International Student Enrolment Application Form (Long Term Stay 12 weeks & over). CRICOS Provider#: 02708C 1. CONTACT DETAILS Student Details: Student Surname: Student First name: Male Female Student Date of Birth: / / Country of Birth: Nationality: Student Phone / Mobile No: Student Email address: Passport No. Expiry Date: / / Visa No. (if applicable) Current Year Level of Schooling Parent (s) / Legal Gaurdian Details: Father: Mr Doctor Pastor Surname: First name: Home Address: Occupation: Home Phone: Mobile: Email Address Mother: Mrs Ms Doctor Pastor Surname: First name: Home Address: Occupation: Home Phone: Mobile: Email Address: CRICOS Provider #: 02708C Page 1 of 8
Agent / Other Contact Details (if applicable): (eg. other person who can speak English and who can be contacted if parents do not speak English) Agency Name (relationship to family): Contact Person: Address: Phone Number: Mobile Number: Email: Emergency Contact Details (other than parents) Please list any family members / friends or appointed guardians (who speak English) that can be called upon in case of emergency. 1. Name: Relationship: Contact Phone Number: Email: 2. Name: Relationship: Contact Phone Number: Email: 2. COURSE ENROLMENT DETAILS a) CRICOS Course Code: b) Course Location: c) Course Type and Entry level o o o o Preparatory Primary (Year 1 Year 7) specify year level Secondary (Year 8 Year 10) specify year level Senior Secondary (Year 11 & 12) specify year level 3. COURSE START AND END DATE a) Proposed Course start date: b) Proposed Course end date: c) No. of study Periods in Course: A study period is 1 semester 4. EDUCATIONAL HISTORY CRICOS Provider #: 02708C Page 2 of 8
Current /last school attended: Year level studied: Is the student transferring from another provider? Yes No Has a letter of release been provided by the former school? Yes No Language spoken at home: English speaking ability: None Poor Fair Good Excellent Does the applicant have any impairment or learning difficulties that may affect his / her education at the College? Yes / No (please circle) - If yes please explain: 5. CHANGE OF ADDRESS AND CURRENT CONTACT DETAILS 1. The student is obliged to notify the school of any change of address while enrolled at the school. This is to ensure that any notifications sent to the student advising of visa breaches are sent to the student s current address. 2. Where Gold Coast Christian College has approved the student s welfare and accommodation arrangements, the student requires both the school s and the parent s approval for any changes to welfare and accommodation arrangements. 3. The School is required by law to request confirmation of current address and contact details in writing for each student (and parent or legal guardian if a student is under 18 years of age) at least every six months. 6. PREFERRED METHOD OF CONTACT FOR CONFIRMING CONTACT DETAILS IN WRITING EVERY SIX MONTHS, AS REQUIRED BY LAW: Postal Address: Email: Fax: 7. WELFARE AND ACCOMODATION REQUIREMENTS FOR STUDENTS UNDER THE AGE OF 18 a. Students under the age of 18 are required to maintain adequate welfare and accommodation requirements as a condition of their student visa. b. Where a student under the age of 18 is not in the care of a parent or suitable relative, as defined by the Department of Immigration and Citizenship, their accommodation arrangements must be approved by the College. c. Will the student be in the care of a parent or suitable relative as approved by DIAC? Yes No CRICOS Provider #: 02708C Page 3 of 8
d. If no, type of accommodation College has approved for the student: Homestay Supervised Accommodation Service Other e. Details of approved welfare and accommodation arrangements: f. Dates for approval of welfare and accommodation arrangements: Start date: / / Finish date: / / Please note: Students should not arrive in Australia before the approved start date. Students who are under 18 years of age before completing the enrolled course should not remain in Australia after the approved finish date without prior approval. 8. COURSE FEES Application fee English Language Test fee Once this test has been taken the school may require the student to take extra English classes each week. These will incur an extra charge. $100 non-refundable (Applications will not be accepted without this payment) $200 $50 per 1½ hour lesson TUITION FEES PREPARATORY TUITION FEES Per Term Annual School Fees $3880.00 $15,520.00 Consumables $185.00 $740.00 School Development Levy $80.00 $320.00 TOTAL TUITION FEES $4145.00 $16,580.00 PRIMARY (YEAR 1 6) TUITION FEES Per Term Annual School Fees $3880.00 $15,520.00 Consumables $185.00 $740.00 School Development Levy $80.00 $320.00 TOTAL TUITION FEES $4145.00 $16,580.00 CRICOS Provider #: 02708C Page 4 of 8
JUNIOR SECONDARY (YEAR 7 10) TUITION FEES Per Term Annual School Fees $4660.00 $18,640.00 Consumables $155.00 $620.00 School Development Levy $80.00 $320.00 Tablet PC levy $155.00 $620.00 TOTAL TUITION FEES $5050.00 $20,200.00 SENIOR SECONDARY (YEAR 11 & 12) TUITION FEES Per Term Annual School Fees $5075.00 $20,300.00 Consumables $155.00 $620.00 School Development Levy $80.00 $320.00 Tablet PC levy $155.00 $620.00 TOTAL TUITION FEES $5465.00 $21,860.00 Please note: Fees are subject to annual review and may therefore change during the course of the student s enrolment. NON TUITION FEES Medi Bank Private Health Cover $ 560.00 (13 months cover) Homestay Application fee $ 200.00 Homestay Fees $ 6630.00 / Semester half yearly Senior Calculator (Yr 10, 11 & 12 Maths B only) $ 150.00 QCAA Fee (Yr 11 & 12 only) $ 400.00 School Uniform Estimates to follow: PREPARATORY Boys $ 544.00 Girls $ 500.00 PRIMARY (Yr 1 6) Boys: $ 544.00 Girls: $ 500.00 JUNIOR SECONDARY (Yr 7 10) Boys: $ 600.00 Girls: $ 579.00 SENIOR SECONDARY (Yr 11 & 12) Boys: $ 837.00 Girls: $ 803.00 ESTIAMTE OF TOTAL TUITION & NON TUITION FEES / YEAR Estimate includes homestay which is calculated @ 52 weeks of the year (full year). PREPARATORY: $ 31,144.00 PRIMARY (Yr 1 6): $ 31,144.00 JUNIOR SECONDARY (Yr 7 10): $ 34,820.00 SENIOR SECONDARY (Yr 11 & 12): $ 37,267.00 CRICOS Provider #: 02708C Page 5 of 8
PRIVACY AGREEMENT I / We, do hereby give permission for our student/s: name/s and / or photos to be included in the following documents or at the following promotional events for the school year. Weekly newsletter distributed to school parents, church bulletin secretaries and school board members Term newsletter distributed to the Seventh-Day Adventist churches on the Gold Coast included in Prospectus packs to prospective parents Promotional activities, e.g. Independent Schools Expo Prospectus packs Power Point presentations at the school concert, church visits and Awards Night Website pages No, I / we do not give permission for our student/s name/s and / or photos to be included in any of the above documents or activities. Father / Male Guardian s Signature: Date: / / Mother / Female Guardian s Signature: Date: / / CRICOS Provider #: 02708C Page 6 of 8
EXCURSION PERMISSION FORM As part of the regular program of the school, the students are required to leave the school grounds and travel (usually by bus) to such activities as swimming, gymnastics, library, etc. To save us having to gain permission each time the students leave the school, we would ask you to sign this form. It is understood that any time there is an irregular activity that requires the student to leave the school for whatever reason, parents will be informed and permission sought prior to the event. Family Name: Student/s: Signed: Date: / / Father / Male Guardian Signed: Date: / / Mother / Female Guardian CRICOS Provider #: 02708C Page 7 of 8
MEDICAL DETAILS FORM MEDICAL DETAILS Immunisations and dates: Tetanus Smallpox Typhoid Diptheria Polio Rubella Mumps Tuberculosis Does your child have any Medical conditions or Allergies that the College needs to be aware of ( eg. asthma, heart problems ect.)? Action Taken: Medibank Private Membership #: Expiry: / / Emergency Contact Details 1. Relationship: Phone Number: 2. Relationship: Phone Number: MEDICAL PERMIT I do hereby give permission for the Gold Coast Christian College Staff to obtain medical attention for my son / daughter when deemed necessary or when advisable to do so during the school year. Signed (parent / guardian 1) Signed (parent / guardian 2) CRICOS Provider #: 02708C Page 8 of 8