OFFICE USE ONLY STUDENT NAME:

DATE OF BIRTH: YEAR LEVEL: CLASS:

INTERVIEW DATE: INTERVIEW

TIME:

INTERVIEW WITH:

PREP ORIENTATION: COMMUNITY:

PROPOSED START DATE:

ENROLMENT APPLICATION

PREP – YEAR 12

Dear Parents and Carers

Welcome to Meridan State College. This is the next stage in what is a life long journey of learning and discovery for your child.

Meridan State College is an innovative P-12 learning community that engages and supports a futures-orientated education, challenging students to excel and be creative, active and respected citizens in an evolving global society. The College is committed to providing an education that:

• embodies excellence in teaching and learning • is strategically planned • is inclusive and • sets high expectations for all students.

Parents are required to return completed enrolment paperwork and the necessary supporting documentation to the main Executive Office 48 hours prior to an enrolment interview, enrolment interviews are held on Wednesday mornings by appointment.

Please note that if any part of the enrolment form is not completed or supporting documentation not provided, the enrolment interview cannot occur until the necessary paperwork is completed and received.

As this is an official Education Queensland document, the Principal reserves the right to render a student’s enrolment invalid, if incorrect information is provided in the enrolment application.

We welcome you to our learning community and look forward to working in partnership with you to ensure the best possible educational outcomes for your child.

Regards

Julie Kornmann College Director

No enrolment interview can progress until all required documentation is completed and provided to the school 48 hours prior to the interview.

New Enrolment Re- Repeating Enrolment

Parent Checklist Please

Enrolment Agreement: • All sections must be completed and signed including

enrolment, enrolment agreement and permission application forms (media, chaplaincy and ICT agreement).

Financial Commitment Form - Student Resource Scheme: • SRS Participation form completed. • Finance Department located at Client Services to accept payment.

Acceptable Proof of Residency: • Evidence of residential address of parent / carer must be provided eg.

Current phone or electricity bill, current long-term tenancy agreement, contract of sale, etc. AND

• Parent/carer Drivers Licence. • Statutory Declarations as required.

State School Media Consent Form: • All sections to be completed and signed.

Chaplaincy Consent Form: • All sections to be completed and signed.

Relevant Legal Guardianship Documentation: • Eg. Custody orders, foster care etc. to be provided. • Only verified copies of court orders are acceptable.

Student School Report:

• Most recent Semester report. • A copy of recent Yr 3,5,7 or 9 NAPLAN.

Student QCAA Application – for Senior students Yr 11 and 12 only: • To be completed only if student is enrolling from (A) QLD

Non-State School or (B) Interstate Transfer. • Paperwork available if applicable.

Student USI Number – for Senior students only: Students in Year 10, 11 and 12 are required to obtain a Unique Student Identifier (USI). Go to www.usi.gov.au to register and provide details below:

USI Number is:

Original Birth Certificate: Please provide the Original, we will copy and return to you.

Passport and Visa for student and parent/carer: (if born overseas) Office to sight original and photocopy relevant sections.

ENROLMENT CHECKLIST

Question Answer

Who can attend Meridan State College? All students living within the boundary and students who have been granted an exemption.

Please check EQ enrolment catchment maps on the College website.

My child has been verified with a disability as a Special Education student. How can I enrol him/ her?

Parents need to contact the Head of Special Education Services (HOSES) for discussions. PH: 07 5490 2666.

Are uniforms compulsory? Yes and able to be enforced under the Education Act 2006.

How do I purchase the College uniform? The School Locker: www.theschoollocker.com.au 1800 826 155

Located at the Maroochydore Homemaker Centre. Open 7 days a week for your convenience.

What do we need to bring to the Enrolment Interview?

See checklist on previous page. Please note that if all information required is not provided prior to enrolment interview, your interview will not proceed.

How do I get information about bus timetables and bus routes?

Phone Bus Link 5476 6622 Website: www.buslinkqld.com.au

My child is in Secondary School, how do I know what subjects my child has been given?

They will receive a timetable on their first day of school.

What should I bring on the first day of school? Students in Years Prep-6 are required to bring all items from the Stationery List. (see College website for year level stationery lists).

Where do I go on the first day? With the exception of arrival on the first day of the year when you will be advised of specific arrangements, you are required to report to the Executive Centre and you will be advised of your class.

