Edmund Rice College

Edmund Rice College

Student Enrolment Application

Application for Year in 20 e.g. (Year 7, 2018)

PLEASE ENCLOSE WITH THIS APPLICATION

Copy of your son’s Birth Certificate
Passport size photograph of your son (please write name on back of photo)
Copies of your son’s last two school reports
Copy of your son's National Assessment Program - NAPLAN undertaken in Year 5

ADDRESS DETAILS TO BE USED FOR CORRESPONDENCE

Family Mailing Title: ______(Parents with whom student is living

e.g. Mr T and Mrs A Smith)

Residential Address: ______

______Post Code ______

P O Box No: ______Phone: ______

FEE PAYMENT DETAILS

Fees will be paid by whom: ______

Please note: The responsibility rests with the parent/carer who submits the application.

A third named party may be the payer. Split payments can be made by arrangement. Tick box if required

STUDENT DETAILS

Surname: ______In which country was the student born?

Given Name(s): ______

Date of Birth: ______Does the student speak a language other than English at home?

Religion: ______

No, English only

Present School:______Yes, language other than English spoken

Sacraments received*: Baptism Reconciliation If YES, what languages does the student speak

at home?

Eucharist Confirmation

*Please provide copies of certificatesMain Language

Is the student of Aboriginal or ______

Torres Strait Islander origin?

No Other

Yes, Aboriginal

Yes, Torres Strait Islander Student on Visa Yes No

Yes, both Aboriginal and Torres Strait IslanderVisa Sub Class No: ______

(Please provide copy of Visa)

Page 1

Please list below the names of ALL children of the family

(Include children who have left school or who have not yet commenced school.)

Name / Date of Birth / Present/Past School / Class

STUDENT RESIDES WITH: Both parents Father Mother Guardian

FATHER/PARENT1(Residing at the same address as the student)

Title: ______Surname: ______Given Name: ______

Work Telephone No: ______Mobile No: ______

Email Address: ______

Religion: ______Parish: ______Country of Birth: ______

Occupation: ______Employer: ______

MOTHER/PARENT 2(Residing at the same address as the student)

Title: ______Surname: ______Given Name: ______

Work Telephone No: ______Mobile No: ______

Email Address: ______

Religion: ______Parish: ______Country of Birth: ______

Occupation:______Employer: ______

PARENT WHO DOES NOT reside at the student’s home

Title: ______Surname: ______Given Name: ______

Address: ______

Work Telephone No: ______Mobile No: ______

Email Address: ______

Religion: ______Parish: ______Country of Birth: ______

Occupation:______Employer: ______

Is Father an ex-student of Edmund Rice College: Yes No

What is the highest level of primary or secondary school the parents/carers have completed?

(For persons who have never attended school, mark ‘Year 9 or equivalent or below’)

Mark ‘one’ box only in each column
Father/Parent 1 Mother/Parent 2
Year 12 or equivalent......
Year 11 or equivalent......
Year 10 or equivalent......

Year 9 or equivalent or below......

PARENTAL EDUCATION

Page 2

What is the level of the highestqualification the parents/carers have completed?

Mark ‘one’ box only in each column
Father/Parent 1 Mother/Parent 2
Bachelor degree or above......
Advanced Diploma/Diploma......
Certificate I to IV (including trade cert).....

No non-school qualification......

OCCUPATION

Please select the appropriate Occupation Group from the List on Page 6- write 1, 2, 3, 4 or 8.

What is the occupation of the Father/Parent1?Group ______

What is the occupation of the Mother/Parent2?Group ______

If the person is not currently in paid work but has had a job in the last 12 months or has retired in the last 12 months, please use the person’s last occupation. If the person has not been in paid work in the last 12 months, enter ‘8’ above)

LANGUAGES SPOKEN AT HOME

Father / Parent 1Mother / Parent 2

Main Language: ______

Other: ______

STUDENT MEDICAL INFORMATION

Doctor’s Name: ______Phone No: ______

Any Allergies? Yes NoAny Medical Conditions? Yes No

If Yes, please specify e.g. peanuts, insect stings, etcIf Yes, please specify any medical conditions of which the

School should be aware including any medication taken

______by student (e.g. Epilepsy, Asthma, Vision or Hearing).

Anaphylaxis Yes No ______

Carries EpiPen or similar Yes No

You should also let the school know as soon as you are aware of any new allergies or other medical conditions.

Immunisations:

Has your son been immunised against the following:

Polio Measles/Mumps Diphtheria/Tetanus Whooping Cough Meningococcal

Medication: Please specify any daily medication taken by the student:

SPECIAL NEEDS

Indicate whether your son has any known or suspected Special Needs:

Physical NeedsYes No Medical Needs Yes No Educational Needs Yes No

Behavioural NeedsYes No Mental Health Needs Yes No Any other Special Needs Yes No

If you have answered yes to any of the above, please provide full details of those needs and any intervention/support that he may be currently receiving (Supporting documentation must be provided).

