Hurlstone Agricultural High School

Transcription

1 Hurlstone Agricultural High School Roy Watts Road Glenfield NSW 2167 Phone: Fax: Website: Dear Parent/Guardian, Re: Application to enrol at Hurlstone Agricultural High School 2013 The selection panel will gain an insight into prospective students achievements, attitude, commitment and willingness to engage in school and community activities through reviewing documentation and entrance results. The selection process will include: 1. An entrance examination. Where: Hurlstone Agricultural High School Date: Saturday 4th August, Review of documentation. Please attach the following documentation with your application. Please do not include originals. Recent school reports NAPLAN Reports Certificates of attainment (academic, sporting, etc.) Photograph Identification Form (enclosed) Applications will close on 31 st July An administration fee of $50 inclusive of GST is required with applications. Cheques should be made payable to Hurlstone Agricultural High School. This administration fee helps to cover the costs of examination supervisors, marking of the papers and the other necessary administrative costs. Methods of payment are: Please return your application by mail inclusive of cheque payment for entrance exam fee. or Cash or cheque payments can be made at the school s Accounts Office between 8.15am and 3pm. EFTPOS payments can be made at the Accounts Office between 8.15am and 3pm. I wish you every success in your schooling and look forward to providing you with the opportunities that Hurlstone can provide your child. Yours sincerely Ms Kerrie Wratten Principal Students selected for academic and agricultural excellence, nurtured by quality teachers in a day and boarding school located on a working farm.

2 Hurlstone Agricultural High School Office Use only Exam Group:... Exam room:... Photograph Identification Form 2013 Student Name:... Date of birth:... Sex: M / F (Please circle) AFFIX PHOTO HERE I certify that the photograph is a true likeness of the student. Principal/Justice of the Peace:... Dated:... Please print name:... Principal Stamp/JP Stamp:... Student s signature:... Dated:... Please print name:... The photograph of yourself must be a) taken recently and easily recognised as being yourself. b) from the shoulders up (Passport size) Glue the photograph SECURELY to the box above. N.B This form MUST be returned to the school or you will not be permitted to sit the entry examination.

3 Educational Measurement and School Accountability Directorate Selective High School and Opportunity Class Placement Unit Information2013 Years 8 to 12 entry to selective high schools Application Please detach and complete the application form inside. Retain the outside information section for later reference. A separate application is required for each school. Important Dates 26 June 2012 Application packages become available online and from selective and agricultural high schools and school education group offices. 31 July 2012 Closing date for completed application forms to be returned to the relevant selective high schools. August/September 2012 Selection committees meet and consider applications. September/October 2012 Advice concerning the outcome of applications should be dispatched. The number of vacancies in Years 8 to 12 will vary across academic Years and from school to school. Generally the number of vacancies is limited. Before submitting your application, you should go to the individual school s website and/or contact the school to find out the assessment requirements and enrolment procedures for each selective and agricultural high school for which you intend to apply. Enquiries about courses and programs offered by specific selective high schools as well as enquiries about selection criteria such as testing should be addressed to the schools concerned. This document is also available on the Internet at: In this document: selective includes fully selective high schools, partially selective high schools, the virtual selective class and agricultural high schools parent is defined under the Education Act to include a guardian or other person having the custody or care of a child.

