Closing date for Year 7 2022 Monday 7 June 2021

Closing date for Year 7 2022 Monday 7 June 2021

Applicant’s Name

Proposed Year Level

Proposed Commencement Date

College Use Only

Date received

ID Number

CASH | CHEQUE | EFTPOS |

School Officer

Checked

Knight Street Campus139 Knight Street Shepparton VIC 3630

Emmaus Campus95 Grace Road Shepparton North VIC 3631

P (03) 5822 8400E [email protected]

W notredame.vic.edu.auFollow us on Facebook

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Notre Dame College Application for Enrolment | Page 1

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 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 and 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.

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

APPLICANT CHECKLIST

Lodgement of this application must be accompanied by the relevant documents listed below and a

$50 non-refundable Application for Enrolment Fee. Applications which are incomplete, missing appropriate

documentation or do not have the Application for Enrolment Fee paid, will be returned.

Copy of Birth Certificate - Page 2

Copy of Baptismal Certificate - Page 3

Victorian Student Number (VSN) - Page 3

Unique Student Identifier (USI) - Page 3

Copy of School Reports for the past twelve months - not required for current Grade 6 students - Page 3

Copy of VISA, Australian passport or naturalisation certificate - Page 4

Confirmation of Aboriginality or Torres Strait Islander Descent Certificate - Page 4

Out of Home Care Arrangements contact documentation - Page 8

Copy of Court Order(s) - Page 9

Publication and Media Consent Form - Page 10

Local Excursion Permission Form - Page 11

Release of Information Form - Page 12

Notebook Agreement Form - including student signature - Page 13

Student Medical Information Form - Page 14

Copy of Immunisation Certificate(s) - Page 14

Copy of Medical/Specialist reports and/or Action/Management Plan(s) - Page 15

Copy of psychological/psychiatric, educational assessments, specialist reports, etc - Page 15

Conditions of Enrolment Form - Page 17

Financial Information Form - Page 18


APPLICANT INFORMATION

PERSONAL DETAILS OF APPLICANT (Applicant’s full name must be listed as it appears on the applicant’s Birth Certificate)

Surname

First Given Name

Second Given Name

Preferred Given Name

Date of Birth | | Gender Male Female

Birth Certificate (a copy of your child’s Birth Certificate to be attached)

Residential Address

Mail Address (if different to Residential)

FAMILY DETAILS

Does the applicant have sibling/s currently attending Notre Dame College? Yes No

If yes, please advise the name and year level of the sibling/s.

PLEASE NOTE: the following dates for submission of this ‘Application for Enrolment’ form:

• Year 7 2022 Enrolments - by Monday 7 June 2021

• Other Year level enrolments - as soon as possible

Applicants who are offered a place at the College will receive a ‘Letter of Offer’ and are required to return to the College the signed ‘Letter of Acceptance’ and associated fees within 14 days of the date on the ‘Letter of Offer’. The offer will lapse after 14 days. Students are unable to commence at the College until the signed ‘Letter of Acceptance’ has been returned with the associated fees, an Operoo profile has been shared with the College and the student has full uniform and the required text books/stationery.

Please complete all sections of this application in block letters using either blue or black pen.

Application for EnrolmentYear 7 to 12

RELIGIOUS DETAILS

Religion

Current Parish

Baptism (a copy of your child’s Baptismal Certificate must be attached to this application) Yes No Date

Confirmation Yes No Date

Communion Yes No Date

SCHOOL DETAILS

Current year level

Name of current school applicant is attending

Please provide the name of the Principal at the applicant’s current school

Email address for current school

Phone number for current school

Number of years applicant has attended current school

Name and location of all previous primary and secondary schools the applicant has attended

Previous school name Location of school Year started / finished at school Number of years attended

Victorian Student Number (VSN)

Unique Student Identifier (USI)

Please advise us why you are choosing to make an application for your child at Notre Dame College.

PLEASE NOTE: • Your enrolment application cannot be processed unless you have these numbers. • The VSN can be obtained from the Victorian Primary or Secondary school you are transferring from. • Go to usi.gov.au for instructions on how to create your USI if you don’t have one.

PLEASE NOTE: For applicants applying for a position in Year 8 to 12 or Year 7 applicants applying for a transfer during the school year, school

reports for the previous 12 months are to be attached to the application. The application will not be processed unless these reports are attached.



NATIONALITY

These questions are a requirement of the Commonwealth Government. All schools across Australia are required

to collect the same information.

LANGUAGE

Which language is spoken at home by the applicant?