______

Please Note: If this application is successful it is essential that the school be advised promptly of any changes to the needs of the student. The school will regularly assess its capacity to provide adequate services to meet these needs.

Page 3

TAKING/USE OF PHOTOGRAPHS

I give permission for photographs of my child to be taken/used for:

School Publications Yes No School Website Yes No

EMERGENCY CONTACT

Please nominate a person OTHER THAN THE STUDENT’S PARENTS who may be contacted in the event of an emergency, if neither of the parents can be contacted.

Emergency Contact Name: ______

Telephone No: ______Relationship to Student: ______

MEDICAL TREATMENT PERMISSION

If my son should require urgent medical treatment, I/We authorise the school staff to seek medical attention and I/We agree to meet all costs.

Signature: ______Print Name: ______

SPECIAL CIRCUMSTANCES

Are there any circumstances about the student seeking to be enrolled that the school should know prior to enrolment? Yes No If yes, provide a brief description of the circumstances.

______

To your knowledge, is there anything in the student’s history or circumstance (including medical history) which might pose a risk of any type to the student, other students or staff at this school? Yes No

If yes, provide a brief description of the student’s medical or other history which might pose a risk of any type to the student other students, or staff at this school.

______

Please provide contact details of health professionals or other relevant bodies that have knowledge of these issues.

______

Has the student a history of violent behaviour? Violence is not restricted to physical acts. Violence can include any behaviour that seriously interferes with the physical or psychological health, safety and wellbeing of staff, students or others such as bullying, harassment, intimidation or threatening behaviour.

Yes No

Did this involve being suspended or excluded from any previous school

Yes No

If yes, was this for:

-Actual violence to any person? Yes No

-Possession of weapon or any item used to cause harm or injury Yes No

-Threats of violence, bullying or intimidation of staff, students or others at the school? Yes No

-Illegal drugs? Yes No

- Other. Please specify: ______

Are you aware of any other incidents of the kind listed above that have involved the student outside of the school setting Yes No If yes, please provide a brief outline of these incidents.

______

Are there any Family Court Orders/Parenting Plans that have been issued in relation to the enrolling student? Yes No If yes, please provide supporting documentation.

Page 4

CONSENT TO ACCESS DOCUMENTS

I consent to Edmund Rice College gaining access to relevant information about this student whether held by previous schools, health care professionals or other government agencies. I understand that the school may approach these bodies directly and obtain this information if I do not consent. The information they request may include information related to any of the questions I have answered in this application.

Signature: ______Print Name: ______

SCHOOL FEES AND LEVIES

Enrolment carries an obligation to pay all School Fees and Levies. Parents and/or carers making an application for enrolment are jointly and severally liable for the payment of all School Fees and Levies.

GUIDELINES FOR PARENTS

Application for enrolment of your child in a Catholic School means that you are choosing a Catholic education for your child. It requires your commitment to support the philosophy, values and aims of the school and a willingness to cooperate in their implementation.

Specifically it means:

Religious Education is a core subject
Catholic values are emphasised
Academic excellence and the acquisition of skills are promoted within a Catholic framework

Your child is expected to adhere to the school’s high standards for:

Behaviour and self-discipline including adherence to anti-bullying policies
Application to course work and study
Participation in school activities
Growing in faith
Uniform code

Your cooperation is essential to assist your child to attain these goals. Parents are expected to participate in the total life of the school through such events s Parent/Teacher nights, the prayer life of the school and activities of the Parent Forum.

Please note: The College uses CCTV to monitor its grounds and buildings for security and safety purposes.

I/we accept that enrolment carries an obligation to pay ALL school fees and levies. I/we understand that an inability to pay fees should not prevent me/us from making an application. I/we are urged to discuss any hardship circumstances with the Principal.

DECLARATION

I/we have read and agree to the responsibilities stated above in “GUIDELINES FOR PARENTS” and apply for enrolment of my/our child subject to the above conditions, including the obligation to pay all school fees. I/we declare that the information provided in this Enrolment Application is, to the best of my/our knowledge and belief, accurate and complete. I/we 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.

Signature:______(Father/Carer) Date: ___/___/___

Signature: ______(Mother/Carer) Date: ___/___/___

Year 6 into 7 only –Enrolment Interview has been booked online:-

Date of Interview: _____/_____/_____ at ______(Time)

Page 5

GROUPS 1 – 4 LIST OF PARENTAL OCCUPATIONS

GROUP 1:

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

qualified professionals

Senior executive/manager/department head in industry, commerce, media or other large organisation.

Public servicemanager (Section head or above), regional director, health/education/police/fire services administrator

Other administrator [school principal, faculty head/dean, library/museum/gallery director, research facility director]

Defence Forces Commissioned Officer

Professionals generally have degree or higher qualifications and experience in applying this knowledge to design, develop or operate complex systems; identify, treat and advise on problems; and teach others.