4 PLACEMENT IN YEARS 8 TO 12 AT SELECTIVE HIGH SCHOOLS SELECTIVE HIGH SCHOOLS Selective high schools cater for highly achieving academically talented students by providing an educationally enriched environment. These schools can provide intellectual stimulation by grouping talented students together, concentrating school resources and using specialised teaching methods. Agricultural high schools are selective high schools that emphasise the study of agriculture, with the residential sections giving priority to isolated students provided that their academic ability is comparable to that of their selective peers. Partially selective high schools have both selective and community enrolment. The Balmain and Leichhardt Campuses of Sydney Secondary College cater for students from Years 7 to 10. Students attending the Balmain or Leichhardt Campuses in Years 7 to 10 will generally proceed to the Blackwattle Bay Campus for Years 11 and 12. The virtual selective class provision (Xsel) is available only to students attending a government high school in Western NSW Region. The number of vacancies in Years 8 to 12 will vary across academic Years and from school to school. The complete list of selective high schools accepting Years 8 to 12 applications is shown at the back of this document. ENQUIRIES Enquiries about courses and programs offered by specific selective high schools as well as enquiries about selection criteria such as testing should be addressed to the schools concerned. Enquiries about general selection criteria such as residency as well as enquiries about appeals should be addressed to the Selective High School and Opportunity Class Placement Unit. Phone: ssu@det.nsw.edu.au Mail: Locked Bag 5001 BANKSTOWN NSW 1885 HOW TO APPLY Read this document carefully. You may apply for no more than four selective high schools. Remember to complete a separate application form for each selective high school you wish to apply for. Pull out the application form and complete it. Keep this outer information section for later reference. If applicable, complete any supplementary forms required by the school. Attach a copy of the birth certificate or other documentation that verifies the student s name shown on the application. Lodge each form with the relevant selective high school by 31 July SCHOOL ASSESSMENT PROCEDURES Prior to submitting your application it is essential that you consult each school about the assessment requirements. School websites can be found on the last pages of this document. PRIORITY ORDER OF SCHOOLS If you are applying for more than one selective high school, you must list in the SCHOOL CHOICES section on page 2 of each application that you lodge, all of the schools you are applying for, in priority order. AUSTRALIAN CITIZENSHIP AND RESIDENCY STATUS Candidates must normally be Australian citizens or holders of a visa granting permanent resident status in Australia. Information on Australian citizenship is available on the Department of Immigration and Multicultural Affairs website at: au. Official evidence of Australian citizenship may be obtained by the issue of a Certificate of Evidence of Australian Citizenship. Citizens of New Zealand who are permanently settled in Australia are eligible for entry. Permanent residents of New Zealand are considered in the same manner as temporary residents of Australia. Applicants who do not meet these residency requirements at the time of applying but expect to meet them in the near future, are allowed to apply. Such applicants will have to show evidence that they meet all residency requirements before being offered a place. Applicants who are unable to meet the residency requirements but believe that there are extenuating circumstances applicable to their case may apply, provided that they are already living in Australia. Applicants who qualify for entry on academic grounds but do not meet the residency requirements, including those who hold diplomatic visas, will have the opportunity to appeal for special consideration through the appeals process (see page 4). All successful applicants will be required to show original documentation, such as a Certificate of Evidence of Australian Citizenship, birth certificates or visas, before enrolment can be finalised by the school. Offers or enrolments may be terminated if placement is made on the basis of false or misleading information. 2 Application for Years 8 to 12 for Selective High Schools in 2013

