When you come to the school to enrol please bring these documents with you:nBirthcertificateoridentitydocuments(notneeded ifcurrentlyenrolledinaNSWgovernmentschool)nTransfercertificate(iftransferringfromanotherNSW governmentschool,exceptforthosestudentsmoving fromYear6toYear7)n Immunisationhistorystatement(onlyrequiredfor studentsenrollinginprimaryschoolsforthefirsttime)nCourtorder(ifapplicable)nProofofaddress(e.g.Councilratesnotice)

If your child is not an Australian Citizen, you will need to provide:

nPassportortraveldocumentsnCurrentvisaandpreviousvisas(ifapplicable)

If your child is a temporary visa holder you will also need to provide:n Authority to EnrolissuedbytheTemporaryVisaHolders

ProgramUnitisrequiredforvisitorandtemporaryresidentvisaholders(otherthansubclass571Preferredtobelow).

nAuthority to Enrolorevidenceofpermissiontotransfer issuedbytheInternationalStudentCentre(ifholding anInternationalfullfeestudentvisa,subclass571P)nEvidenceofthevisathestudenthasappliedfor(ifthe studentholdsabridgingvisa)

Thisinformationsheetexplainshowtocompletetheapplicationtoenrol.TheapplicationformistobecompletedinEnglish.Ifyouneedanyfurtherexplanationforanyofthequestionsorhelpincompletingtheapplication,pleaseaskforassistancefromtheschoolstaff.Ifyourapplicationisaccepted,theinformationyouhaveprovidedwillbeusedbytheschooltoenrolyourchild.

Theschoolwillnotifyyouoftheresultsofyourapplication.Pleasedonotpurchaseitemssuchasuniformsuntilyoureceiveconfirmationofenrolment.

Application to enrol in a NSW Government schoolNSWPublicSchools–Leadingtheway

1

Student’s Family name / First name:

Your Privacy Protected

TheschoolandtheNSWDepartmentofEducationandTrainingaresubjecttothePrivacy and Personal Information Protection Act 1998 (NSW).Theinformationyouprovidewillbeusedtoprocessyourchild’sapplicationforenrolment.Itwillonlybeusedordisclosedforthefollowingpurposes:

nGeneralstudentadministrationnCommunicationwithstudentsandparentsorcarersnStateandNationalreportingpurposesnPromotionoftheschooln School-relatedactivities(e.g.reunions,school

publications,schoolhistories,schoolanniversarycelebrations)

n Toensurethehealthandsafetyofstudents,staffandvisitorstotheschool

nForothermattersrelatingtotheeducationandwelfare ofthestudent;andnForanyotherpurposerequiredbylaw.

Theinformationwillbestoredsecurely.Youmayaccessorcorrectanypersonalinformationbycontactingtheschool.Ifyouhaveaconcernorcomplaintaboutthewayyourpersonalinformationhasbeencollected,used,ordisclosed,youmaycontacttheschool.

Thehealth-relatedinformationcollectedissubjecttotheHealth Records and Information Privacy Act 2002.Itisbeingcollectedfortheprimarypurposeofensuringthehealthandsafetyofallstudents,staffandvisitorstotheschool.Itmaybeusedanddisclosedtomedicalpractitioners,healthworkers,othergovernmentdepartmentsand/orschoolsforthisprimarypurpose,orforother,relatedpurposes.

Do parents have to answer the questions?

Wearerequiredbylawtoensurethehealthandsafetyofstudents,staffandvisitorsonourpremises.Itisthereforecompulsoryforyoutoanswerallquestionsonthisformexceptthoseaboutyouroccupationandeducation.

Theinformationyouprovidewillassisttheschooltocommunicatewithyouandtocareforyourchildwhileatschool.

Shouldstatementsmadeinthisapplicationlaterprovetobefalseormisleading,anydecisionmadeasaresultofthisapplicationmaybereversed.

Why have we asked for information about your occupation and education?

