St. Joseph's Cobram
Application for Enrolment

This is a School which operates with the consent of the Bishop of the Catholic Diocese of Sandhurst and is owned, operated and governed by Catholic Education Sandhurst (CES) Limited, where formation and education are based on the principles of Catholic doctrine, and where the teachers are outstanding in true doctrine and uprightness of life. This application form is part of the CES Limited’s Enrolment Framework which is available at https://www.sjcobram.catholic.edu.au/

DETAILS OF CHILD

Surname

First name/s

Preferred first name

Date of birth

Entry year

Entry level/grade

Religion(include rite)

Proposed Commencement Date of Enrolment

Gender

MaleFemaleOther

HOME ADDRESS OF CHILD

Street number and name

Suburb

Postcode

Home phone

PREVIOUS SCHOOL/PRESCHOOL PERMISSION

Name and address of previous school/preschool

SACRAMENTAL INFORMATION

Baptism

Date

Parish

Confirmation

Date

Parish

Reconciliation

Date

Parish

Communion

Date

Parish

Current parish

NATIONALITY

Please attach a birth certificate for your child

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Government Requirement

Nationality

Ethnicity

In which country was the student born?

AustraliaOther

Please specify

Is the student of Aboriginal or Torres Strait Islander origin?

NoYes, AboriginalYes, Torres Strait Islander

(For persons of both Aboriginal and Torres Strait Islander origin, tick ‘Yes’ for both.)

IF NOT BORN IN AUSTRALIA, CITIZENSHIP STATUS

Please attach visa/ImmiCard/letter of notification and passport photo page

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Please tick the relevant category below and record the visa subclass number as per government requirements:
(original documents to be sighted and copies to be retained by the school)

Australian citizen not born in Australia:

Australian citizen (Australian passport or naturalisation certificate number/document for travel if country of birth is not Australia)

Australian passport number

Naturalisation certificate number

Visa subclass recorded on entry to Australia

Date of arrival in Australia

Not currently an Australian citizen, please provide further details as appropriate below:

Permanent resident

Record the visa subclass number

Temporary resident

Record the visa subclass number

Other/visitor/overseas student

Record the visa subclass number

IMMUNISATION

Please attach an immunisation history statement for your child

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All vaccines are recorded on the Australian Immunisation Register (AIR). You are required to obtain an immunisation history statement for your child (visit myGov) and provide it to the school with this enrolment form.

Immunisation history statement attached

YesNo

Please provide explanation

If the student entered Australia on a humanitarian visa, did they receive a refugee health check?

YesNo

SIBLINGS ATTENDING A SCHOOL/PRESCHOOL

List all children in your family attending school or preschool (oldest to youngest) – include applicant:

Name

School/preschool

Year/grade

Date of birth

PARENT A/GUARDIAN 1

Title

Surname

First name

Address

Home phone

Work phone

Mobile

Email

SMS messaging (for emergency and reminder purposes)

YesNo

PARENT A/GUARDIAN 2

Title

Surname

First name

Address

Home phone

Work phone

Mobile

Email

SMS messaging (for emergency and reminder purposes)

YesNo

FAMILY DETAILS

Should the Application be accepted and enrolment is completed, who will be responsible for payment of the school fees and levies?

If the school fees are to be divided between parents, please contact the school office.

Surname

First name

Address

Email

Phone

Relationship to the student

By signing below, the applicant/s acknowledge/s:

this is a request for the named child to be considered for enrolment in the school according to the school’s Enrolment Policy, and that the school’s receipt of this application does not mean the school has enrolled this child.
the school will consider this request and endeavour to communicate the outcome of this consideration two weeks from receiving the application.
That any initial offer will be provisional, with the applicants to then be required to provide additional information according to government and other requirements, and to agree to the Terms and Conditions of Enrolment.

PARENT/CARER/GUARDIAN SIGNATURE

Draw signature|Type signatureClear

Date

PARENT/CARER/GUARDIAN SIGNATURE

Draw signature|Type signatureClear

Date

Note: The Victorian Government provides the following guidance regarding admission requirements:
Consent can be provided through the signature of:

student, if they are over 15 and living independently
parent as defined in the Family Law Act 1975

Note: In the absence of a current court order, each parent of a child who is not 18 has equal parental responsibility.

both parents for parents who are separated, or a copy of the court order with any impact on the relationship between the family and the school
an informal carer, with a statutory declaration.

Carers:

may be a relative or other carer
have day-to-day care of the student with the student regularly living with them
may provide any other consent required e.g. excursions.

Notes for an informal carer:

statutory declarations apply for 12 months
the wishes of a parent prevail in the event of a dispute between a parent legally responsible for a student and an informal carer.

Note: Secondary students may complete parts of the form and co-sign.

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