Enrolment Public - Meekatharra School of The Air

Expression of Interest - STUDENT ENROLMENT FORM

For enrolment in a Western Australian Public School

This form is to be completed for children who are not currently enrolled at the school in the previous year and for all Pre Primary students. For students in the compulsory years of schooling who were enrolled in the previous year, please inform the school directly if there are changes needed to update the form. Please read the accompanying Parent information about Enrolment in a Western Australian public school before lodging the Enrolment Form with the school.

STUDENT DETAILS

Surname *

First

Last

Previous Surname (if applicable)

First Name *

Other Names (if applicable)

First

Last

Date of Birth *//

Gender *

Current Year Level *

Previous School (if applicable)

Student lives with:- *

Name *

First

Last

Does the student have siblings attending MSOTA? *

Sibling Name

Does the student have access to a computer or laptop? *

Does the student have access to an internet connection? *

STUDENT DETAILS - ADDITIONAL INFORMATION

First

Last

First

Last

Is the student to be withdrawn from religious instruction?

Is the student's descent *

Is the student an Australian Citizen/Permanent Resident?

Name

First

Middle

Last

Does the sudent receive any of the following allowances?

Youth Allowance
Assistance for Isolated Children (AIC)
Abstudy

PARENT/GUARDIAN/CARER 1 DETAILS

Parent/Guardian/Carer 1

Title

Name *

First

Middle

Last

Please indicate relationship to the student *

Please indicate whether you have the *

Fees and Charges *

If NO, who is responsible? *

Residential Address *

Postal Address *

Contact Numbers

First

Last

Email *

Occupation/Workplace Location

First

Last

Do you speak a language other than English at home?

Please specify which language is spoken most often *

What is the highest year of primary or secondary school you completed? *

If you did not attend school, mark 'Year 9 or equivalent'.

What is the level of the highest qualification you have completed? *

What is your occupation group? *

Please select the appropriate parental occupation group from the list provided in ATTACHMENT 1. If you are not currently in paid work, but have had a job in the last 12 months, please use your last occupation. However, if you have not been in paid work in the last 12 months, enter ‘8’ above). ATTACHMENT 1 can be found at the top of the page.

Parent/Guardian/Carer 2 Details

Parent/Guardian/Carer 2

Yes

Title

Name *

First

Middle

Last

Please indicate relationship to the student *

Please indicate whether you have the *

Fees and Charges *

If NO, who is responsible? *

Residential Address *

Postal Address *

Contact Numbers

First

Last

Email *

Occupation/Workplace Location

First

Last

Do you speak a language other than English at home?

Please specify which language is spoken most often *

What is the highest year of primary or secondary school you completed? *

If you did not attend school, mark 'Year 9 or equivalent'.

What is the level of the highest qualification you have completed? *

What is your occupation group? *

Please select the appropriate parental occupation group from the list provided in ATTACHMENT 1. If you are not currently in paid work, but have had a job in the last 12 months, please use your last occupation. However, if you have not been in paid work in the last 12 months, enter ‘8’ above).

Other Contact Details

Title

Name

First

Last

Please indicate relationship to the student

Address

Contact Numbers

First

Last

Email

Occupation/Workplace Location (copy)

First

Last

Please advise the school if you would like additional contacts recorded

Emergency Contacts

Indicate in order of preference

Name *

First

Middle

Last

Emergency Contact 1

First

Middle

Last

First

Middle

Last

CONFIDENTIAL

Is this student subject to any court orders in respect to their care, welfare and development? *

Please supply and attached supporting documentation

File Upload

File will be uploaded once the Submit button is pressed.

Is this student in the care of the Department for Child Protection and Family Support;s (CPFS) Director General? *

Please specify the name of the CPFS Case Manager, their CPFS District and their contact number

CONSENT FORM

At Meekatharra School of the Air, we aim to offer your child the wildest range of learning activities whenever possible. This form asks you to consent (or otherwise) to your child’s participation / use / access to several aspects of the school program. At all times we make the very best efforts to exercise exemplary standards in respect of duty of care.

Media Consent *

Children’s images and/or their work are often published to recognise excellence or effort and may appear in newspapers, on the internet, in newsletters or on film or video. Their first names may also be included but no contact details are provided. Work/images captured by the school will be kept for no longer than is necessary for the purposes outlined above and will be stored and disposed of securely.

Viewing Consent *

Children often watch videos / DVDs / television documentaries as part of their learning. Almost always these are ‘G’ rated and don’t require consent. Very occasionally something with a ‘PG’ rating is appropriate for which we would need parental permission.

Excursions *

Children occasionally walk within the local area for minor excursions under the supervision of the teacher and attend activities in local parks, nature reserves, another school, city council library or shopping centre. On all occasions, parents will be notified of the local excursion.

Schoolzine, Website and The Aerial Magazine *

Schoolzine is a web-based school newsletter delivery system, delivering newsletters via email to parents. Included in our Schoolzine newsletters, teachers display student work and photos of activities at the school, such as camps. Our policy is to only use the child's first name when displaying work or photographs.

Please choose options that you consent to MSOTA and Schoolzine using in their publications

Please give details

Declaration

I agree that the information provided in this document is true and correct. I agree that if any of the information changes, I will notify the school immediately of the changes. *

Additional Information

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