English Other - Please specify

In which country was the applicant born?

Australia Other - Please specify

IF NOT BORN IN AUSTRALIA, CITIZENSHIP STATUS

Please tick the relevant category below and record the Visa subclass number as per Government requirements:

PLEASE NOTE: Original documents to be sighted and copies to be retained by the College.

Australian citizen NOT born in Australia

PLEASE NOTE: 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 detail below

Permanent resident - if YES, please provide the Visa subclass number

Temporary resident - if YES, please provide the Visa subclass number

Other / visitor / overseas student - if YES, please provide the Visa subclass number

Please attach Visa / ImmiCard / letter of notification and passport photo page for applicant if their arrival in Australia is less than 7 years ago.

Is the student of Aboriginal origin? Yes No

Is the student of Torres Strait Islander origin? Yes No

Is the student of Aboriginal AND Torres Strait Islander origin? Yes No

Do you have a Confirmation of Aboriginality or Torres Strait Islander Descent Certificate? Yes No

Please provide a copy of Confirmation of Aboriginality or Torres Strait Islander Descent Certificate if available

PARENTAL OCCUPATION GROUP CODES

The codes outlined below are to be used when providing family occupation details for enrolled students. This information is used for determining funding allocations to schools.

GROUP A - Senior management in large business organisation, government administration, defence, and qualified professionalsSenior Executive / Manager / Department Head in industry, commerce, media or other large organisationPublic Service Manager (Section head or above), regional director, health / education / police / fire services administratorOther Administrator (School principal, faculty head / dean, library / museum / gallery director, research facility director)Defence Forces - Commissioned OfficerProfessionals - generally have a degree or higher qualifications, and experience in applying this knowledge to design, develop or operate complex systems; identify, treat and advise on problems; and teach others: • Health, Education, Law, Social Welfare, Engineering, Science, Computing professional • Business (management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer) • Air/sea transport (aircraft / ships captain / officer / pilot, flight officer, flying instructor, air traffic controller)

GROUP B - Other business managers, arts/media/sportspersons and associate professionalsOwner / Manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate businessSpecialist Manager (finance / engineering / production / personnel / industrial relations / sales / marketing)Financial Services Manager (bank branch manager, finance / investment / insurance broker, credit / loans officer)Retail sales / Services Manager (shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency)Arts / Media / Sports (musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer, designer, illustrator, proof reader, sportsman/woman, coach, trainer, sports official)Associate Professionals - generally have diploma / technical qualifications and support managers and professionals: • Health, Education, Law, Social Welfare, Engineering, Science, Computing technician / associate professional • Business / administration (recruitment / employment / industrial relations / training officer, marketing / advertising specialist, market research analyst, technical sales representative, retail buyer, office / project manager) • Defence Forces senior Non-Commissioned Officer

GROUP C Tradesperson, clerks and skilled office, sales and service staffTradesperson generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradesperson are included in this groupClerks (bookkeeper, bank / PO clerk, statistical / actuarial clerk, accounting / claims / audit clerk, payroll clerk, recording / registry / filing clerk, betting clerk, stores / inventory clerk, purchasing / order clerk, freight / transport / shippingclerk, bond clerk, customs agent, customer services clerk, admissions clerk)Skilled office, sales and service staff: • Office (secretary, personal assistant, desktop publishing operator, switchboard operator) • Sales (company sales representative, auctioneer, insurance agent/assessor/loss adjuster, market researcher) • Service (aged / disabled / refugee / child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor)

GROUP D Machine operators, hospitality staff, assistants, labourers and related workersDrivers, mobile plant, production / processing machinery and other machinery operatorsHospitality staff (hotel service supervisor, receptionist, waiter, bar attendant, kitchen hand, porter, housekeeper)Office assistants, sales assistants and other assistants: • Office (typist, word processing / data entry / business machine operator, receptionist, office assistant) • Sales (sales assistant, motor vehicle / caravan / parts salesperson, checkout operator, cashier, bus / train conductor, ticket seller, service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker) • Assistant / aide (trades assistant, school / teacher's aide, dental assistant, veterinary nurse, nursing assistant, museum / gallery attendant, usher, home helper, salon assistant, animal attendant)Labourers and related workers • Defence Forces - ranks below senior NCO not included above • Agriculture, horticulture, forestry, fishing, mining worker (farm overseer, shearer, wool / hide classer, farm hand, horse trainer, nurseryman, greenkeeper, gardener, tree surgeon, forestry/ logging worker, miner, seafarer / fishing hand) • Other worker (labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park attendant, crossing supervisor


PARENT DETAILS

FATHER / GUARDIAN

Title Surname

First Name

Preferred First Name

Middle Name

Date of Birth

Residential Address

Mail Address (if different to residential)

Home Telephone

Work Telephone

Mobile Telephone

Email Address

Country of Birth

Religion

Language spoken at home

Did you attend St Colman’s or Notre Dame College ?