5 PLACEMENT IN YEARS 8 TO 12 AT SELECTIVE HIGH SCHOOLS RESIDENTIAL ADDRESS Parents must be living in NSW by the beginning of the 2013 school year. If parents normally live in NSW but are temporarily out of the state, they should expect to return in the near future. Applications from parents who continue to live outside NSW after the 2013 school year begins will be considered only if there are vacancies after all suitable applicants from NSW have been placed. ENROLMENT POLICY The NSW Department of Education and Communities has a responsibility to assess and manage any risk of harm to its staff or students. This includes assessing and managing risks posed to students or staff at a school by any student. Where relevant, such situations will be dealt with in accordance with the Department s enrolment policies and procedures. Information for parents regarding enrolment is available at: edu.au/schoolfind/enrolment/parentsinfo.php COURSES OF STUDY Applicants should be aware that courses of study at selective high schools may not be the same as courses taken at the previous school. Students current courses will be taken into account when they are considered for placement. FAMILY PLACEMENT CLAIM You can make a family placement claim if a member of the immediate family (brother, sister or parent/ guardian) currently attends or previously attended the school. Where two or more students have equal results, the students with family placement claims will be given priority. For most students this will have little effect on the outcome. BOARDER PLACEMENT (AGRICULTURAL HIGH SCHOOLS ONLY) For boarder placement, extra consideration may be given to students who have brothers or sisters already attending the school. Special criteria apply for entry to residential agricultural high schools. These criteria are outlined on page 5. APPLICATION PROCEDURES Availability of application forms Further copies of this package are available from all selective high schools, school education group offices, and the Selective High School and Opportunity Class Placement Unit at Bankstown. They are also available on the Internet at: assessments/ selective8_12.php Acknowledgement of receipt of application Your application will be acknowledged in writing. You will also be notified if any further information or testing is required by the selection committee. Change of application details Please write to the selective high school(s) you have applied for if there is a change in details such as your child s name, address or school after you have sent your application form. You should also write to those schools if you want to withdraw your application. SELECTION PROCEDURES The number of vacancies at selective high schools in Years 8 to 12 will generally depend on the number of students who leave in the previous year. In some schools there may be no vacancies in some academic Years. Some schools may establish extra places in some academic Years. For each selective high school, a selection committee will decide on the students to be offered places and will establish a reserve list in priority order. The selection committee comprises at least three people, including the school education director as chairperson, the selective high school principal and a parent representative. The selection committee may ask for further information or arrange for additional assessment procedures if required. TESTING If it is considered necessary by the selection committee, students may be required to take a test. In this case, the school will provide you with reasonable notice of the time, date and place of the test. Where testing is conducted by the school, students found to be cheating risk disqualification from the test. Schools may request a test administration fee. NOTIFICATION OF DECISION You will be notified in writing about the outcome of your application. Some later offers may be made by telephone. Students may be (a) offered a place, (b) put on the reserve list, or (c) advised that they did not qualify for placement. This information will be provided by each school for which an application was made. RESPONSE TO OFFERS If you receive an offer, please respond to the school as soon as possible. If you do not respond within 14 days or within the time specified on your offer letter, it may be assumed that the offer has been declined. Where offers are made by telephone a response is generally required within 24 hours. Application for Years 8 to 12 for Selective High Schools in

6 PLACEMENT IN YEARS 8 TO 12 AT SELECTIVE HIGH SCHOOLS If you will be away on holidays when offers are being made, you should leave contact details with the selective school(s) or delegate someone to respond on your behalf. If you accept the offer you will be sent an Authority to Enrol. For government high school students the principal will then arrange for the student s records to be transferred. Offers will be withdrawn if the student fails to enrol at the school at the beginning of the school year without providing a satisfactory explanation. Enrolment may not be deferred beyond the first day of Term 2, Any deferment must be negotiated with the principal. If you accept the offer then later change your mind, please tell the school so that the next eligible applicant can be offered the place. If you decline the offer, you will be sent a letter to confirm this. APPEALS If you wish to appeal against a decision of the selection committee, you should phone the Selective High School and Opportunity Class Placement Unit on (02) within 7 days of the date on the letter notifying you of the outcome. The Unit will send you an appeal form and notify the selective high school that an appeal is being lodged. You must then lodge the completed appeal form within 14 days of the date shown on the outcome letter to: The Manager Selective High School and Opportunity Class Placement Unit Locked Bag 5001 BANKSTOWN NSW 1885 In making an appeal, parents need to complete an appeal form which includes: factors which may have prevented the student from gaining a place any supporting material, where applicable. Appeals based on illness must include a medical certificate. For performance-based appeals, only evidence relating to performance in 2011 and 2012 will be considered. The Unit will convene the appeals panel and will notify selective high school principals and parents about the outcome of appeals. TRANSFERS AND REPEATING Students cannot automatically transfer between selective high schools. If a student is already enrolled at one selective high school and wants to go to another, the parents must fill out an application form 4 for entry to Years 8 to 12 and lodge it directly with the selective high school they want their child to attend. If the parents of a student currently enrolled in a selective high school wish their child to repeat the Year in 2013, they should discuss the matter with the principal before 30 June GENERAL SCHOOL AND SUBJECT CONTRIBUTIONS As with all government schools, tuition at selective high schools is free, but schools may ask for a voluntary contribution to cover services such as library, textbooks and curriculum-related resources. Schools may also ask for contributions to cover the purchase of materials in certain key learning areas and to cover costs associated with sports or excursions. Residential agricultural high schools charge boarding fees (see boarding fees on page 5). ENTRY TO RESIDENTIAL AGRICULTURAL HIGH SCHOOLS Priority for boarder placement in residential agricultural high schools will be given to geographically isolated students and then to other country students. Some priority will also be given to students who would have to travel extensively to study agriculture. The academic ability of boarders admitted to residential agricultural high schools on the basis of isolation must be comparable to that of other boarders and day students at the school. PRIORITY FOR BOARDER PLACEMENT Priority for boarder placement is decided in the following categories: A. Those students considered geographically isolated according to the Assistance for Isolated Children (AIC) Scheme. (For further details see the brochure Assistance for Isolated Children). These include students who: have to travel 56 km or more (by the shortest practicable route) between the principal family home and the nearest appropriate government high school; OR have to travel (by the shortest practicable route) 16 km or more between the principal family home and the nearest appropriate government high school AND 4.5 km or more between the principal family home and transport service to the nearest appropriate government high school; OR do not have reasonable access to an appropriate government high school for at least 20 days of the school year because of adverse travel conditions (e.g. impassable roads) or other circumstances beyond the family s control. Application for Years 8 to 12 for Selective High Schools in 2013

