187 Dandenong Road Windsor Vic 3181 Enrolment enquiries: enrolments@pcw.vic.edu.au www.pcw.vic.edu.au Ph: +61 3 8517 2704 Fax: +61 3 9525 2367 Please return your completed form with $150 application fee and all requested documentation to the College Registrar. Parents/Guardians are advised to visit the Enrolments page of the College website prior to lodging an application. Details of the College Enrolment Policy, Priority Parishes and key dates for Year 7 applications can be found there. Principals of Catholic Secondary Colleges in the region will exchange lists of applicants for Year 7 in the year prior to enrolment. Are you applying to other Catholic secondary schools? Yes No Are you applying to Government secondary schools? Yes No If YES, please list the schools, including Presentation College Windsor, in order of preference: 1st Preference: 3rd Preference: STUDENT DETAILS Entry year(e.g. 2018): Year Level at commencement(e.g. 07): First (Given) name/s: Date of Birth: HOME ADDRESS OF STUDENT Address: Suburb: STUDENT RESIDES WITH: Both parents Guardian Mother Father 2nd Preference: 4th Preference: CURRENT SCHOOL Name of current school: Year Level at current school: I/We give permission for PCW to contact current school: Yes No PAST OR CURRENT FAMILY MEMBERS WHO ATTENDED THE COLLEGE: Name: Relationship: Year: House: Name: Relationship: Year: House: Office use only Date recieved: Application fee paid: Learning Needs: Student Number: House: English second language:
MOTHER OR GUARDIAN DETAILS FATHER OR GUARDIAN DETAILS Title: Title: First (Given) names: First (Given) names: Residential Address: Residential Address: Home Phone: Home Phone: Mobile Phone: Mobile Phone: Email: Email: Country of Birth: Country of Birth: Language/s spoken at home: Occupation: Employer: Work Phone: Relationship to student: (if guardian) Language/s spoken at home: Occupation: Employer: Work Phone: Relationship to student: (if guardian) CORRESPONDENCE Receive: General Mail Reports Financial Statements NATIONALITY In which country was the student born: Australia Other please specify: CORRESPONDENCE Receive: General Mail Reports Financial Statements Not currently an Australian Citizen please provide further details as appropriate: Permanent Resident Temporary Resident Visa Subclass Number: (Please attach copy of Birth Certificate) Australian Citizen not born in Australia No Yes Is the student of Aboriginal or Torres Straight Islander origin? No Yes Does the student speak a language other than English at home? No Yes please specify (Please attach copy of passport or proof of citizenship)
EDUCATIONAL AND HEALTH INFORMATION Please indicate if the student has any special needs and give details below, including information about support provided at the current school. If this enrolment is successful it is essential that the College be informed and made aware of any changes to these needs. SACRAMENTS RECIEVED TO DATE Baptism Reconciliation Communion Does the student require any additional assistance with her learning? No Yes (If YES please provide details) Confirmation Current Parish: Does the student currently receive Government or Student With Disability (SWD) Funding? No Yes (If YES please provide details) Please indicate if the student has any of the following: Autism Behavioural Issues Hearing Impairment Language Disorder Psychological Issues ADD/ADHD Vision Impairment Special Needs Disability Other (please specify) (If YES, please provide supporting documentation) Has the student been assessed by a speech therapist, occupational therapist, psychologist or other health professional? No Yes (If YES please provide report) Does the student require any additional care due to health issues? No Yes (If YES please provide reports) Custodial Arrangements/Court Orders: Are there any current custodial arrangements/court orders relating to the student? No Yes (If YES, copies of these, e.g. Parenting Order, Parenting Plan, IVO or other relevant court order must be provided) CHECKLIST Please provide copies of the following documents together with this Application for Enrolment and the non refundable application fee of $150 or Health Care Card. Birth Certificate Baptism Certificate (if applicable) Passport / Australian Residency / Visa Details (if born overseas) Both parents/guardians have signed the? (or provide supporting documentation) HOW DID YOU HEAR ABOUT US? Reputation Alumnae Relation Friends Other (please specify) Primary School Advertising Local resident Word of mouth