Health, Education, Law, Social Welfare, Engineering, Science, Computing professional

Business [management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer]

Air/sea transport [aircraft/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller]

GROUP 2:

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

Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business

Specialist manager [finance/engineering/production/personnel/industrial relations/sales/marketing]

Financial services manager [bank branch manager, finance/investment/insurance broker, credit/loans officer]

Retail sales/services manager [shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency]

Arts/media/sports [musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer, designer, illustrator, proof reader, sportsman/woman, coach, trainer, sports official]

Associate professionals generally have diploma/technical qualifications and support managers and professionals.

Health, Education, Law, Social Welfare, Engineering, Science, Computing technician/associate professional

Business/administration [recruitment/employment/industrial relations/training officer, marketing/advertising specialist, market research analyst, technical sales representative, retail buyer, office/project manager]

Defence Forces senior Non-Commissioned Officer

GROUP 3:

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

Tradesmen/women generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradesmen/women are included in this group.

Clerks [bookkeeper, bank/PO clerk, statistical/actuarial clerk, accounting/claims/audit clerk, payroll clerk, recording/registry/filing clerk, betting clerk, stores/inventory clerk, purchasing/order clerk, freight/transport/shipping clerk, bond clerk, customs agent, customer services clerk, admissions clerk]

Skilled office, sales and service staff.

Office [secretary, personal assistant, desktop publishing operator, switchboard operator]

Sales [company sales representative, auctioneer, insurance agent/assessor/loss adjuster, market researcher]

Service [aged/disabled/refuge/child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor]

GROUP 4:

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

Drivers, mobile plant, production/processing machinery and other machinery operators.

Hospitality staff [hotel service supervisor, receptionist, waiter, bar attendant, kitchen hand, porter, housekeeper]

Office assistants, sales assistants and other assistants.

Office [typist, word processing/data entry/business machine operator, receptionist, office assistant]

Sales [sales assistant, motor vehicle/caravan/parts salesperson, checkout operator, cashier, bus/train conductor, ticket seller, service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker]

Assistant/aide [trades’ assistant, school/teacher's aide, dental assistant, veterinary nurse, nursing assistant, museum/gallery attendant, usher, home helper, salon assistant, animal attendant]

Labourers and related workers

Defence Forces ranks below senior NCO not included above

Agriculture, horticulture, forestry, fishing, mining worker [farm overseer, shearer, wool/hide classer, farm hand, horse trainer, nurseryman, greenkeeper, gardener, tree surgeon, forestry/logging worker, miner, seafarer/fishing hand]

Other worker [labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park attendant, crossing supervisor]

Page 6

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(Privacy) Standard Collection Notice

The School collects personal information, including sensitive information about pupils and parents or guardians before and during the course of a pupil’s enrolment at the School. This may be in writing or in the course of conversations. The primary purpose of collecting this information is to enable the School to provide schooling to the pupil and to enable them to take part in all the activities of the School.
Some of the information we collect is to satisfy the School’s legal obligations, particularly to enable the School to discharge its duty of care.
Laws governing or relating to the operation of a school require certain information to be collected and disclosed. These include relevant Education Acts, and Public Health and Child Protection laws.
Health information about pupils is sensitive information within the terms of the Australian Privacy Principles under the Privacy Act. We may ask you to provide medical reports about pupils from time to time.
The School from time to time discloses personal and sensitive information to others for administrative and educational purposes, including to facilitate the transfer of a pupil to another school. This includes to other schools, government departments or agencies such as the NSW Department of Education and Communities (DEC), NSW Board of Studies, Teaching and Education Standards (BOSTES), the Australian Curriculum Assessment and Reporting Authority (ACARA), the Catholic Education Office, the National Catholic Education Commission, the School’s local diocese and the parish, Schools within other Dioceses/other Dioceses) medical practitioners, and people providing services to the School, including specialist visiting teachers, (sports) coaches, volunteers and counsellors.
Personal information collected from pupils is regularly disclosed to their parents or guardians.
The School may store personal information in the ‘cloud’ which may mean that it resides on servers which are situated outside Australia.
The School’s Privacy Policy sets out how parents or pupils may seek access to personal information collected about them. However, there will be occasions when access is denied. Such occasions would include where access would have an unreasonable impact on the privacy of others, where access may result in a breach of the School’s duty of care to the pupil, or where pupils have provided information in confidence.
The School Privacy Policy also sets out how you may complain about a breach of privacy and how the School will deal with such a complaint.
As you may know the School from time to time engages in fundraising activities. Information received from you may be used to make an appeal to you. (It may also be disclosed to organisations that assist in the School’s fundraising activities solely for that purpose). We will not disclose your personal information to third parties for their own marketing purposes without your consent.
On occasions information such as academic and sporting achievements, pupil activities and similar news is published in School newsletters and magazines and on our intranet. The School will obtain separate permissions from the pupils’ parents or guardians if we wish to include photographs or other identifying material in promotional material for the school or otherwise make it available to the public such as on the internet.
We may include pupils’ and pupils’ parents’ contact details in a class list and/or school directory.
If you provide the School with the personal information of others, such as doctors or emergency contacts, we encourage you to inform them that you are disclosing that information to the school and why, that they can access that information if they wish and that the school does not usually disclose this information to third parties.

Page 8