7 PLACEMENT IN YEARS 8 TO 12 AT SELECTIVE HIGH SCHOOLS B. Country students (those living outside Sydney, Newcastle and Wollongong) with a demonstrated commitment to agriculture and science who would have to travel at least two hours a day (return) to attend a government school offering agriculture in Years 8 to 10. C. Other country students with a demonstrated commitment to agriculture and science. These will be considered on the same basis as applicants for day places and will be prioritised on the basis of academic merit. D. City students (those living in Sydney, Newcastle and Wollongong) with a demonstrated commitment to agriculture and science who would have to travel at least two hours a day (return) to attend a government school offering agriculture in Years 8 to 10. E. Other city students will be considered on the same basis as applicants for day places and will be prioritised on the basis of academic merit. Note: The student s ability to cope in a boarder situation will be taken into consideration. Within categories A, B and C, students will be prioritised according to the length of travel time (excluding time spent waiting for transport) and academic merit. If applying for a boarding place you should complete all of the residential agricultural school section on the application form including: isolation factors interest in agriculture ability to cope in a boarding situation. Note: For Farrer Memorial Agricultural High School and Hurlstone Agricultural High School, a student successful in gaining a boarder placement cannot later be automatically transferred to a day student place as the placement process is different for boarder and day places. BOARDING STUDENTS Farrer Memorial Agricultural High School enrols boarding and day boys only. Agriculture is a compulsory subject for Years 7 to 10. Hurlstone Agricultural High School enrols co-educational boarding and day students. Agriculture is a compulsory subject for Years 7 to 10 and for students entering the school in Year 11. Yanco Agricultural High School enrols co-educational boarding students only. Agriculture is a compulsory subject for Years 7 to 10 and for students entering the school in Year 11. BOARDING FEES The boarding fees for 2013 are yet to be determined. Fees payable should be confirmed with the school. Residential agricultural high schools can levy an application fee of up to $300, payable on acceptance of a residential place. This amount is deducted from the fees when the student enrols but is forfeited if the student is withdrawn after a place has been accepted. In addition to satisfying residency requirements and other conditions for entry, enrolment as a boarding student is subject to the provision of a satisfactory medical report and payment of the boarding fee. Note: Parents must sign a residential student agreement undertaking to pay the boarding fees on the first day of each term. Offers may be withdrawn if parents fail to honour their commitment to pay their fees in full and on time. SCHEMES PROVIDING FINANCIAL ASSISTANCE FOR BOARDING STUDENTS A. Secondary students living away from home allowance (LAFHA) Application forms are available from residential agricultural high schools and the Allowances Officer, Secondary Students Living Away From Home Allowance, Rural and Distance Education, PO Box 717, Bathurst NSW Telephone B. Boarding Scholarships for Isolated Students (BSIS) Further information about the BSIS is available at: assessments/ss_spfafbs.php C. Assistance for isolated children scheme (AIC) Information about this scheme is contained in a brochure published by Centrelink. The brochure and application forms are available from all Centrelink offices or you may wish to telephone The brochure is also reproduced on the Internet at: publications/st008.htm In addition, students may be able to obtain assistance from Youth Allowance (phone ) or ABSTUDY (phone ), both of which are administered by the Commonwealth. Please contact the specific residential agricultural high school for more details about schemes that provide financial assistance to boarding students. Application for Years 8 to 12 for Selective High Schools in

