Fd Section Nine: FORMS AND DOCUMENTS

Section Nine: FORMS AND DOCUMENTSFd

9.1 - 9.5

John Monash Science SchoolOrientation Camp 2021Consent Form

Department of EducationConfidential Medical Form for Camps and Excursions

John Monash Science SchoolOrientation Camp 2021Payment Form

John Monash Science SchoolParent Payment FormYear 10, 2021

John Monash Science SchoolStudent Information Forms

B FormsDUE AT COURSE CONFIRMATION

F1

F2

F3

9.1

9.1

9.1

i

i

i

i

Reference PointFor information that may assist in competing these forms, please refer to Section 3.5 - Orientation Camp

Reference PointFor information that may assist in competing these forms, please refer to Section 4.1 - Schedule of Fees and Payments

Reference PointsFor information that may assist in competing these forms, please refer to: Section 6 - Index of Available SubjectsSection 7 - Curriculum and Pathways

Example Pathways and Templates

Before completing these forms, it is highly recommended that students make use of the example pathways and pathway templates provided in Section 7.5 - Curriculum Pathways to help plan their course of study.

F1

F1

F1

9.2

9.4

9.5John Monash Science School

Parents and Friends Association Mailing List

John Monash Science SchoolRegional Science ExchangeExpression of Interest

iReference PointFor information that may assist in competing these forms, please refer to Section 5 - School Community and Outreach Programs

F1

F2

9.3

9.3

Index of Forms Due at Course Confirmation

John Monash Science School Course Selection – Year 10, 2021

John Monash Science School Music Application– Year 10, 2021

F19.5

F1 John Monash Science SchoolORIENTATION CAMP 2021– CONSENT FORM9.1

Part A Parent/Guardian Consent

I have read the information regarding the Year 10 Orientation Camp, and give my consent for my son/ daughter to attend on the following dates:

Camp commences at 8:30am on Monday 1 February at Farrer Hall, Normanby Road, Monash University. Camp concludes at 3:00pm on Wednesday 3 February 2021at John Monash Science School.

In the event of my son/daughter needing immediate medical treatment, and where it is impracticable to communicate with me, or when delay would seem to the Teacher In Charge to aggravate my son’s/ daughter’s condition, I authorise the Teacher In Charge to arrange for immediate medical treatment.

I undertake to bear the costs involved in the treatment received and to accept the decision of the Teacher In Charge as to the need for medical treatment.

I have read, understood and accept the above rules and procedures.

Student Name:_______________________________________________________________________________________

Student’s Signature: ________________________________________________ Date: ___________________

Parent/Guardian Signature: ________________________________________________ Date:: ___________________

Name of Parent/Guardian: _________________________________________________________________(Please Print)

Home Phone: _________________________________ Mobile Phone: ___________________________

Part B Acceptance of Rules

To ensure a happy camp for everyone, students are expected to behave according to school rules and show respect for others and their property. The rules of the camp are those insisted upon when the University Halls of Residence are made available to schools.

In particular:

• No student may enter the room of members ofthe opposite sex.

• No student is permitted to smoke.

• No alcohol or drugs are permitted.

• Students must be appropriately dressed for allactivities.

• The environment is to be cared for (includes nolittering or damage to property).

• After lights-out students must be quiet toenable others to sleep.

Serious misbehaviour may result in a student being sent home.

BRING THIS COMPLETED FORM TO COURSE CONFIRMATION IN NOVEMBER

Department of Education and TrainingCONFIDENTIAL MEDICAL FORM FOR CAMPS AND EXCURSIONS

This form is intended to assist John Monash Science School in case of any medical emergency with your child. All information is held in confidence.

