The Gap State High School. Enrolment Application

Transcription

1 The Gap State High School Independent Public School Enrolment Application Name: Entry Year Level: Year: 20 When submitting your Enrolment Application please include the following documentation: All documentation listed below must be supplied to process your Enrolment Application 1. Completed Enrolment Application 2. Photocopy of Birth Certificate 3. Photocopy of latest report cards and NAPLAN results 4. Photocopies of residency information (Passports/Visa if applicable) 5. Photocopies of two (2) types of documents showing residential address (recent rates/electricity/ phone/rental agreement) 6. Photocopies of supporting documentation related to diagnosed learning difficulties, verifications or health management plans (anaphylaxis, asthma, diabetes)

2 Welcome We understand that the process of enrolling in school is an important and involved process. To assist you through this process we have put all the important information and forms into one document for you. The Enrolment Procedure (on page 6) is your starting point and will step you through the process of enrolment for your particular circumstance. Use this guide to ensure you provide all the important documents photocopied with your Enrolment Application. The Enrolment Application is the next part of the package. This form is a requirement of Education Queensland and must be completed accurately and in full. The Enrolment Interview Profile is used to collect background information on your child so as to assist us in providing a program that is responsive to their needs. You can assist us by completing the responses before send in your application. We will then talk through your answers with you at the Enrolment Interview to ensure we understand all of your child s strengths and needs. The Catchment Map shows the area where students have priority for enrolment. If you reside outside of this area, you must complete the Catchment Exemption form included in the Enrolment Application for consideration in conjunction with your application for enrolment. The Enrolment Agreement must also be completed and indicates that you understand the conditions upon which enrolment occurs at The Gap State High School. Finally this booklet is made up of a number of other Consent and Agreement Forms that must be completed as a part of your enrolment. These forms provide access to school computers, the Leadership Training Centre, the School Resource Scheme; the school Chaplaincy program and a Student Consent Agreement (should you chose to give it) to use photographs and images of your students. Please do not hesitate in contacting us on or at enrolments@thegapshs.eq.edu.au if we can assist you in any way with this process or the forms in this book. We look forward to meeting you at your Enrolment Interview. Russell Pollock Principal The Gap State High School Enrolment Application 2

3 Contents Catchment Map 4 Enrolment Procedure 5 Catchment Exemption Form 6 Frequently Asked Questions 8 Application for Student Enrolment Form 10 Enrolment Interview Profile 20 Student Interests 21 Consent & Agreement Forms Enrolment Agreement 23 ICT Agreement 24 BYO ipad Agreement Years 7 and 8 25 BYOD Agreement Years 10 to Chaplaincy Consent 28 Media Consent 29 Code of Conduct & Uniform Agreement 32 School Resource and Lending Scheme 33 Leadership Training Centre 33 Shared Financial Responsibility Record for School Payments 34 Instrumental Music and Vocal 35 Enrolment Checklist 36 Communication and Newsletter 37 Parent Involvement Form 38 The Gap State High School Enrolment Application 3

4 THE GAP STATE HIGH SCHOOL - Equidistant Catchment Area Please mark where you reside on the map, if outside the catchment please complete the Catchment Exemption Form on next page.. The Gap State High School Enrolment Application 4

5 Enrolment Procedure Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 I wish to enrol my child into The Gap State High School Live in catchment? Submit your Enrolment Application and required paperwork to our Enrolments Officer, Sharon Lyon, who will organize a time for an interview. Enrolment Applications for the next Year 7 intake will be processed the year before the year of enrolment. Enrolment interviews will also commence in March for new students attending the following year. All other Year Level enrolments will be processed when an application for enrolment is received accompanied by all the required documentation. Live out of catchment? Submit your Enrolment Application accompanied by all documents listed below, also please complete the Out of Catchment Form on page 6. The application will then be submitted to the Principal for consideration along with all the relevant paperwork. You will be notified via mail of the outcome of your application. When submitting your Enrolment Application please include the following documentation: 1. Completed Enrolment Application 2. Photocopy of Birth Certificate. 3. Photocopy of latest report cards. 4. Photocopy of the latest NAPLAN results. 5. Photocopies of Australian residency information (Passports/Visa) if applicable. 6. Photocopies of two (2) types of documents showing your current residential address (recent rates/electricity/ phone/rental agreement) 7. Photocopies of supporting documentation related to diagnosed learning difficulties, verifications or health management plans (anaphylaxis, asthma, diabetes) Want to have a tour of the school? Contact our Enrolments Officer, Sharon Lyon, to join one of our monthly school tours which are usually held on the first Thursday of every month except for holidays, these commence in March each year or come along to our Open Evening which is held in May (26 May 2016) each year from 4.00 pm to 7.00 pm. The Gap State High School Enrolment Application 5

