Waitaki Boys High School

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1 Parent & Student Information Application for Enrolment INTERNATIONAL DH 0710 Waitaki Boys High School Student s Name: English Name: (If Different) Home Address: (Family Name) (Given Names) (Nick Name or Common Name) Contact Phone: Address: [Home]: [Mobile]: Date of Birth: / / Country of Citizenship: Passport Number: First Language: Approximate date you intend to start schooling in NZ / WBHS: Do you have an Education Consultant at home or in New Zealand? Yes / No Name of consultancy: Parent / Guardian: Address / Phone Number (If different from student details above) Name Address Father / Caregiver Mother / Caregiver Phone Is there someone in New Zealand we may contact in an emergency? Yes / No Name and contact phone number: Waitaki Boys High School Private Bag Waitaki Avenue - Oamaru - New Zealand Office : + 64 (0) Fax : + 64 (0) suer@waitakibhs.school.nz

2 Student Information Waitaki Boys High School School & Performance: Current School: Year Level: Previous Schools: Has the student, at any time, been refused entry to a New Zealand Secondary School? Yes / No If yes, please offer some details: Subjects being studied this year (indicate which subjects are taught in English): Aims for tertiary qualifications when you leave Waitaki Boys High School (i.e. University Degree, Polytechnic etc.): Aims for career i.e. doctor, dentist etc.: Number of years studying English: Location(s): Evidence of English Study: (Attach any certificates or evidence of English language performance e.g. Public English tests attempted or completed or school examinations taken within the previous two years) Written introduction: A one page introduction of yourself, hand written or typed (In English) about you and why you would like to study in New Zealand. Attach the letter to this application or scan to . *Your English does not need to be great we simply need an accurate sample of your skill level. Would you like us to arrange Medical Insurance for your stay in New Zealand? Yes / No Would you like to participate in our Wilderness Experience Programme? Yes / No Would you like to transfer additional funds to your account through your initial invoice? Please state the additional amount to add to invoice: $ NZD Yes / No Agreement (To be signed by Parent / Guardian of a student under the age of 20 years) I understand that by signing this form, I am (or in respect of a child under 20 years old, that the above child is) agreeing to be bound by the policies, codes, regulations and bylaws where relevant and applicable, of the Ministry of Education regarding education in New Zealand for international students. I accept the right of the school to effect changes in course or care, in consultation with the parents or caregivers or agents, if this is seen to be in the best interests of the student regarding his pastoral care and academic achievement. I have read and understood the Waitaki Boys High School Refunds Policy for International Students, on the school website. Declaration: I undertake to ensure that the rules and conditions as laid down by the Board of Trustees are observed. I confirm that the information given in this application is true and correct to the best of my knowledge. Signature of Parent/Guardian: Date: / /

3 INFORMATION DISCLOSURE FORM FOR WBHS DON HOUSE APPLICATIONS Before accepting responsibility for the welfare of your son, it is essential that we have all relevant information on him. This information will be treated in the highest confidence. Name of Applicant Yes No [ ] [ ] Has he ever been stood down from school? [ ] [ ] Has he ever been suspended from school? [ ] [ ] Has he ever left school to avoid being suspended? [ ] [ ] Has he ever been charged with any offence by the Police? Has he ever been in trouble with school or Police for: Yes No [ ] [ ] drinking? [ ] [ ] drugs? [ ] [ ] truancy or running away from home? [ ] [ ] theft? [ ] [ ] sexual behaviour? Please give further information Yes No [ ] [ ] Does he take any prescription medication; currently or over the past two years? [ ] [ ] Has he regularly seen a counsellor or psychologist? [ ] [ ] Have there been any Mental Health issues in his life? [ ] [ ] Has he ever attempted self-harm? [ ] [ ] Has he ever suffered from depression? Please give further information If you answer No to any of these categories and we find, after enrolling your son, that the answer should have been Yes, the enrolment will automatically be nullified. If you answer Yes, that does not mean that his chances of enrolment are automatically jeopardized. It means that we know what your son s needs are and will be better prepared to meet them. This form has been completed honestly, and I/we accept that our son will lose his enrolment if revealed otherwise. Signed Date: / / (Caregiver) Signed Date: / / (Student)