ENROLMENT QUESTIONS AND ANSWERS

The Department of Education collects this information for the purpose of school enrolment and student management. Personal information collected by the Department is protected by the Queensland Government’s Information Standard 42 – Information Privacy. However, in accordance with Information Sharing Protocols and Memoranda of Understanding, some of this information may be passed on to government agencies. Some of these state government agencies include Queensland Health, Queensland Transport, Queensland Police Service and Department of Families. The commonwealth government, through Centrelink, may require information for matching purposes in relation to the payment of study assistance benefits to some students. Personal information on the enrolment form can be disclosed to other third parties without the individual’s consent where authorised or required by law.

While students are enrolled in and attend state schools, school staff will collect personal information about their academic performance, attendance and behaviour for the purpose of monitoring their educational progress and providing educational programs to suit the needs of the student. Year 11 and 12 student details and academic profiles will be passed on to the Queensland Studies Authority for the purpose of processing Queensland Certificate of Education (QCE) and Tertiary Entrance Statements. Year 3, 5, 7 and 9 student names are passed on to the Queensland Studies Authority for the purpose of issuing individual reports in relation to the assessment of numeracy and literacy skills of students. This personal information can be disclosed to other third parties without the individual’s consent where authorised or required by law.

During a student’s attendance, the Department of Education may also collect personal information that relates to the wellbeing, protection and safety of the student. This personal information may be passed on to agencies such as Queensland Health, Queensland Police Service and Department of Families in accordance with Education Queensland’s Student Protection Policy and other policies relating to student behaviour. This personal information can be disclosed to other third parties without the individual’s consent where authorised or required by law.

The Department of Education and Department of Families conduct a data-matching program to improve school achievement outcomes for children and young people in care. The data-matching program involves a comparison, through a unique identifier, of certain personal information of children and young people in care and those children of similar age in the general school student population, including those who have specific needs. This personal information may include: achievement levels; retention rates; age; school year levels; school disciplinary absences; and student movement between schools. You may obtain further information about the Queensland Government’s privacy regime contained in Information Standard 42 – Information Privacy at http://www.iie.qld.gov.au/informationstandards. If you have any questions about privacy or access to information, you may contact Education Queensland’s Privacy Contact Officer on 3237 0546.

The Department of Education, known as Education Queensland, operates the state education system through a network of more than 1300 sites and administers grants and funding on behalf of the Government to the non-state school sector and universities. The department also provides advisory, monitoring and regulatory functions and strategic support to these areas.

Every day, a vast amount of personal information is given to State Government departments and agencies. The Queensland Government respects your privacy and has established rules to ensure that your personal information is protected. The Government’s privacy policy (Information Standard 42 – Information Privacy) stipulates that personal information be collected, stored, used and disclosed under very strict guidelines to prevent it from being misused or passed on without your permission. Education Queensland is committed to protecting your privacy.

Why does your privacy need protecting?

What is Education Queensland’s role?

Children and Young People in the Care of the State – Data/Matching

Wellbeing, Protection and Safety

Attendance/Achievement/Behaviour

PRIVACY AGREEMENT Enrolment

Personal information is an opinion or information about a person, whether true or false, that identifies or could identify the person. This information may be recorded in a document, or form part of a database. Examples of personal information include (but are not limited to) your date and place of birth, race or ethnicity, religion, financial record, criminal record or medicalrecord. Sometimes personal information about a person can reveal their identity even if their name is not mentioned.

In all your dealings with Education Queensland, staff will make sure that your privacy is protected. Any personal information collected must be:

• directly related to, or necessary for, a lawful purpose or function of the agency;• relevant, up-to-date and complete;• collected fairly and lawfully; and• stored safely and securely.Generally, your personal information must be used only for the purpose for which it was collected or adirectly related purpose, unless you have otherwise given permission.

The privacy principles do not apply to personal information contained in documents concerning covert police activity, witness protection, disciplinary actions and misconduct, whistleblowers and Cabinet and Executive Council matters. This is because the law overrides privacy principles in particular cases. Under what other circumstances can Education Queensland disclose your personal information? If you consent, or if disclosure is: permitted by law; essential for law enforcement; or believed to be necessary to prevent or lessen an imminent threat to health or life.

Education Queensland may disclose limited information (for example, name, contact details, attendance, achievement etc) about you to other parties for the purpose of issuing achievement awards, processing certificates, statements or reports in relation to assessments. Listed below are agencies Education Queensland may give relevant personal information to where needed or authorised under law. The guidelines for release of personal information are strict. Personal information may be disclosed to:

Queensland Health or its nominated Health Providers, Queensland Transport, Queensland Police Service, Aboriginal and Torres Strait Islander Policy, Department of Employment and Training, Department Families, Disability Services Queensland, Department of Housing, Department of Justice and Attorney- General, Sport and Recreation Queensland, Centrelink and research organisations under contract to Education Queensland.

