Enrolment Form Step 1 of 6 16% STUDENT CONTACT 1 (PARENT 1/ GUARDIAN 1/ CARER 1)Please add the contact details for Student Contact 1, who will serve as the primary point of contact for all communication with the College.Name(Required) Dr.Mr.Mrs.Ms.Mx. Title Given name/s Surname Address(Required) Unit/House Number Street Name Suburb State Postcode Home TelephoneWork TelephoneMobile Phone(Required)SMS Messaging (for emergency and reminder purposes)(Required) Yes No Email(Required) Relationship to the student(Required)Occupation (Government Requirement)(Required)What is the occupation group? (Select from list of occupation groups in the College Family Occupation Index)ABCDNReligion (include rite)(Required)Country of birth(Required) Australia Other (please specify) Country of birth other than Australia(Required)Aboriginal or Torres Strait Islander origin(Required) No Yes, Aboriginal Yes, Torres Strait Islander Nationality(Required)Ethinicity if not born in AustraliaVisa subclassVisa expiryEvidence of visa statusAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Please provide up to date evidence of visa status from the Department of Home Affairs, including any changes to visa or citizenship as soon as notifiedDo you speak a language other than English at home?(Required) No Yes (please specify) Languages spoken other than English(Required)Note: Record all languages spokenWhat is the highest year of primary or secondary school Student Contact 1 (Parent 1/Guardian 1/Carer 1) has completed?(Required)Year 9 or belowYear 10 or equivalentYear 11 or equivalentYear 12 or equivalentNote: Persons who have never attended secondary College, tick Year 9 or belowWhat is the level of the highest qualification Student Contact 1 (Parent 1/Guardian 1/Carer 1) has completed?(Required)No post-College qualificationCertificate I to IV(including trade certificate)Advanced diploma/DiplomaBachelor’s degree or above STUDENT CONTACT 2 (PARENT 2/ GUARDIAN 2/ CARER 2)Name Dr.Mr.Mrs.Ms.Mx. Title Given name/s Surname Address Unit/House Number Street Name Suburb State Postcode Home TelephoneWork TelephoneMobile PhoneSMS Messaging (for emergency and reminder purposes) Yes No Email Occupation (Government Requirement)What is the occupation group? (Select from list of occupation groups in the College Family Occupation Index)ABCDNReligion (include rite)Country of birth Australia Other (please specify) Country of birth other than AustraliaAboriginal or Torres Strait Islander origin No Yes, Aboriginal Yes, Torres Strait Islander NationalityEthinicity if not born in AustraliaVisa subclassVisa expiryEvidence of visa statusAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Please provide up to date evidence of visa status from the Department of Home Affairs, including any changes to visa or citizenship as soon as notifiedPlease provide up to date evidence of visa status from the Department of Home Affairs, including any changes to visa or citizenship as soon as notifiedDo you speak a language other than English at home? No Yes (please specify) Languages spoken other than EnglishNote: Record all languages spokenWhat is the highest year of primary or secondary school Student Contact 1 (Parent 1/Guardian 1/Carer 1) has completed?Year 9 or belowYear 10 or equivalentYear 11 or equivalentYear 12 or equivalentNote: Persons who have never attended secondary College, tick Year 9 or belowWhat is the level of the highest qualification Student Contact 1 (Parent 1/Guardian 1/Carer 1) has completed?No post-College qualificationCertificate I to IV(including trade certificate)Advanced diploma/DiplomaBachelor’s degree or above STUDENT DETAILSStudent Name(Required) Given name/s Surname Preferred name(Required)Entry year(Required)Entry year level(Required)Date of birth(Required) MM slash DD slash YYYY Victorian Student Number (VSN) in knownReligion (include rite)(Required)Home Address(Required) Unit/House Number Street Name Suburb State Postcode Gender(Required) Male Female Self-described/X (Indeterminate/Intersex/Unspecified) Do you have younger children that may want to enrol at Thomas Carr College?(Required) No Yes Details of the younger children(Required)First NameSurnameCurrent Year/Grade Add RemovePREVIOUS SCHOOL/COLLEGEName and address of previous school/college(Required)I/We give permission for the College to contact the previous College or School and to gather relevant reports and information to support educational planning(Required) Yes No If yes, you will be asked to complete the Consent for Transferring Information form upon enrolmentWas the previous School/College attended interstate?(Required) Yes No If yes, you will be asked to complete the Interstate Data Transfer Note and Consent forms upon enrolmentNATIONALITY AND CITIZENSHIPGovernment RequirementNationality(Required)In which country was the student born?(Required) Australia Other (please specify) In which country was the student born?(Required)Date of arrival in Australia OR Date of return to Australia MM slash DD slash YYYY What is the residential status of the student?(Required) Permanent Temporary Australian Residency(Required)Australian CitizenEligible for Australian PassportPermanent ResidentTemporary ResidentOther/Visitor/Overseas StudentEvidence of Australian Residency(Required)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Please attach visa/ImmiCard/letter of notification and passport photo pageVisa subclassPlease note that all enrolments for students with visas require approval through Melbourne Archdiocese Catholic Schools (MACS). Refer to the Dependant Full Fee Overseas Student policy (link) for further information.Visa expiry dateEvidence of visa statusAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Please provide up to date evidence of visa status from the Department of Home Affairs, including any changes to visa or citizenship as soon as notified.Does the student speak a language other than English at home?(Required) No Yes (please specify) Languages spoken other than English(Required)Note: Record all languages spoken.Is the student of Aboriginal or Torres Strait Islander origin?(Required)For persons of both Aboriginal and Torres Strait Islander origin, tick ‘Yes’ for both. Please note that student must actively identify as Aboriginal and/or Torres Strait Islander to comply with the Australian Government census No Yes, Aboriginal Yes, Torres Strait Islander SACRAMENTAL INFORMATIONBaptism Date MM slash DD slash YYYY Baptism ParishConfirmation Date MM slash DD slash YYYY Confirmation ParishParish where the student livesEMERGENCY CONTACTS – OTHER THAN STUDENT CONTACTS (PARENT/GUARDIAN/CARER)Other Emergency Contacts(Required)SurnameGiven nameRelationship to studentHome telephoneMobile Add RemoveMEDICAL INFORMATIONDoctor’s nameDoctor’s addressTelephoneMedicare NumberRef NumberExpiryPrivate Health Insurance(Required) Yes No FundNumberAmbulance Cover(Required) Yes No NumberHealth Care Card(Required) Yes No Health Care Card No.ExpiryMedical condition/diagnoses(Required) No Yes Please specify any relevant medical and/or health conditions for the student, e.g. asthma, diabetes, anaphylaxis, continence/toileting and/or any medications prescribed for the student. A Medical Management Plan signed by a relevant medical practitioner (doctor/nurse) will be required for each of the medical conditions listed. Please list specific details for any known allergies that do not lead to anaphylaxis, e.g. hay fever, rye grass, animal fur. Please list all known diagnoses for the student regarding their medical or learning needs e.g. Global Developmental Delay (GDD), Autism, Attention Deficit Hyperactivity Disorder (ADHD), Anxiety etc.Details of Medical condition/diagnoses(Required)Has the student been diagnosed as being at risk of anaphylaxis?(Required) Yes No If yes, does the student have an EpiPen or Anapen?(Required) Yes No If the student has identified medical and/or health condition/diagnoses, please consider the Medical Management policy, first aid policy, and supporting documents. If the student has an identified risk of anaphylaxis, please review the Anaphylaxis and First Aid policies and their supporting documents.IMMUNISATIONPlease attach an immunisation history statementAccepted file types: jpg, png, pdf, Max. file size: 5 MB. All vaccines are recorded on the Australian Immunisation Register (AIR). You are required to obtain an immunisation history statement (visit myGov) and provide it to the College with this enrolment form.Immunisation history statement attached(Required) Yes No Explanation if Immunisation history statement not attachedIf the student entered Australia on a humanitarian visa, did they receive a refugee health check? Yes No ADDITIONAL NEEDSTo meet duty of care obligations and facilitate the smooth transition of your child into the College, please provide all required information. This will assist the College to implement appropriate adjustments and strategies to meet the particular needs of your child. If the information is not provided or is incomplete, incorrect, or misleading, current or ongoing enrolment may be reviewed.Is your child eligible or currently receiving National Disability Insurance Scheme (NDIS) support?(Required) Yes No Does your child present with: autism (ASD) intellectual disability/ developmental delay ADD/ADHD giftedness behavioural concerns mental health concerns acquired brain injury physical impairment hearing impairment oral language/communication difficulties vision impairment other condition (please specify) Other condition(Required)Has your child ever seen a: paediatrician psychologist/counsellor psychiatrist physiotherapist occupational therapist continence nurse audiologist speech pathologist other specialist (please specify) Other specialist(Required)Relevant information and reports Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 10 MB, Max. files: 3. Have you attached all relevant information and reports? Yes No N/A SIBLINGS ATTENDING A COLLEGE/SCHOOLSiblings attending a college/schoolNameSchool/CollegeYear/GradeDate of Birth Add RemoveList all children in your family attending School or College (oldest to youngest) – include the applicantHOME CARE ARRANGEMENTSHome care arrangements(Required) Living with immediate family Out-of-home care Guardian/Carer Shared parenting* Kinship care Other (please specify) *Shared parenting, e.g. one week with each parent: Days with Parent 1/Guardian 1/Carer 1, Days with Parent 2/Guardian 2/Carer 2.Other arrangements(Required)COURT ORDERS OR PARENTING ORDERSif applicableAre there any current court orders or parenting orders relating to the student?(Required) Yes No If yes, copies of these court orders/parenting orders (e.g. AVOs, Family Court/Federal Magistrates Court orders or other relevant court orders) must be provided. Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 10 MB, Max. files: 3. Is there any other information you wish the College to be aware of? SCHOOL FEES/LEVIES PAYER DETAILSTo whom is the account for College fees and levies to be sent?(Required)SurnameFirstnameAddress and emailTelephoneRelationship to the student Add RemovePlease note, the name/s of the parent/carers signing are responsible for the payment of fees for the term of the child’s enrolment at the College.Other AttachmentsBirth Certificate(Required)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Proof of Address(Required)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Driver's License copies (front and back) for Student Contact 1(Required)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Driver's License copies (front and back) for Student Contact 2Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Medical Management Plan signed by a relevant medical practitionerAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Baptism certificateAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Medical Management Plan signed by a relevant medical practitionerAccepted file types: jpg, png, pdf, Max. file size: 5 MB. Copy of of full school reports (Semester 1 & 2) for the previous 2 years. (If Grade 5 student, provide Grade 3 and Grade 4 reports)(Required)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Copy of Year 3, Year 5, Year 7 and/or Year 9 NAPLAN Test (most recent)Accepted file types: jpg, png, pdf, Max. file size: 5 MB. Any additional information you wish the College to be aware ofAccepted file types: jpg, png, pdf, Max. file size: 5 MB. SigningPlease note that the completion, signing and lodgement of this enrolment form is a pre-requisite for consideration of the enrolment of your child at the College, however it does not guarantee enrolment. The enrolment is formalised after the Enrolment Agreement is signed, following an offer for enrolment being made by the College.Please refer to the Terms and Conditions of the Enrolment Agreement for further details and explanation of the terms and conditions that will apply to enrolment at the College once offered and accepted.Student Contact 1 signature(Required)Student Contact 2 signature Note: The Victorian Government provides the following guidance regarding admission requirements: Consent The signature of: parent as defined in the Family Law Act 1975 Note: In the absence of a current court order, each parent of a child who is not 18 has equal parental responsibility. both parents for parents who are separated, or a copy of the court order with any impact on the relationship between the family and the College an informal carer, with a statutory declaration. Carers: may be a relative or other carer have day-to-day care of the student with the student regularly living with them may provide any other consent required e.g. excursions. Notes for informal carer: statutory declarations apply for 12 months the wishes of a parent prevail in the event of a dispute between a parent legally responsible for a student and an informal carer.
