APPLICATION FOR ENROLMENT YEAR 7 2021

Name of Student:_________________________________________________________

IMPORTANT Please check that all required documentation is included and returned to Duncraig Senior High School. This application cannot be processed until all documentation is received.

22 Sullivan Road, Duncraig WA 6023 | 6241 5000 | www.duncraigshs.wa.edu.au

P L E A S E R E A D B E F O R E C O M P L E T I N G A P P L I C A T I O N

GENERAL INFORMATION

A parent or legal guardian applying to enrol a child in a government school should complete an Application for Enrolment form. Family details should include details of parents, guardians or carers residing at the same address as the student being enrolled. Only permanent residents of Australia and those children holding an approved visa sub-class number are eligible to be enrolled in a government school. Only students under the age of eighteen years of age can be enrolled and must be accompanied by a parent(s) or legal guardian.

It is a requirement of the Department of Education that any information on suspensions and exclusions must be provided to the school at the time of applying to enrol a child. This information will help the school to provide your child with the appropriate support, if required.

The Principal of the school may cancel the enrolment of an enrolled student if the Principal is satisfied that:

a) The enrolment was obtained by the giving of false or misleading information; orb) The Principal has received notification of changes to the following:

• Usual place of residence

• Court orders pertaining to the child

• Details of any conditions of the child that may call for special steps to be taken for the benefit or protection of the child or other persons in the school

• Legal guardian of the child

SECURITY AND CONFIDENTIALITY

The information provided on this form will be stored securely in local school and Departmental databases. The management of these databases is governed by State and Departmental policies to ensure security, privacy and confidentiality.

The Department of Education’s Information Communication Technologies Security Policy preclude this information from being used for any purpose other than to:

• determine whether your application for enrolment can be accepted;

• assist the school with addressing any needs for your child if enrolment is accepted; and;• comply with legal requirements or ministerial directions.

RESIDENT IN LOCAL INTAKE AREA

Duncraig Senior High School is a Local Intake Area School. The boundaries are determined by the Department of Education of Western Australia. A map of this area is available should you need to know these boundaries on the school website. An eligible child whose place of residence is within the local-intake area is guaranteed enrolment (subject to provision of required documentation).

Please note the following exception-The Gifted and Talented Selective Academic Program can accept enrolments from outside the Local Intake Area. Siblings of current Duncraig Senior High School students who reside outside of the Local Intake Area are not eligible for enrolment unless they are accepted into the Gifted and Talented Selective Academic Program.

Proof of Usual Residence in Area The school requires a copy of your current Council Rates Notice if owner occupied OR a copy of your Rental Agreement of 12 months’ tenancy, PLUS two recent documents with the same mailing address. These include: utilities account, government documents, Centrelink documents or drivers licence.

NOTE: Expiry date of lease agreements need to be updated before the commencement of the enrolling year.

STUDENT ENROLMENT FORM

STUDENT DETAILS

Surname:________________________________ Legal Surname (if different):____________________________

Previous Surname (if applicable):______________________________

1st Name:_________________________ 2nd Name:______________ 3rd Name:________________________

Preferred 1st Name:_______________________________

Date of Birth:______/______/______ Sex: Male Female Indeterminate / Intersex

Residential Address:_________________________________________________________________________________

______________________________________ Postcode:_______________________

Telephone (Home):___________________________ Student’s Mobile (if applicable):________________________

Car Registration (if applicable):________________ Student USI Number (if applicable):________________________

Full Name/s of brothers and sisters attending this school:

__________________________________________________________________________________________________

FAMILY DETAILS

CUSTODY/GUARDIANSHIP

Who does the student live with?

Both Parents Parent 1 Parent 2 Neither

If neither, who?_________________________________________

In shared custody arrangements show the percentage split as determined by Centrelink. (This information must be included).

Mother _____ % Father _____ % Other _____ %

As the enrolling parent, Parent/Guardian 1 (PG1), I acknowledge that I am responsible for the Charges and Contributions

Parent/Guardian Signature:______________________________________________

NOTE: If PG1 is not responsible for the Charges and Contributions, a written statement is required from the Parent/Guardian accepting responsibility.