Signature: _________________________________________________ Date: ________________________________


Child’s Name: _____________________________________________Date of Birth: ________________________________

Parent/Guardian Full Name: ____________________________________________________________________________

Address: ____________________________________________________________________________________________

____________________________________________________________Postcode: _______________________________

Emergency Telephone After Hours: _______________________ Business Hours: ______________________

Mobile: ____________________________

Name and Address of Family Doctor _______________________________________________________________

___________________________________________________________________________________________________

Medicare Number:_____________________________ Ambulance Subscription Number :_______________________

Medical/Hospital Insurance Fund:_______________________________________________________________________

Medical Insurance Account Number: ____________________________________________________________________

What special care is recommended? _____________________________________________________________________

___________________________________________________________________________________________________

_________________________________________________________________________________________________

Tetanus Immunisation

Last Tetanus Immunisation was ________________________

If over 10 years since last immunisation, please tick if booster is to be arranged by parents before the camp.

Tablets and Medicines

Is your child presently taking tablets and/or medicines?

If yes, please state name of medication/dosage/other details

_______________________________________________________________________________________________________________________________________________________________

All medicine must be handed to the Teacher In Charge prior to leaving, with your child’s name, the dose to be taken and when it should be taken. (These will be kept in the first aid centre and distributed as required).

Consent to Medical Attention

I authorise the Teacher-in-Charge of the excursion/tour to consent, where it is impracticable to communicate with me, to the child receiving such medical or surgical treatment as may be deemed necessary.

Please tick if your child suffers from any of the following:

□ Fits of any type □ Heart Condition □ Anaphylaxis

□ Dizzy Spells □ Sleepwalking □ Asthma

□ Blackouts □ Migraine □ Diabetes

Allergies and Dietary Requirements

□ Penicillin □ Any Foods □ Other Drugs

□ Other Allergies

□ Booster Date __________________________________

□ Yes □ No

John Monash Science School Year 10 Orientation Camp Monash University Residential Hall Monday 1 February - Wednesday 3 February 2021

F29.1

John Monash Science SchoolORIENTATION CAMP 2021 – PAYMENT FORM

PAYMENT FOR ORIENTATION CAMP IS DUE BY END OF NOVEMBER

Please place together in an envelope, marked with the student’s name and ‘Orientation Camp’.

Include:

• 9.1-F3 – JMSS Orientation Camp - Payment Form ($300.00 – cheque or credit card details)

• 9.1-F2 – JMSS Orientation Camp - Consent Form

• 9.1-F1 – JMSS Orientation Camp - Medical Form (include any Medical Management Plan)

EFTPOS or CASH payments may be made in person at the Office between 8.30am and 3.30pm

Payment for Student Name: _________________________________________________________________________

Payment Method:

Credit Card Payment

Type of Card Amount: $300.00

Credit Card Number

Expiry Date: ______________________________

Cheque Cash Credit Card

Mastercard Visa

Name of Cardholder: _____________________________________________

Phone Number:_______________________

Signature: _____________________________________________ Date: _______________________________


F39.1

CSEF Funds

John Monash Science SchoolPARENT PAYMENT FORM – YEAR 10 2021

Office Use Only

Less Deposit Paid ($440)

□ I authorise the School to deduct the followingonce-only credit card payment of: $

□ I authorise the School to deduct the followingquarterly credit card payments of: $

The total amount listed in the balance owing will be divided evenly between the four payments and deducted from your credit card during the week commencing the dates indicated below:

Card Number

Name of Cardholder _________________________________________________________

Contact Phone No. ___________________________ Signature _____________________________________

Expiry Date

Payment 1 Payment 2 Payment 3 Payment 4

15 February 2021 10 May 2021 22 July 2021 4 October 2021

□ Mastercard □ Visa

F19.2

Section 1 Essential Learning Items

School diary, ID Card and Handbooks $ 57.00

Monash Sports and Science Facilities $ 185.00

Monash High Speed Internet and Network $ 90.00

Required Online Subscriptions for Learning Platforms $ 73.00

Co-Curricular Program $ 220.00

Whole School Sports Events $ 40.00

Section 1 - Total Payable $ 665.00

Student Surname: _________________________________

Student First Name: _________________________________This form to be returned by Course Confirmation Day. Please return this form to the General Office

