Student Enrolment Application | Page 1...Student Enrolment Application | Page 5 Student Applicant Pre-requisites Out of Catchment Applicant Circumstances Using the space provided below,

Student Enrolment Application | Page 1


Student Enrolment Application Overview

Supporting Documentation Checklist

Parents/caregivers considering enrolling their child at Runcorn State High School must understand that submitting a Student Enrolment Application does not guarantee confirmation of place.

Before beginning to complete this Student Enrolment Application please refer to the Supporting Documentation Checklist below and ensure that you are able to provide all of the required supporting documentation.

Upon completion, please submit the Student Enrolment Application and supporting documentation via email to [email protected] or in person to the school’s administration office.

The school will notify you of the results of your application via email within 5 – 10 business days of submitting a complete Student Enrolment Application along with the required supporting documentation.

Certified copy of student applicant’s Birth Certificate (translated in English if applicable)

Student applicant’s valid passport and corresponding Visa (for student applicants born overseas)

Student Data Transfer Note (for student applicants enrolling from interstate)

Student applicant’s most recent report card

Proof of Residency (e.g. Rates Notice, Rental Agreement or Utility Bill)

If the student applicant was born in Australia –You are required to provide a certified copy of the student’s Australian birth certificate

If the student applicant was not born in Australia and does have Australian Citizenship –You are required to provide a certified copy of the student’s birth certificate and Australian Citizenship Certificate

If the student applicant was not born in Australian and does not have Australian Citizenship –You are required to provide a certified copy of the student’s current Passport, corresponding Visa and date of arrival stamp

Office use only - Please do not write in this space

Enrolment outcome:____________________________________________________________________________

Principal’s Signature:____________________________________________________________________________

Enrolment interview details:

Date:__________________________________________Time:__________________________________________

Intended start date:______________________________Interviewer:____________________________________


Family name

Family name

Given name

Given name

Contact number

Email address

Residential address

Residential address

Gender

Country of birth

Which grade is the student seeking to enrol?7

2021

No

8

2022

YesSuspension

ExclusionCancellation

9

2023

10

2024

11 12

Which year is student intending to start?

Is the student currently under suspension, exclusion or cancellation?

Please specify

FemaleMale

Australia Other

Date of birth

Relationship to studentTitle

Student Applicant Details

Primary Parent / Carer Details


Learning Support / EALD

Extension and Enrichment

Disability/Verification

Has the student applicant ever received additional learning support in the classroom; been withdrawn for extra support or attended any supported lunch time programs (e.g. teacher aide/learning support teacher; social skills programs)? If so, please specify the subject areas they need support with.

Has the student applicant ever participated in programs to provide extension or been identified as gifted and/or talented (e.g. Brain Ways, year advancement, extension classes)? If so, please specify the subject area/s this occurred in and which program/s they participated in.

Has the Department of Education (DOE) ever verified the student applicant as having a disability (The only disability areas in DOE are Hearing Impairment, Intellectual Disability, Autism Spectrum Disorder, Physical Impairment and Speech-Language Impairment)? If so, please specify the diagnosis and support received.

Support Services

Are you aware of any testing or information that the student applicant’s previous school guidance officer would hold that could be useful in supporting them? If so, please provide the name of the guidance officer and specify the testing or information that they may hold to support the student applicant.


Student Applicant Pre-requisites

Out of Catchment Applicant Circumstances

Using the space provided below, please provide details of your special circumstances/reasons for applying to enrol at Runcorn State High School:

If you answered ‘No’ to the above questions, the student is classified as an ‘out of catchment applicant’ and must complete the ‘Out of Catchment Applicant Circumstances’ section below.

I authorise Runcorn State High School to seek the student applicant’s personal information from their previous school/s. I understand that this information will only be accessed by Runcorn State High School and departmental employees and will not be given to any other person or agency unless permitted or required by law.

No

No

No

No

Yes

Yes

Yes

Yes

Does the student reside within the school’s catchment area?Please refer to the Department’s edMap

Has the student previously been enrolled at Runcorn State High School?

Does the student have a sibling that is currently enrolled at Runcorn State High School?

Is the student applying for one of our academic, sporting or creative industries excellence academies?

Parent/Carer family name

Parent/Carer given name

Parent/Carer signature Date


Office use only - Please do not write in this space

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-

state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 1 of 9

https://ppr.qld.gov.au/pp/enrolment-in-state-primary-secondary-and-special-schools-procedurehttps://ppr.qld.gov.au/pp/enrolment-in-state-primary-secondary-and-special-schools-procedure




Runcorn State High School




Date of publication 29/04/2021

Page 7 of 9





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student-enrolment-applicationstudent-enrolment-application-PART ONE

application-for-student-enrolment-form

Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: OffCheck Box5: OffSex: OffCOB: OffSeeking to enrol: OffStart year: Offenrolment circumstance: OffParent Title: Relationship to student1: Extension and enrichment: Learning support: Disability: Support services: Catchment: OffPreviously enrolled: OffSibling10: OffExcellence academy: OffOut of catchment circumstances: Family name: Given names10: Date Authorise: Save: Print: Submit: Legal: LegalFirst: Student Applicant Address: Student Applicant DOB: preferred_family_name: copy_birth: Offmature_student: Offattended qld state school: Offpreferred_given_name: previous school and date of enrolment: year seeking to enrol: start date: sibling dob: year level seeking to enrol: sibling name: sibling year level: sibling school: Indigenous Status: OffParent address: parent 1 title: Offparent 1 gender: Offparent 1 emergency: OffContactemail1: Workhomemobile: parent 1 occ: Offparent 1 occupation: parent 1 english: Offparent 1 cob: parent 1 interp: Offparent 1 aus: Offparent 1 perm aus: Offparent 2 given name: parent 2 title: Offparent 2 gender: Offparent 1 relationship: parent 2 relationship: parent 2 emergency: Offparent 1 C2: parent 1 C3: parent 2 C2: parent 2 C1: parent 2 C3: parent 2 email: parent 2 occupation: parent 2 occ check: Offparent 1 employer: parent 2 employer: parent 2 cob: parent 2 english: Offparent 1 language: parent 2 language: parent 2 interp: Offparent 2 aus: Offparent 2 aus perm: Offparent 2 family name: parent 2 address 1: parent 2 address 2: parent 2 suburb: parent 1 address 2: parent 1 suburb: parent 1 address 1: parent 1 address m1: parent 1 address m2: parent 1 m suburb: parent 2 address m1: parent 2 address m2: parent 2 m suburb: parent 2 state: parent 2 postcode: parent 1 postcode: parent 2 m postcode: parent 2 m state: parent 1 m postcode: parent 1 state: parent 1 m state: parent 1 schooling: Offparent 1 qual: Offparent 2 qual: OffCountry of birth: student date of arrival: student aus: Offstudent lang: Offstudent immigration status: Offstudent other immigration: student passport number: student visa number: passport expiry: visa expiry: student come from: Offstudent previous education: Offstudent visa sub: religious instruction: Offeducation provider: nominate religion: student address l2: student postcode: student suburb: student state: student address m1: student address m2: student m suburb: student m state: student m postcode: student address l1: student email: EM1 full name: EM1 phone 1: EM1 phone 2: EM2 full name: EM2 phone 1: EM2 phone 2: EM2 phone 3: student no medical: Offstudent med 2: student med 1: student medical aids: Offstudent med 3: student med aid details: EM1 phone 3: student med card: student med card pos: student med prac number: student med cardholder: student med prac: student health ins: student medical prac consent: Offstudent res out of home: Offcourt com date: court end date: student health ins number: child safety name: child safety contact: current court order: Offfamily order start date: family order end date: other court order: Offother order start date: other order end date: parent1 sign date: student sign date: parent2 sign date: date of arrival: date enrolment approved: student other language: eqi reciept number: EM1 relationship: EM2 relationship:

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Student Enrolment Application | Page 1...Student Enrolment Application | Page 5 Student Applicant Pre-requisites Out of Catchment Applicant Circumstances Using the space provided below,