6 Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 Enrolment Management Plan Catchment Exemption Form If you reside outside of the defined Catchment Area you must complete this form. Please complete a separate form for each child. There is a $50.00 Non-refundable Application fee for all Out of Catchment Enrolment Applications. Payment details on following page. DETAILS Student Name Year Level Entry Intended Start Date Date of Birth Year of Enrolment Current School Residential Address Postcode Address Contact Parent Name Contact Parent Phone Number Preference for Correspondence Mail (please tick) EXEMPTION CRITERIA Sibling/s International Student DOCS Program of Excellence (an Excellence Program Application must be submitted) International Other (Please provide details) (Reason for Out of Catchment Enrolment Request) Name/s Honours (7-10) Honours Music (7-10) STEM (9-10) Special Interest Volleyball (9-10) SUPPORTING EVIDENCE - Submit this form together with a copy of the child s most recent report cards and any other notes you wish to provide for an Out of Catchment Enrolment. 1. Has your student held any Leadership positions? (please detail) 2. Does your student have the ability to contribute to the leadership, academic and cultural life of the school? (Please detail how) *NB. Additional notes to support Out of Catchment Enrolment request can be attached to this form if required. Parent /Guardian Name: Parent/Guardian Signature: Date: There is a $50.00 Non-refundable Application fee for all Out of Catchment Enrolment Applications. If your child attends a feeder school the $50.00 fee is waivered (Feeder schools are Ashgrove, Bardon, Hilder Road, Ithaca Creek, Mt Nebo, Oakleigh, Payne Road, Rainworth, The Gap State Schools) The Gap State High School Enrolment Application 6

7 Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 METHODS OF PAYMENT 1. Cash Payment return money with the Exemption Application to the school administration office. 2. Bank Transfer BSB Account Number Ref TGSHS Surname exemption 3. EFTPOS Facilities are available at the school administration office. 4. Credit Card Payments Complete the authority slip below. For payment by EFTPOS (Credit/Debit Card), I hereby authorize The Gap State High School to debit my: MasterCard Visa Other (where accepted) Total Transaction Amount $50.00 Card Number: Expiry Date: Name of cardholder as it appears on the card: Signature of Cardholder: Name of student that payment is for: OFFICE USE ONLY Date Enrolment Request Received: School Catchment of Residential Address Exemption Type Sibling DOCS Program of Excellence International Exclusion Staff COMMENTS Space Available in Year Level Yes No Space Available in Classes Yes No Other $50.00 Non-Refundable Fee Received $ Exemption Granted Yes No Signature: Date: Parent Notified of Decision Phone Date: Mail Date: Date: The Gap State High School Enrolment Application 7

8 Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 Frequently Asked Questions Does my child need to participate in an enrolment interview? What do I need to do to prepare for the enrolment interview? Yes. Every new student enrolment at The Gap State High School involves parents making an application for enrolment by completing the required paperwork and attending an interview with either the Guidance Officer or another delegated staff member. Read the enrolment process flowchart in this enrolment application, noting all the documentation you will need. Sign and complete all forms in the enrolment guide BEFORE sending in the enrolment application, once all documentation is received you will be notified regarding an enrolment interview if your application is successful. What do I need to do if I have a student with a verified impairment or diagnosed learning difficulty? Eg intellectual impairment, Autistic Spectrum Disorder How do I know if I live in the catchment area and can I still apply if I live outside the catchment? My child is interested in Instrumental Music, what should I do? What happens on the first day of school at the beginning of the year? Is there a school dress code? Complete your enrolment application and provide all relevant copies of the verified impairment or diagnosed learning difficulty as well as the documentation needed for the enrolment process. See the catchment map on Page 4. All students can still make an application to the school. However, priority is given to in-catchment enrolments, remaining student admissions are at the consideration of the Principal. Please fill in the Instrumental Music form in this enrolment application. Students will be required to complete a small music theory test and audition. These will give the teachers an indication as to how to group students for lessons. On a student s first day at high school they are introduced to their Roll class, receive their timetables and are taken on a tour of the school. Students are introduced to the many student support services in the school including their form teacher, year level coordinator, school administration, guidance officer and chaplains. Time is taken to ensure that the needs of all students are addressed and they have a successful and enjoyable introduction into The Gap State High School. Yes this is a uniform school and the students are expected to wear the appropriate uniform. All uniform items are available at our Uniform Shop both new and second hand. There are photos and information about the correct shoes that meet the Workplace Health and Safety requirements in our Parent Reference Guide as well on The Gap State High School website. In winter students must wear the correct winter jumpers sold at the Uniform Shop NOT non-uniform jumpers. What sport options are available for students? See The Gap State High School website for information and Parent Reference Guide. The Gap State High School Enrolment Application 8

