Matthew Flinders Anglican College

Transcription

1 OFFICE USE ONLY Matthew Flinders Anglican College Parent Code:... Student Code:... Year of Entry:... Date Received:... Registration Fee: $... Ack:... Receipt :... STUDENT DETAILS APPLICATION FOR REGISTRATION Please complete and forward together with a non-refundable fee of $ (incl. GST) per student to: The Registrar, Matthew Flinders Anglican College, Stringybark Road, Buderim Qld 4556 Ph: (07) Fax: (07) enrolments@mfac.edu.au Web: enrolments@mfac.edu.au Please note: Each student is to be registered separately and each form is to be completed in full. Surname of Student: Christian Name/s: Date of birth: / / Gender: Male Female Preferred Name: Residential Address of Student: Post Code: Address of Student: Is the student an Australian citizen? If no, please attach evidence of visa status. Country of Birth: Is the student of Aboriginal or Torres Strait Island origin? Language spoken at home: Nationality: Religious Denomination: Relevant Beliefs or Restrictions: Current School: Reason for transfer (if applicable) Preferred Year of Entry: 20 Year Level (please circle): Prep Current entry points into the Primary School are in the Preparatory Year and Year 3. Students are admitted into other year levels in the Primary School as places become available. Year 7 is the major intake year for the start of Secondary School. Students are also admitted into other year levels in Junior Secondary (Years 7-9) and Senior Secondary (Years 10-12) as places become available. PARENT/GUARDIAN DETAILS Father/Guardian Christian Name: Title: Mother/Guardian Christian Name: Title: Surname: Surname: Residential Address: Residential Address: (if different from student residential address above) (if different from student residential address above ) Post Code Post Code Mailing Address: Mailing Address: (if different from student residential address above) (if different from student residential address above ) Post Code Post Code

2 2 Home phone: Business phone: Mobile: Occupation: Home phone: Business phone: Mobile: Occupation: Please note that any change of postal or address must be conveyed to the College. Failure to notify a change of address will render this Application void. is the preferred means of contact. FAMILY CONNECTIONS SIBLINGS (Please note that sibling preference is just one of several factors used when consulting the waiting list. Siblings do not have automatic right of entry to the College). Name Current School Year Level On Waiting List? / / / Please indicate siblings who are current or past students of Matthew Flinders Anglican College: Name(s): House: Name(s): House: Please indicate parent(s) who are Old Flinderians: Name at Flinders: House Year of Leaving: Name at Flinders: House Year of Leaving: Please indicate any other connection with current or past students of Matthew Flinders Anglican College: Name(s): Connection: House: FAMILY CIRCUMSTANCES ONLY COMPLETE THIS SECTION IF APPLICABLE Family Court or other relevant Court Order: (If, please provide the College with a copy) The College has no duty or, indeed, right to enforce Family Court Orders, unless they include a direction to the College. Parents Separated Parents Divorced Father Deceased Mother Deceased Applicant lives with Father only Applicant lives with Mother only Shared arrangement Applicant lives with Legal Guardian Who should the College communicate with regarding day-to-day matters? Parent/s or Guardian to whom school reports and other information should be sent: If either parent is remarried, please give details of step-parent/s: Name: Occupation: Telephone: Name: Occupation: Telephone: FINANCIAL RESPONSIBILITY Mailing Address for for Fees Fees Accounts: Account: Post Code:

3 3 PERSONAL DEVELOPMENT What are your child s particular strengths? Has your child ever been accelerated (skipped a year)? Do you think your child has special gifts and talents? If, in which area? Academic Artistic Musical Athletics Social Other What opportunities does your child currently have to support these talents? What are your child s interests? How do you see your child as a learner? Is your child happy in their social development? How would you describe your child s reading habits? (Please tick) Avid reader (passionate about literature) Reads regularly by choice (4 sessions plus per week) Reads occasionally by choice Seldom reads t yet reading independently Favourite reading genre: (e.g. Fantasy, Historical Fiction, Biographies)