AllAustralianEducationMinistershaveagreedonNationalGoalsforSchoolingintheTwenty-FirstCentury.TheNationalGoalsspecificallystatethattheachievementofstudentsinschoolsshouldnotbeaffectedbydiscriminationbasedonsex,language,cultureandethnicity,religionordisability;orbydifferencesarisingfromsocialandeconomicbackgroundorgeographiclocation.Thegoalsalsostatethat‘thelearningoutcomesofeducationallydisadvantagedstudents[should]improveand,overtime,matchthoseofotherstudents’.

TohelpustomakesureweareachievingthisgoalallparentsacrossAustralia,nomatterwhichschooltheirchildattends,arebeingaskedtoprovideinformationaboutfamilybackground.ThemainpurposeofcollectingthisinformationistopromoteaneducationsystemwhichisfairforallAustralianstudentsregardlessoftheirbackground.

Weusetheinformationtoevaluatewhetherourpoliciesareeffectiveandtoensurethatnogroupisexperiencingunduedisadvantagebecauseoftheireconomicorsocialbackground.

ProvidinginformationaboutyouroccupationandeducationisvoluntarybutyourinformationwillhelpustoensurethatallstudentsarebeingwellservedbyAustralianschools.

Thefourgroupslistedonpage3areusedbytheAustralianBureauofStatisticstoclassifyoccupations.Pleasechoosethegroupthatyouthinkbestdescribesyou.Ifyouhaveretiredorstoppedworkinthepastyearpleasechoosethegroupinwhichyouusedtowork.

Youwillneedtousethistabletoanswerthequestionsonpages6-7.

Secure Internet Access and Email

StudentsareprovidedwithanInternetandemailaccounttoenablelearningopportunitiesinaprotectedandsecureenvironment.Studentsmustabidebytheschool’spolicywhenusingtheDETInternetandemailservices.ParentswillneedtoinformtheschoolinwritingiftheydonotwanttheirchildtohaveaccesstotheNSWDETInternetandemailfacility.

Welcome

�

3

Parent Occupation Groups

n Tradesmen/womengenerallyhavecompleteda4yearTradeCertificate,usuallybyapprenticeship.Alltradesmen/womenareincludedinthisgroup

n Clerks[bookkeeper,bank/POclerk,statistical/actuarialclerk,accounting/claims/auditclerk,payrollclerk,recording/registry/filingclerk,bettingclerk,stores/inventoryclerk,purchasing/orderclerk,freight/transport/shippingclerk,bondclerk,customsagent,customerservicesclerk,admissionsclerk]

n Skilledoffice,salesandservicestaff

n Office[secretary,personalassistant,desktoppublishingoperator,switchboardoperator]

n Sales[companysalesrepresentative,auctioneer,insuranceagent/assessor/lossadjuster,marketresearcher]

n Service[aged/disabled/refuge/childcareworker,nanny,meterreader,parkinginspector,postalworker,courier,travelagent,tourguide,flightattendant,fitnessinstructor,casinodealer/supervisor]

Group 3:

Tradesmen/women, clerks and skilled office, sales and service staff

n Drivers,mobileplant,production/processingmachineryandothermachineryoperators.

n Hospitalitystaff[hotelservicesupervisor,receptionist,waiter,barattendant,kitchenhand,porter,housekeeper]

n Officeassistants,salesassistantsandotherassistants

n Office[typist,wordprocessing/dataentry/businessmachineoperator,receptionist,officeassistant]

n Sales[salesassistant,motorvehicle/caravan/partssalesperson,checkoutoperator,cashier,bus/trainconductor,ticketseller,servicestationattendant,carrentaldeskstaff,streetvendor,telemarketer,shelfstacker]

n Assistant/aide[trades’assistant,school/teacher’saide,dentalassistant,veterinarynurse,nursingassistant,museum/galleryattendant,usher,homehelper,salonassistant,animalattendant]

n Labourersandrelatedworkers

n DefenceForcesranksbelowseniorNCOnotincludedabove

n Agriculture,horticulture,forestry,fishing,miningworker[farmoverseer,shearer,wool/hideclasser,farmhand,horsetrainer,nurseryman,greenkeeper,gardener,treesurgeon,forestry/loggingworker,miner,seafarer/fishinghand]

n Otherworker[labourer,factoryhand,storeman,guard,cleaner,caretaker,laundryworker,trolleycollector,carparkattendant,crossingsupervisor]

