Empowered Girls. Magnificent Futures.

PRE-K — YEAR 12 APPLICATION TO ENROL

80–98 Park Road

Hurstville NSW 2220

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Senior: +61 2 9580 1415

Junior: + 61 2 9580 9242

enquiries@

danebank.nsw.edu.au

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danebank.nsw.edu.au

Application to Enrol | © 2019 Danebank An Anglican School for Girls 2

PART A | Student Details

Proposed Year/Term of entry: 20.............., Term 1 / 2 / 3 / 4 Year Level/Form: Year:

If Pre-K: □ 2 days □ 3 days

First Name: Other Names:

Surname: Preferred Name:

Date of Birth: Gender: Male / Female

Residential Address:

Home Phone: Student mobile:

Present or Last School/Preschool Attended:

School/Preschool Phone number:

Contact at present or Last School/Preschool:

Board of Studies No. (Yrs10-12 only)

Religious Denomination: Church Attended:

Country of Birth: Nationality (If not Australia Citizen, attach copy of current visa):

Language spoken at home: Visa Sub Class:

Is the student of Aboriginal or Torres Strait Islander origin? (Please √ one)

□ Aboriginal but not Torres Strait □ Torres Strait but not Aboriginal □ Both Aboriginal and Torres Strait □ Neither Aboriginal nor Torres Strait

OFFICE USE ONLYEntered By:

Checked By:

Application Date Receipt No. Student No. Interviewed by Offer Priority

PART B | Parent/Carer/Guardian/Debtor DetailsParent/Carer/Guardian/Debtor 1 (Primary contact for the student)

Parent/Carer/Guardian/Debtor 2

Title:

First Name:

Surname:

Relationship to prospective student:

Residential address:

Postal address (if different to above):

Home phone:

Mobile phone (both mobiles required):

Email address (both emails required):

Work phone:

Occupation:

Employer:

Application to Enrol | © 2019 Danebank An Anglican School for Girls 3

Details of Other Daughters In Family

Name: Date of Birth: School Attending:

Name: Date of Birth: School Attending:

Name: Date of Birth: School Attending:

Name: Date of Birth: School Attending:

Danebank Affiliation

Parent attended Danebank? YES / NO If so, previous name and year of leaving:

What house were you in? (circle) BALL COWELL GRAY RICHMOND

PART C | Student Medical and Educational InformationDoes the student suffer from any illness or medical condition which may have an impact on school life or learning?(If applicable, please attach full details on a separate sheet)

Does the student have any special educational needs requiring support?(If applicable, please attach full details on a separate sheet, and including any reports, assessments if available)

Does the student read: a) never b) occasionally c) for pleasure d) regularly e) extensively

In Mathematics the student appears to: a) be satisfactory b) have particular ability c) copes well d) has difficulty

Generally the student finds school: a) enjoyable b) challenging c) stressful d) boring

Please provide additional information as necessary:

What are the student’s interests, sports and hobbies (for example: music, dance, sports, creative arts)?

Has the student ever been suspended from,or asked to leave any school?(Please note that all information is strictly confidential)

Does your daughter know any other students at the School? If so, please advise their names.

Please tell us why you would like your daughter to attend the School.

Application to Enrol | © 2019 Danebank An Anglican School for Girls 4

PART D | Billing Information

Responsibility for Payment of Fees and Charges

Invoices for fees and charges will normally be sent to both parents, jointly.

In the event of acceptance by the School, I/we agree to be held jointly and severally responsible for the payment of all fees and charges to the School, as set from time-to-time by the School.

Signature of Parent/Carer/Guardian 1:

Signature of Parent/Carer/Guardian 2:

Billing Address (If different to residential address)

PART E | Relationships

The Following information is helpful to avoid confusion or embarrassment

Please complete if relevant: □ Parents separated □ Parents divorced□ Father deceased

□ Mother deceased

With whom does the student normally reside? □ Both parents

□ Father only□ Shared/other arrangement (Provide details)

□ Mother only

Communication regarding day-to-day matters is with whom?

□ Both parents

□ Father only

□ Guardian□ Mother only

Copies of the College reports should be sent to whom? □ Both parents

□ Father only

□ Guardian□ Mother only

PART F | Application Declaration□ I/We apply to have the prospective student named in Part A admitted to Danebank An Anglican School for Girls as stated in Part A.

□ I/We certify that all personal details supplied with this application are true and correct.

□ I/We acknowledge our obligation to provide any information as may be requested by the School, to support the student’s education and well being.

□ In the event of acceptance by Danebank An Anglican School for Girls, I/we agree to be bound by the Conditions of Enrolment as stated on page 7 of this Application to Enrol and by the regulations that may be made from time-to-time for the conduct of Danebank An Anglican School for Girls, including the requirement for participation in all activities that are organised by the School as part of its regular academic and co-curricular program.