Education Queensland passes some personal information collected on to Centrelink for data matching purposes in relation to entitlements to Centrelink-administered payments; for example, study assistance benefits. The Data-matching Program (Assistance and Tax) Act 1990 and the Social Security Administration Act 1999 authorises Centrelink to compare the personal information they hold to ensure that payments are being paid correctly. Education Queensland and the Department of Families conduct a data-matching program to improve school achievement outcomes for children and young people in care.

The data-matching program involves a comparison of certain personal information of children and young people in care and those children of similar age in the general school student population, including those who have specific needs. Personal information may include achievement levels, retention rates, age, school year levels, school disciplinary absences and student movement between schools.

Yes. You can apply under the Freedom of Information Act 1992 to access, or to correct personal information held by State Government departments and agencies. This can be done by writing to the FOI Coordinator, Education Queensland, PO Box 33, Brisbane Albert Street, Q 4002 or telephone (07) 3237 0546.

Can you have access to personal information held by the Government?

Data Matching

How does the privacy policy work?

What is personal information?

If you have a question about privacy, confidentiality or access to information, contact Education Queensland’s Privacy Contact Officer. If you believe that Education Queensland has breached your privacy or confidentiality, you can make a complaint to the department’s Privacy Contact Officer. Your complaint will be taken seriously and investigated thoroughly.

For further information contact Education Queensland’s Privacy Contact Officer on (07) 3237 0546 or email InformationPrivacy@qed.qld.gov.au or write to the Privacy Contact Officer, Education Queensland, PO Box 33, Brisbane Albert Street, Q4002.

A copy of the Queensland Government’s privacy policy and principles is available by accessing the Education Queensland’s websitewww.education.qld.gov.au/home/privacy.htm

How do I find out more?

Worried about privacy?

TO BE COMPLETED AND SIGNED BY STUDENT ANDPARENT/CARER

To ensure our students are well equipped to function in, and contribute fully to our current society and information economy, Meridan State College and Education Queensland are responding to the innovation directions of the Smart State Strategy through Smart Classrooms. This strategy focuses innovative programs and resources used by the College, teachers and students. An essential tool for our College in the provision of innovative educational programs is the utilisation of intranet, internet and network services. This includes the growing number of Virtual Classrooms our students utilise through the Learning Place and the integration of these technologies in the investigation and collaboration phases of many curriculum programs. Therefore, access to these technologies is an increasingly essential part of the modern educational program provided in schools.

In order to maintain a safe and supportive learning environment, students need to accept the responsibility that comes with being given access to these resources, and understand that this access will be removed if not used appropriately.

I agree to use the Meridan State College ICT network, facilities and resources to:

• Author text, artwork, audio and visual material for publication on the Intranet or Internet,

• Damage computers, printers or the network equipment

• Divulge personal information (e.g. name, parent’s name, address), via the internet or e- mail, to unknown entities or for reasons other than to fulfil the educational programrequirements of the school.

• Make deliberate attempts to access restricted files, disrupt the College network system,destroy data or gain unauthorised data.

Conditions of Use: Meridan State College ICT Network, Facilities and Equipment

CONSENT FORM – STUDENT USAGE OF INTERNET, INTRANET AND EXTRANET

• Complete assigned class work and assignments set by teachers• Develop literacy, communication and information skills

solely for educational purposes as supervised and approved by the college

• Conduct research for school activities and projects; communicating with other students,teachers, parents or experts in relation to school work

• Access online references such as dictionaries, encyclopaedias• Collaborate, research and learn through Education Queensland’s e-learning environment

I understand that it is not acceptable, and will NOT use the Meridan State College ICTnetwork, facilities and resources to:

• Download, distribute or publish offensive messages or pictures• Use obscene or abusive language to harass, insult or attack others• Deliberately waste printing and Internet resources

I also understand that it is not acceptable, and will NOT:

• Use images of students in the College uniform, or images taken at Collegeactivities/lessons, without the permission of the College Executive Team (eg. Puttingphotos or video taken at school on My Space, YouTube, Facebook or other social networkingsites).

• Use USB or other memory storage devices to bring non-educational files onto the Collegenetwork (eg games, music, images…).

• Deliberately waste printing and Internet resources.• Damage computers, printers or the network equipment.• Use College resources to play games, access or play unauthorised music, download

applications or other forms of software, or to procure without the express permission ofthe College Executive Team.

• Use personal devices to create wireless hotspots to circumvent the secure College network.

I further understand that access to the Meridan State College network by student’s wholly privately owned ICT devices could compromise the integrity of the Education Queensland network, and is therefore not permitted.

Students need to be prepared for the possibility of unanticipated access to harmful information, materials or approaches from unknown persons via the internet (e.g. SPAM or viruses and Trojans with other files from the net). It is therefore a condition of use that students must report accidental access to offensive, illegal, harmful information and approaches from unknown persons via the internet to the supervising teacher or school staff member.

Meridan State College reserves the right to restrict/remove student access to the intranet, extranet, internet or network facilities if parents or students do not adhere to this network, facilities and equipment usage policy. This may also include other College behavioural consequences (eg. Suspension) as outlined in College’s Responsible Behaviour Plan for Students and as seen as appropriate by the College eLearning Head of Department, Community Leaders and members of the College Executive Team.

The Department of Education and Training through Acceptable Use of the Department’s Network and Information, Communication and Technology (ICT) Network and Systems is collecting your personal information in accordance with the Education General Provisions Act 2006 in order to ensure: • appropriate usage of the school network; and• appropriate usage of mobile private devices within the school network.

The information will only be accessed by authorised school staff to ensure compliance with Acceptable Use of Department's Information, Communication and Technology (ICT) Network and Systems. Personal information collected on this form may also be disclosed to third parties where authorised or required by law. Your information will be stored securely. If you wish to access or correct any of the personal information on this form or discuss how it has been dealt with, please contact your child’s school. If you have a concern or complaint about the way your personal information has been collected, used, stored or disclosed, please also contact your child’s school.

The College and the Department monitor access to and usage of the ICT network. For example, e-mail monitoring will occur to identify inappropriate use, protect system security, maintain system performance, determine compliance with State and departmental policy and determine compliance with State and Federal legislation and regulation.

Student Agreement

I understand that the school’s ICT network provides me with access to a range of essential learning tools, including the internet. I understand that the internet can connect me to useful information stored on computers around the world. While I have access to the school’s ICT network: I will use it only for educational purposes; I will not undertake or look for anything that is illegal, dangerous or offensive; and I will not reveal my password or allow anyone else to use my school account.

Specifically in relation to internet usage, should any offensive pictures or information appear on my screen I will close the window and immediately quietly inform my teacher, or at home tell my parents/guardians.

If I receive any inappropriate emails at school I will tell my teacher or if I receive any at home I will tell my parents/guardians.

When using e-mail or the internet I will not: • reveal names, home addresses or phone numbers – mine or that of any other person;• use the school’s ICT network (including the internet) to annoy or offend anyone else.

I understand that if the school decides I have broken the rules for using its ICT network, appropriate action will be taken, which may include loss of access to the network (including the internet) for a period of time.

Student Name: Student Signature: Date:

Parent / Carer Agreement

I understand that the school provides my child with access to the school’s ICT network (including the internet) for valuable learning experiences. In regards to internet access, I understand that this will give my child access to information on computers from around the world; that the school can not control what is on those computers; and that a small part of that information can be illegal, dangerous or offensive.

I accept that, while teachers will always exercise their duty of care, protection against exposure to harmful information should depend finally upon responsible use by students/my child. Additionally, I will ensure that my child understands and adheres to the school’s appropriate behaviour requirements and will not engage in inappropriate use of the school’s ICT network. Furthermore I will advise the school if any inappropriate material is received by my student child that may have come from the school or from other students.

I believe my child understands this responsibility, and I hereby give my permission for him/her to access and use the school’s ICT network (including the internet) under the school rules. I understand that students breaking these rules will be subject to appropriate action by the school. This may include loss of access and usage of the school’s ICT network for some time.

Parent Name: Parent Signature: Date:

CONSENT FORM - ICT NETWORK, FACILITIES AND EQUIPMENT AGREEMENT

CONSENT FORM – STUDENT PARTICIPATION IN CHAPLAINCYPROGRAM

Student Participation in Chaplaincy Program at Meridan State College

This school community provides a chaplaincy program endorsed by the College’s Parents and Citizens’ Association and available on a voluntary basis to all students. Information about the school’s chaplaincy program is on the College’s website. The chaplain is involved in a range of activities at this College which are free of religious or spiritual content.

Parent consent, or in some cases, the student’s consent is required for participation in specific activities with religious or spiritual content. If the College Director/Principal decides that the student has the appropriate level of maturity and understanding to give informed consent, the student must sign this form themselves. Otherwise, the parent must sign the form on the student’s behalf.

Please complete the form below:

Parent Name/s

Student Name (in full)

The College newsletter and website and Facebook page will advise of any additional activities with religious or spiritual content in the College, prior to commencement.

Parent /Carer Name Date:

Student Signature Date:

Privacy Notice The Department of Education and Training is collecting student’s personal information in order to determine student participation in the school’s Chaplaincy Program. This information will only be accessed by the school principal and, if the student is participating in the program, the school chaplain. Student’s personal information will be recorded, used and disclosed in accordance with s.426 of the Education (General Provisions) Act 2006 (Qld) and will not be given to any other person or agency unless you have given the department permission or the disclosure is otherwise required or permitted by law.

Office Use: Retain original in student’s file and provide a copy of notice to the parent if requested.

The following Voluntary Student Activities With Religious or Spiritual Content require written consent:

• One-to-one meeting with chaplain for religious and spiritual support• Pastoral Care

YES - If you DO wish to give consent for this student to participate in the above activities, please tick boxes (a) and (b):

(a) I give consent for this student to participate in activities with religious or spiritual content.(b) I understand that, where I agree that the student can participate in the chaplaincy program, this information

will be passed on to the school chaplain

OR NO - if you DO NOT wish to give consent for the student to participate in the above activities please tick box (c):

(c) I do not give consent for the student to participate in activities with religious or spiritual content

VOLUNTARY STUDENT PARTICIPATION IN PROGRAM OF CHAPLAINCY

Hello and welcome to Meridan State College. We hope your family will enjoy your time here with us and you will enjoy becoming a part of this wonderful school community.

The P&C Association is an integral part of the College and we are very proud of the role the parents have played in shaping our school. We meet in the Rainforest Retreat on the second Wednesday of the month at 9:00am. Our meetings are a terrific way of finding out what is happening in the school and what is being planned. All parents/carers and community members are welcome to attend.

There are many ways in which you can become involved in the school and as a family new to the area this is also a great way to meet new people. You may like to help out in classroom activities, in the Resource Centre, in the café, coaching sporting teams or fundraising. Please let us know if there is any other area you may have some expertise and we will happily help you find some use for that. As our College is still relatively new there are many areas where your help would be appreciated.

Meridan State College is a wonderful school to be a part of and we hope your children settle in well. Our Rainforest Café operates each day.

Below there are some areas for you to indicate where you may be able to help out, even if it is only once a month, every little bit helps. Please fill it in and someone from the P&C committee will be in touch with you in the future. Thank you for your time.

Kind regards,

P&C Executive

pandc@meridansc.eq.edu.au

Please complete below or email the P&C directly, if you are able to assist our College P &C

To the Meridan State College P&C:

Name:

Phone: Mobile:

Email:

I would like to assist in:

Café Resource Centre Fundraising Classroom

Activities Sports Coach (specify) Other (please specify)

PARENTS’ and CITIZENS’ ASSOCIATION

This enrolment agreement sets out the responsibilities of the student, parents or carers and the school staff about the education of students enrolled at Meridan State College.

Responsibility of student to:

• attend school regularly, on time, ready to learn and take part in school activities • act at all times with respect and show tolerance towards other students and staff • work hard and comply with requests or directions from the teacher and principal • abide by College rules, meet homework requirements and wear the College uniform • respect the College environment.

Responsibility of parents to:

• attend open evenings for parents • let the College know if there are any problems that may affect your child’s ability to learn • inform the College of reason for any absence • treat College staff with respect and tolerance • support the authority and discipline of the College enabling your child to achieve maturity,

self discipline and self control • abide by College policy regarding access to College grounds before, during and after school

hours • advise Principal if your child is in the care of the state or you are the carer of a child in the

care of the state • inform the College if your child’s living arrangements change and provide details of new

home address and phone number. Responsibility of schoolto:

• develop each individual student’s talent as fully as possible • inform parents and carers regularly about how their children are progressing • inform students, parents and carers about what the teachers aim to teach the students each

term • teach effectively and to set the highest standards in work and behaviour • take reasonable steps to ensure the safety, happiness and self-confidence of all students • be open and welcoming at all reasonable times and offer opportunities for parents and

carers to become involved in the school community • clearly articulate the school’s expectations regarding the responsible behaviour plan for

students and the school’s dress code policy • ensure that parents and carers are aware of the school’s insurance arrangements and accident

cover for students • advise parents and carers of extra-curricular activities operating at the College in which

their child may become involved, for example, Program of Chaplaincy Services; religious instruction

• ensure that the parent is aware of the College’s record-keeping policy including the creation of a transfer note should the student enrol at another school

• set, mark and monitor homework regularly in keeping with the College’s homework policy • contact parents and carers as soon as is possible if the College is concerned about the child’s

school work, behaviour, attendance or punctuality • deal with complaints in an open, fair and transparent manner • consult parents on any major issues affecting students • treat students and parents with respect and tolerance.

ENROLMENT AGREEMENT FOR PARENTS and STUDENTS

I accept the rules and regulations of the Meridan State College as stated in the College policies that have been provided to me as follows and show my acceptance by “ticking” in the box:

Parent and Student

Acknowledge Responsible Behaviour Plan for Students:

I have access to a copy of the Behaviour Management Plan on the College website and accept the conditions of the agreement. I understand that breaches of this policy may result in disciplinary action.

Student Dress Code/Uniform Policy: I understand and agree to abide by the Dress Code and Uniform Policy.

School Charges, voluntary contributions – Student Resource Scheme (SRS):

I fully understand the terms and conditions of the Meridan State College SRS and agree to participate. In agreeing to participate, I undertake to finalise payment of fees by the due dates each year.

Secondary Subject Fees:

I fully understand the terms and conditions of Subject fees as outlined in the Agreement, and agree to finalise payment of fees by the due dates each year.

Student usage of internet, intranet and extranet:

I understand and accept the conditions of the Internet Use Agreement. I understand that breaches of this policy may result in disciplinary action.

Bring Your Own Device (BYOX):

I understand and accept the conditions of the Bring Your Own Device Agreement. I understand that breaches of this policy may result in disciplinary action.

Privacy Statement: I have access to the Education Queensland Privacy Statement available on the College website.

QParents, Facebook, Newsletter and Twitter: • Access your child’s student information online and stay connected to

your school. To register online for QParents visit qparents.qld.edu.au

• Parents are able to search our Meridan State College Facebook page for regular updates.

• You are also able to subscribe to Schoolzine for the online Newsletter via the College website.

• You can get daily reminders about all our events, excursions and activities by following our College Twitter feed. Install the Twitter app on your smartphone and then search for @meridansc to find us. Then select the “follow” button to receive our tweets.

ENROLMENT AGREEMENT FOR PARENTS and STUDENTS

College Policies:

I have access to the College website and can view College policies eg. Absences procedures, Use of Mobile Telephones and Electronic Equipment by students.

Insurance: I acknowledge that the Department of Education and Training does not have Personal Accident Insurance to cover students.

Transfer and/or Departure: I understand that upon transfer or departure of the student from the College, I will complete a signed release form. I will return all resources and finalise outstanding financial commitments to the College.

So we are able to assist your child further, please indicate as applicable: Behaviours displayed previously (please tick if applicable and provide details)

No previous issues

Had some issues

Aggression

Experienced Bullying

Non-compliant

Has used poor language

Has ad suspension

Previous kn own support (please tick if applicable and provide details) Behaviour Support Learning Support Pediatrician Hearing Assessment Child Psychology Speech Language Therapy Early Childhood Development Program Child Youth Mental Health Educational Support Plan English as a Second Language Support Other Health Professional Guidance Officer Support (NOTE: Permission to request GO files)

Previous Learning Needs (please tick if applicable and provide details)

Oral Language Reading / Spelling Writing Mathematics Other Extension / Enrichment Programs ie Music

Special Needs (please tick if applicable and provide details)

ADHD

Autism

Aspergers

Intellectual Impairment

Physical Impairment

Speech / Language Impairment

Hearing Impairment

Vision Impairment

• I hereby declare that the information given in this enrolmentform is true and correct at the date of enrolment.

• I acknowledge that information about Meridan State College isavailable on the College website. www.meridansc.eq.edu.au

Print Student Name: Student Signature: Date:

Print Parent 1 Name: Parent 1 Signature: Date:

Print Parent 2 Name: Parent 2 Signature: Date:

MSC Admin Name: Admin Signature: Date: