Parent s Consent Form for a School-Aged or Young Child



Similar documents
Academic Calendar for Faculty

MATCHDAY September 2014

(SERVICE NAME) ENROLMENT FORM

Application to copy or transfer from one Medicare card to another

Trading Calendar - East Capital UCITS Funds

Application for adoption information: Relative or guardian of adopted person who is deceased or does not have capacity

Early Childhood Education & Care Services Enrolment Form 2015

Child s Details. Monday Tuesday Wednesday Thursday Friday

Family Day Care Services

International University of Monaco 27/04/ :55 - Page 1. Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday 04/05 Saturday 05/05

International University of Monaco 21/05/ :01 - Page 1. Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday 04/05 Saturday 05/05

Early Learning Centre and Out of School Hours Care Enrolment Form

FINAL SCHEDULE YEAR 1 AUGUST WEEK 1

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.

As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.

Bonny Babes Enrolment Form

Notes for Child Care Benefit for registered care

Funded Pre-School Education Registration Form 2014/15

Volunteer Driver Application Form

International University of Monaco 11/06/ :27 - Page 1. Monday 30/04 Tuesday 01/05 Wednesday 02/05 Thursday 03/05 Friday 04/05 Saturday 05/05

Bennett County Hospital and Nursing Home

SMALL CLAIMS FORM 5A CLAIM BY AN EMPLOYEE / OTHER AGAINST AN EMPLOYER / OTHER

MIDDLE SCHOOL ACADEMIC ENRICHMENT PROGRAM REGISTRATION FORM

Medicare enrolment application

THE LONG ISLAND CENTER FOR DIVORCE MEDIATION DECISION LIST

Discovery Guide Program

International University of Monaco 12/04/ :50 - Page 1. Monday 30/01 Tuesday 31/01 Wednesday 01/02 Thursday 02/02 Friday 03/02 Saturday 04/02

Summer Institute 2015 for CCS Students Arts Impact Middle School (Located on Ft. Hayes Campus) 680 Jack Gibbs Boulevard, Columbus, Ohio 43215

FAMILY LAW MATTERS RELOCATION GENERAL ADVICE

MORAY HOUSE SCHOOL OF EDUCATION ADDITIONAL SUPPORT FOR LEARNING & INCLUSIVE AND SPECIAL EDUCATION COURSES

PATIENT INFORMATION PATIENT FIRST NAME PATIENT LAST NAME D.O.B. SEX LANGUAGE ETHNICITY RACE

APPLICATION FORM INTERNATIONAL STUDENT GENERAL ENGLISH / ELICOS COURSES VOCATIONAL COURSES AGENT S STAMP. STUDENT ID (if applicable)

Application Packet. Hopewell Page 1

BSB41515 Certificate IV in Project Management Practice 2016 Timetable (delivered in fast track mode)

HOME SCHOOL AND NON-RELIGIOUS EXEMPTION

Early Childhood Scholarships for Aboriginal People

Student Ambassador Application Packet Please read information carefully!

Applying for a position with G4S Health Services: Prospective employee checklist

Who is eligible? You are, regardless of sex, race, nationality, or religion if:

Mental Health Act 2009

Please note that completing and submitting an Application to Undertake a TVET Course does not guarantee acceptance into the TVET course.

Redundancy & Insolvency payments application Claim for payments from the National Insurance Fund

Introduction. Thank you for your interest in working with the Queensland Ambulance Service.

Academic Calendar - UNDERGRADUATE. All Other Classes Begin; Late Registration Begins. Last Day to Drop a Class without a W on Transcript;

EMPLOYEE SCREENING TOOL AND TELECOMMUTING REQUEST UI TELECOMMUTING PROGRAM

Electronic Health Record Sharing System (ehrss) Healthcare Provider Registration Form

Information for authorised carers on out-of-home-care adoption

Last Name First Middle . Province Class Number

Group Income Protection Insurance - Employee s Questionnaire

HLT Diploma of Nursing (Enrolled-Division 2 nursing)

CHILD CARE PROGRAM BUSINESS INFORMATION FORM

AETNA HPPI ACADEMY PROGRAMS APPLICATION

Application for Postgraduate Admission

NATIONAL POLICE HISTORY CHECK INFORMATION Western Australian Education and Training Sectors

