Preschool Enrolment
Download the enrolment form (PDF): Preschool – Enrolment Form
Covenant Christian School Early Learning Centre
Application for Enrolment
STUDENT’S DETAILS
Surname | ||||||||
Christian names | Preferred name (if other than first) | |||||||
Address | Street and No. | |||||||
Suburb/Town | State | Postcode | ||||||
Gender | Please circle one | Male Female | Student Mobile Phone (if applicable) | |||||
Date and place of birth | Date | Town Country | ||||||
Birth Certificate | A copy of the student’s Birth Certificate is submitted with this application. | |||||||
Australian citizen | Please circle one | Yes No | Resident Status (if not born in Australia) | |||||
Visa information (if not an Australian citizen) | A copy of the student’s passport is submitted with this application. | If student visa, visa type code: | ||||||
Current preschool(if applicable) | Name | Suburb/Town | State | |||||
Director’s name and phone no. | Name | Phone no. | ( ) | |||||
Proposed year of entry | 20 …. …. | Proposed start date (If not beginning of new school year) …………………………… | ||||||
Sessions to be enrolled | A. Week 1 Mon/Tues/Wed Week 2 Mon/Tues | B. Week 1 Thur/Fri Week 2 Wed/Thur/Fri | A & B A or B | |||||
Previous enrolment history | Has this child ever been refused enrolment at another preschool? If yes, provide details. | Yes No | ||||||
Has this child ever been suspended or expelled from another preschool, or has he/she been requested to be voluntarily withdrawn from a preschool? If yes, provide details. | Yes No | |||||||
Student’s health | (Refer to allergies, major illnesses, operations, medications, etc.) | |||||||
Doctor | Name | Phone no. | ||||||
Language(s) spoken by student at home | Main | Second | ||||||
Student lives with: | Mother Father Other (please specify) ________________ | |||||||
Aboriginal or Torres Strait Islander | No Yes, Aboriginal Yes, Torres Strait Islander |
STUDENT’S DETAILS
Does the student have a disability, or disorder such as ADD, ADHD, autism, etc? | Yes | No | Description | |
Does the student take any medication that affects behaviour? (eg. Ritalin) | Yes | No | Description | |
Does the student have a learning difficulty? | Yes | No | Description | |
Has the student undergone any testing or assessment in relation to any of the above? | Yes | No | (Please provide a copy of all reports you have received in relation to tests / assessments carried out on this student.) | |
A Family Law Court Order exists in relation to this student | Yes No |
CHILDCARE BENEFIT (CCB) / CHILDCARE REBATE (CCR)
Centrelink Reference Numbers for the student and at least one parent must be submitted for Benefit/Rebate to be claimed
Student CRN ____________________ First name |
Mother / Carer _______________________ __________________ ____/____/____ Father / Carer _______________________ __________________ ____/____/____ Name CRN Date of Birth |
SIBLING DETAILS (Please list all siblings in order of age)
Name | Date of Birth | M/F | Enrolled at Covenant Christian School |
Yes No Pending | |||
Yes No Pending | |||
Yes No Pending |
FUTURE ENROLMENT AT COVENANT CHRISTIAN SCHOOL
I/We intend to seek ongoing enrolment at Covenant Christian School (ie. commencing Kindergarten the year after preschool) | Yes No |
Please note that ongoing enrolment will be granted wherever possible in accordance with the Covenant Christian School enrolment policy. Preschool applications will take precedence should Kindergarten places be oversubscribed. Where enrolment is sought and cannot be confirmed, parents will be advised as soon as possible. |
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Further comment regarding future enrolment (optional): ……………………………………………………………………………………………………………………………………………………………………… |
EMERGENCY CONTACT (In cases where neither parent/guardian can be contacted)
Full name | Relationship to student | ||
Phone | (Home) | (Work) | (Mobile) |
PERMISSIONS