Parent 1

Parent 2

CONFIDENTIAL

ACCESS RESTRICTION - Is the student subject to any court orders in respect of their care, welfare and development? ..................................................................................................................................................... YES NO If YES, please specify and attach supporting documentation _____________________________________

Is the student in the care of the Department for Child Protection and Family Support’s (CPFS). YES NO

If YES, please specify the name of the CPFS Case Manager, their CPFS District and their contact phone number

__________________________________________________________________________

PARENT / GUARDIAN DETAILS

Parent/Guardian 1 Details (Legal Name)

Title:_____ First Name:________________ Second Name:_______________ Surname:______________________

Please indicate relationship to the student:_________________________

Residential Address:________________________________________________________________________________

Postal Address (if different from above):________________________________________________________________

Telephone (Home):____________________ Email Address:__________________________________________

Occupation/Workplace location:_____________________________________________________________________

Telephone (Work):______________________ Mobile No:____________________________________________

Do you mainly speak English at home? YES NO

Do you speak a language other than English at home? NO, English only YES, other - please specify:

(If more than one language, indicate the one that is spoken most often):___________________________

Parent/Guardian 2 Details (Legal Name)

Title:_____ First Name:________________ Second Name:_______________ Surname:______________________

Please indicate relationship to the student:_________________________

Residential Address:________________________________________________________________________________

Postal Address (if different from above):________________________________________________________________

Telephone (Home):____________________ Email Address:__________________________________________

Occupation/Workplace location:_____________________________________________________________________

Telephone (Work):______________________ Mobile No:____________________________________________

Do you mainly speak English at home? YES NO

Do you speak a language other than English at home? NO, English only YES, other - please specify:

(If more than one language, indicate the one that is spoken most often):___________________________

IMPORTANT Mobile Phone for SMS (absence notification):___________________________________

PLEASE PRINT CLEARLY

Email Address Parent 1:

Email Address Parent 2:

PARENT OCCUPATION GROUPS

What is the highest year of primary or secondary school you have completed?

Parent 1 Parent 2 Year 12 or equivalent

Year 11 or equivalent

Year 10 or equivalent

Year 9 or equivalent or below

What is the level of the highest qualification you have completed?

Parent 1 Parent 2 Bachelor degree or above

Advanced diploma/Diploma

Certificate I to IV (including trade certificate)

No non-school qualification

(If you did not attend school, mark ‘Year 9 or equivalent or below’)

Using the below table select your occupation group? (Write 1, 2, 3, 4 ) Parent 1 Parent 2 If you are not currently in paid work, but have had a job in the last 12 months, please use your last occupation. If you have not been in paid work in the last 12 months, enter ‘8’ above.

Parent Occupation Groups GROUP 1 GROUP 2 GROUP 3 GROUP 4

Senior management in large business organisation, government administration & defence, and qualified professionals

Other business managers, arts/media/sportspersons and associate professionals

Tradesmen/women, clerks and skilled office, sales and service staff

Machine operators, hospitality staff, assistants, labourers and related workers

Senior executive/ manager/ department head in industry, commerce, media or other large organisation Public service manager (section head or above), regional director, health/education/police/ fire services administrator Other administrator [school principal, faculty head/dean, library/museum/gallery director, research facility director] Defence Forces Commissioned Officer Professionals generally have degree or higher qualifications and experience in applying this knowledge to design, develop or operate complex systems; identify, treat and advise on problems; and teach others Health, Education, Law, Social Welfare, Engineering, Science, Computing professional. Business [management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer] Air/sea transport [aircraft/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller]

Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business. Specialist manager [finance/engineering/production/ personnel/industrial relations/ sales/marketing] Financial services manager [bank branch manager, finance/ investment/insurance broker, credit/loans officer] Retail sales/services manager [shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency] Arts/media/sports [musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer, designer, illustrator, proof reader, sportsman/ woman, coach, trainer, sports official] Associate professionals generally have diploma/technical qualifications and support managers and professionals Health, Education, Law, Social Welfare, Engineering, Science, Computing technician/associate professional Business/administration [recruitment/employment/ industrial relations/training officer, marketing/advertising specialist, market research analyst, technical sales representative, retail buyer, office/project manager] Defence Forces senior Non-Commissioned Officer

Tradesmen/women generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradesmen/women are included in this group. Clerks [bookkeeper, bank/PO clerk, statistical/actuarial clerk, accounting/ claims/audit clerk, payroll clerk, recording/registry/filing clerk, betting clerk, stores/ inventory clerk, purchasing/order clerk, freight/transport/shipping clerk, bond clerk, customs agent, customer services clerk, admissions clerk] Skilled Office, Sales and Service

Office [secretary, personal assistant, desktop publishing operator, switchboard operator] Sales [company sales representative, auctioneer, insurance agent/ assessor/loss adjuster, market researcher] Service [aged/disabled/refuge/child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor]

Drivers, mobile plant, production/processing machinery and other machinery operators. Hospitality staff [hotel service supervisor, receptionist, wait/bar attendant, kitchen hand, porter, housekeeper] Office assistants, sales assistants and other assistants Office [typist, word, processing/data entry/business machine operator, receptionist, office assistant] Sales [sales assistant, motor vehicle/caravan/parts salesperson, checkout operator, cashier, bus/train conductor, ticket seller, service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker] Assistant/aide [trades assistant, school/teacher’s aide, dental assistant, veterinary nurse, nursing assistant, museum/gallery attendant, usher, home helper, salon assistant, animal attendant] Labourers and related workers Defence Forces ranks below senior NCO not included in other groups Agriculture, horticulture, forestry, fishing, mining worker [farm overseer, shearer, wool/hide classer, farmhand, horse trainer, nurseryman, greenkeeper, gardener, tree surgeon, forestry/logging worker, miner, seafarer/fishing hand] Other worker [labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park attendant, crossing supervisor]

These categories have been determined nationally and are designed as broad occupational groupings.

OTHER CONTACT DETAILS

Third Contact Details (Step-parent/Grandparent/Family friend/Other)

Title:____ First Name:__________________ Second Name:______________ Surname:__________________________

Please indicate relationship to the student:_________________________________

Residential Address:________________________________________________________________________________

Telephone (Home): ____________________ Email Address:______________________________________________

Occupation/Workplace location:_______________________________________________________________________

Telephone (Work):______________________ Mobile No:__________________________________________

Please advise the school if there are any other contacts you would like recorded.

Emergency Contacts (Indicate contacts in order of preference):

Name Phone No. Mobile No. Relationship to student

1._________________________ ________________ ________________ ___________________

2._________________________ ________________ ________________ ___________________

3._________________________ ________________ ________________ ___________________

STUDENT DETAILS - ADDITIONAL INFORMATION Country of Birth:__________________________________________

Religion (Optional):________________________________________

Student’s First Language:___________________________________

Is the student’s descent: .......................................................... Aboriginal YES NO .................................................................................................. Torres Strait Islander (TSI) YES NO .................................................................................................. Both Aboriginal and TSI YES NO Does the student speak a language other than English at home? .............................................. YES NO Does the student mainly speak English at home? ....................................................................... YES NO

(If more than one language, indicate the one that is spoken most often.)

NO, English only

YES, other - please specify:_____________________

Australian Citizenship/Permanent Resident: .............................................................................. YES NO

Date of Arrival in Australia:_____________ Visa Sub-class No:________ Visa Expiry Date: .....

Visa Grant Number:___________________ International Fee Paying (if known): ................... YES NO

Current School Attending for Year 6:_________________________________________________________________

If previously enrolled in Home Education, specify the Education Region: _____________________________________

Movement reason: .....................................................................................................................

LANGUAGE SELECTION All students at Duncraig Senior High School must study a language in Years 7, 8 and 9. The language the student chooses to study in Year 7 will be the language they continue to study in the coming years. Students do not necessarily have to continue with the language they studied at Primary School. Should your child wish to continue a language through to Year 12 the following should be considered: The School Curriculum and Standards Authority requires all students intending to enrol in a Western Australian Certificate of Education (WACE) language course (Yr 11 & 12) to complete an application for permission to enrol. The objective of the (Yr 11 & 12) language enrolment process is to ensure that students with a linguistic advantage in a language are not assessed against students who do not have the same advantage. Students deemed to have a greater linguistic competency than required by the course are not permitted to enrol in that course. For further information regarding the above, please do not hesitate to contact the Languages Department. Important Note: Students in the Gifted and Talented Selective Academic Program (GATE) and School Based Academic Program (SBAE) are placed in Accelerated French or Accelerated Indonesian. Please number the following languages from 1 to 2 to indicate your order of preference LEA RNING DIFFICULTY

French Indonesian

MUSIC PROGRAM

Do you wish to apply for our Music Program? YES NO If you have selected YES an additional application form is required to be completed. This can be downloaded from our website. My child is a current Instrumental Music School Services student(IMSS) Instrument currently being studied:_______________________ My child currently takes Private Lessons (Audition required) Instrument currently being studied:_______________________ My child wishes to apply for a place as a beginner (Audition required) Please note: Continuing IMSS students will be accepted into the program and are expected to stay with their current instrument. Beginner instruments are limited and offered to students based on audition and aptitude test results. Music students participate in instrumental lessons on a rotating timetable during school time as well as ensemble rehearsals and performances outside of school time, so please ensure you are prepared to fulfil that commitment before applying for the program. All applicants will be required to:

Submit a 2020 Semester One School Report to Duncraig.SHS.Enrolment@education.wa.edu.au

Attend an audition/interview

Commit to the Music Program to the end of Year 8, and may not leave the program until that time.

IMMUNISATION STATUS Please state your child’s immunisation status: Immunisation Complete Yes No If Yes records MUST be attached

Not Immunised Yes No

Additional Information:________________________________________________________

MEDICAL DETAILS Doctor / Practice Name:_______________________________________ Phone Number:______________ Dentist / Practice Name:_______________________________________ Phone Number:______________

Permission to call Doctor

Permission to call Dentist

Permission to administer First Aid

Yes No

Yes No

Yes No

Do you have ambulance insurance? Yes No Insurance Provider:___________

If there is a medical emergency, parents/guardians are expected to meet the cost of an ambulance.

Health Care Card

Yes No Card Number:_______________________________ Expiry Date:_______________________________

Medicare

Card Number:___________________________________ Expiry Date:___________________________________

ADMINISTRATION OF MEDICATION

Written authorisation must be provided for staff to administer any form of medication.

INFORMED CONSENT

Your child’s health care information will be shared with staff on a “need to know” basis unless otherwise stated. Do you give permission for the school to share your child’s health care information? Yes No Does your child have one or more health condition(s) that will require support from school staff? No If your child’s requirements change, please notify the school. Yes Please complete the Health Condition(s) Section of this form.

HEALTH CONDITION(S) Will school staff require specific

training to support your child?

Severe Allergy/Anaphylaxis:____________________________ Yes No

Minor and Moderate Allergies: __________________________ Yes No

Diabetes Yes No

Seizure Disorder Yes No

Asthma Yes No

Coeliac Yes No

Wears Glasses Yes No

Hearing Condition Yes No

Diagnosed Migraine/Headaches Yes No

Other conditions or needs (please specify): ________________

___________________________________________________

Yes No

Has your child’s Medical Practitioner provided a health care plan to assist the school to manage the condition?

Yes No

If yes, please advise the school.

If you have ticked “Yes” for specific staff training, please discuss the type of training needed with the school.

DIAGNOSED LEARNING DIFFICULTY / DISABILITY Does the student have a diagnosed learning difficulty?

Yes No

If you have ticked any of the disabilities below, you MUST provide supporting documents (at time of enrolment).

