Ap For Enr pplica rm for rolme ation r ent

Transcription

Ap For Enr pplica rm for rolme ation r ent
Ap
pplica
ation
Forrm forr
Enrrolme
ent
Alessco Senior C
College –
A perrsonalised, inclusive,
innova
ative pathw
way to your
Highe
er School Certificate.
Inforrmation forr Applicantss: Thank you for you r interest in enrolling in Ale
esco Senior Coollege. e results of your applicationn. The informa
ation you have The sschool will nottify you of the
provided will be ussed by the sch
hool to determ
mine the appliication to progress to stagee 2 which is an interview. part of the appplication stud
dents will need to provide: As a p
 A copy off proof of iden
ntity including date of birth  A copy off the most recent school rep
port  Copies of f any other sup
pporting docu
umentation (ssuch as support letters etc)
 Copies of f any other leggal documenta
ation (court oorders etc) You a
are welcome tto provide furrther informattion on an attaached sheet. Your privacy protectted 998 (NSW) and tthe This school is subjectt to the Privacyy and Personal Information Prootection Act 19
Health Records and Information Privacy Act 2002. nformation youu provide will be
e used to proce
ess your child’s application forr enrolment, wh
hich may The in
includ
de a risk assessm
ment. It will only be used or disclosed for thee following purposes: 
General st udent administtration relating to the educatioon and welfare of the studentt 
Communiccation with stud
dents and parents or carers 
To ensure the health, safe
ety and welfare
e of students, sttaff and visitorss to the school

State and N
National reportting purposes 
For any othher purpose required by law.
The in
nformation will be stored secu
urely. You may access or correect any personal information b
by contacting the schoool. If you have aa concern or complaint about tthe way your p
personal information has been collected, usedd, or disclosed, you should con
ntact the schoo l. Do I h
have to answerr all the questio
ons? The in
nformation youu provide will asssist the school to communicaate with you and to care for yo
our child while at school. Shouuld you choose
e to submit an in
ncomplete form
m, processing your application
n may be delayed and the quaality of our service to you may be affected. g false or misleeading information is a serious offence. In thhe event that statements mad
de in this Giving
appliccation later proove to be false or misleading, any decision m
made as a resullt of this application may b
be reversed. Why h
have we askedd for informatio
on about Parent /Guardian occcupation and e
education? All Au
ustralian Educattion Ministers h
have agreed on National Goalss for Schooling in the 21st Cen
ntury. As a partt of this all schoool must now ask information regarding the ffamily backgrou
und of studentss. The main purpose of colllecting this info
ormation is to promote an eduucation system which is fair for all Australian students rregardless of th
heir background
d. We use the innformation to e
evaluate wheth
her our policie
es are effectivee and to ensure
e that no group is experiencingg undue disadva
antage becausee of their econo
omic or social bbackground. Pro
oviding informa
ation about youur occupation and education iss voluntary and you doo not have to answer if you do
o not wish to. The fo
our groups listeed on page ‘2’ aare used by the Australian Bureeau of Statistics to classify occcupations. Please
e choose the grroup that you think best descrribes you. If youu have retired o
or stopped work in the past yyear please chooose the group in which you ussed to work. Yoou will need to use this table tto answer the qu
uestions on pagges ‘??’. Stude
ent Email and Innternet Access Stude
ents are provideed with an emaail account to en
nable learning oopportunities in a protected aand secure environment . Students must abide by the sschool’s policy w
when using the
e schools Intern
net and nt their email services. Pareents/ Guardianss will need to inform the schoool in writing if they do not wan
child tto have access to the school In
nternet and em
mail facility. THISS APPLICATIO
ON DOES NO
OT CONSTITU
UTE ACCEPTA
ANCE OF THE
E ENROLMEN
NT. Plea
ase tear off tthis front pa
age and keep it before rreturning yo
our applicatiion to
the school.
s
© Ale
esco Senior Colllege Applicatio
on Form 2013. P
Parrent/ Guaardian Occupation Groups
Grou
up 4 Machine operatorrs, hosp
pitality staff, assisstants, laboureers and related workeers Grou
up 3 Tradesmen/ women, clerkks and skilled office, sales and serviice staff Grou
up 2 Othe
er business managers, arts/media/ Sporrtspersons and
d associate professionals Grou
up 1 Seniior managem
ment in large businesss orgaanisation, gove
ernment adm
ministration aand defe
ence, and quallified proffessionals 




Drivvers, mobile pla
ant, productionn/processing machinery and o
other machinery
ry operators Hosspitality staff [h
hotel service su pervisor, recep
ptionist, waiter, bar attendant,, kitchenhand, porter, housekeeeper] Office assistants, ssales assistants and other assisstants Office [typist, word processing/d ata entry/busin
ness machine operator, recepttionist, office assistant] Salees [sales assista
ant, motor vehi cle/caravan/paarts salesperson
n, checkout opeerator, cashier, bus/train cond
ductor, tickket seller, servicce station attenndant, car rentaal desk staff, strreet vendor, tellemarketer, she
elf stacker]  Asssistant/aide [tra
ades’ assistant, school/teacher’s aide, dental assistant, veteerinary nurse, nursing assistantt, museum/ gallery a
attendant, usheer, home helper, salon assistan
nt, animal attenndant]  Lab
bourers and rela
ated workers  Deffence Forces ranks below seni or NCO not included below  Agrriculture, horticculture, forestryy, fishing, minin
ng worker [farm
m overseer, she arer, wool/hide
e classer, farm hand, horrse trainer, nursseryman, greennkeeper, garden
ner, tree surgeo
on, forestry/loggging worker, m
miner, seafarer//fishing han
nd]  Oth
her worker [labourer, factory hhand, storeman
n, guard, cleane
er, caretaker, laaundry worker, trolley collecto
or, car parrk attendant, crossing supervissor  Tradesmen/wome
en generally havve completed aa 4 year Trade C
Certificate, usuaally by apprenticeship.  All ttradesmen/women are includded in this group  Clerks [bookkeepe
er, bank/PO cle rk, statistical/actuarial clerk, a
accounting/clai ms/audit clerk,, payroll clerk, reco
ording/ registryy/filing clerk, beetting clerk, sto
ores/inventory clerk, purchasinng/order clerk, freiight/transport/shipping clerk, bond clerk, cusstoms agent, cu
ustomer servicees clerk, admisssions clerk]  Skilled office, saless and service sttaff  Office [secretary, p
personal assistaant, desktop pu
ublishing operator, switchboarrd operator]  Salees [company sa
ales representattive, auctioneer, insurance agent/assessor/looss adjuster, market researcheer]  Service [aged/disa
abled/refuge/chhild care worke
er, nanny, meter reader, parkinng inspector, po
ostal worker, co
ourier, travvel agent, tour guide, flight atttendant, fitnesss instructor, cassino dealer/suppervisor]
 Ow
wner/manager o
of farm, construuction, import/e
export, wholesale, manufactuuring, transport, real estate bu
usiness  Speecialist manager [finance/engi neering/production/ personnel/industrial re lations/sales/m
marketing]  Finaancial services manager [bankk branch managger, finance/ inv
vestment/insurrance broker, credit/loans officer]  Rettail sales/services manager [shhop, petrol station, restaurant, club, hotel/mootel, cinema, th
heatre, agency]]  Artss/media/sportss [musician, acttor, dancer, painter, potter, sculptor, journaliist, author, med
dia presenter, pho
otographer, dessigner, illustratoor, proof reade
er, sportsman/w
woman, coach, trainer, sports official]  Asssociate professionals generallyy have diploma//technical qualifications and ssupport manage
ers and professsionals  Heaalth, Education,, Law, Social W elfare, Enginee
ering, Science, C
Computing techhnician/associatte professional  Bussiness/administtration [recruitm
ment/employm
ment/industrial relations/trainiing officer, marrketing/advertissing speecialist,  market research analyst, technicaal sales represe
entative, retail buyer, office/p roject managerr]  Deffence Forces senior Non‐Comm
missioned Officcer  Sen
nior executive/m
manager/deparrtment head in industry, comm
merce, media oor other large organisation  Pub
blic service man
nager [section hhead or above],, regional director, health/eduucation/police/fire services adm
ministrator  Oth
her administrator [school princcipal, faculty he
ead/dean, library/museum/gaallery director, rresearch facilityy direector]  Deffence Forces Co
ommissioned O
Officer  Pro
ofessionals gene
erally have deg ree or higher qualifications an
nd experience inn applying this knowledge to d
design, devvelop or operate complex syst ems; identify, ttreat and advise
e on problems; and teach othe
ers  Heaalth, Education,, Law, Social W elfare, Enginee
ering, Science, C
Computing proffessional  Bussiness [management consultannt, business anaalyst, accountant, auditor, pollicy analyst, acttuary, valuer]  Air//sea transport [[aircraft/ship’s captain/officerr/pilot, flight officer, flying insttructor, air trafffic controller]
If the
e person is not ccurrently in paiid work but had
d a job or retireed in the last 12
2 months, please use the persoon’s last occupa
ation. If th
he person has n
not been in paid
d work in the last 12 months, pplease write ‘8’’ in the box.
© Ale
esco Senior Colllege Applicatio
on Form 2013. Alesco Senio
or College App
plication
n
D
Date of Application: _________________ App
plication ffor:
Yea
ar 10 RoSA
A
Sen
nior Progra
am

Alesco
o Flex Pro
ogram 
1. ST
TUDENT DETTAILS First name: _______________________
____________ Othe
er Names: _______________________
____ Last Name: ___________________
_______________ DOB: ___
___/ ______/ ____________ M   or F  Stree
et Address: _______________________________________________ SSuburb: ____
____________________ Posst Code: ________ Hom
me Ph.: _______________________
_______________ Mobile P
Ph.: ________
____________
____________
________________ Email: _______________________________
_____________ @ ________
____________
_______________________
________________ 2. LIVING ARRAN
NGEMENTS:: Wiith both parennts  With Mother W
 With Fath er  Indeppendent  Other (please O
specify): ____
_____________ 3. DETAILS ntry of Birth_________________________
________________________
____________
____________
____________
___________
Coun
Is the student of A
Aboriginal or TTorres Strait Isslander decennt? Doess the student come from a Non English SSpeaking backkground? Yes No 
Yes  No 
Langguage Spoken at home: _______________
________________________
___________
________________________
___________
Doess the student have a disability or currentt diagnosis? Diagnosis: ______________________________
____________
____________
_ Yes No 
(plea
ase provide alll documents relating to this) Date
e: __________________________________
____________ Who provide
ed this: ____________________________
___________
Has tthe student ever undergon
ne assessmentt by psychiatriist, psychologgist, behaviourral therapist oor other: Yes No 
Sourrce (ie Doctor,, school counssellor etc) : __
________________________
__________________
Date: ______
______________ Is the young perso
on still involveed with this se
ervice: Yes No  Please provide alll documents rrelating to thiis section as aa part of the initial applicattion 4. PA
ARENT GUARDIAN 1 (whhere details are same as studeent write ‘SAME’) Title: Mr/ Mrs/MSS /Dr Firstt name: _____
________________________
_ Last Name: ___________________
_________________ Relattionship to Student: _________________
________________________
____________
____________
____________
_________________ Stree
et Address __________________________
____________________ Su
uburb: _____
_________________ Post Co
ode: _____________ Hom
me Ph.: ____________________________ Mobile Ph.: ___________
____________
_________ W
Work Ph.: ____
____________________ Email: ______________________________ @
@ _____________________
____________
_____ Occupaation Group: _
_______________ 5. PA
ARENT GUARDIAN 2(wheere details are same as studennt write ‘SAMEE’) Title: Mr/ Mrs/MSS /Dr Firstt name: _____
________________________
_ Last Name: ___________________
_________________ Relattionship to Student: _________________
________________________
____________
____________
____________
_________________ Stree
et Address __________________________
____________________ Su
uburb: _____
_________________ Post Co
ode: _____________ Hom
me Ph.: ___________________________ Mobile Ph.: _____________
____________
________ Woork Ph.: _____
___________________ Email: ______________________________ @
@ _____________________
____________
_____ Occupaation Group: _
_______________ © Ale
esco Senior Colllege Applicatio
on Form 2013. 6. REFERRAL DETTAILS (if app
plicable) Refe
erral Agency: _________________________
_______________________
__ Type
e of Service: _____________
__________________ Nam
me of Worker: _______________________
_______________________
__ Ph.: _______________________
__________________ Email: ______________________________ @
@ _____________________
_______ Ongoing Involvem
ment: Yes No  Plea
ase attach a referral letteer 7. ED
DUCATIONA
AL HISTORY Nam
me of School/ TAFE etc Grade
e/s or course//s
Last year off attendance Completted?
YES
NO
8. O
OTHER TRAIN
NING OR EMP
PLOYMENT Naame of Employer
Role/ Dutties
Comple
eted?
YES YES
Last year oof attendancee O
Ongoing?
NO
O
NO
9. REASON FOR APPLICATIO
ON TO ALESC
CO SENIOR CO
OLLEGE ____
___________________________________
________________________
____________
_______________________
____________________
____
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________________________
____________
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____
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________________________
____________
_______________________
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____
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________________________
____________
_______________________
____________________
____
___________________________________
________________________
____________
_______________________
____________________
____
___________________________________
________________________
____________
_______________________
____________________
____
___________________________________
________________________
____________
_______________________
____________________
____
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________________________
____________
_______________________
____________________
____
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________________________
____________
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____
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________________________
____________
_______________________
____________________
____
___________________________________
________________________
____________
_______________________
____________________ © Ale
esco Senior Colllege Applicatio
on Form 2013. 10. SSUPPORT DO
OCUMENTATTION Plea
ase provide ccopies of thee following; Section 1: Copy off proof of Iden
ntification Yes Noo  Section 3: Practitioners report (if applicable)) Yes Noo  Section 6: Referraal Letter (if applicable) Yes Noo  Section 7: Copy off most recent school reportt Yes Noo  m Year 9 six m
months comp letion or equivalent Section 7: Evidencce of minimum
11. SSIGNATURESS Yes Noo  Sign
ned: _____________________________
___________________ (a
applicant)
Date: _____________
______ Sign
ned: _____________________________
___________________ (p
parent) Date: _____________
______ OFFICE USE ONLLY Date received Addittional Notes: Interview Datte Enrollment Accepted
d YES If No outline reason
n Date application to be destroyed © Ale
esco Senior Colllege Applicatio
on Form 2013. Time: NO N
Signature S