?
If other - please specify:
Is the student of Aboriginal or Torres Strait Islander origin? (For persons of both Aboriginal and Torres Strait Islander origin, tick* - required
Citizenship Details
IF NOT BORN IN AUSTRALIA, CITIZENSHIP STATUS*
Please tick the relevant category below and record the visa subclass number as per government requirements: (original documents to be sighted and copies to be retained by the school)

Australian citizen not born in Australia:

Please enter the child's Australian passport number.
Please enter the child's naturalisation certificate number.
Please enter the child's visa subclass recorded on entry to Australia.
What date did the child arrive in Australia?
Permanent resident: (if ticked, record the visa subclass number)
Temporary resident: (if ticked, record the visa subclass number)
Other/visitor/overseas student: (if ticked, record the visa subclass number)
* Please attach visa/ImmiCard/letter of notficiation and passport photo page.
IMMUNISATION (please attach an immunisation history statement for your child)
All vaccines are recorded on the Australian Immunisation Register (AIR). You are required to obtain an immunsation history statement for your child (visit my.Gov) and provide it to the school with this enrolment form.
Immunisation history statement attached:* - required
If no, please provide explanation:
If the student entered Australia on a humanitarian visa, did they receive a refugee health check?

SIBLINGS ATTENDING SCHOOL/PRESCHOOL

List all children in your family attending school or preschool (oldest to youngest) - include applicant:
Does the child have any siblings* - required
Please enter any siblings that the child has.
Sibling Information
Please enter the sibling's name.
Please enter the school/preschool that the sibling is currently attending.
What year/grade is the sibling in.
Disclaimer: Personal information will be held, used and disclosed in accordance with the school's Privacy Collection Notice and Privacy Policy available on its website.

PARENT A/GUARDIAN 1

Please enter the parent
Please enter the parent's first name.
Title: (e.g. Mr/Mrs/Ms)
Please enter parent's address
Please enter the parent mobile phone number
Please enter the parent home phone number (if applicable).
Please enter the parent's work phone number (if applicable).
SMS messaging: (for emergency and reminder purposes)* - required
SMS messaging: (for emergency and reminder purposes)
Email:

PARENT B/GUARDIAN 2

Please enter the parent's surname
Please enter the parent's first name
Title: (e.g. Mr/Mrs/Ms)
Please enter the parent's mobile phone number
Please enter the parent's home phone number (if applicable).
Please enter parent's work phone number (if applicable).
SMS messaging: (for emergency and reminder purposes)
SMS messaging: (for emergency and reminder purposes)
Email:

Fee Payer Details

Should the Application be accepted and enrolment is completed, who will be responsible for payment of the school fees and levies?
Please enter the parent
Please enter the parent
Email
What is the relationship to the student.
Do you need to add another fee payer* - required
Fee Payer Information
Please enter the parent
Please enter the parent
Email:
What is the relationship to the student.
By signing below, the applicant/s acknowledge/s:
  • this is a request for the named child to be considered for enrolment in the school according to the school's Enrolment Policy, and that the school's receipt of this application does not mean the school has enrolled this child.
  • the school will consider this request and endeavour to communicate the outcome of this consideration within a reasonable time.
  • That any initial offer will be provisional, with the applicants to then be required to provide additional information according to government and other requirements, and to agree to the Terms and Conditions of Enrolment.

Please type your signature

Please sign here

Please type your signature

Please sign here

Please enter today
Please enter today
Note: The Victorian Government provides the following guidance regarding admission requirements:
Consent can be provided through the signature of:
  • student, if they are over 15 and living independently
  • parent as defined in the Family Law Act 1975.

Note: In the absence of a current court order, each parent of a child who is not 18 has equal parental responsibility. 

  • both parents for parents who are separated, or a copy of the court order with any impact on the relationship between the family and the school
  • an informal carer, with a statutory declaration.

Carers:

  • may be a relative or other carer
  • have day-to-day care of the student with the student regularly living with them
  • may provide any other consent required e.g. excursions.

Note for an informal carer:

  • statutory declarations apply for 12 months
  • the wishes of a parent prevail in the event of a dispute between a parent legally responsible for a student and an informal carer.

Note: Secondary students may complete parts of the form and co-sign.

Mandatory field(s) marked with *

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