Section 2 Optional Items

Locker Hire and Padlock $ 43.00

Photocopier Credit $ 15.00

2021 School Magazine $ 35.00

Subscriptions to Online Learning Programs $ 77.00

JMSS Voice & Instrumental Learning Programs $ ____.00

VET Program (If applicable subject___________________________) $ TBA in 2021

Section 2 - Total Payable $

Section 3B Voluntary School Contributions

Building and Grounds Maintenance $ 145.00

Tax Deductible Building Fund (Suggested donation, you may choose other amount) $ 220.00

Tax Deductible Library Fund (Suggested donation, you may choose other amount) $ 220.00

Parents and Friends Association Membership (PFA) $ 25.00

Section 3B - Total Payable $

Section 3A Voluntary Learning Items

IT Support Program $ 133.00

Subjects Charge $ 420.00

Materials and Services Charge $ 330.00

Support Staff Charge $ 320.00

Section 3A- Total Payable $

Total Payable (SECTION 1+2+3A + 3B) $

CVC

NB: This will be deducted in the week of 8 February 2021 unless otherwise advised

Parents and Friends Association Email List

All parents and guardians are welcome to join the John Monash Science School Parents and Friends Association (PFA).

To receive regular information on PFA activities and keep up with important school events, join our email list by handing in this form at Course Counselling.

iJoin the PFA

To join the Parents and Friends Association, please ensure that you tick item 3B - PFA Membership on the Parent Payment Form - Year 10, 2021 (9.2-F1)

Advantages to joining the PFA

There are many advantages of joining and actively participating in the PFA, including:

• supporting your student’s school environment;• direct connection to school events and

activities;

• better understanding of the JMSS school andeducation system processes throughinteractions with school staff and other parents.

I/we would like to receive email updates from the JMSS Parents and Friends Association:

Parent Name/s:____________________________________________________________________________________

Email Address/es:________________________________________________ Date:____________________________

Home Phone:_________________________________ Mobile Phone:______________________________

Student Name/s:_________________________________ Year Level (2021): _______________________

John Monash Science SchoolPARENTS AND FRIENDS ASSOCIATION (PFA)MAILING LIST


F19.3

John Monash Science SchoolREGIONAL SCIENCE EXCHANGE:HOMESTAY EXPRESSION OF INTEREST FORM

Regional Science Exchange Program

Each year John Monash Science School (JMSS) coordinates the Regional Science Exchange – a one-of-a-kind, immersive educational experience for students in regional Victoria.

Held early in Terms 2 and 3, the exchange program invites talented Year 10 students from across the state, with a passion for science, to attend and experience teaching and learning at JMSS for a three-week block.

To offer this valuable program, John Monash Science School relies heavily on the participation of parents and families, who are willing to accommodate the visiting students as part of a homestay arrangement for the duration of their time participating in the exchange program.

Homestay families host students for a three week period, providing a place for students to stay, as well as a connection to regular family life including meal times, getting to/from school and opportunities to experience Melbourne more broadly.

To assist with costs, homestay families receive a weekly financial contribution from JMSS to help cover the living expenses of each student.

Families who are interested in supporting John Monash Science School by participating in homestay arrangements as part of the Regional Science Exchange program are encouraged to complete the form below and return it at Course Confirmation.

I/We would be willing to host a regional student in our home as part of the Regional Science Exchange in 2021

I/We would be able to host:

1 x Student

2 x Students

3 x Students

More than 3 x Students

I/We would prefer to host students in

Term 2: Sunday 2 May to Friday 21 May 2021*

Term 3: Sunday 18 July to Friday 6 August 2021*

Either Term 2 or Term 3

Both Term 2 and Term 3

Family Name:____________________________________________________________________________________

Parents Name/s:____________________________________________________________________________________

Email Address:_____________________________________________________________________________________

Home Phone: _________________________________ Mobile Phone: ____________________________

Student Name/s: _________________________________ Year Level (2021): ________________________

iFurther Information

For further information on the Regional Science Exchange Program, please contact:

Ms. Erin Hayley [email protected]


F29.3

* Dates correct at time of printing.

John Monash Science SchoolCOURSE SELECTION – YEAR 10, 2021


In 2021 all students will study: English, Mathematics, Core Science, Data Science, Issues Studies, and Enrichment STEM Electives. Students will also study Physical Education unless they wish to study French or Japanese. Students choosing French or Japanese must have completed Year 9 French or Japanese at their previous school. If you choose French or Japanese, you need to complete one semester of Physical Education for Co-Curricular. We endeavor to give students their first preference, but be aware this is not always possible.

Please research your choices carefully because the opportunity to change later is very limited.

PE/LOTE Choose One

Physical Education

French

Japanese

Data Science Choose One

OneIntroduction to Games Programming

Introduction to programming, Machine Learning and Simulations

English Choose One

English

English as an Alternative Language (EAL)

Mathematics Choose One

Core Mathematics

VCE Mathematical Methods 1 + 2

Category 1 Choose 3 – Rank 1 to 3 in order of preference

STEM Electives – Category One Students must choose one elective from Category One to complete at Year 10 level.

7.7A Analytical Spectroscopy

7.7B Aquatic Fieldwork Science

7.7D Biotechnology

7.7H Microbiology

7.7J Disease, Disorders & Scientific Discovery

7.7K Pharmaceutical Science

Enrichment STEM Electives


STEM Electives – Category Two Students must choose one elective from Category Two to complete at Year 10 level.

7.7C Astrophysics

7.7F FLEET Science

7.7E Materials Science & Engineering

7.7G Medical Physics

7.7I Nature & Beauty of Mathematics

7.7L Terraforming Mars


STEM Electives – Category Three Students must choose an additional STEM elective to complete at Year 10 level. Students may choose any elective from Category 1 or Category 2, or from the additional electives listed in Category 3.

7.7A Analytical Spectroscopy

7.7B Aquatic Fieldwork Science

7.7C Astrophysics

7.7D Biotechnology

7.7F FLEET Science

7.7E Materials Science & Engineering

7.7G Medical Physics

7.7H Microbiology

7.7I Nature & Beauty of Mathematics

7.7J Disease, Disorders & Scientific Discovery

7.7K Pharmaceutical Science

7.7L Terraforming Mars

Student Name: _____________________________________________________ Date of Birth

Course Selections

F19.4

Do you intend to apply at the end of Term1 for entry into Advanced Chemistry or VCE Physics. (Select 1 only)

Advanced Chemistry

VCE Physics• Please note. The number of each elective class that runs will

depend on the number of enrolments and staffing

Semester One (S1) Semester Two (S2)

English

Mathematics

Science


Subject Selection Guidelines - Year One

Physical Education or LOTE

Students may take either PEor French or Japanese.

Data Science

Students must complete one semester of Data Science, as an Enrichment STEM Elective at Year 10 Level.

Pre requisites for Advanced Chemistry

Students must have completed Analytical Spectroscopy

or Pharmaceutical Science in Semester 1.


Students must complete three Enrichment STEM Electives at Year 10 Level, with a maximum of two (2) to be taken in a single semester.

When selecting Enrichment STEM Electives, student must ensure that they take one elective from each category (1, 2 and 3).

Additional Guidelines for selection of Enrichment STEM Electives can be found in Table 7.7-T1 Subject Selection: STEM Elective Subjects on page 59.

Languages Other Than English (LOTE)

Beyond 2020 – Curriculum Pathway

All LOTE (Languages Other Than English) studies at JMSS other than French and Japanese will be taken as part of the Year 10 Co-curricular program in 2020. If you are studying French or Japanese you cannot choose an additional LOTE in Co-curricular time. Please tell us if you are studying any languages either during school time or outside school.

Do you intend to study a LOTE subject at JMSS in 2020?

□ Yes If yes, please write language/level:

□ No

Do you intend to study a LOTE subject at another provider outside of JMSS in 2020?

□ Yes If yes, please write language/level/provider:

□ No

PE or LOTE


English 6.1 English English

Mathematics

Science 6.4 Core Science Core Science

Issues Studies 6.2 Issues Studies Issues Studies


Data Science

Student’s Signature:________________________________________________Date: _______________________

Parent/Guardian Signature: ________________________________________________

Year Two Year Three

Year One

VOICE AND INSTRUMENTAL MUSIC

2021 ENROLMENT APPLICATION To be returned during Course Confirma�on

Student First Name: ___________________________________

Student Family Name: ___________________________________

2021 Year Level: _______

Instrument: ___________________________________

Cost for Lessons – Full Year

Individual ½ hour $ 995-00

Individual ¾ hour $1,490-00

Individual 1 hour $1,990-00 NB Only available for students who are studying VCE Music units

Ensemble only $ 52-00 For students not taking Instrumental Music lessons at JMSS but wish to par�cipate in the Ensemble Program

JMSS Instrumental Music Department has an expecta�on that the student will con�nue with lessons, once they have commenced, for the year. This allows the Music Department to fulfil our commitment to our highly qualified instrumental staff whose services have been engaged for the year. Due to staffing commitments, there is no refund for early withdrawal .

I agree to the terms and condi�ons of enrolment in the JMSS Voice and Instrumental Music Program:

Student Signature: ______________________________________

Parent Signature: ______________________________________

Parent Name: ______________________________________

Date: _____ / _____ / 20___

-----------------------------------------------------------------------------------------------------------------------------------------

2021 Voice and Instrumental Music Program - Payment Method

Payment by: Cash Cheque Credit Card (details below)

CREDIT CARD DETAILS Mastercard Visa Total Amount: $ __________-00

Credit Card Number Expiry Date CVC

Authorisa�on is given for the deduc�on nominated above, to be processed against the above credit card account.

One off payment NB This payment will occur on 10 Feb 2021 unless otherwise agreed with JMSS General Office.

Four Instalments (added to my Fee Payment Plan on school charges sheet. No need to include card details here)

Card Holders Name: _______________________________________________

Day�me contact phone number: _____________________________________

Signature: ________________________________________________________ Date: ___ / ____ / 20___

F19.5


John Monash Science SchoolSTUDENT INFORMATION FORM


Student Name: ________________________________________________________________________________

The intention of this form is to help us get to know your child and ensure their smooth transition into this school. Equipped

with this knowledge, we are best able to enhance the opportunities we provide to your child, and support our teachers to

deliver programs to best suit their needs.

In the past, has your child experienced difficulty with any of the following areas and/or may benefit from additional support from John Monash Science School:

Social Issues/Making new friends

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Attendance/Punctuality

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Time Management

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Organisational Skills

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Stress/Anxiety and other mental health concerns

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Approximate Distance from Home to School

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Time taken for travelling to and from school

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

Health Issues

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

F19.5

Previous School: ________________________________________________________________________________

Please detail, where relevant, any testing / assessment relative to your child’s learning capacity that they have undergone. Please attach a copy of the relevant documentation, where appropriate.

___________________________________________________________________________________________________

_______________ ____________________________________________________________________________________

______________________________ _____________________________________________________________________

___________________________________________ ________________________________________________________

If there is any confidential information that you would like to make known, but would prefer not to include on this form,

please write to :

Ms. Sally Cheah-JohnsonAssistant Principal – Student Empowerment, Wellbeing and Achievement

03 9905 [email protected]

What is your mode of transport to and from school?:

___________________________________________________________________________________________________

_______________ ____________________________________________________________________________________

___________________________________________________________________________________________________

_______________________________________ ____________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________

Comments and any additional information that will help to facilitate your child’s smooth transition to John Monash Science School:

___________________________________________________________________________________________________

_______________ ____________________________________________________________________________________

___________________________________________________________________________________________________

_______________________________________ ____________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________

Any further comments?.

___________________________________________________________________________________________________

_______________ ____________________________________________________________________________________

______________________________ _____________________________________________________________________

___________________________________________ ________________________________________________________

___________________________________________________________________________________________________

Fd Section Nine: FORMS AND DOCUMENTS

Documents

Transcript of Fd Section Nine: FORMS AND DOCUMENTS