/ St John’s College
______
Jervois Street, P.O. Box 14008, Mayfair, Hastings 4159, New Zealand
Phone 06-878 6853 Fax 06-878 1253
Email: Website: stjohns.school. nz

ENROLMENT FORM

APPLICATION FOR ENROLMENT AS A STUDENT IN YEAR ……………… FOR 2018

First Names: ______Surname: ______

Address: ______

______

Date of Birth: ______Last School Attended: ______

Reason for Transfer: ______

Mother/Guardian:
Name:______
______
______
Phone Home: ______
Work: ______
Cellphone: ______
Email: ______
Occupation: ______
Religion: ______
Parish: ______ / Father/Guardian:
Name:______
______
Are you an Old Boy of St John’s College Yes/No
Years
Phone Home: ______
Work: ______
Cellphone: ______
Email: ______
Occupation: ______
Religion: ______
Parish: ______
EMERGENCY CONTACTS (other than parents)
Name:______
Relationship to student ______
Phone: ______
Address: ______ / Country of Birth: ______
(Note: If born overseas we need evidence of immigration status. Please attach copies.)
Date of arrival in New Zealand: ______
Ethnic Group: ______
Iwi ______
First Language ______

Family Details:

______
______

______

Health details the School should know about: ______

______

Name of Doctor:______

Bus Travel:NapierFlaxmere

TaradaleWaipawa

Other

PREFERENCE OF ENROLMENT

Under the Integration Act 95 per cent of the students of our College must be “Preference” i.e. their family must have a religious connection to the Special Character of St John’s College.

Brother enrolled currently:Name: ______House: ______

Brothers enrolled previouslyName: ______House: ______

Baptism Received:Yes / NoPreference Form Attached::Yes/No

First Holy Communion:Yes/NoNon Preference:Yes/No

For Non Preference Families please outline why you would like your son to attend

St John’s College:

______

______

______
______

SPECIAL LEARNING REQUIREMENTS

Any learning or behavioural difficulties which enable us to better meet the needs of individual students must be disclosed with this application.

______
______

Does your son currently receive any special learning assistanceYesNo

If Yes, please indicate and supply current reports that relate to learning / behavioural difficulties:

______

Will your son require special assistance with the English language?YesNo

STUDENT PROFILE

To be completed by the student either in this space or on a separate sheet and attached.

Academic achievements / Cultural interests / Sports / Hobbies:

______

______

______
______

Why does St John’s College appeal to you?

______
______

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______

PARENTS/GUARDIANS RESPONSIBILITIES

St John’s College is a Catholic school that strives to live and teach the values of Jesus Christ as expressed in the Gospels and in the teachings and traditions of the Roman Catholic Church. We require parents/guardians of our students to support the Special Character of the College.

We apply for our son to be enrolled at St John’s College and agree to:

  1. Pay the Attendance Dues and other school fees as determined by the Proprietor of the College and the Board of Trustees. Payment of Attendance Dues is a condition of enrolment and attendance at St John’s College. In cases of financial hardship please discuss with the Principal.
  2. Support the Special Character of St John’s College. We understand that this includes the Religious Education programme, attendance and participation at Mass, spiritual retreats and other liturgies. We also undertake to support our son in the practice of his faith by our personal example.
  3. Support the College Policies and School Rules authorised by the school Board of Trustees. This includes ensuring my son has the correct school uniform and that he wears it from the time he leaves home till the time he gets home. It also includes your son abiding by the College Cyber Safety Policy.
  4. St John’s College obtaining our son’s records from his previous schools. These records may be passed onto any future schools. These records will be used for educational purposes only.
  5. The College taking action on behalf of our son in an emergency situation.
  6. Agree that the College can use our son’s photo and name for publicity purposes.

Signed:______Father ______Mother
______Guardian Date: ______

STUDENT RESPONSIBILITIES

As a student applying for enrolment at St John’s College I agree to:

1.Do my best to develop the talents that God has given me, both in my classwork and in sporting, cultural and spiritual activities. I will also assist others to do their best.

2.Recognise the authority of staff and be polite, pleasant and respectful.

3.Support the Special Character of the College by doing my best in Religious Education classes, and participating willingly in Mass, liturgies, retreats and prayer as instructed. I understand that I will be given help and support in my personal spiritual development.

4.Be a positive member of the St John’s College community by supporting the School Rules, wearing my school uniform correctly, helping those less fortunate than myself and behaving in a manner that enhances the good name of the College.

Signed: ______Student

ENROLMENT INTERVIEW(To be completed at Enrolment Interview with Principal)

NameDate ______

CURRICULUM

Strengths (Favourite subjects) / Extension Received:
Difficulties (Least favourite subjects) / Assistance Received (Needed)

CULTURAL – Music (state Instrument),Kapa Haka, Debating, Choir, Art, Hobbies

Activity: / Level

SPORT

Activity: / Level

DISCIPLINE

School

FURTHER INFORMATION

Academic / /10
Spiritual / /10
Sport / /10
Cultural / /10