If yes, which years attended?

Occupation

Group Letter (See page 5)

Highest year of education completed?(e.g. Year 12 or equivilent, Year 11 or equivalent etc)

Highest level of qualification completed?(e.g. Bachelor or Degree or Above, Advanced Diploma or Diploma, Certificate I to IV (Including Trade Certificate))

MOTHER / GUARDIAN

Title Surname

First Name


Middle Name

Date of Birth

Residential Address


Home Telephone

Work Telephone

Mobile Telephone

Email Address

Country of Birth

Religion


Did you attend Sacred Heart or Notre Dame College?


Occupation




Please select the appropriate occupation group letter from the Primary Contact Occupation Information list on page 5.

Notre Dame College Application for Enrolment | Page6

These questions are a requirement of the Commonwealth Government. All schools across Australia are required to collect the same information.

STEP PARENT / GUARDIAN DETAILS (Complete only if applicable)

STEP FATHER / GUARDIAN

Title Surname

First Name


Middle Name

Date of Birth

Residential Address


Home Telephone

Work Telephone

Mobile Telephone

Email Address

Country of Birth

Religion


Did you attend St Colman’s or Notre Dame College?


Occupation





Please select the appropriate occupation group letter from the Primary Contact Occupation Information list on page 5.

These questions are a requirement of the Commonwealth Government. All schools across Australia are required to collect the same information.

STEP MOTHER / GUARDIAN

Title Surname

First Name


Middle Name

Date of Birth

Residential Address


Home Telephone

Work Telephone

Mobile Telephone

Email Address

Country of Birth

Religion


Did you attend Sacred Heart or Notre Dame College?


Occupation




HOME CARE ARRANGEMENTS

Please indicate the Home Care arrangements for the applicant (Tick the appropriate box/fill in applicable details)

Living with Mother and Father

Living with Mother and Step Father

Living with Father and Step Mother

Shared parenting (please complete below)

Percentage of time with Mother % Percentage of time with Father %

Living with Legal Guardian/s (please provide Court Order or documentation supporting this)

Single parent Mother Father (please circle)

Out of Home Care (please complete below)

Name of Provider

Name of Contact

Reason for out of Home Care

OUT OF HOME CARE ARRANGEMENTS

Where an applicant’s Home Care arrangement means they do not live with their parent(s)/guardian(s) please advise

us by completing the table below, who will be the applicant’s Primary Contact to receive all correspondence and

communication from the College.

Name(s) of Primary Contact

Address

Phone Number Relationship to Applicant

Reason you are nominated as the Primary Contact (Documentation to support this)



COMMUNICATION

The parent(s)/guardian(s) whom the applicant lives with the majority of the time are considered by the College to be the

Primary Contacts of the student and will receive all College communication and correspondence including letters, emails,

text messages etc. The College communicates with families via electronic communication (email/SMS) wherever possible.

INTERNET ACCESS

Does the applicant have access to the internet at home? Yes No

COLLEGE NEWSLETTER

The College publishes a weekly newsletter which aims to keep families up-to-date on College activities. This is

provided to the applicant’s Primary Contact(s) via email. Other contacts can view the weekly newsletter via the

College website www.notredame.vic.edu.au .

COURT ORDERS

Are there any Court Orders in place in relation to the applicant? (Eg Custodial/Guardianship/ Parenting/

Apprehended Violence/Intervention). Yes No

If yes, please provide the following information

Type of Court Order

Commencement date of Order

Expiry date of Order

Requirements of the Order that will impact the applicant at school

Other relevant information

PLEASE NOTE: Copies of any Court Orders MUST be attached for our records.


The following pages include a range of consent forms which require completion.

• Publication and Media Consent Form

• Local Excursion

• Release of Information

• Notebook Agreement

PUBLICATION AND MEDIA CONSENT FORM

From time to time Notre Dame College likes to share images of College events such as good news stories, student

camp updates, special award winners and whole College events with our College Community.