9 Where can I find more information about the consequences of unacceptable student behavior? What support is there for the social/emotional welfare of my child? Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 Please refer to The Gap State High School website Chaplain, Guidance Officers, Year Level Coordinators, School Nurse (see Student Support Section on our website). When are we notified regarding the outcome of our application to the school? If my child is absent, what should I do? If my child is late for school, what should they do? My child needs to attend an appointment during the day. What should I do? Does the school have insurance cover for my child? If you live in catchment your enrolment is automatic. If you live out of catchment and there are places available you will be informed within a week of your application being received or at the time of interview. Parents should leave the name and year level of the student on the message bank on the day of the absence preferably before 9.30 am. SMS: studentabsences@thegapshs.eq.edu.au. Phone: Students arriving late to school must report to the office for a late slip which will indicate the reason for lateness and time of arrival. The note is shown to the teacher to gain late entry to class. A note or phone call explaining the reason for the late arrival is required. A leave pass will be issued if a student requests to leave school during the day for a specific purpose such as a dental, orthodontist, physiotherapy, optometrist or doctor s appointment. A note/phone call/ must be received from a parent/guardian explaining the reason for leaving early. These situations during school hours are to be avoided unless absolutely necessary. Curriculum and physical activities, particularly contact sports, carry inherent risks of injury. Parents are advised that the Department of Education and Training does not have Personal Accident Insurance coverage for students. Education Queensland has public liability coverage for all approved school activities and provides compensation for students injured at school only when the Department is negligent. If this is not the case, then all costs associated with the injury are the responsibility of the parent or caregiver. It is a personal decision for parents as to the type and level of private insurance they arrange to cover students for any accidental injury that may occur. Transport to The Gap State High School Please refer to TransLink for public transport information, and coordinates and integrates public transport services in South East. The Journey Planner will help you plan your bus trip. The Gap State High School Enrolment Application 9

10 Application for Student Enrolment Form Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 INSTRUCTIONS Failure or refusal to complete those sections of the form marked with an (*) or to provide required documentation may result in a refusal to process your application. Sections of the form not marked (*) are optional. However, failure to complete these sections may result in the school not being eligible for important Commonwealth and state funding reliant on such information. Parents of all students in Australia have been asked to provide information on their family background as part of a national initiative towards providing an education system that is fair to all students, regardless of their background. The required information includes the Indigenous status and language background of the student, and the education, occupation and language background of the parents. If you have any questions about the enrolment form or process, or require assistance completing this form, including translation services, please contact the school in the first instance. PRIVACY STATEMENT The Department of Education and Training (DET) is collecting the information on this form for the purposes outlined in the Education (General Provisions) Act 2006 (EGPA 2006), and in particular for: i. assessing whether your application for enrolment should be approved ii. meeting reporting obligations required by law or under Commonwealth state funding arrangements iii. administering and planning for providing appropriate education, training and support services to students iv. assisting departmental staff to maintain the good order and management of schools, and to fulfill their duty of care to all students and staff. v. communicating with students and parents. This collection is authorised by ss. 155 and 428 of the EGPA DET will disclose personal information from this form to the Queensland Studies Authority when opening student accounts, in compliance with Part 2A of the Education (Queensland Studies Authority) Act Personal Information from this form will also be supplied to Centrelink in compliance with ss.194 and 195 of the Social Security (Administration ) Act 1999 (Cth). De-identified information concerning parents school and non-school education, occupation group and main language other than English and students country of birth, main language other than English, sex and Indigenous status, is supplied to the Commonwealth Department of Education, Employment and Workplace Relations in compliance with Commonwealth state funding agreements. Personal information collected on this form may also be disclosed to third parties where authorised or required by law. Your information will be stored securely. If you wish to access or correct any of the personal information on this form or discuss how it has been dealt with, please contact your child s school in the first instance. If you have a concern or complaint about the way your personal information has been collected, used, stored or disclosed, please also contact your child s school in the first instance. ENTITLEMENT TO ENROLMENT Under the EGPA 2006, an applicant for enrolment at a state school must be enrolled if they are entitled to enrolment. While not exhaustive, the following matters may affect an applicant s entitlement to enrolment at a state school: failure to adequately complete this enrolment form if the school has an Enrolment Management Plan or an Enrolment Eligibility Plan, (enrolment is subject to eligibility under the plan) the applicant is a mature aged student, (the applicant may not be enrolled without a positive notice) the applicant is not of correct age for enrolment (relates to Preparatory Year and Years 1 to 7) the applicant has been excluded or cancelled from enrolment or is subject to suspension from a state school at the time of the application the school is a state special school and the applicant does not meet the criteria for enrolment in a special school the school principal reasonably believes that the applicant presents an unacceptable risk to the safety or wellbeing of members of the school community (application is referred to Director-General) the proposed enrolment requires approval as part of a flexible arrangement under s.183 of the EGPA 2006, and the arrangement has not yet been approved the student is not an Australian resident or citizen or the child of an Australian permanent resident or citizen (visa restrictions may apply, fees may be charged, in some cases legislation requires that the applicant must obtain approval from the Chief Executive via Education Queensland International (EQI) to enrol). For Office Use Only Date Enrolled Learning Difficulty/Special Ed. Support Year Level Roll Class Birth Certificate/passport Sighted and DOB confirmed EQ ID Transfer Note Sighted Yes No House MIS ID Is the student 18 years of age at time of enrolment? If Yes, has Mature Age Check been completed? FTE Associated Unit Is the student exempt? Yes No ESL EQI Category Yes No To be determined Yes Yes Independent student? Yes No Visa and Associated Documents sighted Yes No SV student visa TV - Temporary visa DEP dependent parent on student visa EX exchange student DE Distance Education No No Positive Notice Exempt The Gap State High School Enrolment Application 10

11 Application to enrol in a Queensland State School Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 This sheet contains information on how to complete the Application for Student Enrolment Form (SEF Version 4). Entitlement to enrol Under the Education (General Provisions) Act 2006 (Qld) a state school must enroll an applicant if they are entitled to enrolment. While not exhaustive, a list of the matters which may affect an applicant s entitlement to enrolment are included on the previous page of this enrolment form. Questions which must be answered* The Application for student Enrolment Form contains a number of questions marked with an (*) which must be answered. These include Student demographic details, Student address details, Student family details, Country of birth, Emergency contact details, student medical information and the Application to enroll. These questions and consent are considered necessary to ensure the school can undertake its administrative and care responsibilities. Sections of the form not marked (*) are optional. However, failure to complete these sections may result in the school not being eligible for important Commonwealth and State funding. Parent s occupation and education All parents across Australia, no matter which school their child attends, are being asked to provide information about family background (answering this question is optional). The main purpose of collecting this information is to promote an education system which is fair for all Australian students regardless of their background. Sighting of birth certificate Schools are required to sight and copy a child s birth certificate. An alternative to a birth certificate will be considered where it is not possible to obtain a birth certificate (eg child born in a country without a birth registration system passport or visa documents will suffice). Name on enrolment form A child should be enrolled under their legal name as per their birth certificate. There is provision to also record a child s preferred family and given name. The legal name will appear on semester reports, however, at the parent s request, the preferred name can be used. The preferred name only will be used on internal school documents such as class rolls Evidence of Student s Immigration Status This section is required to be completed by a student who is not an Australian citizen and requires information to be recorded about a student s passport and visa. Medical information and emergency contacts A child s medical condition, symptoms, management and medication/s must be documented. Medical conditions may include (but are not limited to) seizures/epilepsy, fainting, diabetes, asthma, heart problems, anaphylaxis and allergies (such as food or insect stings). Parents must indicate if they are an emergency contact. Three additional emergency contacts are also required. Religion (not applicable to High School) Parent/guardians are asked to identify a child s religion. From Year 1 a child will be placed in the nominated religious instruction class if it is available. If this section is left blank or marked no religion or a non-religion is nominated, your child will be recorded a No Religion nominated and placed in alternative activities. Court Orders Any court orders concerning the welfare, safety or parenting arrangements of children should be provided to the school by parents, and the school should also be provided with any new or updated orders. Office use This section is to be completed by the school and will assist in documenting specific details in relation to a student s enrolment, including confirmation of the sighting of documentary evidence such as a student s birth certificate, passport or visa and student s mature age status. The Gap State High School Enrolment Application 11