Physical Disability Deaf and Hard of Hearing (e.g. otitis media)

Intellectual Disability Specific Speech Language Impairment

Vision Impairment Global Developmental Delay (prior to age 6)

ADD/ADHD Requires Medication Yes / No Severe Mental Disorder

Dyslexia Central Auditory Processing Disorder (CAPD)

Diagnosed Anxiety Disorder Autism Spectrum Disorder

Dyspraxia

Dysgraphia

Dyscalculia

Other:_________________________________

_________________________________

MEDICAL ALERT INFORMATION

Does your child have a Medic Alert bracelet or pendant? Yes No If yes, please provide details: _____________________________________________________________________________________________

DUNCRAIG SENIOR HIGH SCHOOL DRESS CODE The Department of Education Policy on school dress code allows schools to make the wearing of school uniform a requirement. The School Board has endorsed a dress code for all students attending this school. The School Board believes a school dress code:

fosters and enhances the public image of the school.

assists in building school and team spirit.

ensures students are safely dressed for specific school activities.

encourages equality among students.

prepares students for work, as many work places have dress and safety codes. DRESS CODE REQUIREMENTS School staff, the School Board and the Student Council strongly supports the wearing of a school uniform. Enrolment at the school is a commitment to meet Dress Code Requirements. All student uniform garments must be purchased from Uniform Concepts and display the school logo. Every Day Uniform Dress Code - School Logo required on all items Shirt: White Polo shirt with collar Shorts: Plain navy Skorts: Plain navy Skirt: Plain navy Dress: Blue checked dress Jumper: Plain navy Windcheater: Plain navy Slacks/Track Pants: Plain navy Blue leggings May be worn provided a school skirt or school shorts are worn over the top of the leggings.

(Skirt and shorts must be visible). A plain white t-shirt (long or short sleeved) may be worn beneath the school uniform for additional warmth. Sport Uniform Dress Code - School Logo required on all items Shirt: Blue Polo shirt with collar Shorts: Plain navy Skorts: Plain navy Skirt: Plain navy Jumper: Plain navy Windcheater: Plain navy Track Pants: Plain navy GENERAL

It is a safety requirement that students attending Design and Technology, Home Economics and Science classes wear covered footwear.

Students must change for Physical Education classes.

Footwear: No thongs, health sandals, ugg boots or shoes deemed to be unsafe.

No non-school logos, stripes, or coloured shirts under the uniform.

Rings: For safety reasons rings attached to parts of the body, other than fingers and ear lobes, are not to be worn.( no excessive jewellery)

Only one small facial stud (OSH approved by the Administration is permitted as a form of facial jewellery).

Excessive make-up (including false eye lashes )

Extreme forms of hair styles and colouring are not accepted.

Extremes of fashion or cult wear, as determined by the school administration, are not accepted.

Denim clothing is not permitted at the school.

Subject to change and review at any time.

CONSENT FORMS

PERMISSION TO PUBLISH STUDENTS IMAGES AND WORK FOR SCHOOL PURPOSES Your permission is sought for the school to publish video or photographic images of your child and/or samples of your child’s school work to be used by the school and the Department of Education. The purpose of using the images or work will be activities such as promoting the school, school events and student achievements. Your child’s image and/or school work may be published for the above purposes in a range of formats such as hardcopy and digital, including audio and video file formats, and published to a range of media including but not limited to school newsletters, email, school and Department of Education intranet and internet sites including social media websites (e.g. Facebook, YouTube etc.),any third party applications and local newspapers in hardcopy and digital formats, which may enable viewers/readers to identify your child. The school will endeavour to limit identifying information that accompanies images of your child or child’s work; however there will be occasions when your child’s name, class and school may be published along with images. Once signed, the consent will remain effective until such time as you advise the school otherwise. PERMISSION: I agree to the videoing or photographing of my child and my child’s school work during school activities for use by the school and the Department of Education in the ways stated above. IMPORTANT: I understand that while the school and Department of Education will only publish my child’s information for the above-stated purposes, the internet is accessible by any person worldwide. I understand that my child’s information can be accessed, copied and used by any other person using the internet (e.g. shared through social media such as Facebook, YouTube, etc.). I understand that once my child’s information has been published on the internet the school and Department of Education have no control over its subsequent use and disclosure. I understand that I can withdraw this permission at any time by contacting the school or Department in writing; however this will not affect materials that have already been published and disseminated.

I give permission for my child’s images and or name to be published. I DO NOT give permission for my child’s images and or name to be published.

STUDENT SMARTRIDER CARD – REQUIRED FOR TRAVEL CONCESSION, LIBRARY CARD/FLEXISCHOOLS Permission is granted for student details and photograph to be released to the Public Transport Authority for the purposes of issuing a Student Smartrider card.

Yes, I give my consent for student details/photograph as described above No, I do not give consent.

VIEWING CONSENT As part of the school learning programme, there may be occasions throughout the year to screen videos, DVD’s and television documentaries – PG & M (Years 7-12) and MA (Years 10,11 and 12 only) as deemed suitable by the teacher and school administration. (This consent also gives parental permission for student reward movie viewing).

Yes, I consent to my child viewing the above material No, I do not give consent.

Signature of Parent:_________________________________________ Date:_______________________

CONNECTION AND USE OF STUDENT OWNED DEVICES ON THE DUNCRAIG SHS NETWORK

Student and Parent Memorandum of Agreement Please review BYOD Computer Use Policy and Responsible Use of Technology Policy included in this package.

Preamble

This memorandum relates to the connection and use of a student owned device at Duncraig Senior High School. This memorandum describes the terms of the provisions including level of service and scope of services agreed to by Duncraig SHS, the student and the student’s parent(s). Conditions The solution is supplied by Duncraig SHS to the student, based upon the following Agreement:

1. The student must take all reasonable care to prevent against any form of damage and loss of the student owned device.

2. The student will abide by all conditions outlined in the Students Online in Public Schools Policy.

3. The student and their parent will be solely responsible and legally accountable for any data stored or installed on the student owned device.

4. The student owned device and any software installed will be provided by the Parent and/or Student.

5. Student owned devices can only be connected to the school’s wireless network.

6. The Department strongly recommends that:

a. Student owned devices are installed with Anti-Virus protection which is either current or the version immediately prior to the current version.

b. Student owned devices are installed with the recent release of the anti-virus definitions files (one of the most recent four (4) released definitions).

c. Student owned devices have Operating System patches which are within seven (7) days of the vendor’s release date.

d. Student owned devices are enabled to receive auto-updates from the software vendor. A network account will be given to you by the school. In using this account, you agree to the following terms listed below. Our school provides access to Department of Education online services. These enhance the contemporary learning opportunities available to students and the range of teaching tools available to staff to deliver the Western Australian Curriculum. The Department’s online services currently provide students with access to: • individual email and calendar accounts; • the internet, with all reasonable care taken by central office and schools to monitor and control students’ access to websites while at school; • online teaching and learning services such as Connect, SEQTA, web-conferencing and digital resources; • online file storage and sharing services; and • these online services at locations other than school. Online Acceptable Use Agreement.

I will only use online services for purposes which support my learning and educational research.

I understand that I am responsible for all activity in my online services account.

I will check with the teacher before sharing images or giving information about myself or anyone else when using online services.

I will keep my password private and not share with other students.

I will not let other people logon and/or use my online account.

I will tell the teacher if I think someone is using my online account.

I understand the school and the Department of Education can monitor my use of online services.

If I find any information that is inappropriate or makes me feel uncomfortable I will tell a teacher about it. Examples of inappropriate content include violent, racist, sexist, or pornographic material, or content that is offensive, intimidating or encourages dangerous or illegal activity.

I will not use the Department’s online services for personal gain or illegal activity (e.g. music file sharing), to bully, offend or intimidate others or access or send inappropriate materials including software that may damage computers, data or networks.

I will acknowledge the creator or author of any material used in my research for school work by using appropriate referencing.

I will get permission from the copyright owner of any material used in my school work before I reuse it in a portfolio for employment, in a competition or any other uses other than for my private research and study.

I will use appropriate language in all internet communications.

I will not try to access internet sites that have been blocked by the school or the Department of Education.

I will not damage or disable the computers, computer systems or computer networks of the school, the Department of Education or any other organisation.

I understand that:

I will be held responsible for my actions while using online services and for any breaches caused by allowing any other person to use my online services account;

the misuse of online services may result in disciplinary action, determined by the principal in accordance with the Department’s Behaviour Management in Schools policy; and

I may be held liable for offences committed using online services. A breach of any of these conditions will result in suspension of your network account and possible further consequences. PERMISSION FOR STUDENTS TO HAVE AN ONLINE SERVICES ACCOUNT

I give permission for my child to have an online services account. I understand and agree that my child has responsibilities when using the online services provided at school for educational purposes, in accordance with the Acceptable Use Agreement for school students. I also understand that if my child breaks any of the rules in the agreement that the principal may take disciplinary action in accordance with the Department’s Student Behaviour Policy and Procedures. Note: While every reasonable effort is made by schools and the Department of Education to prevent student exposure to inappropriate online content when using the Department’s Online Services, it is not possible to completely eliminate the risk of such exposure. The Department cannot filter internet content accessed by your child from home or from other locations away from the school. The Department recommends the use of appropriate internet filtering software at home. Signed:_________________________________________ Date:___________________________

Students Full Name:_______________________________________________________________

Signed:_________________________________________ Date:___________________________

Parent Full Name:_____________________________________________________________________

Should you believe your child qualifies for an exemption to the Responsible Use of Technology Policy and needs to access their phone during the school day, please provide an explanation below and attach a documented health care plan. A Student Services Manager will assess and discuss this with you prior to the student commencing school.

Medical Reason:_______________________________________________________________________________

PLEASE READ CAREFULLY BEFORE SIGNING

1. I declare that the information provided on this form is true. I understand that if false information is provided, the enrolment of my child at Duncraig Senior High School may be terminated.

2. I have informed the school of any disabilities, medical conditions or special educational needs of my child. 3. I will support the school’s Behaviour Management, School Dress Code Policy, and Computer and Internet Policies. 4. My child is not currently under suspension at, nor excluded from, another school. 5. I understand that in the event of an emergency, or a practice evacuation, it may be necessary to move students

outside the perimeter of the school, under the direct supervision of staff members. 6. I agree to provide a reason when my child is absent from school. All information contained in this document is true and accurate. Name of person enrolling student: Title:______ First Name:_______________ Second Name:______________ Surname:__________________

Relationship to the student:___________________________________ Signature:_____________________________________ Date: ________________________________

FINAL DOCUMENTATION CHECK LIST

Parent Office Check Check

The school requires a copy of your current Council Land Rates Notice if owner occupied OR a copy of your Rental Agreement showing a minimum of 12 months’ tenancy (from a registered Real Estate Agent). If any Statutory Declarations are included an interview may be arranged with the Associate Principal.

PLUS (minimum of 2 recent documents) these may include: Power Accounts Gas Accounts Water Rates Account

Driver’s License with current address

Telephone Accounts (not mobile phone accounts)

Centrelink Health Care Card

Any other documents that may support the application as proof of residence

Copy of Full Birth Certificate

Copy of Passport &Visa (if born overseas)

Immunisation Records

Copy of Diagnosed Learning Difficulty Report (If you have selected YES for Diagnosed

Learning Difficulty)

1. 2. 3. 4.

OFFICE USE ONLY

Enrolment Form Received By: _______________ (Date): ______________

Entered on SIS By: _______________________ (Date): ______________

Checked By: _____________________________ (Date): ______________

Date Transfer Note Sent: ___________________

Proof of Usual Place of Residence

END OF DOCUMENT

22 Sullivan Road, Duncraig WA 6023 T: 6241 5000 www.duncraigshs.wa.edu.au