Schuylkill Haven Area High School ***All sessions will be held at the Schuylkill Haven High School***

Academic Calendar

Susan Wakil Scholarship (Undergraduate) Information for Applicants 2016

NATIONAL POLICE CHECKING SERVICE (NPCS) INFORMED CONSENT FORM

Docent Program. New York Aquarium Education Department s. To The Applicant:

Volunteer Application

Child Custody - Current Parenting Schedule

Mandatory Written Information on Adoption: Information for Parents of a Child in Out-of-Home Care

Payment Information- Frequently Asked Questions (FAQ) for Parents/Guardians and Tutors/Teachers PARENTS/ LEGAL GUARDIANS

2016/2017 Preschool Registration Form

Department of Education and Training

Professional RN to BSN Cohorts and Bridge to BSN Academic Calendar

The Johns Hopkins University School of Medicine Calendar (all dates are inclusive)

Full Name of Child Present Address Sex Date of Birth

Schools must maintain up-to-date information on any student who has a medical condition that may require emergency care at school.

St Mary s Catholic College, Woree

Request for Jobs, Education and Training Child Care fee assistance

VOLUNTEER CLUB LEADER TRAINING APPLICATION / ENROLMENT FORM LA: 1. Full name (given name, surname) 2. Male / Female (please circle) 3.

EMPLOYMENT APPLICATION

5. MY RIGHTS IN THE FAMILY

The Bligh Government is committed to reforming and improving systems and practices that affect all Queenslanders.

APPLICATION FOR EMPLOYMENT

Adoption Information for Birth Parents

Part-time Diploma in InfoComm and Digital Media (Information Systems) Certificate in Information Systems Course Schedule & Timetable

Mount St Bernard College, Herberton

Learning 2 Mastery After-School Reading and Math Program Parent Packet

Enrollment Application

Parking Prohibition Appeals

State and Federal Programs Department Supplemental Educational Services (SES) Individual Services Agreement (ISA)

TUESDAY 28TH JUNE 2016 P DAY. Come dressed as something starting with P. Explore activities and surprises all starting with the letter P.

Parenting Plan Tool. A companion to Making Plans

Matthew Flinders Anglican College

Montessori Children s House Registration Form. Child s Name: Start date: Place of Employment. Place of Employment

Procedure for Standard Day and Time Combinations

Household Contact Requirements for Sponsors of Centers

Claim form Motor Vehicle

CHILD CARE PROVIDER INFORMATION FORM

FORT LAUDERDALE INTERNATIONAL BOAT SHOW BAHIA MAR IN-WATER SET-UP SCHEDULE

TAE40110 Certificate IV in Training and Assessment. Course Information and Application Book 2016 Block Delivery Program. RTO No.

Application for Bond Loan and Rental Grant assistance

Enrolment & Orintation

Graduate Certificate and other programs of study Enrolment Form

SUMMER TIMETABLE CAMBRIDGE

Language Academy of Sacramento Supplemental Educational Services (SES) Individual Services Agreement (ISA)

Gifted & Talented Art and Design School 4 th 7 th April 2016 APPLICATION FORM

Please Read. Schedule 2: Fact Sheet on Medical Certification

Transcription:

Parent s Consent Form for a School-Aged or Young Child The Child Employment Act 2006 and the Child Employment Regulation 2006 define specific restrictions on work that can be performed by school-aged or young children. It requires a parent s consent for their school-aged or young child to work. The restrictions and requirements for parent s consent do not apply to a child who is not a school-aged or young child. In this form, a parent is required to give consent to their child working within the restrictions set by the legislation and provides information about when their child is required to be at school. Once the form has been completed and signed by a child s parent, this form is to be given to the child s employer or prospective employer and the employer must keep this form on file. It is suggested that parents should also keep a copy of the parent s consent form. It is an offence under the legislation for an employer to require or permit a school-aged or young child to perform work unless the employer has a parent s consent form for the child. It is also an offence for an employer to require or permit a school-aged or young child to perform work when the child is required to attend school as stated in this form. It is an offence under the Education General Provisions Act 2006 for a parent to allow their child to work when the child is required to be at school. This parent s consent form is only applicable to employment with the employer mentioned in this form. The legislation requires that a parent must keep the information in this form up to date by completing a new form and giving it to the child s employer within 14 days of the parent becoming aware of any change in their child s school hours. Authorising Law: Child Employment Act 2006 Section 10 Purpose: Parent s consent form Form Number: CE1 Version: 3 Queensland the Smart State DEIR/07/2859 - Version 3

Section 1. Parent or Guardian responsible for child (see additional information regarding persons appropriate to provide consent) Given name/s Family name Relationship to child Telephone (home) (work) Mobile Nominated contact person Please provide details of another person who may be contacted by the child or the child s employer if the child s parent or guardian cannot be contacted Name of nominated contact person Telephone (home) (work) Mobile Section 2. Child to be employed Given name/s Family name Date of birth / / Year level at school Address (if different from address listed above) Telephone (home) (mobile) Email

Section 3. Hours your child is required to attend school Please state the hours (i.e. the starting and finishing times) the child is required to attend school. The hours the child is required to attend school include any hours the child is required to participate in an external program under the Education (General Provisions) Act 2006. An external program includes being tutored on set, at home or through a distance education program. Also included, is any informal arrangement entered into between the child and the school the child attends. Monday Tuesday Wednesday Thursday Friday The times mentioned above only apply during school term and are exclusive of public holidays and pupil free days. Please advise if the arrangements for school holidays or pupil free school days differ from the standard arrangements for Queensland state high schools. Start and finish dates of school holidays (1) Start and finish dates of school holidays (2) Start and finish dates of school holidays (3) Start and finish dates of school holidays (4) Start and finish dates of school holidays (5) Pupil free days Note: This Parent s Consent Form is only valid while the information contained in it is current. If the school hours stated in this form change, you must complete a new consent form and give it to your child s employer within 14 days of the becoming aware of the changes. If a flexible schooling arrangement has been entered into please advise if a condition has been imposed requiring the child to be tutored by an appropriately qualified teacher? (please circle) Yes No

Section 4. Employer Company name of employer Trading name of employer Telephone Mobile Section 5. Any other employment In addition to the employer named in Section 4, please provide details on any other employer of the child. Company name of employer Trading name of employer Telephone Mobile If the child has another employer please provide details of the number of hours worked per day for this employer. Monday Tuesday Wednesday Thursday Friday Saturday Sunday If the child works for more than one other employer please attach a separate sheet providing all the details requested in this section.

Section 6. Parent s consent I (full name of parent) of (address) give my permission for (full name of child) to work for (name of employer referred to under Section 4): _ (Signature) / / (Date) Privacy Statement The information provided on this form is collected to conform with the requirements of the Child Employment Act 2006 and the Child Employment Regulation 2006. The employer may be required to disclose the information contained in this form to officers of the Department of Employment and Industrial Relations to ensure compliance with the law. Contact the employer named in Section 4 of this form for further information on their privacy policy.

Additional information Persons appropriate to provide parental consent A parent is the child s mother, father or another person who exercises parental control over the child. A person temporarily standing in the place of the parent is not considered to be a parent. Where the child is an Aboriginal or a Torres Strait Islander, a parent includes a person who is regarded as a parent of the child under Aboriginal tradition or Island custom. Where a person has been granted guardianship under the Child Protection Act 1999 or where a person has been granted parental responsibility through a decision of a federal or State court then that person is considered to be the only parent of the child. In these cases no other person, including the child s biological parent, would be regarded as the child s parent. If a child does not have a parent or guardian the child may seek authorisation to work by applying for a Special Circumstances Certificate. School-Aged Child A school-aged child is a child who is under 16 years and required to be enrolled at a school. A child who is below the age of 16 years is not a school-aged child if the child has completed compulsory schooling (i.e. completion of year 10) or is for any other reason not required to be enrolled at a school. Young Child A young child is a child who is not old enough to be enrolled for compulsory schooling. It is not envisaged that there will be many instances where parental consent will be required for young children to work.