Group 4:

Machine operators, hospitality staff, assistants, labourers and related workers

n Seniorexecutive/manager/departmentheadinindustry,commerce,mediaorotherlargeorganisation

n Publicservicemanager(Sectionheadorabove),regionaldirector,health/education/police/fireservicesadministrator

n Otheradministrator[schoolprincipal,facultyhead/dean,library/museum/gallerydirector,researchfacilitydirector]

n DefenceForcesCommissionedOfficer

n Professionalsgenerallyhavedegreeorhigherqualificationsandexperienceinapplyingthisknowledge

todesign,developoroperatecomplexsystems;identify,treatandadviseonproblems;andteachothers

n Health,Education,Law,SocialWelfare,Engineering,Science,Computingprofessional

n Business[managementconsultant,businessanalyst,accountant,auditor,policyanalyst,actuary,valuer]

n Air/seatransport[aircraft/ship’scaptain/officer/pilot,flightofficer,flyinginstructor,airtrafficcontroller]

Group1:

Senior management in large business organisation, government administration and defence, and qualified professionals

Group 2:

Other business managers, arts/media/sportspersons and associate professionals

n Owner/manageroffarm,construction,import/export,wholesale,manufacturing,transport,realestatebusiness

n Specialistmanager[finance/engineering/production/personnel/industrialrelations/sales/marketing]

n Financialservicesmanager[bankbranchmanager,finance/investment/insurancebroker,credit/loansofficer]

n Retailsales/servicesmanager[shop,petrolstation,restaurant,club,hotel/motel,cinema,theatre,agency]

n Arts/media/sports[musician,actor,dancer,painter,potter,sculptor,journalist,author,mediapresenter,photographer,designer,illustrator,proofreader,

sportsman/woman,coach,trainer,sportsofficial]

n Associateprofessionalsgenerallyhavediploma/technicalqualificationsandsupportmanagersandprofessionals

n Health,Education,Law,SocialWelfare,Engineering,Science,Computingtechnician/associateprofessional

n Business/administration[recruitment/employment/industrialrelations/trainingofficer,marketing/advertisingspecialist,marketresearchanalyst,technicalsalesrepresentative,retailbuyer,office/projectmanager]

n DefenceForcesseniorNon-CommissionedOfficer

4

Office use only Family Code

Out of area Y/N

Family Details

Name for correspondence*(e.g.Mrand/orMrsSmith)

Addressforcorrespondence(RMB/P.O.Box)

StreetNumber/PropertyName

StreetName

Suburb/Town

PostCode

HomeTelephoneNumber

FamilyEmailAddress

Student's address during term If this is the same as the correspondence

address at the left, please just tick this box

Address

StreetNumber/PropertyName

StreetName

Suburb/Town

PostCode

HomeTelephoneNumber

If the student has a second residential address during school term, please provide this to the school.

Student’s Family name / First name:

* Non-residential parent should complete details on page 11

5

EmergencyContact

Pleasenominateapersonwho

maybecontactedintheevent

ofanemergency,ifparentscannot

becontacted.Ideally,thecontact

personshouldbesomeone

wholivesintheneighbourhood

oftheschool.

AlternativeEmergencyContact

Pleasenominateanalternative

personwhomaybecontacted

intheeventofanemergency,

ifparentscannotbecontacted.

Ideally,thecontactpersonshould

besomeonewholivesinthe

neighbourhoodoftheschool.

Emergency Contact

Emergency Contact Name

(e.g.MrandMrsSmith)

DaytimeTelephoneNumber

MobileTelephoneNumber(ifavailable)

Relationshiptofamily

(e.g.Neighbour,Uncle,Aunt)

Emergency Contact Name

(e.g.MrandMrsSmith)

DaytimeTelephoneNumber

MobileTelephoneNumber(ifavailable)

Relationshiptofamily

(e.g.Neighbour,Uncle,Aunt)

6

Family Information

Parent/Carer1(e.g.Father)residingatthesameaddressasthestudentForparentnotresidingatthesameaddress,pleasecompletethe‘OtherParent’sectiononpage11.Title(e.g.Mr,Mrs,Ms)

FamilyName

GivenNames

DaytimeTelephoneNumber(ifavailable)

MobileTelephoneNumber(ifavailable)

ParentalOccupation

WhatistheoccupationgroupoftheStudent’s

Parent/Carer1?

