16/01/2015 Page 1 of 9

A Community of Learning

P-12 Enrolment Agreement

www.kawanawaterssc.eq.edu.au

CRICOS Provider Number: 00608A Department of Education, Training and Employment

16/01/2015 Page 2 of 9

Enrolment Checklist – For Parents & Students

New Enrolment Re-Enrolment Repeat Year Level

Mature age Note: re-enrolment, mature age and repeating

year levels must be approved by Principal

Parent Checklist

√

Office Use Only

√

Application for Student Enrolment– all sections must be

completed and signed

Proof of Residency in the Kawana Waters State College Primary

or Secondary catchment. *either lease agreement, rates notice or unconditional sale agreement*and utility bill (gas/electric) showing the same address and parent name

Enrolment Agreement –- all sections must be completed and signed by

Parent & Student

School Consent Form (Media) – all sections must be completed and

signed

Religious Instruction – Primary Students only

Financial Commitment Forms - completed and signed

Student Resource Scheme Agreement (P-12) Subject Selection Form (Years 9-12)

Relevant Legal Guardianship Documentation eg; custody, foster care etc. Only verified copies of court orders are acceptable

Choose Your Own Device Agreement – if applicable

Locker Agreement – if applicable

Student School Report – recent copy

Copies of recent Year 3,5,7 or 9 NAPLAN (as appropriate)

Birth Certificate – please provide original, we will copy and return to you

Copy of Passport and Visa – if born overseas

Medication Authority Form – Available at the office when student

needs medication administered during school time

June 2017

Immunisation Records

Information for the enrolment of ……………………………………..……………………………….…………...…. (Student name)

(Information about your student for Administration use only at Kawana Waters State College)

Year Level: ……………………………………………….

Other sibling(s) in family:

Given Names Surname Date of Birth Gender

M/F Attends this School y / n Roll Class

Parent not living with student who is to receive copies of reports and newsletters

Mailing Title:

Mailing Address:

Suburb/Town:

Email:

Post Code:

Any other information:

Allergies Allergy action plan provided

Diabeties Diabeties action plan provided Previous significant injuries / operations Other

Additional Medical Information (tick box)

Asthma Asthma action plan providedAnaphylactic Anaphylactic action plan provided Epilepsy Epilepsy action plan provided

Details:

Behaviours displayed previously (please tick) No previous issues Had some minor issues Aggression Experienced bullying Bullying of others Non-compliant Has used poor language Has had suspensions Details:

Previous known support given (tick box) Behaviour support Learning support Child in Care Paediatrician Hearing assessment

Early Childhood Development Program English as Second Language support Other health professional

Child psychology Speech Language Therapy Child Youth Mental Health or other mental health involvement Educational Support Plan Special Education Support

Details:

Contact person: Phone: Address:

Writing English generalOther

Learning Needs – has had assistance previously (tick box) Oral language Reading/Spelling

Mathematics Attendance/Behaviour Details:

Special needs (tick box) ADHD Autism AspergersSpeech Language Impairment

Intellectual Disability Hearing Impairment

Physical Impairment Vision Impairment

Details:

ODDPTSD

Students in Year 10, 11 and 12 are required to obtain a Unique Student Identifier (USI).

Instructions on how to apply to get your USI are found in the Student Information Booklet available on the website. When you have your USI please advise office staff, who will enter your number into the OneSchool system.

My USI is: ……………………………………….

Instrumental Music Application:

Instruction is provided (subject to suitability) on all string, brass, woodwind and percussion instruments from Years 3 to 12.

Please note that instruction is NOT offered for guitar, keyboard or voice.

Preferred Instruments: 1: 2:

Have you played this instrument before? If yes, for how long?_

I give permission for my student to participate in the Instrumental Music program:

Parent/Guardian Name:

Signature:

Phone No:

Date:

For costs please refer to SRS Agreement Booklet For enquiries please phone Head of Department - Arts on 5436 9329

Payment of College fees: I am responsible for 100% of all Collegefees

Parent Name:

Parent Signature:

Student Name : Year level:

Office Use Only: (copy to) STLaN GO DP Behaviour Support

HOSES CT Instrumental Music

Notes:

Student DISTINCTIVE ACHIEVEMENTS – please provide proof eg. certificates etc.

Has your child been a Regional/State or National Representative in one of the following areas? (please specify below).

ACADEMIC

DANCE

DEBATING

DRAMA

MUSIC

PUBLIC SPEAKING

SPORT

OTHER

Notes: anything you would like us to know about your student.

………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………

Enrolment Agreement – For Parents & Students

This agreement sets out the responsibilities of the student, parents or carers and the College staff about the education of students enrolled at Kawana Waters State College.

Responsibility of student to:

attend school on every school day for the educational program in which they are enrolled, on time, ready to learnand take part in school activities

act at all times with respect and show tolerance towards other students and staff work hard and comply with requests or directions from the teacher and principal abide by school rules as outlined in the school’s Responsible Behaviour Plan for Students, including not bringing

items to school which could be considered as weapons (e.g. dangerous items such as knives) meet homework requirements and wear school’s uniform respect the school property

Responsibility of parents to:

ensure your child attends school on every school day for the educational program in which they are enrolled attend open meetings for parents let the school know if there are any problems that may affect your child’s ability to learn ensure your child completes homework regularly in keeping with the school’s homework policy inform school of student absences and reasons for absences in a timely manner treat school staff with respect support the authority of school staff thereby supporting their efforts to educate your child and assist your child to

achieve maturity, self discipline and self control not allow your child to bring dangerous or inappropriate items to school abide by school’s instructions regarding access to school grounds before, during and after school hours advise Principal if your student is in the care of the State keep school informed of any changes to student’s details, such as student’s home address and phone number.

