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Amend an Independent School’s RegistrationApplication form
Use this form to apply for: an additional year level an additional campus relocate the school or campus an additional senior secondary qualification.
Applicants seeking to amalgamate two or more registered schools must apply as a new school and complete the Register an Independent School – Application form.
Associated documents Guidelines to The Minimum Standards and Other Requirements for Registration of Schools Including Those
Offering Senior Secondary Courses (the Guidelines). Amend an Independent School’s Registration – Information sheet.
Applications must be submitted in electronic formatSend your application in electronic format (USB) to:
Schools and Senior Secondary UnitVictorian Registration and Qualifications AuthorityGPO Box 2317Melbourne Vic 3001
Or zipped files can be emailed to:[email protected]
PRIVACY DISCLAIMERThe VRQA requires all the information collected in this application for the purpose of registering schools under the Education and Training Reform Act 2006 (the Act). Once registered, some information about schools will be made available to the public on the State Register. Information may also be shared with other government organisations if required for their functions, in accordance with the Act. The VRQA is committed to handling all personal information securely in accordance with the Privacy and Data Protection Act 2014. To learn more about how the VRQA handles personal information, access the VRQA’s privacy statement on the VRQA website.
VRQA Amend an Independent School’s Registration – Application form – June 2017 1
Part A – Governance information
A.1 Chair of governing body (if applicable) ▼A.1.1 Chair of governing body Full name
A.1.2 Chair’s title
A.1.3 Postal address Street address
Suburb/town Postcode
Telephone Mobile
Part B – School information
B.1 Entity DetailsB.1.1 Legal entity name
Invoices will be addressed in this name
B.1.2 Legal entity type ☐ Company limited by guarantee
☐ Company limited by shares
☐ Incorporated entity/association
☐ Unincorporated entity/association
☐ Co-operative ☐ Other please specify
B.1.3 Postal address Street address
Suburb/town Postcode
Telephone
B.1.4 Australian Company Number (ACN)* *If applicable
B.1.5 Australian Business Number (ABN)
B.2 Contact for applicationB.2.1 Contact person Full name
B.2.2 Position
B.2.3 Postal address Street address
Suburb/town Postcode
Telephone Mobile
B.2.4 Contact for invoicing Full name
VRQA Amend an Independent School’s Registration – Application form – June 2017 2
B.3 School DetailsB.3.1 School name
B.3.2 Principal’s details ▼ Full name
Telephone Mobile
B.3.3 School address Street address
Suburb/town Postcode
Telephone
Website
B.3.4 Postal addressif different from above
Street address
Suburb/town Postcode
B.3.5 Addresses of any existing campuses Street address
Suburb/town Postcode
B.3 Proposed date of commencementDate (day, month, year) DD MM YYYY
B.4 Applying for an additional campusB.4.1 Are you applying to amend your
registration to include an additional campus?
☐ Yes, go to B.4.2 Name of new campus
☐ No, go to B.5 Relocation of a school or campus
B.4.2 Name of new campus
B.4.3 Street address Street address
Suburb/town Postcode
B.4.4 Postal address if different from above
Street address
Suburb/town Postcode
B.4.5 Campus name
B.4.6 Campus principal Full name
Telephone Mobile
B.4.7 Does the additional campus have a chair of a governing body or sub-committee that reports to the governing body of the school?
☐ Yes, complete details below ☐ No, go to B.4.8 Type of campus
Chair of governing body Full name
Chair’s title
Chair details Street address
Suburb/town Postcode
Telephone Mobile
VRQA Amend an Independent School’s Registration – Application form – June 2017 3
B.4.8 Type of campusSelect all that apply
*See Information Sheet for details
☐ Primary ☐ Secondary
☐ Co-educational ☐ Single sex ☐ Boys ☐ Girls
☐ Specific purpose* ☐ Specialist*
B.4.9 The age range and number of students at each year level to be offered at the additional campus
Year level Age range of students No. of students
e.g. Year 7 11–13.5 years 17 students
If additional rows are required, please use a separate sheet of paper and attach to this application
Total
B.5 Applying for a relocation of a school or campusB.5.1 Are you applying to amend your
registration to relocate a school or campus?
☐ Yes, go to B.5.2 Number of students at each year level
☐ No, go to B.6 Additional year level
B.5.2 Number of students at each year level to be offered at the new location
Year level No. of students
e.g. Year 7 17 students
If additional rows are required, please use a separate sheet of paper and attach to this application
Total
B.5.3 Location of new campus
B.4.3 Street address Street address
Suburb/town Postcode
B.6 Applying for an additional year level
VRQA Amend an Independent School’s Registration – Application form – June 2017 4
B.6.1 Are you applying to amend your registration to include an additional year level?
☐ Yes, go to B.6.2 Number of students to be enrolled at the school
☐ No, go to B.7 Additional senior secondary qualification
B.6.8 Select appropriate ☐ I intend to offer a limited number of VCE units in Year 10
No. of VCE units to be offered in Year 10:
☐ I intend to offer VCAL in Year 10
Program to be offered:
As part of this application, in Years 11 and 12 I intend to deliver a full:
☐ VCE Course
☐ VCAL Course
I intend to amend my registration in a future application to include a full:
☐ VCE Course
☐ VCAL Course
B.7 Applying for an additional senior secondary qualificationB.7.1 Are you applying to amend your
registration to include an additional ☐ Yes, go to B.7.2 ☐ No, go to B.8 Existing
VRQA Amend an Independent School’s Registration – Application form – June 2017
B.6.2 Number of students to be enrolled at the school including the additional year level you are applying for
Year level No. of students
e.g. Year 7 17 students
If additional rows are required, please use a separate sheet of paper and attach to this application
Total
B.6.3 Is your additional year level primary between Years Prep–6?
☐ Yes, go to B.10 Previous amendments to registration
☐ No
B.6.4 Is your additional year level secondary between Years 7–9?
☐ Yes, go to B.8 Existing registrations held
☐ No
B.6.5 Is your additional year level secondary between Years 10–12?
☐ Yes, go to B.6.8 ☐ No
B.6.6 Are you proposing to offer the VCE or VCAL?
☐ Yes, go to B.6.7 Existing registrations held
☐ No
B.6.7 Are you proposing to offer the Victorian Certificate of Education (VCE) or Victorian Certificate of Applied Learning (VCAL) in Years 10–12?
☐ Yes, go to B.6.8 ☐ No, go to B.7 Additional senior secondary qualification
5
senior secondary qualification? registrations held B.7.2 ☐ VCE
☐ VCAL
☐ International Baccalaureate (IB) Diploma
B.8 Existing registrations held by the legal entitySelect all that apply
☐ Senior Secondary VCE
☐ Senior Secondary VCAL
☐ Senior Secondary International Baccalaureate Diploma (IB Dip)
☐ RTO Training Organisation Identification (TOId) No:
☐ CRICOS Provider No:
B.9 Other registrations you have applied forSelect all that apply
☐ Senior Secondary VCE
☐ Senior Secondary VCAL
☐ Senior Secondary International Baccalaureate Diploma (IB Dip)
☐ RTO
☐ CRICOS
☐ Other:
B.10 Previous amendments to registrationThe school has: ☐ amended its registration since 1 July 2007 ☐ not amended its registration since 1 July 2007
Part C – Supporting documentation and evidence of compliance (evidence checklist)Schools are required to provide documentation and evidence that they meet the minimum standards for school registration.
The Guidelines to the minimum standards and other requirements for registration of a school including those offering senior secondary courses provides advice on the documentation required to apply to register an independent school and to apply to amend a registration.
Schools are also required to provide evidence of an appropriate risk assessment to ensure the requirements under Ministerial Order No. 870 – Child Safe Standards are met.
The evidence you are required to provide will depend on what you are applying to do. Download and complete the relevant checklist below which outlines exactly what is required for each application. Amend an Independent School’s Registration to Include an Additional Year Level – evidence checklist Amend an Independent School’s Registration to relocate a school or campus – evidence checklist Amend an Independent School’s Registration to include additional campus – evidence checklist
All required documentation to be saved to a USB or zipped file for email Files over 5GB will not be able to be emailed due to size limitations on file server Electronic files are to be named as per the item number in the evidence checklist, e.g. C.1.4.i_Philosophy.doc
Part D – Declaration
Please complete and include: Declarations for all schools ☐
Part E – Declarations for schools offering senior secondary coursesPlease complete and include: Declarations for senior secondary schools ☐
VRQA Amend an Independent School’s Registration – Application form – June 2017 6
