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Enrolment Application
Firstname
SurnameSurname
Date of birth
Gender
Student’s mobile phone number
Board of Studies Number
Family Information
Student’s residential addressmore details
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Home Phoneyour full name
Sibling 1
Sibling 1your full name
Sibling 2
Sibling 2your full name
Sibling 3
Sibling 3your full name
Emergency Contact
Emergency Contact Relationship
Daytime Phone
Mobile
Family Doctor
Phone
Student lives with:
Are there any custodial or legal arrangements of which the school should be aware?more details
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Church Involvement
Religion
Denomination
Church
Pastor/Minister
Church Address
How often do you attend church?
Parent Information
Father/Guardian residing with student
Parent/Guardian Name
Occupation
Employer
Work Phone
Mobile
Marital Status
Highest level of school completed:
Highest level of qualification completed:
Please indicate if you are:

Mother/Guardian residing with student
Parent/Guardian Name
Occupation
Employer
Work Phone
Mobile
Marital Status
Highest level of school completed:
Highest level of qualification completed:
Please indicate if you are:

Other Parent/ Guardian who may have contact with the student
Name
Relationship to student
Addressmore details
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Occupation
Employer
Mobile
Work Phone
Marital Status

*Information required by Commonwealth Government for statistical analysis of educational outcomes.

+As recognised by the MCS Board

Student
Is the student an Australian resident?
Is the student of Aboriginal or Torres Strait Islander origin?
Does the student speak a language other than English at home?
If yes, please state:more details
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Has the student received Special Education?
Does the student have any Specialist reports? e.g. psychology, speech
Medical Conditions/Disabilities/Learning Difficulties: (Please provide details)more details
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Special Gifts/Talents: (Please provide details)more details
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Schooling

Describe your child’s performance at school:

Academically
Socially
Curent School
Reason for Leavingmore details
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Has your child ever been suspended from school?
If yes, please state reason and duration of suspension/smore details
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Has your child ever been asked to leave a school or been refused
If yes, please state reasonmore details
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General
Do you give permission for photos taken at school of your child to be used by the school for promotional/publication purposes?
Do you give permission for Medowie Christian School to collect any required information from your child’s previous school?
Do you anticipate any financial difficulty with the Tuition Fees?
If so, have you submitted a Hardship Discount Application Form?*

*Hardship discounts are primarily for existing MCS families who encounter unexpected and serious financial difficulties. Hardship discounts may be available to new families in particular circumstances and dependant upon the school’s capacity to fund the discount.

Declaration
I have read, agree with, signed and fully support the Conditions of Enrolment.
I have read, agree with and fully support the Care Management Policy.
I understand that this Enrolment Application does not guarantee enrolment.
I understand that acceptance of my child will depend on the outcome of an interview, availability of a suitable place in the school and the school’s ability to meet the needs of my child.
If a place is offered I agree to pay the Placement Holding Fee within two weeks of receiving the offer.
Checklist
Copy of Birth Certificateupload
Copy of Birth Certificate
Copy of the two most recent school reports
Copy of the two most recent school reports
Copy of the most recent NAPLAN results
Copy of the most recent NAPLAN results
Copy of the most recent specialist reports
Copy of the most recent specialist reports
Application Fee family
Application Fee family
Two References
Two References
Copy of immunisation record
Copy of immunisation record
Signed Conditions of Enrolment Form
Signed Conditions of Enrolment Form
Proof of residency status
Signed Conditions of Enrolment Form
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