Pleaseselecttheappropriateparentaloccupation

groupfromthelistprovidedonpage3.Ifthe

personisnotcurrentlyinpaidworkbuthasajob

orretiredinthelast1�months,pleaseusethe

person’slastoccupation.Ifthepersonhasnot

beeninpaidworkinthatlast1�months,

pleasewrite‘8’inthebox.

(write1,�,3,4or8)

ParentalSchoolEducationWhatisthehighestyearofprimaryorsecondaryschoolthestudent’sParent/Carer1hascompleted?Forpersonswhohaveneverattendedschool,mark‘Year9orequivalentbelow’(markoneboxonly)

Year1�orequivalent

Year11orequivalent

Year10orequivalent

Year9orequivalentorbelow

Whatisthehighestqualificationthisparent/carer

hascompleted?(markoneboxonly)

Bachelordegreeorabove

AdvancedDiploma/Diploma

CertificateItoIV(includingtradecertificate)

Nonon-schoolqualification

Inwhichcountrywasthisparent/carerborn?

Doesthisparent/carerspeakalanguageotherthanEnglishathome?

No,Englishonly

Yes,languageotherthanEnglishspoken

If“Yes”,whatlanguagesarespokenathome?

Mainlanguage

Other

Other(includingEnglish)

Pleasewritetheexactlanguagespoken.

Forexample,“Cantonese”or“Mandarin”,notsimply“Chinese”.Pleasedonotwritethenationalitysuchas“Indian”,specifythelanguagespokene.g.“Hindi”or“Punjabi”.

Interpretersmaybemadeavailableduringschoolinterviews.Wouldaninterpreterberequired?

Yes No

7

Family Information

Parent/Carer�(e.g.Mother)residingatthesameaddressasthestudentForparentnotresidingatthesameaddress,pleasecompletethe‘OtherParent’sectiononpage11.Title(e.g.Mr,Mrs,Ms)

FamilyName

GivenNames

DaytimeTelephoneNumber(ifavailable)

MobileTelephoneNumber(ifavailable)

ParentalOccupation

WhatistheoccupationgroupoftheStudent’s

Parent/Carer�?

Pleaseselecttheappropriateparentaloccupation

groupfromthelistprovidedonpage3.Ifthe

personisnotcurrentlyinpaidworkbuthasajob

orretiredinthelast1�months,pleaseusethe

person’slastoccupation.Ifthepersonhasnot

beeninpaidworkinthatlast1�months,

pleasewrite‘8’inthebox.

(write1,�,3,4or8)

ParentalSchoolEducationWhatisthehighestyearofprimaryorsecondaryschoolthestudent’sParent/Carer�hascompleted?Forpersonswhohaveneverattendedschool,mark‘Year9orequivalentbelow’(markoneboxonly)

Year1�orequivalent

Year11orequivalent

Year10orequivalent

Year9orequivalentorbelow

Whatisthehighestqualificationthisparent/carer

hascompleted?(markoneboxonly)

Bachelordegreeorabove

AdvancedDiploma/Diploma

CertificateItoIV(includingtradecertificate)

Nonon-schoolqualification

Inwhichcountrywasthisparent/carerborn?

Doesthisparent/carerspeakalanguageotherthanEnglishathome?

No,Englishonly

Yes,languageotherthanEnglishspoken

If“Yes”,whatlanguagesarespokenathome?

Mainlanguage

Other

Other(includingEnglish)

Pleasewritetheexactlanguagespoken.

Forexample,“Cantonese”or“Mandarin”,notsimply“Chinese”.Pleasedonotwritethenationalitysuchas“Indian”,specifythelanguagespokene.g.“Hindi”or“Punjabi”.

Interpretersmaybemadeavailableduringschoolinterviews.Wouldaninterpreterberequired?

Yes No

8

StudentDetails

FamilyName

GivenNames

PreferredFirstNames

Sex Dateofbirth

Male Female

CountryofBirth

Religion(ifnone,pleasewritenoreligion)

Doesthestudentspeakalanguageother

thanEnglishathome?