COLLEGE YEARBOOK

I give permission for the applicant’s image and/or name to be included in the annual College Yearbook. This

publication is only distributed to College families. Please note: Applicant’s face and name WILL BE blurred out of

Pastoral Group photo and all other photos if permission is not granted. Yes No

PUBLICATIONS AND MEDIA

I give permission for the applicant’s image and/or recording and/or name to be included in College and/or

external publications and media such as College Website, College social media, TV/radio/newspaper and

promotional material. Yes No

Parent/Guardian Name

Parent/Guardian Signature Date



Applicant Name

Applicant Signature* Date

*Please note only applicants 15 years or older are required to sign

Please Note that images will be used without remuneration or compensation. Licensed under NEALS: The photograph/video may appear in materials which will be available to schools and education departments around Australia under the National Educational Access Licence for Schools (NEALS), which is a licence between education departments of the various states and territories, allowing schools to use licensed material wholly and freely for educational purposes. Any personal information will be stored, used and disclosed in accordance with the requirements of the Privacy Act 1988 (Cth).


LOCAL EXCURSION PERMISSION FORM

I/We, the parents/guardians of (applicant’s name)

hereby give permission for our child to participate in any officially organised excursions and outings conducted within

the local Shepparton and Mooroopna area for the time that he/she is enrolled at Notre Dame College. The applicant

will be subject to the supervision of staff of Notre Dame College on such excursions and outings.

In the event of any illness or accident occurring to our child, I/we understand that a staff member shall notify us as

soon as possible.

We authorise Notre Dame College staff to permit on our behalf:

(a) any medical or surgical treatment advised to be necessary by a medical practitioner

(b) the administration of any anaesthetic

Parent/Guardian Name Date


Parent/Guardian Name Date



RELEASE OF INFORMATION FROM/TO SCHOOLS, SUPPORT SERVICES, PRACTITIONERS

As per Notre Dame College’s Enrolment Policy, students are not usually accepted at the College unless the College has been able to contact the student’s current/previous school. In order for Notre Dame College to provide the best educational support for your child, there may be occasions when it would be helpful for the College to have confidential communication with other schools, support services, practitioners etc who are working with your child. Please complete and sign the Consent for the Release of Information form below with the contact details of the relevant services/practitioners that you are giving permission for the College to obtain or provide information from.

CONSENT FOR THE RELEASE OF INFORMATION

Applicant’s Full Name

Applicant’s Date of Birth

I/We give permission for Notre Dame College to obtain or provide information relating to my child for their

educational support to the following:

Applicant’s Current school





Name of Contact Person Name of School/SupportService/Practitioner

Address of School/SupportService/Practitioner

Phone No. of School/SupportService/Practitioner


NOTEBOOK AGREEMENT

Notre Dame College provides each student enrolled at the College (Knight Street and Year 9 Programme) with a notebook

(laptop computer). In order for the student to receive this notebook please read and complete the following.

PLEASE NOTE: The documents below can be obtained within ‘Enrolment Information + Supporting Documents’. This document

can be viewed on the College website www.notredame.vic.edu.au/our-college/enrolment-information

I/We have read, understood and agree to the terms and conditions set out in the following documents

• Notebook Terms and Conditions

• Notebook Care and Security

• Information, Communications & Technology (ICT) Acceptable Use Policy





Applicant Name

Applicant Signature* Date

*Please note MUST be signed by applicant regardless of age


APPLICANT MEDICAL INFORMATION

CONSENTS

In the case of extreme urgency and when all efforts by the College to contact the applicant’s parent(s)/guardian(s)

and emergency contacts have failed, do you give the College permission to arrange with a doctor or hospital?

Medical attention Yes No

Emergency surgery Yes No

Administration of an anaesthetic Yes No

Blood transfusion Yes No

I/We agree for College staff to administer any first aid deemed to be necessary Yes No

Reason for answering No to any of the above

MEDICAL EMERGENCY - AMBULANCE

PLEASE NOTE: If you ticked NO to any of the above, a meeting may be scheduled with the Principal to discuss this further.

PLEASE NOTE Attach a copy of your child’s current Immunisation Certificate and/or Refugee Health Check to this form. Current immunisation

information for your child is available from the Council, within your www.mygov.au account or Medicare www.medicareaustralia.gov.au

APPLICANT IMMUNISATION DETAILS

All vaccinations are recorded on the Australian Immunisation Register . You are required to obtain an Immunisation

History Statement for your child and provide it to the College with this enrolment form.

If the applicant entered Australia on a Humanitarian Visa, did they receive a refugee health check?