8 SELECTIVE HIGH SCHOOLS Alexandria Park Community School (co-educational, partially selective) [Years 8 to 12]* Park Road, Alexandria 2015 Phone: (02) Web: alexparkcs-c.school@det.nsw.edu.au Armidale High School Butler Street Armidale 2350 Phone: (02) Web: armidale-h.school@det.nsw.edu.au Baulkham Hills High School Windsor Road, Baulkham Hills 2153 Phone: (02) Web: baulkham-h.school@det.nsw.edu.au Blacktown Boys High School Sunnyholt Road & Fifth Ave, Blacktown 2148 Phone: (02) Web: blacktownb-h.school@det.nsw.edu.au Blacktown Girls High School Fifth Ave, Blacktown 2148 Phone: (02) Web: blacktowng-h.school@det.nsw.edu.au Bonnyrigg High School Elizabeth Drive, Bonnyrigg 2177 Phone: (02) Web: bonnyrigg-h.school@det.nsw.edu.au Caringbah High School Willarong Road, Caringbah 2229 Phone: (02) Web: caringbah-h.school@det.nsw.edu.au Chatswood High School (co-educational, partially selective) [Years 8 to 12] Centennial Ave, Chatswood 2067 Phone: (02) Web: chatswood-h.school@det.nsw.edu.au Duval High School Crest Road Armidale 2350 Phone: (02) Web: duval-h.school@det.nsw.edu.au Elizabeth Macarthur High School Waterworth Drive, Narellan 2567 Phone: (02) Web: elizabeth-h.school@det.nsw.edu.au Farrer Memorial Agricultural High School (boarding and day students; boys only) [Years 8 to 12] 585 Calala Lane, Tamworth 2340 Phone: (02) Web: farreragri-h.school@det.nsw.edu.au Fort Street High School Parramatta Road, Petersham 2049 Phone: (02) Web: fortstreet-h.school@det.nsw.edu.au Girraween High School Gilba Road, Girraween 2145 Phone: (02) Web: girraween-h.school@det.nsw.edu.au Gorokan High School Goobarabah Ave, Gorokan 2263 Phone: (02) Web: gorokan-h.school@det.nsw.edu.au Gosford High School Racecourse Road, Gosford 2250 Phone: (02) Web: gosford-h.school@det.nsw.edu.au Grafton High School Oliver & Mary Streets, Grafton 2460 Phone: (02) Web: grafton-h.school@det.nsw.edu.au Hornsby Girls High School (fully selective) [Years 8 to 12] Edgeworth David Avenue, Hornsby 2077 Phone: (02) Web: hornsbygir-h.school@det.nsw.edu.au Hurlstone Agricultural High School (boarding and day students, co-educational) [Years 8 to 12] Roy Watts Road, Glenfield 2167 Phone: (02) Web: hurlstone-h.school@det.nsw.edu.au James Ruse Agricultural High School (day students only, co-educational, agriculture is a compulsory subject up to Year 10) [Years 8 to 12] Felton Road, Carlingford 2118 Phone: (02) Web: jamesruse-h.school@det.nsw.edu.au Karabar High School Donald Road, Queanbeyan 2620 Phone: (02) Web: karabar-h.school@det.nsw.edu.au 6 Application for Years 8 to 12 for Selective High Schools in 2013

