Application for Enrolment Prep Primary Secondary Student Information Office Use Only Date received First name/s of student Last name of student Student s address Home phone Application fee paid Date of birth / / Male/Female Postcode Amt: Sign: Preferred year of entry in Year Starting date / / or Term 1 2 3 4 Length of enrolment required Country of birth Nationality Language/s Language spoken at home For government requirements, please indicate if the student identifies as: Aboriginal c Yes c No Torres Strait Islander c Yes c No Aboriginal & Torres Strait Islander c Yes c No If yes, please attach Proof of Aboriginality or Torres Strait Islander Heritage. School/s Attended Present school Grade Previous school Grade Year/s Previous school Grade Year/s c (Please tick) I/We agree to release all relevant reports and documents regarding my/our child from his/her previous school. Church Information Religious denomination Present church Pastor s name Phone Family Information Parent s name Occupation & workplace Business phone Mobile phone Father s name ( Mr Dr Rev Ps) Lives with student Full-time Part-time No Deceased Receives school report Yes No Mother s name ( Mrs Miss Ms Dr Rev Ps) Lives with student Full-time Part-time No Deceased Receives school report Yes No Marital status (Please tick) Married De facto Separated Divorced Single Widowed Step-parent s/guardian s name Occupation & workplace Business phone Mobile phone Step-parent/Guardian name 1 ( Mr Mrs Miss Ms Dr Rev Ps) Lives with student c Full-time c Part-time Receives school report c Yes c No Step-parent/Guardian name 2 ( Mr Mrs Mis Ms D Rev Ps) Lives with student c Full-time c Part-time Receives school report c Yes c No With whom does the College communicate regarding day-to-day matters? c Father c Mother c Step-parent/Guardian 1 c Step-parent/Guardian 2 Custody/Court Orders c Yes c No If yes, please attach a copy of the court orders to this enrolment form. Please provide details of any parenting order or parenting plan
Family Information (continued) Brothers and sisters (In age order) Name Gender Age Grade School Step Sibling? Payment of Application Fee The application fee for Australian and International students must be paid before the application can progress. Payment can be made in person by cash, cheque or EFTPos at the College Office or by the following methods: Interbank Transfer: For payments from outside Australia via interbank transfer: Credit Card Authorisation: Date: / / c Visa c MasterCard Account name - Brisbane Christian College Amount: $. ($50 per Australian Resident, $150 per International Student) Bank name - Westpac Sunnybank BSB: 034 069 Account No: 374 735 SWIFT No: WPACAU2S. Card no.: / / / Expiry Date: / Name of cardholder: (Please print in English) Signature of cardholder: International Students Only Passport No. Do you require the College to apply for Overseas Student Health Cover (OSHC) on your behalf c Yes c No Visa Information Has/applying for Visa subclass number Country where Visa application will be lodged Expiry Date (if known) c Student Visa c Visitor/Tourist Visa c Dependant Visa Welfare/Living Arrangements Will the student be over 18 years of age before commencing at school? c Yes Will the student turn 18 years of age during enrolment? c Yes c No c No Type of Living Arrangement Address c Student will live with parent or relatives approved by DIAC Name of parent or relatives (Please list below) 1. 2. c Applying to live in other accomodation to be approved by the College Adults over 18 years of age also residing in house (Please list below) 1. Blue Card Number: 2. Blue Card Number: 3. Blue Card Number: 4. Blue Card Number: c Applying to live in College Homestay accomodation
Prep Students Only Did your child have any difficulties/illnesses at birth or in the early years? c Yes c No Details if yes Does your child have any limitations with regard to sight, hearing, walking or speech? c Yes c No Requirements if yes Does your child: communicate clearly? c Yes c No say two words together? c Yes c No remember names? c Yes c No ask simple questions? c Yes c No have problems constructing sentences? c Yes c No Has your child ever been tested for speech related impairments? c Yes c No Does your child pay attention when listening to a story or completing a new activity? _ Has your child attended Pre-Prep or childcare? c Yes c No c Yes c No How does your child get along with other children? _ What is your child s reaction when you leave?_ How does your child respond to discipline for misbehaviour?_ Is your child easily upset (e.g. emotional, fearful, has temper tantrums)? c Yes c No Details if yes Is your child fully toilet trained (including able to use toilet paper and pull up pants)? c Yes c No Can your child feed himself/herself (morning tea and lunch)? c Yes c No Marketing Information Please indicate how you heard about the College. Tick all applicable boxes. c Outdoor billboard c Flyer/Poster c I live in the area c Newspaper/magazine advert c Shopping centre promotion c Direct letter in the post c Radio c Internet search c Online advert c Website c Word of Mouth, if selected, please indicate who told you about the College c Other, please specify
Additional Information Required at Time of Application This form must be completed even if the questions are not applicable to your child. Consideration will be given to the ability of the College to meet the needs of the child. Parents must fully inform the College of any special needs of the child and the College reserves the right to determine its ability to meet those needs. Student Information Full name of student Year level Has your child participated in extension or gifted and talented programs? c Yes c No If yes, please attach documentation. Has your child ever received learning support assistance? c Yes c No (Ongoing assistance for the child and/or teacher provided by a specialist teacher, psychologist, or other suitably trained professional practitioner.) If yes, please state when and for what reason (e.g. numeracy or literacy) Has your child ever been ascertained / verified *? c Yes c No If yes, please state his/her current level and category (e.g. ASD EAP 2) (Ascertainment/verification is based on an educational need arising for a disability. It is a collaborative decision-making process used to recommend the level of specialist educational support needed by students with learning disabilities. This educational support is provided by, or accessed through specialist teaching personnel.) * Please provide documentation supporting this (e.g. EAP Profile and an IEP). Has your child ever repeated a year? c Yes c No Has your child ever been accelerated (skipped a year)? c Yes c No Has your child ever been home schooled? c Yes c No If yes, please specify when/where, etc. Has your child ever had or been diagnosed with any of the following? c Yes c No If yes, please tick applicable boxes below. c Intellectual Impairment c Speech/Language Impairment c ASD c Degenerative condition c Physical Impairment c Vision Impairment c ADD/ADHD c Non-verbal learning disability c Head Injury c Hearing Impairment c Learning difficulty c Social/Emotional Disorder c Other, please specify If yes, please specify the specialist/s who assessed your child for learning difficulties/disabilities or behavioural issues: c Guidance Officer c Occupational Therapist c Paediatrician c GP c Child Psychologist c Speech Therapist c Developmental Optometrist c Counsellor c Psychiatrist c Other, please specify Do you have a report from the specialist/s? c Yes c No If yes, please attach. Does your child have any social difficulties with other children? c Yes c No Has behaviour management or conforming with school regulations ever been an issue with your child in the school setting? c Yes c No Please provide a copy of the Behaviour Support Plan (BSP) if applicable.
Does your child have any allergies (including food allergies) or intolerances the College should be aware of (e.g. nut allergy)? c Yes c No Does your child have any medical conditions the College should be aware of (e.g. Epilepsy or Diabetes)? c Yes c No Does your child take medication on a regular basis? c Yes c No If yes, what type of medication does your child take and how often? Please specify Co-curricular Activities If your child has a strong interest or a particular skill in the following areas and you would like the College to support your family in fostering this interest or skill, please indicate below. (If you require further space, please attach a note to the application.) Music: (Please detail examination results, current ensembles, or achievements that may be of interest.) Vocal: Instrumental: (Indicate instrument/s.) Sport: (Please indicate the sport/s in which your child participates. You may detail your child s sporting achievements/experience.) Visual Arts: (Please detail awards or prizes won by the student.) Performing Arts: (Speech, drama, dance or other.) c (Please tick) I agree to allow the College to collect information from specialist personnel who may have information to assist in determining how the College might meet the needs of my child. Parent/Guardian Signature Parent/Guardian Name (please print) Date Privacy Policy: Information collected by Brisbane Christian College will be used in accordance with our Privacy Policy. A copy of the Privacy Policy is available for viewing in the College Office. ABN 23 107 469 054 CRICOS No. 00909K MAIN CAMPUS 109 Golda Avenue, Salisbury Qld 4107, Australia POSTAL PO Box 177, Salisbury Qld 4107, Australia PHONE 07 3719 3111 FAX 07 3274 1071 WEB www.brisbanechristiancollege.com.au EMAIL office@brisbanechristiancollege.com.au PRE-PREP ENQUIRY NUMBER 07 3719 3131 PRE-PREP CENTRE 28 Rookwood Avenue, Coopers Plains Qld 4108, Australia
Conditions of Enrolment Parents are offered enrolment at Brisbane Christian College ( the College ) for their children subject to the following conditions being accepted: 1. The College authority operates as an accredited school under the Queensland Education Act, and the Pre-Prep Centre is an accredited centre under the National Childcare Accreditation Council and is licensed as a Centre Based Child Care Service under the Office for Early Education and Care. The College authority will provide regular instruction, teaching programs and co-curricular activities as devised by the College authority from Pre-Prep to Senior (Year 12) graduation. Parents are expected to keep up to date on College activities and policy and shall enable their enrolled children (students) to fully attend the College programs and activities and allow the students to participate fully in the life and programs of the College. 2. Parents authorise the College to act in their place for the time that their child/ren are on the College grounds or engaged in official school activities, in school or otherwise under the care and control of College staff. Parents will be consulted where matters of discipline become serious or have implications beyond the College. 3. Parents shall provide the student with the correct uniform as approved by the College and ensure that the student is always sent to school neatly and modestly dressed in uniform. 4. Parents shall ensure that fees are always paid on or before the due date, except where special arrangements are made with the Business Office. Failure to pay fees on time could result in your child/ren being withdrawn from enrolment until the fees are up to date. I/We agree to pay all reasonable debt collection charges as established between the College and its collection agency should our account become overdue and is referred to a collection agency. Parents or guardians must give one (1) term s notice of termination of enrolment and failure to do so will render them liable for one (1) term s fees. An exception to this is that in Terms 1 to 3 parents or guardians of Pre-Prep students must give one (1) month s notice of termination of enrolment for the Pre-Prep student and failure to do so will render them liable for one (1) month s fees. Written notification advising the withdrawal of Pre-Prep to Year 11 students for the next academic year must be submitted to the Principal by the first Friday of Term 4, otherwise the College will automatically place your child in the appropriate year level in the following year. A breach of the above fee policy amounts to a fundamental breach of enrolment conditions. (The College reserves the right to vary its fee policy from time to time.) 5. The College has a set of standards that we expect the students to uphold at all times. This is detailed in the Student Success Diary and other College publications. In particular, students shall behave with Christian standards acceptable to the College and, in particular, shall not use alcohol, tobacco or any unlawful drugs while a student of the College, during or outside College hours or on or outside of College property. 6. I/We undertake to support and work in cooperation with the leadership of the College to promote the best interests of all students and the College/LIFE Church community. I/We understand that the College is a ministry of LIFE Church. 7. I/We fully support the Christian values and leadership of the College and subscribe to the teaching as set forth in the College prospectus and agree to my/our child submitting to the College s faith assignments, academic dress and disciplinary regulations as may be instituted by the Principal and leadership of the College from time to time. 8. The College authority may at its discretion suspend or terminate an enrolment. Parents will be consulted should the need for this ever arise. 9. I/We give permission for the name and photograph(s) of the student enrolled on this application form to be used in promotional material and/or articles authorised by the College, and on the College website. (Normally, only a child s given name, not his/her surname, will be included on the College website.) 10. Parents shall ensure that the College is informed within seven (7) days if any contact details change, such as name, address, email address, telephone numbers, living arrangements, person/s responsible for the fees, etc. 11. I/We will inform the College if there is a change in the parents relationship with each other since signing the application form (e.g. divorce or separation). Unless otherwise directed, the College will require that a new contract of Enrolment Agreement be completed by the person who is to assume the obligation of paying school fees. All information given to the College will be treated confidentially. 12. Information provided to the College may be made available to the Commonwealth & State agencies and the Fund Manager of the ESOS Assurance Fund, pursuant to obligations under the ESOS Act 2000 and the National Code 2007. I/We have read and accept the conditions of enrolment set out above, and hereby make application for my/our child to be enrolled at Brisbane Christian College. Father/Guardian Signature Father/Guardian Name (please print) Date Mother/Guardian Signature Mother/Guardian Name (please print) Date Privacy Policy: Information collected by Brisbane Christian College will be used in accordance with our Privacy Policy. A copy of the Privacy Policy is available for viewing in the College Office. Return application to: Brisbane Christian College, PO Box 177, Salisbury Qld 4107, or 109 Golda Avenue, Salisbury Qld 4107. Please include copies of relevant family court orders or custodial arrangements or any other requested documentation. ABN 23 107 469 054 CRICOS No. 00909K MAIN CAMPUS 109 Golda Avenue, Salisbury Qld 4107, Australia POSTAL PO Box 177, Salisbury Qld 4107, Australia PHONE 07 3719 3111 FAX 07 3274 1071 WEB www.brisbanechristiancollege.com.au EMAIL office@brisbanechristiancollege.com.au PRE-PREP ENQUIRY NUMBER 07 3719 3131 PRE-PREP CENTRE 28 Rookwood Avenue, Coopers Plains Qld 4108, Australia