Yes No

The College will call an ambulance if staff believe it is necessary, regardless of whether or not the applicant has ambulance cover. This will be at the expense of the parent(s)/guardian(s).

I/We understand the College’s ambulance policy stated above.






MEDICAL CONDITIONS

Please select all disabilities your child has been diagnosed with and provide relevant documents from your medical practitioner or other health professional. You will also need to add these documents (e.g. Anaphylaxis, Asthma Plans, etc.) to Operoo when setting up your child’s medical profile.

NCCD Category PHYSICAL Diagnosis

NCCD Category: COGNITIVE Diagnosis

NCCD Category: SOCIAL/EMOTIONAL Diagnosis

NCCD Category: SENSORY Diagnosis

Agenesis of the Corpus Collosum

Achondroplasia

Anaphylaxis

Asthma

Cancer

Cerebral Palsy

Charcot Marie Tooth Disorder

Chronic Fatigue Disorder

Cri du Chat

Diabetes

Ectrodachtyly

Ehlers Danlos Syndrome

Hirschprung’s Disease

Juvenile Arthritis

Kawasaki Disease

Klinefelter Syndrome

Lupus

Marfan Syndrome

Muscular Dystrophy

Osteogenisis Imperfecta

Prader-Willi Syndrome

Premature Birth

Spina Bifida

Stroke

Talipes Equinovaries

Tuberous Sclerosis

Velo Cardio Facial Syndrome

ADHD

Aphasia/Dyspraxia

Apraxia

Arnold Chiari Malformation

Autism

Central Auditory Processing

Disorder

Down Syndrome

Dyscalculia

Dysgraphia

Dyslexia

Dysphasia

Dyspraxia

Dystonia

Epilepsy

Foetal Alcohol Syndrome

Freidrich’s Ataxia

Global Developmental Delay

Intellectual Disability

Lander Kleffner

Language Disorder

Lissencephaly

Macrocephaly

Microcephaly

Multiple Sclerosis

Niemann Pick Type A

Nonverbal Learning Disorder

Scotopic Sensitivity Disorder

Selective Mutism

Severe Language Disorder (SLD)

Social Pragmatic Communication

Disorder

Specific Language Impairment

Specific Learning Disability

Sturge Weber Syndrome

Stuttering

Tourette’s/Tic Disorders

Anxiety

Bipolar Disorder (I, II)

Bulimia Nervosa

Conduct Disorder

Depression

Intermittent Explosive Disorder

Obsessive Compulsive Disorder

Oppositional Defiance Disorder

Reactive Attachment Disorder

Amblyopia

Cataracts

Glaucoma

Otitis Media

Retinitis Pigmentosis

Sensorineural

Sensorineural hearing loss

Strabismus

IMPORTANT: If you ticked YES to any of the above conditions, you will need to provide relevant reports with this

application and upload Care/Management Plans to Operoo, when requested by the College.


ADMINISTRATION OF MEDICATIONS

College staff will NOT administer prescribed or non-prescribed medication to students (including paracetamol), with the exception of emergency treatment for Anaphylaxis, Asthma and Diabetes

SUPPORT SERVICES

Is your child currently, or has been in the past, in receipt any of the following services:

Currently Previously

Audiologist Yes No Yes No

Counsellor (School or other) Yes No Yes No

English as an Additional Language (EAL) support Yes No Yes No

Integration Aide Support Yes No Yes No

Paediatrician Yes No Yes No

Psychiatrist Yes No Yes No

Psychologist Yes No Yes No

Speech Pathologist Yes No Yes No

Other (Please specify)

ADDITIONAL INFORMATION (Attach a separate sheet if required)

Please provide details of any other social, emotional or behavioural difficulties experienced by your child that

have not been previously advised in this application

Please advise of any other information you believe the College should be aware of in relation to your child

Please provide details of your child’s medical/surgical history if relevant

CONDITIONS OF ENROLMENT

It is a condition of enrolment that Parent(s)/Guardian(s) read through all relevant information and the documents

noted throughout this ‘Application for Enrolment’. Please refer to the College website to view the ‘Enrolment Information + Supporting Documents’ www.notredame.vic.edu.au/our-college/enrolment-information prior to agreeing.






I/We have read, understood and will support the Mission and Value Statements of the College.

I/We undertake to assist and support my/our son/daughter in upholding the Catholic ethos and the ideals of the College.

I/We have read, understood and agree to abide by the College’s Parent Code of Conduct.