Responsibility of College staff to:

design and implement engaging and flexible learning experiences for individuals and groups inform parents and carers regularly about how their children are progressing design and implement intellectually challenging learning experiences which develop language, literacy and

numeracy create and maintain safe and supportive learning environments support personal development and participation in society foster positive and productive relationships with families and the community inform students, parents and carers about what the teachers aim to teach the students each term teach effectively and to set the highest standards in work and behaviour clearly articulate the school’s expectations regarding the Responsible Behaviour Plan for Students and the school’s

Dress Code policy ensure that parents and carers are aware that the school does not have personal accident insurance cover for

students advise parents and carers of extra-curricular activities operating at the school in which their child may become

involved (for example Program of Chaplaincy Services, sports programs) set, mark and monitor homework regularly in keeping with the school’s homework policy contact parents and carers as soon as is possible if the school is concerned about the child’s school work,

behaviour, attendance or punctuality deal with complaints in an open, fair and transparent manner in accordance with departmental procedure,

Complaints Management – State Schools treat students and parents with respect .

Enrolment Agreement– For Parents & Students I accept the rules and regulations of the Kawana Waters State College as stated in the policies that have been provided to me as follows and show my acceptance by typing ‘yes’ in the box:

Behaviour Management Plan: I have access to a copy of the Behaviour

Management Plan on the College website and accept the conditions of the agreement. I understand that breaches of this policy may result in disciplinary action.

Internet Use Agreement: I understand and accept the conditions of the Internet

Use Agreement. I understand that breaches of this policy may result in disciplinary action.

Choose Your Own Device: I understand and accept the conditions of the Choose Your Own Device Agreement. I understand that breaches of this policy may result in disciplinary action.

Student Dress Code / Uniform Policy: I understand and agree to abide by the Dress Code and Uniform Policy.

Student Resource Scheme (SRS) Agreement: I fully understand the terms and conditions of the Kawana Waters State College SRS and agree to participate. In agreeing to participate, I undertake to finalise payment of fees by the due dates each year.

Subject Fees: Secondary Campus

I fully understand the terms and conditions of Subject fees as outlined in the Agreement, and agree to finalise payment of fees by the due dates each year.

Privacy Statement: I have access to the Education Queensland Privacy Statement available on the website.

Schoolzine: Please use my email to subscribe me to Schoolzine (Online newsletter).

………………………………………………………………………………………………………………………………………………….

College Policies: I have access to the College website and can view College policies eg. Homework,

Absences, Complaints Management, Use of Mobile & Electronic Devices, Locker Use, CYOD

Insurance: I acknowledge that the Department of Education and Training does not have Personal Accident Insurance to cover students.

Half Day Excursion: Primary Campus

I give permission for my child to participate in half day excursions not involving vehicular transport.

Transfer and/ or Departure: I understand that upon transfer or departure of the student from the College, I will give a minimum of 2 days notice and complete a signed release form. I will return all resources and finalise outstanding financial commitments to the College.

I acknowledge:

That I have read and understood the responsibilities of the student, parents or carers and the school staff outlinedabove; and

That information about the school’s current rules, policies, programs and services, as outlined above has beenprovided and explained to me.

…………………………… ……………………………. ……………………….....................…

Student Signature Parent/Carer Signature Enrolment Interview completed by (KWSC Admin)

RELIGIOUS INSTRUCTION PRIMARY STUDENTS ONLY (not Prep)

Our College has one religious instruction program offered under a co-operative arrangement. If you would like more information about the program you can contact the religious instruction coordinator Judi Cook on 5444 6779 or 0423 415 434.

For us to understand your preference for your student to attend Religious Instruction please complete the form below.

============================================================================================

Privacy Notice The Department of Education and Training is collecting this information in accordance with Education (General Provisions) Regulation 2006 (Qld) Part 5 to determine student participation in a religious instruction program. The information will only be accessed by authorised employees within the department. Your information will be stored securely and will not be used or disclosed without your consent except as required or authorised by law.

igious Ins

de me ea

I wish my child to attend the non denominational religious instruction program ‘Connect’ which is offered on the primary campus.

I do not wish my child to attend the non denominational religious instruction program ‘Connect’ which is offered on the primary campus and understand my child will be doing othe inst uction, aligned to u iculum, and designed to consolidate ork already taught (eg Mathletics, me etc), in a separate physical space.

igna a

Privacy Notice The Department of Education and Training is collecting student’s personal information in order to facilitate student enrolment. This information will only be accessed by school staff. Student’s personal information will be recorded, used and disclosed in accordance with s.426 of the Education (General Provisions) Act 2006 (Qld) and will not be given to any other person or agency unless you have given the department permission or the disclosure is otherwise required or permitted by law. The Information Privacy Act 2009 (Qld) applies to the department’s collection, use and disclosure of the personal information of persons other than students.