4 INTERNATIONAL STUDENT FEES Tuition Fees This is an annual charge which includes: Annual Government Levy; English Language classes $11, Tick to indicate payment (GST on Course Fee) $ Accommodation Don House Boarding: School term time only and Homestay accommodation will be arranged during public holiday weekends and April, July and September holidays. (Non-refundable) Homestay Boarding: Available to students in their 2 nd year of study onwards. This includes public holiday weekends and April, July and September school holidays. Homestay Administration Fee (This applies only to students that wish to live in homestay) $12,020 Boarding $2050 Term breaks and public holiday weekends $14,070 $1000 Insurance Medical Insurance is compulsory. All students are required to take insurance with Unicare. This can be arranged through the school. This is subject to change by provider. Payment Procedures / Notes for International Students Boarding fees are to be paid in advance, as required for a student permit by Immigration New Zealand. Once an incidental account is set up at the WBHS school office, you may add to that account at anytime. The refundable bond is paid back to you after all invoices and accounts have been settled at your final leave of the school. This usually occurs at the end of the year (December to January) You may also choose to set up a local bank account in Oamaru to allow your son access to money that you can manage from home. Please note this is optional. (WBHS uses the National Bank) Homestay fees are collected by WBHS but only held as payment for the host families. WBHS does not make a profit on these funds. $580 Administration Administration Fee $500 Bond Refundable Bond $1000 Uniform $1000 All students are required to wear regulation school uniform. This is an approximate cost for the complete school uniform. Any balance will be refunded to student s school account. TOTAL for payment This amount will be invoiced

5 Annual Fees and Expenses 2016 (Fees and expenses are subject to change) All Students Annual School Donation $200 Waitakian Year Book $25 School Uniform (Day Student) $500 approx Incidental school expenses: These will vary greatly according to a student s choice of courses and activities. Exam fees Year 11 NCEA Level 1 Year 12 NCEA Level 2 $76.70 Year 13 NCEA Level 3 Scholarship Subject entry over 3 subjects $75 per subject Course Fees Academic courses $20 - $30 per course Technical courses (depending on the project chosen) $150 - $250 per course Year 9 Technology (Compulsory) $70 Stationery Year 9 $130 Year 10(Graphics students add $60) $80 Year 11,12 & 13(Course dependent) $60 Sports Basketball $55 - $60 (jnr/snr) Cricket $40 - $105 (jun/snr) Golf $10 Hockey (includes turf fees) $150 - $300 (jnr/1 st XI) Rugby $150 Soccer $75- $100 (jnr/snr) Softball $30 -$45 (jnr/snr) Trapshooting $360 School trips Year 9 Sci / Eng / Future Studies $20 Year 10 Science $20 Year 12 Biology $80 Year 11 Geography $50 Year 12 Geography $75 Year 13 Geography $180 Year 11 Agriculture $20 Year 12 Agriculture $20 Year 13 Agriculture $20 Year 11 / 12 Horticulture $25 Year 13 Biology $140 Year 13 Chemistry $50 Year 13 History $35

6 Interschool Fixtures (Away) Timaru Boys Summer $30 Otago Boys - Summer $35-$55 King s High junior Winter $35 Otago Boys Winter $35-$55 Southland Boys Winter $85 School Formal Year 12 & 13 Single Ticket $65 Suit hire etc. (optional) $120 Camps Year 10 $80 - $250

7 PRICE LIST Prices subject to change without notification We are located on the right as you come into the school, on the ground floor in the social center. Phone ext 838 (During shop hours) Our Uniform Shop is the only OFFICIAL supplier of the W.B.H.S. Regulation Uniform. The Community Association runs the Uniform Shop and All its profits are donated back to the school. Grey Jersey x1 MINIMUM CLOTHING LIST FOR ALL BOARDERS Sizes $90.00 Sizes $ Grey Vest OPTIONAL SCHOOL UNIFORM ITEM OPTIONAL IF REPRESENTING ANY W.B.H.S. TEAM Sizes $75.00 Sizes $85.00 Blue Shirt X3 All sizes $39.00 White Shirt X2 COMPULSORY IF REPRESENTING ANY W.B.H.S. TEAM Grey Shorts X2 Grey Pants COMPULSORY IF REPRESENTING ANY W.B.H.S. TEAM Ties (School & Award) COMPULSORY IF REPRESENTING ANY W.B.H.S. TEAM P.E. House Coloured T-Shirts All sizes $39.00 All sizes $46.00 All sizes $57.00 $26.00 All sizes $35.00 P.E. House Coloured Singlet All sizes $30.00 P.E. / Rugby Shorts All sizes $36.00 Trackpants (CCC) All sizes $77.00 W.B.H.S. Hoodie All sizes $60.00 Includes last name printed on the back W.B.H.S. Beanies One size fits all $15.00 W.B.H.S. Caps One size fits all $20.00