12 Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 *STUDENT DEMOGRAPHIC DETAILS *Legal family name (as per birth certificate) *Legal given names (as per birth certificate) Preferred family name Preferred given names *Sex Male Female *Date of birth / / *Copy of birth certificate attached Yes No Enrolment will not be approved without enrolling staff sighting and copying birth certificate. An alternative to birth certificate will be considered where it is not possible to obtain a birth certificate (e.g. child born in country without birth registration system. Passport or visa documents will suffice). This does not include failure to register a birth or reluctance to order a birth certificate. For international students approved for enrolment by EQI, a passport or visa will be acceptable. APPLICATION DETAILS Has the student ever attended a Queensland state school? Yes No What year level is the student seeking to enrol in? If yes, provide name of school and approximate date of enrolment. Please provide the appropriate year level. Proposed start date / / Please provide the proposed starting date for the student at this school. Does the student have a sibling attending this school or any other Queensland state school? Yes No If yes, provide name of sibling and year level. Name Year Level Date of Birth / / School *STUDENT ADDRESS DETAILS Principal place of residence address Address line 1 Address line 2 Suburb/town State Postcode With whom does the student reside: Mother Yes/No (please circle) % of time Father Yes/No (please circle) % of time Mailing address (if it is the same as principal place of residence, write AS ABOVE ) Address line 1 Address line 2 Suburb/town State Postcode *STUDENT FAMILY DETAILS Parents/guardians Parent/guardian1 Parent/guardian 2 *Family name *Given names Title Mr Mrs Ms Miss Dr Mr Mrs Ms Miss Dr Sex Male Female Male Female *Relationship to student *Is the parent/guardian an emergency contact? *1st Phone contact number *2nd Phone contact number Work / Home / Mobile Work / Home / Mobile Yes No Yes No Work / Home/ Mobile Work / Home / Mobile The Gap State High School Enrolment Application 12

13 Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V4 STUDENT FAMILY DETAILS (continued) Parents/guardian Parent/guardian 1 Parent/guardian 2 Work / Home / Mobile *3rd Phone contact number Work / Home / Mobile * Receives correspondence Yes No Yes No Employer name Occupation What is the occupation group of the parent/guardian? Country of birth (Please select the parental occupation group from the list provided on page 18 of this document) (Please select the parental occupation group from the list provided on page 18 of this document) Country of residence Does parent/guardian 1 or parent/guardian 2 speak a No, English only language other than English at home? (If more Yes, other please than one language indicate the one that is spoken most often) Needs Interpreter Yes No No, English only Yes, other please Needs Interpreter Yes No Is the parent/guardian an Australian citizen? Yes No Yes No Is the parent/guardian a permanent resident of Australia? *Address line 1 *Address line 2 *Suburb/town Yes No Yes No *State *Postcode *Postcode Mailing address (if it is the same as principal place of residence, write AS ABOVE ) *Address line 1 *Address line 2 *Suburb/town *State *Postcode *Postcode Parent/guardian school education Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent or below Parent/guardian nonschool education Bachelor degree or above Advanced Diploma/ Diploma Certificate I to IV (including trade certificate) No non-school qualification What is the highest year of primary or secondary school parent/guardian 1 has completed (for people who have never attended school, mark Year 9 or equivalent or below ) What is the level of the highest qualification parent/guardian1 has completed? What is the highest year of primary or secondary school parent/guardian2 has completed (for people who have never attended school, mark Year 9 or equivalent or below ) What is the level of the highest qualification parent/guardian 2 has completed? The Gap State High School Enrolment Application 13

14 STUDENT ORIGIN DETAILS Origin Origin type Queensland Interstate Overseas Primary Secondary Other Previous school/other location Previously employed Yes No Full time Part time INDIGENOUS STATUS Is the student of Aboriginal or Torres Strait Islander origin? No Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander RELIGION RELIGIOUS INSTRUCTION From Year 1, your child will be placed in this nominated religious class if it is available. If this section is marked no religion or a response is provided that is not represented within the school s religious instruction program, your child will receive other instruction in a separate location during the period arranged for religious instruction. Parents may change these arrangements at any time by notifying the principal in writing. Response Optional. *COUNTRY OF BIRTH In which country was the student born? Australia Other (please specify country) Date of arrival / / Is the student an Australian citizen? Yes No (If no, evidence of student s immigration status to be completed) STUDENT LANGUAGE DETAILS Does the student speak a language other than English at home? No, English only Yes, other please specify *EVIDENCE OF STUDENT S IMMIGRATION STATUS (to be completed for student who is NOT an Australian citizen) Permanent resident Complete passport and visa details section below Student visa holder Date of arrival / / Date enrolment approved to: / / EQI receipt number: Temporary visa holder Complete passport and visa details section below Other, please specify Temporary visa holders must obtain an Approval to enrol in a state school from EQI Passport and visa details (to be completed for a student who is NOT an Australian citizen) NOTE: A permanent resident will have a passport with a permanent residency visa inside worded Holder(s) permitted to remain in Australia indefinitely. For students arriving in Australia as refugee or humanitarian entrants, either PLO 56 Immigration issued card or Document to travel to Australia with stay indefinite recorded must be sighted by the school. Passport number Passport expiry date / / Visa number Visa expiry date (if applicable) / / Visa sub class The Gap State High School Enrolment Application 14

15 *EMERGENCY CONTACT DETAILS (Other emergency contact details if parents/guardian listed previously are not emergency contacts or cannot be contacted) Emergency contact Emergency contact Name Relationship (e.g. aunt) 1st phone contact number* Work /Home /Mobile Work /Home /Mobile 2nd phone contact number* Work / Home / Mobile Work / Home / Mobile 3rd phone contact number* Work / Home / mobile Work / Home / Mobile *STUDENT MEDICAL INFORMATION (including allergies) Privacy Statement The Department of Education, Training and Employment (DETE) is collecting this medical information in order to address the medical needs of students during school hours as well as during school excursions, school camps, sports and other school activities. DETE will only use this information to make a decision about a student s eligibility for enrolment. The information will only be used by authorized employees of the department and DETE will only record, use and disclose the medical information in accordance with the confidentiality provisions at Section 426 of the Education (General Provisions) Act It is essential that you advise the school before your child s first day of attendance if he or she has any medical conditions. You must also inform the school administration staff as soon as you are aware of any new medical conditions or a change to medical conditions. Should your child need to take medication during school hours, an individual Health Plan, including Emergency Health Plan is relevant, or Authority to Administer Medication Form will need to be completed each year and retained at the office. My child does not have any know medical conditions Medical condition (including allergies/sensitivities), symptoms and management (please refer to the list of Medical Condition categories - P19) Medical condition (including allergies/sensitivities), symptoms and management (please refer to the list of Medical Condition categories - P19) Medical condition (including allergies/sensitivities), symptoms and management (please refer to the list of Medical Condition categories - P19) Does the student require any medical aids or devices (such as glasses, contact lenses, prosthetics or orthotics)? This is for the purpose of informing planning for school activities such as sport Name of student s medical practitioner (optional) Yes No No The student s medical practitioner for the purpose of seeking advice in cases where an immediate but non-life threatening response is required (for instance, when the student may be on an excursion or sporting event)? (answer only if medical practitioner details have been provided above) Medicare Number If the condition is moderate or severe please provide the school with a support plan Severity of Symptoms Mild Moderate self managed with medication Severe possibility of an emergency arising Severity of Symptoms Mild Moderate self managed with medication Severe possibility of an emergency arising Severity of Symptoms Mild Moderate self managed with medication Severe possibility of an emergency arising If Yes, please specify Contact number of medical practitioner Position Number Details Details Details Yes No Cardholder name (if not in name of student) Private health insurance company name (if covered) (optional) Private health insurance membership number (leave blank if company name is not provided) The Gap State High School Enrolment Application 15

16 *VERIFIED DISABILITY OR DIAGNOSED LEARNING DIFFICULTY if applicable Please provide this information if you have not already done so in the previous medical information section. Copies of relevant documentation will be given to the Head of Learning Enhancement. Does your child have a diagnosed learning disability? Please outline the details. If your child has a diagnosed learning disability do they have supporting medical documentation? Please include in enrolment application. Does your child currently receive learning support at school? If so please detail the educational adjustments currently provided. Does your child have a Verified Disability? If yes which category and provide details of disability. ID Intellectual Disability ASD Autism Spectrum Disorder HI Hearing Impairment SLI Speech Language Impairment VI Visual Impairment PI Physical Impairment If your child has a verified disability, please detail the educational adjustments that are currently provided. (Please include a copy of their latest IEP or ILP) *COURT ORDERS if applicable Are there any current Family Court or other court orders concerning the welfare, safety or parenting arrangements of your child/children? Please provide a copy of any relevant current court order and Type of order. Date commencing: Out of Home Care or Child Protection Order Expiry date; Is the child subject to any of the following orders or agreements under the Queensland Child Protection Act 1999 Yes No o o o o o o o Child protection care agreement Assessment care agreement Temporary Assessment Order Court Assessment Order Temporary Custody Order Yes No An Interim Child Protection Order (an adjournment of an application for a Child Protection Order); and Child Protection Order If the child is subject to a final Child Protection Order does that order grant custody or guardianship of the child to the Chief Executive, Department of Communities, Child Safety and Disability Services or another person named on the Order. Yes No Is the child subject to any orders or agreements under the child welfare laws of another state or territory. Yes No If Yes has been checked for any of the above questions, a copy of the orders must be provided prior to enrolment. The Gap State High School Enrolment Application 16