4 4 EDUCATIONAL NEEDS Does your child have: A Disability/Learning Disability A Learning Difficulty Another special need that may affect their learning and/or school participation Does your child have (or has your child previously had) a verified disability which meets eligibility for Special Education funding? If, please identify what type of category: Physical Impairment Hearing Impairment Vision Impairment Speech/Language Impairment Autistic Spectrum Disorder Intellectual Impairment Disability Social/Emotional Disorder n-funded Categories: Behavioural Learning Difficulty/Disability Medical ADD/ADHD Other If your child has one of the above impairments how does it impact on him/her? If unsure, please indicate areas of question or concern: Does your child receive support at school for learning difficulties? If, what is the nature of this support? Does your child receive out of school support from others? If, please specify: Counsellor Occupational Therapist Child Psychologist Tutor Physiotherapist Paediatrician Speech Therapist Development Optometrist Psychiatrist Other Do you have report/s from the above specialist/s? If, please attach to application. What is the type and amount of specialist support received? Will this support continue if your child is enrolled at Flinders? Has your child attended a Special Education facility? If, describe (e.g. Special School, SEU, SEDU, ECDC, Early Intervention Centre)

5 5 MEDICAL HEALTH NEEDS Does your child have any health concerns? If, please specify and attach any relevant reports. Does your child take medication on a regular basis? (e.g. for epilepsy, ADD/ADHD, asthma, allergies or other health conditions) If, what type of medication does your child take and how often? Does your child require an Individual Health Care Plan or an Emergency Action Plan? If, please specify Does your child have any social difficulties with other children? If, please specify: Are there any serious behaviour management issues that should be brought to our attention? If, please specify: Any other relevant information: If your child has special education needs, please sign below to indicate that you give permission for the College to collect information from specialist personnel to assist in meeting the needs of your child. Specialist personnel may include, but is not limited to, the child s previous school, disability agencies, medical and allied health professionals and verification personnel. Signed: Name: ADDITIONAL INFORMATION What influenced your decision to register your child at Matthew Flinders Anglican College? During your research of schools, what was the best source of information regarding Matthew Flinders Anglican College? Friends/Family Media Internet Campus Tour Prospectus Other Comments:

6 6 Matthew Flinders Anglican College Privacy tice 1. Matthew Flinders Anglican College (the College) collects personal information, including sensitive information and health information about pupils and parents or guardians before and during the course of a student's enrolment at the College. The primary purpose of collecting this information is to allow the College to exercise its functions and activities and ultimately enables the College to provide schooling for your son/daughter. 2. The information the College collects is to satisfy our legal obligations, particularly to enable the College to discharge its duty of care. 3. Certain Public Health and Child Protection laws governing or relating to the operation of schools require that certain information is collected and, in some circumstances, disclosed. 4. Sensitive Information includes information or opinion about an individual s racial or ethnic origin, political opinions, membership of a political association, religious beliefs or affiliations, philosophical beliefs, membership of a professional or trade association, membership of a trade union, sexual preference or practice, or criminal record. Sensitive information also includes biometric information that is used for the purpose of automated biometric verification, biometric identification or biometric templates. 5. Health Information is information or an opinion about the health or disability of an individual and information collected to provide, or in providing a health service and is a subset of sensitive information within the terms of the Australian Privacy Principles (APPs) and under the Privacy Act 1988 (Cth). We may ask you to provide medical reports about students from time to time. 6. If we do not obtain the information referred to above, we may not be able to enroll or continue the enrolment of your son/daughter. 7. The College from time to time discloses personal and sensitive information to others for administrative and educational purposes. This includes to other schools, government departments, the Anglican Schools Commission, medical practitioners, and people providing services to the College, including specialist visiting teachers, coaches and volunteers. 8. Personal information collected from you may also be disclosed by the College to debt collection agencies for the purpose of recovering outstanding tuition fees; however this action would not be taken unless amounts owed to the College were considerably overdue. 9. The College takes reasonable steps to protect personal, sensitive and health information held from misuse, loss, unauthorised access or unauthorised disclosure. If you have concern that an APP has been breached or would like to make a complaint please follow the procedure in the College s Privacy Policy. 10. Personal information collected from students is regularly disclosed to their parents or guardians. 11. On occasion, information (text and/or images, including video formats) such as academic and sporting achievements, name and year level, student activities and other news will be used by the College for the purpose of creating marketing material to market the College externally. This marketing material could take the form of (including but not limited to) the College Prospectus, newsletters, magazines and may be published on both of the College s websites and/or the College s social media sites. The College may also disclose marketing material to third parties (e.g. media outlets) for the purpose of marketing the College to the general public. Before personal information is used for external publications further specific consent will be obtained. 12. Parents may seek access to personal information collected about them and their son/daughter by contacting the College. Students may also seek access to personal information 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 College's duty of care to the student or where students have provided information in confidence. 13. The College 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 College'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. 14. If you provide the College with the personal information of others we encourage you to inform them that you are disclosing that information to the College. Please tell them the reason why you are disclosing their information, what it will be used for and that they may access the information if they wish by contacting the College. Please also inform them that while the College does not usually disclose the information to third parties, this may be necessary and let them know the types of organisations to which the College would disclose their information (e.g. Hospitals or health care facilities). 15. If you would like to access the College s Privacy Policy you can access a copy at