No,Englishonly

Yes,languageotherthanEnglishspoken

If“Yes”,whatlanguagesdoesthestudent

speakathome?

Mainlanguage

Other

Other(includingEnglish)

Pleasewritetheexactlanguagespoken.

Forexample,“Cantonese”or“Mandarin”,notsimply“Chinese”.Pleasedonotwritethenationalitysuchas“Indian”,specifythelanguagespokene.g.“Hindi”or“Punjabi”.

Student details

Month YearDay

PreviousschoolingPleaseprovidethenameanddetailsofanyschoolwherethestudenthaspreviouslybeenenrolled(NSW,interstateoroverseas)startingwiththemostrecent.Ifmorespaceisneeded,attachapagemarked‘PreviousSchooling’.

Forenrolmentsother than Kindergartenpleaseprovidethenameoftheschoolwherethestudentwasenrolledattheendofthelastschoolyear

Nameofschool

LocationofSchool

Yearsattended

ForKindergartenenrolments,whattypeofcaredidthisstudenthavepriortoenrollingatschool?(Choosethetypeaccessedintheyearpriortoschool)

Longdaycare

Familydaycare

OccasionalCare

Pre-school

Otherformalcare

Informalcaree.g.parent,

relative,playgroup,othercarer

Extentofpriortoschoolcare

Upto6hoursperweek

Upto1�hoursperweek

1�hourstofulltimeeachweek

Writethenameofthepre-schoolorlongdaycareorotherpriortoschoolservice

IsthestudentofAboriginalorTorresStrait

Islander?

No Yes,Aboriginal

Yes,TorresStraitIslander

Yes,bothAboriginalandTorresStraitIslander

Whatwasthefirstdateofenrolment

atanAustralianschool?

Month YearDay

9

Student details

Tell the principal before your child starts school if he or she has any allergies or other medical conditions. This is essential.Youshouldalsolettheschoolknowassoonasyouareawareofanynewallergiesorothermedicalconditions.

Allergies

Pleasespecifyanyallergiessufferedbythestudent(e.g.peanuts/insectstings)

OtherMedicalConditions

Pleasespecifyanyothermedicalconditionsofwhichtheschoolshouldbeaware(e.g.asthma,diabetes,epilepsy)

MedicationPleasespecifyanyprescribedmedicationtobetakenbythestudent

MedicalDetailsDoctor’sName/MedicalCentre

StreetNumber

StreetName

Suburb/Town

PostCode

Phonenumber

MedicareNumber

IgivemypermissionfortheschooltoseekinformationfromtheDoctorlistedinthisEnrolmentFormabouthowtomanageanyallergyormedicalconditionexperiencedbythestudent

Yes No

StudentDetailscontinued

Whatisthestudent’sresidencystatus?

AustralianCitizen

NZCitizen

NorfolkIslander

PermanentResident

TemporaryVisaHolder

Ifbornoverseas,whatdatedidthestudent

arriveinAustralia?

Ifthestudentisapermanentortemporaryvisaholder

pleaseprovidethefollowinginformation:

CurrentVisaclass

Forprincipalholderswrite“P”inthelastbox,forsubordinateholderswrite“S”.

CurrentVisasub-class Visaexpirydate

Isthestudentaninternationalfullfee-payingstudentonVisasubclass571?

Month YearDay

Month YearDay

Yes No

Yes No

Yes No

Month YearDayOffice use only Dateofenrolmentatthisschool

Currentscholasticyearinwhichthestudentisenrolled(K-1�)

RollClass(e.g.3SMITH,9R�)

HouseGroup

Office use only AuthoritytoEnrol(ATE)expirydate

Month YearDay

10

Student details

SpecialCircumstancesArethereanycircumstancesaboutthestudent

seekingtobeenrolledthattheschoolshouldknow

priortoenrolment?(e.g.matureage,pregnancy,

livingapartfromparentalsupervision,medical

condition,subjectofacourtorder,Statearranged

outofhomecare)

Ifyes,provideabriefdescriptionofthecircumstances

RelevantprevioushistoryTheNSWDepartmentofEducationandTraininghas

aresponsibilitytoassessandmanageanyriskofharm

toitsstaffandstudents.

Toyourknowledge,isthereanythinginthestudent’s

historyorcircumstances(includingmedicalhistory)

whichmightposeariskofanytypetothestudent,

otherstudents,orstaffatthisschool?

Ifyes,providebriefdescriptionofstudent’smedical

orotherhistorywhichmightposeariskofanytype

tothestudent,otherstudents,orstaffatthisschool.

Pleaseprovidecontactdetailsofhealthprofessionals

orotherrelevantbodiesthathaveknowledgeof

theseissues.

Hasthestudentanypasthistoryofviolentbehaviour?

Ifyes,pleaseprovidedetails

Didthisinvolvebeingsuspendedorexpelledfromany

previousschool?

Ifyes,wasthisfor(pleasetick):

a Actualviolencetoanyperson?

b Illegaldrugs?

c Possessionofweaponoranyitem

usedtocauseharmorinjury?

d Threatsofviolenceorintimidationofstaff,

students,orothersattheschool?

Areyouawareofanyotherincidentsofthekind

listedabovethathaveinvolvedthestudentoutside

oftheschoolsetting?

Ifyes,pleaseprovideabriefoutlineofthesematters.

Yes No

Yes No

Yes No

Yes No

Yes No

11

Other Parent

Fornon-residentialparent(seenote‘*’below)

Title(e.g.Mr,Ms,Mrs)

FamilyName

GivenName

Relationshiptostudent

TelephoneNumber

MobileTelephoneNumber(ifavailable)

Addressforcorrespondence

RMB/P.O.Box

StreetNumber/PropertyName

StreetName

Suburb/Town

* Copies of any family law, AVOs or other relevant court orders must be provided, if applicable

PostCode

Applicant’s Declaration

Indealingwiththisapplication,itmaybenecessaryfortheschool,oranotherpartoftheDepartmentofEducationandTraining,tolookatdocumentsheldbypreviousschools,healthcareprofessionalsorothergovernmentagencies.Thisinformationwillbecollected,usedandstoredconsistentwiththePrivacy and Personal Information Protection ActandHealth Records and Privacy Act 2002.Theconsentoftheowneroftheinformation,whilenotalwaysnecessary,isappreciatedandwillspeeduptheassessmentoftheapplication.

Consent to access documents

I consent to the Department of Education and Training gaining access to relevant information about the student to be enrolled held by previous schools, health care professionals or other government agencies.

I understand the school may approach these bodies directly. The information they request may include information related to any of the questions I have answered above.

Declaration of accuracy

I declare that the information provided in this Application to Enrol is, to the best of my knowledge and belief, accurate and complete. I recognise that, should statements in this application later prove to be false or misleading, any decision made as a result of this application may be reversed.

SignatureofApplicant

Printname

Date

1�

Office use only

Censusreport

Y/N

DoesthestudentneedtobeassessedforEnglish

asaSecondLanguage(ESL)support?

Y/N

Ifyes,whatESLphaseisthestudent?

(N,1,�,3,T)

IsthestudentreceivingESLsupport?

Y/N

Integrationnumber

Principal’s CertificationWithregardtoriskassessment

DeputyDirector-General’smemoDN06/00168noted

LegalIssuesBulletinNo.40noted

ApplicationtoEnrolaccepted

Studentplacedinschool’sadmissionregisteron

Yes No

Month YearDay

Principal’sname

Principal’ssignature

Date

The original documents listed below must be sighted and photocopied

All students:Birthcertificateoridentitydocuments

TransferCertificate,ifapplicable

Immunisationcertificate/historystatementsighted(Primary students only)

Anyfamilylaw,AVOsorotherrelevantcourtorder(ifapplicable)

Inaddition,for students who are not Australian citizens:

Passportortravelortraveldocumentationno.

Countryofissue

Currentvisaandpreviousvisas(ifapplicable)

Inaddition,for temporary visa holders:

Authoritytoenrol

Month YearDay

Month YearDay

Yes No

Yes No

Toreceive

academicreports

Y/N

Complete Incomplete