8 Socks X3 Regulation, Award, Prefect All sizes $13.00

9 Jackets - Jac Pac All sizes $47.00 COMPULSORY IF REPRESENTING ANY W.B.H.S. TEAM IF THEY ARE NOT WEARING THE BLAZER OPTION Jackets Supporters 3 n1 All sizes $ W.B.H.S. Umbrellas $25.00 W.B.H.S. Scarf $30.00 W.B.H.S. Drink Bottles $9.00 House Badges $8.00 Laundry Bags - White tag $20.00 Laundry Bags - Yellow tag $20.00 Laundry Pen $5.50 Second-hand Items Prices as marked School Blazers % Wool & Fully lined All sizes All sizes $ $ Hire per game / event COMPULSORY IF REPRESENTING ANY W.B.H.S. 1 ST TEAM OPTIONAL FOR ALL OTHER TEAMS Red Award Pocket Including Dressmaker $25.00 Black Award Braiding Including Dressmaker $38.00 Silver W.B.H.S. Award Buttons Including Dressmaker $15.50 Flashes Including Dressmaker $17.50 Second and subsequent flashes If ordered at the same time $5.50 each Blazer sleeves let down/taken up $12.00 Cricket 1 st Black Playing Pants Cricket 1 st Playing Top Cricket Teams W.B.H.S. Cap OPTIONAL FOR ALL CRICKET TEAMS Cricket 1 st Cap COMPULSORY IF PLAYING FOR THE 1 ST CRICKET TEAM All sizes All sizes $45.00 $95.00 $20.00 $50.00 Cricket Vest All Sizes $70.00 Including last name printed on the back COMPULSORY IF PLAYING FOR THE 1 ST CRICKET TEAM OPTIONAL FOR ALL OTHER TEAMS Cricket or Softball Dome Sticker $8.00 Bat or Helmet W.B.H.S. Stickers $5.00 Sports Bag $40.00 Including last name printed on it

10 BOARDER S HEALTH REPORT Name:... (Surname) (Christian Names) Date of and Year of Birth:... Parents/Guardians Name:... Telephone No:... Parents/Guardians Address: Family Doctor s Name:... Family Doctor s Address:... 1 Which of the following complaints has he had? (Underline) Chicken Pox, German Measles, Measles, Mumps, Poliomyelitis, Scarlet Fever, Whooping cough. 2 Does he suffer from tonsil or ear trouble? If so, how frequently and how severely?... Are his eyesight and hearing normal? 3 Has he had any of the following? If so, please indicate whether he is still on treatment. Rheumatic Fever, Kidney Trouble Epilepsy, Fits, Migraine... Chest Trouble, Asthma... Bladder trouble, Bedwetting... 4 Is there any medicine which he cannot be given Does he suffer hay fever, or any allergy? 6 Is he able to take part in normal school games? 7 Against which of the following has he been immunised? (underline) Diphtheria, Poliomyelitis, Tuberculosis You are requested, if possible, to have him immunised against tetanus. If this cannot be done at home, do you consent to his having the immunizing injection at School?... 8 If he has been immunised, when did he have his last injection? Year Only... 9 Are there any illnesses which run in the family? 10 Is there any reason why the Don House Manager should not consent to the administration of an anesthetic to your son for a surgical operation? 11 Any further information concerning his health which should be recorded Do you want us to register your son with a local Dentist Y/N If so any preference I give permission for my child to receive non- prescription medicines such as Panadol, when necessary, from a staff member who holds a current First Aid Certificate. Y/N 14. If my son is in a serious accident, I give permission for the school to either take my child to a Medical Centre or call an ambulance. Y/N Parent/Guardian Signature:... Date:...

11 Waitaki Boys High School Crest How precious is wisdom Don House Hostel Crest With Diligence and Work

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