Medical Treatment | I authorise the preschool to seek necessary medical attention for my child and agree to pay all costs. | Yes | No | |
Pain Relief | I give permission for my child to receive Paracetamol (eg. Panadol, Panamex) for pain relief if required. | Yes | No | |
Local Excursions | I give permission for my child to attend preschool outings within the general locality (ie 10km radius). | Yes | No | |
Photographs | I give permission for photos of my child to be used for preschool and school associated publications, including on the internet (without names). | Yes | No | |
Permissions Consent |
Father / Guardian Signed: Name: ………………………………………………. Date: ………. / ……… / ………. |
Mother / Guardian Signed: Name: ……………………………………………… Date: ………. / ……… / ………. |
PARENT’S DETAILS
Father/Guardian | Mother/Guardian | ||||||||
Surname | |||||||||
Christian names | |||||||||
Title (Mr, Mrs, Rev, Dr, etc) | |||||||||
Residential address
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Street and No. | Street and No. | |||||||
Suburb/Town | Suburb/Town | ||||||||
State | Postcode | State | Postcode | ||||||
Postal address (If same write ‘as above’) |
Street and No. / PO Box | Street and No. / PO Box | |||||||
Suburb/Town | Suburb/Town | ||||||||
State | Postcode | State | Postcode | ||||||
Phone (home) | |||||||||
(work) | |||||||||
(mobile) | |||||||||
Occupation including level / position | |||||||||
Employer | |||||||||
Marital Status (please circle current) | Married Separated Divorced De facto Single | Married Separated Divorced De facto Single | |||||||
Country of birth | |||||||||
Nationality | |||||||||
(These questions mandated by the Australian Government) | Does the parent speak a language other than English at home? (If more than one language, indicate the one that is spoken most often). | No, English only | No, English only | ||||||
Yes, Other (Please specify) ___________________ | Yes, Other (Please specify) ___________________ | ||||||||
What is the highest year of school the parent has completed? (Tick one only). |
Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or below |
Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or below |
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What is the highest qualification the parent has completed? (Tick one only) |
Bachelor degree or above Advanced Diploma / Diploma Certificate I to IV (including trades) No non-school qualification |
Bachelor degree or above Advanced Diploma / Diploma Certificate I to IV (including trades) No non-school qualification |
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Are you the natural parent of the child? | Yes No | Yes No | |||||||
If ‘No’, state your relationship to child | |||||||||
Person(s) responsible for paying tuition fees | Name | Do you have unpaid tuition fees at any previous school? | Yes No | ||||||
Address where account is to be sent | Street and No. / PO Box | Suburb/Town | Postcode |
CHURCH AFFILIATION *
Father/Guardian | Mother/Guardian | |||
I do not attend a church regularly | I do not attend a church regularly | |||
I regularly attend a local church | I regularly attend a local church | q | ||
Denomination | ||||
Congregation | ||||
Pastor / Minister | ||||
Involvement | ||||
*..Church affiliation is not required for Preschool enrolment. Preschool students will be given preference for enrolment into Kindergarten at Covenant Christian School in accord with the CCS Enrolment Policy.
REASON FOR APPLICATION (A short explanation of why you are making application to attend this particular Christian preschool.)
HOW DID YOU FIRST HEAR ABOUT THIS PRESCHOOL? (Please circle one)
Church Friend Internet/website Advertising leaflet Newspaper Referral from another school Other: _____________________________________________ |
REFEREE
You may wish to use a family (non-relative) currently involved with Covenant Christian School. If you have Church affiliation, please provide details for your Pastor, Elder or other church leader (non-relative).
Surname | Christian name | ||
Address | Street and No. | ||
Suburb/Town | State | Postcode | |
Occupation | Office held if any) | ||
Home phone | Work phone | ||
Consent to being a referee |
I hereby consent to act as a referee for the family that is the subject of this Application for Enrolment form when contacted by a representative of the preschool. Signed: ……………………………………… Date: …………………… |
CONDITIONS OF ENROLMENT
1. That my/our child shall, during the period of enrolment at Covenant Christian Preschool/School, be punctual, be dressed in the full Preschool uniform (as outlined in the Parent Information Pack) and abide by the Preschool expectations. 2. That I/we will support the Preschool in its educational program. 3. That I/we accept full responsibility for the payment of fees, levies and charges as set out and notified by the Preschool from time to time. 4. That I/we will pay the tuition fees no later than the end of the first week of each term unless alternative arrangements have been made with the Preschool Bursar. I/we will give any notice of intention to withdraw my/our child from the Preschool in writing, giving twelve weeks notice. Preschool fees for a full term will be charged in lieu of notice. 5. That the Preschool is permitted to contact my/our child’s previous preschool/ELC regarding any matter that relates to his/her enrolment at Covenant. 6. That I/we will assist with duties normally performed by parents as set out in the Parent Information Pack and participate in the Parental Assistance Scheme (PAS). This includes carrying out cleaning and working bee duties as rostered. I/we agree to pay a monetary levy in lieu of duties not undertaken. 7. That I/we will make any grievances I/we may have through the correct channels, as outlined at the enrolment interview and in the Parent Information Pack. 8. That I/we will conduct my/ourselves in a way that is not likely to bring the Preschool or its community into disrepute. 9. That I/we will promptly inform the Preschool of any changes to information provided on this Application for Enrolment form. |
CHRISTIAN ETHOS, VALUES & AIMS
Application for enrolment of your child at the Preschool means that you are choosing a Christian education for your child. It requires your commitment to support the philosophy, values and aims of the Preschool and a willingness to co-operate in their implementation. Specifically it means: · Participation in prayer, singing and other activities of a spiritual nature. · Christian values are emphasised. · Content will be taught from a distinctly Christian perspective. Your child is expected to adhere to the Preschool’s standards for: · Behaviour, dress and self-discipline. · Application to preschool work. · Participation in all Preschool activities. Your cooperation is essential to assist your child attain these goals. Parents are expected to participate in the life of the preschool/school including community activities. |
ENROLMENT INFORMATION COLLECTION NOTICE
The Preschool collects personal information, including sensitive information, about students and parents or guardians before and during the course of a student’s enrolment. The primary purpose of collecting this information is to enable schooling to be provided for your son/daughter. Some of the information collected is to satisfy the Preschool’s legal obligations, particularly to enable the discharge of its duty of care. Certain laws governing or relating to the operation of preschools require that certain information be collected. These include Public Health and Child Protection Laws. Health information about students is sensitive information within the terms of the National Privacy Principles under the Privacy Act. The Preschool may occasionally require medical reports about students. From time to time personal and sensitive information is disclosed to others for administrative and educational purposes. This includes disclosure to government departments, medical practitioners, law enforcement officers, Centrelink and people providing services to the preschool, including specialist visiting teachers. |
ENROLMENT DECLARATION (To be read and signed by both parents/guardians)
I/We hereby apply to have the child listed on this Application for Enrolment form enrolled at Covenant Christian Preschool, Gordon, and 1. I/we have read and agree to the above CONDITIONS OF ENROLMENT and apply for enrolment of my child subject to those conditions; 2. I/we have read and agree to the responsibilities in the above CHRISTIAN ETHOS, VALUES & AIMS and apply for enrolment of my child subject to those conditions; 3. I/We have read, understood and agree to the above ENROLMENT INFORMATION COLLECTION NOTICE; and 4. I/We enclose the enrolment process fee on the understanding that the fee is not refundable once my/our child is placed on the “Enrolment Process List”.*
Signature of parents and/or guardians:
Father/guardian Date
Mother/guardian Date
ENROLMENT PROCESS FEE IS $75 PER APPLICATION (Maximum fee – $150 per family) *Note: The payment of the Enrolment Process Fee does not guarantee enrolment. |
CHECKLIST FOR SUBMITTING APPLICATION
Copy of Birth certificate attached (certified true copy, or accompanied by original for verification) |
Copy of passport attached (if not an Australian citizen) |
Copy of all reports in relation to disability / disorder / learning difficulty tests and assessments carried out on this student (if applicable) |