17 TRAVEL Mode of transport to school Walk Car Bus Bicycle Train Other * CONSENT PREVIOUS SCHOOL/S ATTENDED OUTSIDE QUEENSLAND I consent to the school being provided with any, and all schooling information concerning my child/children or myself (if I am applying for enrolment), in respect of any schools they, or I, attended outside Queensland, prior to the date of my signature below. Yes No PREVIOUS SCHOOL/S ATTENDED IN QUEENSLAND STATE OR NON-STATE SCHOOL I consent to the school being provided with any, and all schooling information concerning my child/children or myself (if I am applying for enrolment), in respect to any schools they or I attended within Queensland, prior to the date of my signature below. Yes No Parent/guardian 1 Parent/guardian 2 Student Signature X X X Date / / / / / / *APPLICATION TO ENROL I hereby apply to enrol my child or myself at. I understand that supplying false or incorrect information on this form may lead to the reversal of a decision to approve enrolment. I believe that the information I have supplied on this form is true and correct in every particular, to the best of my knowledge. Parent/guardian 1 Parent/guardian 2 Student Signature Date X X X / / / / / / The Gap State High School Enrolment Application 17

18 Parental Occupation Groups for use with Parent / Guardian details 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 service manager (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] The Gap State High School Enrolment Application 18

19 Education Queensland Standardised Medical Condition Category List Acquired brain injury Allergies/Sensitivities Anaphylaxis Airway/lung/breathing - Oxygen required (continuously/periodically) Airway/lung/breathing - Suctioning Airway/lung/breathing - Tracheostomy Airway/lung/breathing - Other Artificial feeding - Gastrostomy device (tube or button) Artificial feeding - Nasogastric tube Artificial feeding - Jejunostomy tube Artificial feeding - Other Asthma Attention-deficit /Hyperactivity disorder (ADHD) Autism Spectrum Disorder (ASD) Bladder and bowel - Urinary wetting, incontinence Bladder and bowel - Faecal soiling, constipation, incontinence Bladder and bowel - Catheterisation (continuous, clean intermittent) Bladder and bowel - Stoma site, urostomy, Mitrofanoff, MACE, Chair Bladder and bowel - Other Blood disorders - Haemophilia Blood disorders - Thalassaemia Blood disorders - Other Cancer/oncology Coeliac disease Cystic Fibrosis Diabetes - type one Diabetes - type two Ear/hearing disorders - Otitis Media (middle ear infection) Ear/hearing disorders - Hearing loss Ear/hearing disorders - Other Epilepsy - Seizure Eye/vision disorders Endocrine disorder - Adrenal hypoplasia, pituitary, thyroid Heart/cardiac conditions - Heart valve disorders Heart/cardiac conditions - Heart genetic malformations Heart/cardiac conditions - other Mental Health - Depression Mental Health - Anxiety Mental Health - Oppositional defiant disorder Mental Health - Other Muscle/bone/musculoskeletal disorders - spasticity (Baclofen Pump) Muscle/bone/musculoskeletal disorders - Other Skin Disorders - eczema Skin Disorders - psoriasis Swallowing/dysphagia - requiring modified foods Swallowing/dysphagia - requiring artificial feeding Transfer & positioning difficulties Travel/motion sickness Other The Gap State High School Enrolment Application 19

20 THE GAP STATE HIGH SCHOOL *Enrolment Interview Profile Student Name: Report Card Information Summary Area Education (General Provisions) Act 2006 Section 155(1) Approved form SEF 1 V2.3 Please complete this form prior to the enrolment interview Achievement (please tick) English/Literacy A B C D E Mathematics/Numeracy A B C D E Science A B C D E HPE A B C D E Humanities and Social Science A B C D E Music A B C D E LOTE A B C D E Arts A B C D E Other comments Office use only Interviewer Name: Interview Date: * Support Program If you answer yes to any of the following questions please comment Has your child been formally assessed for Special Education Support? TGSHS offers a variety of support for students diagnosed with an Intellectual Impairment or Autism Spectrum Disorder. Will your child be accessing this service? Does your child have any vision, hearing, speech or movement problems? Yes Yes Yes No No No If you answer YES to any of the questions please give an Explanation Does you child have any learning difficulties? Yes No Has your child received any assistance from the Support Teacher or a teacher aide during the last two years? Has your child ever been referred to the school Guidance Officer? Has your child ever attended any agency to address behavioural / emotional difficulties? Is your child on any regular medication or do they have any serious allergies/medical conditions? Yes Yes Yes Yes No No No No The Gap State High School Enrolment Application 20