7 7 ENROLMENT POLICY & REGISTRATION PROCEDURE Parents who wish to apply for a student to be admitted to Matthew Flinders Anglican College should return the completed Application for Registration form with a copy of the student s most recent school report and NAPLAN results, if applicable, together with the $ (including GST) per student non-refundable Registration Fee. The student s name will then be added to the waiting pool. Current entry points into the Primary School are in the Preparatory Year and Year 3. Students are admitted into other year levels in the Primary School as places become available. Year 7 is the major intake year for the start of Secondary School. Students are also admitted into other year levels in Junior Secondary (Years 7-9) and Senior Secondary (Years 10-12) as places become available. Several factors are taken into consideration prior to offers being made. These factors include school reports, interview, date of registration, sibling connection and the balance of male and female students in a year level. The payment of the non-refundable Registration Fee does not guarantee enrolment or the opportunity for an interview. Offers of enrolment are mailed to successful candidates within two weeks of their interview together with an Enrolment Agreement which the parents and the College are required to sign. At the time of acceptance of an offer, a non-refundable Confirmation Fee of $ is payable to secure the place. The Enrolment Policy may be varied at any time at the Principal s discretion. Please note that your Application cannot be considered in the absence of a copy of your child s most recent school report. The onus is on parents to provide the College with up-to-date copies whenever these are received. Please do not submit originals. APPLICATION FEE PAYMENT DETAILS ($ PER STUDENT GST incl.) Please find enclosed payment of $ Cheque/Money Order (Payable to MFAC) Visa Card Master Card Name on Card: Expiry Date: / Signature: Date: DECLARATION: I/We have read and understood the information applicable to registration at Matthew Flinders Anglican College and declare our responses to be true and correct. I/We undertake to advise you of any changes to our child s circumstances as described in this Application. I/We apply for my child to be added to the waiting pool at Matthew Flinders Anglican College. I/We attach copies of the student s most recent school reports and NAPLAN results, if applicable. (Yrs 1-12 only). I/We support all College philosophical aims, rules, regulations and policies which are displayed on the College website and which are included in other marketing material of the College and undertake to cooperate with teachers and administrators. I/We will require our child to uphold the philosophical aims, rules, regulations and policies of the College. I/We acknowledge that the College reserves the right to suspend or dismiss any student whose conduct or academic progress for any reason is deemed by the Principal to be unacceptable. Father s / Guardian s Signature Mother s / Guardian s Signature Date: Date: REGISTRATION CHECKLIST Please ensure the following is attached: Application for Registration Fee ($ per child, incl GST) Copy of most recent school report Copy of NAPLAN results (if applicable) Copy of any specialist report/s (if applicable) Copy of any court order (if applicable) Declaration signed

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