APPLICATION FOR EXCELLENCE PROGRAMS AND SCHOLARSHIPS

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1 Date received Initial APPLICATION FOR EXCELLENCE PROGRAMS AND SCHOLARSHIPS Date of Birth: Female Male Current School: Name of Parents/Guardians: Parent s address: Postal Address: Postcode: Home Phone:. Mobile: Excellence Program/s you wish to apply for: (please tick) Academic (ACE) Sports Academy Dance Academy Do you wish to be considered for a Scholarship? (Please tick) * No additional information is required Academic (ACE) Sports Academy Dance Academy Online entrance test registration must be completed prior to the testing dates shown below. Registration link can be found on the school website. ACADEMIC: SPORTS: DANCE: Thursday 26 March 4.00pm Tuesday 28 April 4.00pm Thursday 30 April 7.45am Note: Please attach all program application forms including their relevant requested information to this cover sheet and return to the Administration Office by Thursday 26 March. Results for all Programs and Scholarships will be announced by 8 May. Elanora State High School Cnr 19th Avenue & Avocado Street Elanora 4221 Phone Fax admin@elanorashs.eq.edu.au CRICOS Code : 00608A

2 ACE - Academic Excellence Program 2016 EDUCATIONAL BACKGROUND Please list schools attended by your child, during Years 5 &6 School Year School Year Attended Year 5 Year 6 List AT LEAST six subjects from the student s most recent two semester reports and the results achieved: Semester: Semester: Subject 1 Result Subject 1 Result Subject 2 Result Subject 2 Result Subject 3 Result Subject 3 Result Subject 4 Result Subject 4 Result Subject 5 Result Subject 5 Result Subject 6 Result Subject 6 Result EXTRACURRICULAR ACTIVIES Please list significant extracurricular activities since Year 4. Activity, course or workshop Details of involvement Date E.g. Tournament of the minds E.g. Leader, performance, regional finalist E.g. 2014, 2015 HONOURS, AWARDS AND ADDITIONAL ACHIEVEMENTS Please list what you consider your most worthy achievements: Honour or award Level reached Date STUDENT ASPIRATION What educational and career goals do you have?

3 STUDENT/PARENT OR GUARDIAN COMMENTS (optional) Use this space to provide any relevant information that should be considered when evaluating this application? I declare that the information submitted in this Application for 2016 Entry into the Elanora State High School ACE program is complete and correct. I understand that the submission of incorrect or misleading information may result in the termination of the application for entry into this program. Student Date: / / Primary Parent/Guardian Name: Date: / / I endorse this application for the Year 7 ACE Program at Elanora State High School in Signed Date: Name Position Have you included A copy of all relevant reports, NAPLAN results and certificates to support this application. Please register for Academic Testing online at

4 Sports Academy Program 2016 SPORT BACKGROUND Achievements in Sport to date: (Please indicate level you have represented in which sport) School Level District Level Regional Level State Level National Level Potential to advance through to the Senior Health & Physical Education Academy (e.g. competing at a representative level or seeking employment in Health & Physical Education industry): I declare that the information submitted in this Application for 2016 Entry into the Elanora State High School Sports Academy Program is complete and correct. I understand that the submission of incorrect or misleading information may result in the termination of the application for entry into this program. Parent/Guardian Name: I endorse this application for the Year 7 Sport Program at Elanora State High School in Signed Date: Name Position Have you included A copy of all relevant reports, NAPLAN results and certificates to support this application. Please register for Sports Testing online at

5 Dance Academy Program 2016 DANCE BACKGROUND Dance School/Studio: Dance Styles studied: Achievements in Dance to date: Performance Experience: Potential to advance through to the Senior Dance Academy (e.g. Interest in dance studies, extra curricula activities or seeking employment in dance industry):.... I declare that the information submitted in this Application for 2016 Entry into the Elanora State High School Dance Program is complete and correct. I understand that the submission of incorrect or misleading information may result in the termination of the application for entry into this program. Parent/Guardian Name: I endorse this application for the Year 7 ACE Program at Elanora State High School in Signed Date Name Position Have you included - A copy of all relevant reports, NAPLAN results and certificates to support this application. Please register for Dance Testing online at

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