PARENTAL COMMITMENT 1. In enrolling my child at Presentation College Windsor I / we understand that in accepting a place for my daughter, I am prepared to support her education, the College and its ethos. 2. I/ We understand that it is my role as parent / guardian to advise the College of any Court Order (s) that may exist in regard to my daughter and to provide a copy of the Court Order (s) for her College file. 3. I / We accept that support of school staff and cooperation concerning school activities is essential. 4. I / We accept that we will abide by College policies as amended from time to time. 5. I / we accept that participation in camps is compulsory. 6. I / We accept that the College reserves the right to suspend or expel a student for serious or continued breaches of school rules, regulations and/or policies, including conduct which brings into disrepute the good name and reputation of the College 7. I / We accept the standards the College sets regarding grooming, uniform and personal presentation. 8. I / We understand that in accepting a place for my daughter, I am prepared to meet the financial responsibilities for her ongoing enrolment. 9. I / We accept that I / we are jointly and severally liable for the payment of tuition fees and other costs associated with the education of my / our child as determined and amended from time to time by the College (except where exemptions/ remissions have been sought and granted). 10. I / We accept that the College does not accept liability for damage or loss of any personal possessions of students and that insurance of students personal possessions is my responsibility. All parents/guardians must sign and date below unless one parent is sole custodian: Mother/Guardian: Father/Guardian: PAYMENT OF FEES Who will be responsible for the payment of the school fees? (Please tick one box only) Both Parents Mother Only Father only Guardian Other: PAYMENT DETAILS Payment can be made by cheque (payable to Presentation College Windsor) or credit card. This application form will only be accepted if accompanied by payment of the $150 (non-refundable) application fee. Please debit my Mastercard Visa Card number: Name on Card: Expiry / Signature:
PRIVACY AND RELEASE OF INFORMATION Presentation College Windsor is bound by the National Policy Principles contained in the Commonwealth Privacy Act. Please refer to our website for the Privacy Policy of Presentation College Windsor at www.pcw.vic.edu.au 1. Presentation College Windsor respects the privacy of personal and sensitive information regarding your family. The College collects personal information, including sensitive information about the student and parent(s) or guardian(s) before and during the course of a student s enrolment at the College. The primary purpose of collecting this information is to enable Presentation College to provide schooling for your child. 2. In situations where parents are separated, it is the policy of Presentation College Windsor to release school reports to mother and father of the student upon request. It is also our policy to allow both mother and father to attend parent/teacher interviews upon request. However, Presentation College Windsor will abide by any court orders which prevent the release of such information. 3. Some of the information Presentation College Windsor collects is to satisfy the College s legal obligations, particularly to enable the College to discharge its duty of care. 4. Health information about students is sensitive information within the terms of the National Privacy Principles under the Privacy Act. We may ask you to provide medical information or medical reports about your child from time to time. 5. Presentation College Windsor from time to time discloses personal and sensitive information to others for administrative and education purposes. This includes to other Catholic schools, government departments, Victorian Commission for Catholic Schools, Catholic Education Offices, medical practitioners and people providing services to the College including specialist visiting Consultants and Advisers from the Catholic Education Offices. 6. Presentation College Windsor from time to time is required to disclose personal and sensitive information in order to comply with the law or to report matters to the relevant persons or authorities. 7. Personal information collected from students is regularly disclosed to their parents or guardians. On occasions information such as academic and sporting achievements, student activities and other news is published in the College newsletter, magazine and our website. 8. Parents or guardians may seek access to personal information collected about them and their child by contacting the College. However, there may be occasions when access is denied. Such occasions would include where access would have an unreasonable impact on the privacy of others, where access may result in a breach of the College s duty of care to the student, or where students have provided information in confidence. 9. If you provide Presentation College Windsor with the personal information of others, such as doctors or emergency contacts, we encourage you to inform them that you are disclosing that information to the College and why, so that they can access that information if they wish and that the College does not usually disclose the information to third parties. I/We acknowledge and accept all of the above terms and conditions. I/We declare that all of the information provided in this application is, to the best of my knowledge, true and correct. (All parents/guardians must sign and date below unless one parent is sole custodian) Mother/Guardian: Father/Guardian: