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Term 1 Dates 2023
30 January - 6 April
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Enrolment Form
Enrolment Form
Step 1 of 11
Is this a first time enrolment for this child?
*
Yes
No
This form is NOT to be filled out as a re-registration. If you are re-registering, please read the relevant section
here
.
Applicant Details
Family Name
*
Given Name(s)
*
Preferred Name
Date of Birth
*
Gender
*
Male
Female
To commence Grade
*
Prep
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Days Attending - Mon-Fr (Prep Only)
In Term
*
Term 1
Term 2
Term 3
Term 4
Year
*
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Student lives with
*
Both Parents
Mother Only
Father Only
Guardians
Other
If Other, Please Specify
Contact Person
*
Residential Address
*
Suburb/Town
*
State
*
New South Wales
Queensland
South Australia
Tasmania
Victoria
Australian Capital Territory
Northern Territory
Postcode
*
Telephone Number
*
Fax Number
Email Address
*
Country of Birth
*
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Pacific Island Wildlife Refuges
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Taiwan
European Union
Visa Number (Nationality not Australian)
Religious Denomination
*
Church Attending
*
Next: Student Profile →
Step 2 of 11
Student Profile
If your child is already attending school or preschool or Early Learning Centre, please complete the following.
School presently attending
Grade
Academically
Very good
Good
Average
Poorly
Very Poorly
Socially
Very good
Good
Average
Poorly
Very Poorly
Sporting Interests & Achievements
*
Cultural Interests & Achievements
*
Special Needs
Is your child in need of/currently recieving any of the following forms of support?
English as a second language
Individual teacher aide time
Speech therapy
Language
Visual or hearing impairment assistance
Occupational therapy
Mathematics
Other
Details of special circumstances
Siblings
How many sisters does the applicant have?
*
0
1
2
3
4
5 or more
How many brothers does the applicant have?
*
0
1
2
3
4
5 or more
Applicant's place among siblings
*
1 (Oldest)
2
3
4
5
6 (Youngest)
← Previous: Applicant Details
Next: Information for Government Census →
Step 3 of 11
Information for Government Census
Is English your child's second language?
*
Yes
No
If yes, what language does he/she speak
Is the applicant of Aboriginal/Torres Strait islander descent?
*
Aboriginal but not Torres Strait Islander Origin
Torres Strait Islander but not Aboriginal
Both Aboriginal and Torres Strait Islander Origin
Neither Aboriginal nor Torres Strait Islander Origin
← Previous: Student Profile
Next: Applicant's General Health Status →
Step 4 of 11
Applicant's General Health Status
(Please supply detailed information on the HEALTH RECORD)
Does your child have
ADD
ADHD
Allergies
Asthma
Diabetes
Epilepsy
Physical Disability
If Other, Please Specify
Current Medication
Any special learning or behavioural diagnoses
Child's Health Cover
Applicant's Medicare Number
*
Child's number on card
*
Private Health Insurance Provider
Fund No.
← Previous: Information for Government Census
Next: Transport to School →
Step 5 of 11
Transport to School
Please select your child's method of travel to school (you may select more than one)*
*
Car
Walk
School Bus
Train
Public Bus
Other
← Previous: Applicant's General Health Status
Next: Parent/Guardian Details →
Step 6 of 11
Parent/Guardian Details
Parent/Guardian 1
Relationship to Child
*
Mother
Father
Guardian
Other
If Other, Please Specify
Title
*
Family Name
*
Full Given Name
*
Date of Birth
*
Nationality
*
Marital Status
*
Occupation
*
Employer
*
Home Address
*
Postcode
*
Home Phone
*
Business Phone
Mobile Phone
*
E-mail Address
*
Religious Denomination
*
If you are a Seventh-Day Adventist complete the following:
Church membership is held at
Church I regularly attend is
Parent/Guardian 2
Relationship to Child
Mother
Father
Guardian
Other
If Other, Please Specify
Title
Family Name
Full Given Name
Date of Birth
Nationality
Marital Status
Occupation
Employer
Home Address
Postcode
Home Phone
Business Phone
Mobile Phone
E-mail Address
Religious Denomination
If you are a Seventh-Day Adventist complete the following:
Church membership is held at
Church I regularly attend is
NOTE: As family structures can differ widely, please supply any details related to the particular circumstances of your family.
Detail any legal arrangements of which the school should be aware. If necessary, supply a copy of relevant documentation under Other Documents in the Additional Documents section further in the form.
← Previous: Transport to School
Next: Directions as to Correspondence →
Step 7 of 11
Directions as to Correspondence
(The following information is requested to avoid errors in correspondence, mailing of accounts etc.)
Send School Newsletters and School Reports to
*
Send Fee Accounts to
*
← Previous: Parent/Guardian Details
Next: References →
Step 8 of 11
References
Please nominate two people who know your child and would provide a reference.
Referee 1
Referee 1 Name
*
Phone Number
*
Relationship to Applicant
*
Referee 2
Referee 2 Name
*
Phone Number
*
Relationship to Applicant
*
← Previous: Directions as to Correspondence
Next: Emergency Contacts →
Step 9 of 11
Emergency Contacts
(Other than Parent/Guardian)
Contact 1
Full Name
*
Relationship to Child
*
Home Phone
Work Phone
Mobile Phone
Contact 2
Full Name
*
Relationship to Child
*
Home Phone
Work Phone
Mobile Phone
← Previous: References
Next: Additional Documents →
Step 10 of 11
Additional Documents
Application will not submit without requested documentation being attached. The documents can either be scanned or photographed for attaching. Please note that Kindy applications do not require a school report to be attached.
Proof of Identity (birth certificate)
*
Select File
:
Immunisation Records
*
Select File
:
Copy of current school report
(not applicable for Kindergarten enrolments)
Select File
:
Other Documents
Select File
:
Other additional documents you wish to attach may be sent to
[email protected]
with "K-12 Enrolment Other Additional Documents - *Your Full Name*" as the subject heading.
E.g. K-12 Enrolment Other Additional Documents - John Smith
← Previous: Emergency Contacts
Next: Permission Notes →
Step 11 of 11
Permission Notes
Photo Consent
I am willing for my child to have his/her photo taken in any school publication or for marketing purposes. I will contact the school if I am unhappy with this arrangement.
*
Yes
No
School Information
How did you first hear about our school?
*
Why did you choose this school?
*
NOTE: Any misleading or inaccurate information may render this application null and void. This information will be used in accordance with the Adventist Schools Australia Privacy Policy, a copy of which is available upon request.
Privacy Policy
*
I accept Adventist Education Sydney's Privacy Policy
Click here to view Adventist Education Sydney's Privacy Policy
← Previous: Additional Documents
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The data has been submitted.