21 Student Interests * Students please complete this page prior to Enrolment Interview Getting to Know You 1. What do you believe are your greatest strengths and successes? Office use only 2. What classroom/school activities do you sometimes find difficult? 3. What are your hobbies/interests/extracurricular/sporting activities? 4. What activities do you enjoy doing at school? Include any activities from class or out of class. 5. Have you held any leadership positions? These could be either at school or elsewhere. Please provide details. 6. Have you participated in any representative activities/teams? eg Optiminds, Met North sport. 7. Have you been involved in any community service activities? 8. What can we do to help you make the most of High School? 9. How do you like to Learn? Listen, read, do, reflect 10. Are there ways that work to help you with this difficulty? 11. What are the concerns you have about attending High School? 12. What are you looking forward to about High School? The Gap State High School Enrolment Application 21

22 THE GAP STATE HIGH SCHOOL Agreement and Participation Forms These agreements remain current for the period of the student s enrolment. Any changes to these agreements will require a written request to the Principal. The following forms to be completed and signed. Enrolment Agreement ICT and Computer Use Agreement Form BYO Student Participation ipads Year 7 & 8 BYOD for Year 10 to 12 students Voluntary Student Participation in Program of Chaplaincy Services Media Consent Form Code of Conduct and Uniform Agreement Form School Resource and Lending Scheme Agreement Form Shared Financial Responsibility Record for Payments Leadership Training Centre Parental Consent address for newsletters and Newsflashes If you have any questions about any of the forms please speak to the interviewer for clarification. The Gap State High School Enrolment Application 22

23 THE GAP STATE HIGH SCHOOL *Enrolment Agreement This enrolment agreement sets out the responsibilities of the student, parents or guardians and the school staff about the education of students enrolled at The Gap State High School. Responsibility of student to: attend school regularly, on time, ready to learn and take part in school activities act at all times with respect and show tolerance towards other students and staff work hard and comply with requests or directions from the teacher and principal abide by school rules, meet homework requirements and wear school s uniform respect the school environment. Responsibility of parents to: attend open evenings for parents let the school know if there are any problems that may affect your child s ability to learn inform school of reason for any absence treat school staff with respect and tolerance support the authority and discipline of the school enabling your child to achieve maturity, self discipline and self control abide by school s policy regarding access to school grounds before, during and after school hours advise Principal if your child is in the care of the state or you are the carer of a child in the care of the state inform school if your child s living arrangements change and provide details of new home address and phone number Responsibility of school to: develop each individual student s talent as fully as possible inform parents and guardians regularly about how their children are progressing inform students, parents and guardians about what the teachers aim to teach the students each term teach effectively and to set the highest standards in work and behaviour take reasonable steps to ensure the safety, happiness and self-confidence of all students be open and welcoming at all reasonable times and offer opportunities for parents and carers to become involved in the school community clearly articulate the school s expectations regarding the responsible behaviour plan for students and the school s dress code policy ensure that parents and carers are aware of the school s insurance arrangements and accident cover for students advise parents and carers of extra-curricular activities operating at the school in which their child may become involved, for example, Program of Chaplaincy Services; religious instruction ensure that the parent is aware of the school s record-keeping policy including the creation of a transfer note should the student enroll at another school set, mark and monitor homework regularly in keeping with the school s homework policy contact parents and carers as soon as is possible if the school is concerned about the child s school work, behaviour, attendance or punctuality deal with complaints in an open, fair and transparent manner consult parents on any major issues affecting students treat students and parents with respect and tolerance. I accept the rules and regulations of The Gap State High School as stated in the school policies that have been provided to me as follows: Responsible Behaviour Plan for Students Student Dress Code Homework Policy School Charges and voluntary contributions Student usage of internet, intranet and extranet Absences School Excursions Complaints management Parent / Guardian Consent form for Voluntary Student Participation in Program of Chaplaincy Services Parent / Guardian Consent form for Leadership Training Centre Department insurance arrangements and accident cover for students Consent to use Copyright Material, Image, Recording or Name Appropriate Use of Mobile Telephones and other Electronic Equipment by Students I acknowledge that information about the school s current programs and services has been explained to me. Student Name: Student Signature: X Parent/Guardian Name: Parent/Guardian Signature: X On behalf of The Gap SHS: On behalf of The Gap SHS: X The Gap State High School Enrolment Application 23