I/We understand that my/our sons’/daughters’ enrolment at Notre Dame College is conditional upon my/our sons’/daughters’ as well as our acceptance of, involvement in and positive attitude towards the College’s Religious Education Programme.

I/We agree to support all College policies, procedures and guidelines and any amendments to these which may occur from time to time. (available on College website.) These are reviewed regularly and may be subject to change at the school’s discretion.

I/We agree that my/our son/daughter will be required to attend and participate in all College activities, excursions and camps, including, but not limited to the Year 7 and 8 Camps, Year 9 Daborra Camp, Year 10 Pathways days and Work Experience, College Masses, Caritas K’s, Mission Mart, Swimming Carnival and Athletics Carnival and the Year 12 Retreat.

I/We understand that the Local Excursion Form which I/we have signed refers to all relevant local excursions (Greater Shepparton area) which the College may organise during my/our child’s enrolment at Notre Dame College.

I/We undertake to ensure all fees and levies are paid by the due date in accordance with the Application for Enrolment.

I/We agree to contact the Principal, Deputy Principal, Director of Year 9 Programme or Head of House if I/we have any confidential information not listed here which I/we wish the College to be informed about.

I/We agree to advise the Office Manager either in writing or via SEQTA Engage if there are any changes to my/our child’s contact details and/or medical information, and update Operoo accordingly.

I/We have read, understood and accept the College’s Privacy Policy.

I/We have read, understood and accept the College’s Standard Collection Notice.

I/We agree to pay the $50 Application for Enrolment fee. (If the non-refundable enrolment fee causes hardship, please contact the Finance Manager prior to submitting application).

I/We agree to set-up and maintain my/our sons’/daughters’ profiles required by the College in Operoo and SEQTA Engage.

I/We give permission for the Principal (or their representative) to seek medical attention for my child as required in emergencies, accidents or serious illness where I cannot be contacted. This may include transportation to the nearest hospital, medical centre or doctor by ambulance or private vehicle. I understand that I/we are required to meet any costs incurred.

I/We will work with the school to support any academic/social/behavioural needs of my child by attending all requested meetings.

I/We acknowledge that the consequence of not complying with the school’s policies, procedures and conditions may result in the exclusion of my child until a meeting has been held or termination of my child’s enrolment.

I/We certify that the information supplied in this application is correct and all relevant documentation as listed in the Applicant’s Checklist has been supplied.

Please sign to acknowledge your agreement to the Conditions of Enrolment to Notre Dame College.


FINANCIAL INFORMATION

NAME OF APPLICANT

Information on this form will be used to establish your fee account with Notre Dame College

DEBTOR 1We accept that the signatories below are jointly and severally liable for all fees and charges payable and pertaining to the above child’s education at Notre Dame College. Form must be signed.

Title Surname

First Name Second Name

Date of Birth Relationship to applicant

Health Care Card Yes No Card number

Pension Card Holder Yes No Card number

Mail Address for accounts

Suburb Postcode

Home Phone Mobile Phone

Work Phone

Signature Date

DEBTOR 2We accept that the signatories below are jointly and severally liable for all fees and charges payable and pertaining to the above child’s education at Notre Dame College. Form must be signed.

Title Surname

First Name Second Name

Date of Birth Relationship to applicant

Health Care Card Yes No Card Number

Pension Card Holder Yes No Card Number

Mail Address for accounts

Suburb Postcode

Home Phone Mobile Phone

Work Phone

Signature Date

For your convenience, we can issue duplicate copies of the accounts to each debtor at separate addresses, or

implement split billing should this be necessary. (Please tick below)

Duplicate accounts required Yes No Split billing required Yes No


FINANCIAL INFORMATION - CONTINUED

PAYMENT INFORMATION

School fees are billed in four equal instalments, one term in advance.

PAYMENT METHODS

The following methods of payment are available to you:

• Cheque/Cash

• EFTPOS

• BPay

• Direct Credit

• Payment Plans (See below)

PAYMENT PLANS

• Direct Debit weekly, fortnightly or monthly (Cheque or Savings account only)

• Monthly Credit Card instalments

• Centrepay (payments directly via Centrelink)

If you would like to establish a payment plan, please contact our Finance Department on (03) 5822 8400

or via email [email protected]

FAMILY DISCOUNTS

Family discounts may be applicable. Please refer to the Schedule of Fees for details regarding eligibility.

FEE SCHEDULE

Fees are reviewed annually. The 2021 Schedule of Fees are for the 2021 year only and should be used as a guide

for 2022. The 2022 Schedule of Fees will be available in Term 4.