□ I/We acknowledge and accept that, as set out in the Prospectus for the School, a copy of which I/we have received and read, Christianity will be presented as the spiritual and moral basis of life, and students will be encouraged to consider a personal faith in Jesus Christ.

Signature/s of Applicant/s (both Parents/Guardians are to sign unless there is only one Parent/Guardian):

SignatureParent/Carer/Guardian/Debtor 1: Date:

SignatureParent/Carer/Guardian/Debtor 2:

Date:

Application to Enrol | © 2019 Danebank An Anglican School for Girls 5

CHECK LIST

Before submitting this application please:

Check that all sections of this form have been completed.

Ensure that Part D and Part F have been signed and dated where appropriate.

Please ensure that copies of the following documents* are enclosed with this application:

Student’s birth certificate OR Passport

Two most recent school reports (including NAPLAN where applicable)

Student’s current Australian Immunisation Register (AIR) history statement

Student Visa (if relevant)

Current court orders (if relevant)

All documentation relating to student skills and learning needs, for example □ Psychological Assessment □ Medical Report □ Occupational Therapist Report □ Speech Therapist Report □ Other

Application fee $200

*Please note that the application cannot be processed until all of the above documents have been received by the School.

When completed, please return this Application and the attachments to the Registrar at Danebank

Please note that your submission of this completed Application to Enrol form does not constitute acceptance by Danebank An Anglican School for Girls

Application to Enrol | © 2019 Danebank An Anglican School for Girls 6

Conditions of Enrolment

Anglican Schools Corporation from 1 January 2012 (published June 2011)

Application to Enrol | © 2019 Danebank An Anglican School for Girls 7

Application to Enrol | © 2019 Danebank An Anglican School for Girls 8

Privacy of Information

Anglican Schools Corporation - Standard Collection NoticeAnglican Schools Corporation - Standard Collection Notice

1. The Anglican Schools Corporation (both independently and through its Schools) collects personal information, including sensitive information about pupils and parents or guardians before and during the course of a pupil's enrolment at the School. This may be in writing or in the course of conversations. The primary purpose of collecting this information is to enable the School to provide schooling for your son/daughter and to enable them to take part in all the activities of the School.

2. Some of the information we collect is to satisfy the School's legal obligations, particularly to enable the School to discharge its duty of care.

3. Certain laws governing or relating to the operation of schools require that certain information is collected. These include Public Health and Child Protection laws.

4. Health information about pupils is sensitive information within the terms of the National Privacy Principles under the Privacy Act. We ask you to provide medical reports about pupils from time to time.

5. If we do not obtain the information referred to above we may not be able to enrol or continue the enrolment of your son/daughter.

6. The School from time to time discloses personal and sensitive information to others for administrative and educational purposes. This includes to other schools, government departments and agencies, medical practitioners, and people providing services to the School, including specialist visiting teachers, coaches, volunteers and counsellors.

7. In addition to the agencies and purposes cited at 6 above personal information relating to students and parents may also be made available, in accordance with Australian Government requirements, to ACARA for the purpose of publishing certain school information relating to the circumstances of parents and students on the MySchool website.

8. The School from time to time may also collect and disclose personal information about current or prospective students in accordance with the Education Act or child protection legislation.

9. Personal information collected from pupils is regularly disclosed to their parents or guardians. On occasions, information such as academic and sporting achievements, pupil activities and other news is published in School newsletters, magazines and on our website.

10. The Corporation’s Privacy Policy sets out how parents or pupils may seek access to personal information collected about them. Pupils may also seek access to personal information about them. However, there will be occasions when access is denied. Such occasions would include where access would have an unreasonable impact on the privacy of others, where access may result in a breach of the School’s duty of care to the pupil, or where pupils have provided information in confidence.

11. The Corporation’s Privacy Policy also sets out how you may complain about a breach of privacy and how the School will deal with such a complaint.

12. As you may know the School from time to time engages in fundraising activities. Information received from you may be used to make an appeal to you. It may also be disclosed to organisations that assist in the School's fundraising activities solely for that purpose. We will not disclose your personal information to third parties for their own marketing purposes without your consent.

13. On occasions information such as academic and sporting achievements, pupil activities and similar news is published in School newsletters and magazines and on our website.

14. We may include pupils’ and pupils’ parents’ contact details in a class list and School directory.

15. If you provide the School with the personal information of others, such as doctors or emergency contacts, we encourage you to inform them that you are disclosing that information to the School and why, that they can access that information if they wish and that the School does not usually disclose the information to third parties.

16. The School may utilise service providers to provide certain services including data storage to the school and its staff and students. The School may provide your personal information to such service providers in connection with the provision of these services. The School’s email service provider may store and process emails outside Australia. The School’s service provider may also store data outside Australia.

Anglican Schools Corporation - Standard Collection Notice 2014, updated February 2016 page 1 of 1