9 SELECTIVE HIGH SCHOOLS Kooringal High School Ziegler Avenue, Wagga Wagga 2650 Phone: (02) Web: Macquarie Fields High School (co-educational, partially selective) [Years 8 to 12] Harold Street, Macquarie Fields 2564 Phone: (02) Web: macfields-h.school@det.nsw.edu.au Merewether High School Chatham Street, Broadmeadow 2292 Phone: (02) Web: merewether-h.school@det.nsw.edu.au Moorebank High School Bangalow Avenue, Moorebank 2170 Phone: (02) Web: moorebank-h.school@det.nsw.edu.au Normanhurst Boys High School (fully selective) [Years 8 to 12] Pennant Hills Road, Normanhurst 2076 Phone: (02) Web: normanhurb-h.school@det.nsw.edu.au North Sydney Boys High School (fully selective) [Years 8 to 12] Falcon Street, Crows Nest 2065 Phone: (02) Web: office@nsbhs.nsw.edu.au North Sydney Girls High School (fully selective) [Years 8 to 12] 365 Pacific Highway, Crows Nest 2065 Phone: (02) Web: northsydgi-h.school@det.nsw.edu.au Northern Beaches Secondary College Manly Campus 138 Abbott Rd, North Curl Curl 2099 Phone: (02) Web: nbscmanlys-h.school@det.nsw.edu.au Parramatta High School Great Western Hwy & Pitt St, Parramatta 2150 Phone: (02) Web: parramatta-h.school@det.nsw.edu.au Peel Hill High School (co-educational, partially selective) [Year 8 and 9] 88 Gunnedah Rd, Tammworth 2340 Phone: (02) Web: peel-h.school@det.nsw.edu.au Penrith High School High Street, Penrith 2750 Phone: (02) Web: penrith-h.school@det.nsw.edu.au Prairiewood High School Prairievale Road, Wetherill Park 2164 Phone: (02) Web: info@prairiewoodhigh.com.au Rose Bay Secondary College (co-educational, partially selective) [Years 8 to 12] Hardy Street, Dover Heights 2030 Phone: (02) Web: rosebay-h.school@det.nsw.edu.au Ryde Secondary College (co-educational, partially selective) [Years 8 to 12] 5 Malvina Street, Ryde 2112 Phone: (02) Web: rydesc-h.school@det.nsw.edu.au Sefton High School (co-educational, partially selective) [Years 8 to 12] Hector Street, Sefton 2162 Phone: (02) Web: sefton-h.school@det.nsw.edu.au Smiths Hill High School Gipps Street, Wollongong 2500 Phone: (02) Web: smithshill-h.school@det.nsw.edu.au St George Girls High School (fully selective) [Years 8 to 12] Victoria Street, Kogarah 2217 Phone: (02) Web: Sydney Boys High School (fully selective) [Years 8 to 12] Moore Park, Surry Hills 2011 Phone: (02) Web: sydneyboys-h.school@det.nsw.edu.au Sydney Girls High School (fully selective) [Years 8 to 12] Anzac Parade, Surry Hills 2011 Phone: (02) Web: sydneygirl-h.school@det.nsw.edu.au Sydney Secondary College Balmain Campus Terry Street, Rozelle 2039 Phone: (02) Web: balmain-h.school@det.nsw.edu.au Application for Years 8 to 12 for Selective High Schools in

10 SELECTIVE HIGH SCHOOLS Sydney Secondary College Blackwattle Bay Campus (co-educational, partially selective) [Years 11 to 12] Taylor St, Glebe 2037 Phone: (02) Web: Sydney Secondary College Leichhardt Campus 210 Balmain Road, Leichhardt 2040 Phone: (02) Web: Sydney Technical High School (boys only, fully selective) [Years 8 to 12] Forest Road, Bexley 2207 Phone: (02) Web: sydneytech-h.school@det.nsw.edu.au Tempe High School (co-educational, partially selective) [Years 8 to 11] Unwins Bridge Road, Tempe 2044 Phone: (02) Web: tempe-h.school@det.nsw.edu.au Xsel Virtual selective class provision (co-educational, partially selective) [Years 8 and 9] Schools in Western NSW Region Phone: (02) Web: xsel@det.nsw.edu.au Yanco Agricultural High School (co-educational, boarding students only) [Years 8 to 12] 259 Euroley Road, Yanco 2703 Phone: (02) Web: yancoag-h.school@det.nsw.edu.au Note: Partially selective high schools have community-based enrolment as well as selective classes. * [Years 8 to 12] indicates Years offered in each school. Note that vacancies may not occur in all Years in all schools. Alexandria Park, Rose Bay and Tempe have targeted places available for Aboriginals and Torres Strait Islander students. Sydney Secondary College Leichhardt and Balmain campuses offer places in Years 8 to 10. Students from these campuses will generally proceed to Sydney Secondary College Blackwattle Bay Campus for Years 11 and 12. Only students from Western NSW Region may apply for Xsel, the virtual selective class provision. 8 Application for Years 8 to 12 for Selective High Schools in 2013

11 OFFICE USE ONLY Educational Measurement and School Accountability Directorate YEAR APPLIED FOR: Please return this form to the principal of the selective high school you are applying for. Please read the privacy notice on page 4 before completing this application. A separate application form must be provided to each school you choose (up to a maximum of 4). Please confirm with each school the specific requirement for assessment before completing this application. CLOSING DATE: 31 July 2012 Selective High School and Opportunity Class Placement Unit Years 8 to 12 entry to selective high schools in 2013 Application form STUDENT DETAILS (To be completed by a parent) Student s family name Student s given names Date of birth / / Gender Male Female d d m m y y y y Student s current school Student s current academic year eg. Yr 7 Parent 1 name Parent 2 name Postal Address GIVEN NAME GIVEN NAME FAMILY NAME FAMILY NAME Suburb/Town State Postcode Telephone (H) (W) (M) Other contact number or address RESIDENCY AUSTRALIAN RESIDENCY Is the student a citizen of Australia or New Zealand? Yes No If Yes go straight to NSW Residency below. Is the student the holder of a visa granting permanent residency in Australia? Yes No If Yes, when was permanent residency granted? Date / / If No, please state whether you have applied for permanent residency. Yes No NEW SOUTH WALES RESIDENCY If the student and family do not currently live in NSW, will they be living in NSW in 2013? Yes No

12 BACKGROUND Is the student of Aboriginal or Torres Strait Islander background? Yes No Is a language other than English mainly spoken at home? Yes No If Yes please complete the questions below. If No go on to the section headed Disability, medical condition or behavioural disorder below. Which language does the family speak most at home? Please indicate any other language(s) spoken at home For how many years has the student been doing most school work in English? DISABILITY, MEDICAL CONDITION OR BEHAVIOURAL DISORDER Does the student have a disability, medical condition or behavioural disorder which may affect his or her school performance? Yes No If Yes, what is the nature of the disability? Please indicate any special arrangements (e.g. wheelchair access) the student may require at school. FAMILY PLACEMENT CLAIM This section is to be completed only if a MEMBER OF THE STUDENT S IMMEDIATE FAMILY (parent, guardian, brother or sister) currently attends or previously attended the school you are applying for. If no immediate family member has attended the school, please go on to School Details below. Name Relationship to student Years attended SCHOOL USE ONLY VERIFIED CORRECT Yes No Verifying officer Date SCHOOL DETAILS What academic year are you applying for? SCHOOL CHOICES Example 1 Please list, in order of priority, all selective high schools you are applying for. You must complete an application form for each of your school choices and you must include this information in the same order on each form. Selective high school name FORT STREET HIGH SCHOOL 2

13 SCHOOL PERFORMANCE It is essential that you check with each school you are applying for to find out the type of evidence they require. Have you attached copies of the student s reports for the current year and/or for the previous year? Yes No Have you asked each school you are applying for if there are any other assessment requirements or evidence required? Yes No If required by the school to which you are applying, have you attached additional copies of evidence about the student s excellence in academic and co-curricular activities, e.g. academic performance, sport, music, art? Yes No Please note: You may be required to produce original documents at a later date. SCHOOL SUBJECTS What subjects is the student studying in 2012? What subjects would you like the student to study in 2013? AGRICULTURAL HIGH SCHOOL APPLICANTS ONLY This section is to be completed only if you are applying for entry to an AGRICULTURAL high school on this application form. If not, please go on to Parent s Declaration on page 4. Why do you wish the student to attend an agricultural high school? Is the student studying agriculture at the present school? Yes If Yes, for how many years has agriculture been studied? No years Please tick to indicate the type of placement you are seeking. Day (not available at Yanco) Boarder (not available at James Ruse) 3

14 BOARDER APPLICANTS FOR AGRICULTURAL HIGH SCHOOLS ONLY Complete this section if you wish to apply for boarder placement at a residential agricultural high school on the grounds of isolation, otherwise please proceed to the Parent s Declaration. Is the student eligible for the Assistance for Isolated Children Scheme through Centrelink? Yes No Nearest government high school* which the student can currently attend as a day student. *Note: Not the school you are applying for. Nearest government high school, not an agricultural high school, where agriculture is available from Year 8. Name of nearest government high school Distance from the student s home to this school using available transport service. (If there is no transport service show distance by road.) km not applicable Time taken for a one-way journey to this school, excluding waiting time. (If morning and afternoon times are different, state the average.) hrs mins hrs mins Distance from the student s home to the nearest transport to this school. km not applicable Where does the student usually live? (a) in or near town (b) out of town If you answered (b) out of town, and you know the latitude and longitude of your residence, you may provide that information below if you wish. Latitude Longitude Are there special circumstances where the student might be considered isolated? Yes No If yes, please provide details. Please comment on the student s ability to cope in a boarder situation, both socially and emotionally. PARENT S DECLARATION: TO BE COMPLETED BY ALL APPLICANTS I declare that, to the best of my knowledge, the information I have provided in this application form is accurate. I understand that all successful applicants will be required to show original documentation, such as birth certificates and relevant visas, as proof of residency before enrolment can be finalised by the school. I understand that placement is subject to the Department of Education and Communities enrolment policies and procedures. I understand that offers or enrolments may be terminated if placement is made on the basis of false or misleading information. PARENT S SIGNATURE DATE 4 PRIVACY NOTICE The NSW Department of Education and Communities of 35 Bridge St Sydney NSW is subject to the Education Act 1990, and NSW Privacy and Personal Information Protection Act The information contained on this form is required to assess and process the student s application for enrolment in a selective high school. In addition the Department will collect and obtain other personal information (including future information) to assist in assessing and processing the application, including but not limited to results and information about the student s performance in the assessments. This information will be stored securely for at least 3 years. You may contact the School to access or correct information held if necessary. This information, or part thereof, may be used and disclosed by the NSW Department of Education and Communities for the following purposes: Assessing and processing the application for enrolment in a selective high school, determining placement and review of such placement; Communication to Departmental staff, including NSW government school principals, volunteers and persons who may be involved in any way in the placement process. General student administration, including notifying the student s current government school of the outcome of the application as well as notifying any other person authorised by the parent; For any other matters relating to the education and welfare of the student, for the purposes of data collection and for any other purpose required by law.