35 Sutherland Street (PO Box 700), Port Hedland, WA, 6721 T (08) 9174 7000 E [email protected] W ww.stcecilia.wa.edu.au ENROLMENT CANCELLATION FORM STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ LAST DAY AT SCHOOL: ____________________________________________________________________________ MOTHER’S FORWARDING ADDRESS: ________________________________________________________________ PHONE: _________________________ MOBILE: _______________________ OTHER: _________________________ FATHER’S FORWARDING ADDRESS:_________________________________________________________________ PHONE: ________________________ MOBILE: _______________________ OTHER: __________________________ FORWARDING SCHOOL: ___________________________________________________________________________ ________________________________________________________________________________________________ ANY OTHER INFORMATION: ________________________________________________________________________ ________________________________________________________________________________________________ DO YOU GIVE PERMISSION FOR US TO FORWARD INFORMATION ONTO YOUR CHILD/RENS NEW SCHOOL ON REQUEST? SCHOOL REPORTS: YES/NO MEDICAL REPORTS: YES/NO PSHYC REPORTS: YES/NO ANY OTHER REPORTS: YES/NO FORM COMPLETED BY: ______________________________________ DATE: _______________________________ SIGNATURE: _______________________________________________ IT IS HELPFUL IF PARENTS PROVIDE THE SCHOOL WITH A PREPAID 3KG SATCHEL TO FORWARD ITEMS ONTO FAMILIES AFTER STUDENTS HAVE LEFT EG: YEAR BOOK, REPORTS ETC OFFICE USE: FAMILY CODE: _______STUDENT CODE: ______ ______ _____ _____ FORM RECIEVED BY: _________________________________________ DATE RECEIVED: ____________________ COPY TO: PRINCIPAL: YES / NO ADMINISTRATION OFFICER: YES / NO TEACHER: YES / NO SCHOOL SECRETARY: YES / NO Family complete cancellation form (keep in students file) WHEN SCHOOL TRANSFER REQUEST RECEIVED: Copy form for Admin Officer (check school fees) AoS Exiting Student: “Student Enrolment Record” Copy form for Teacher End date: enter applicable date Retrieve Students file Is Exit Student: YES Retrieve Health/Referral file (if applicable) Destination School: select from the dropdown Retrieve School Nurse Entry Health Assessment Form Reason for Leaving select from the dropdown Delete from Brightpath Click on “School Enrolment Record”: Is Current: NO Cancellation recorded in Transfers In & Out File Save & Close SEQTA: Enter not required to attend (term/year) St Cecilia’s Catholic Primary School

St Cecilia’s Catholic Primary School · 2019. 10. 21. · St Cecilia’s Catholic Primary School. Author: Registered User Created Date: 10/21/2019 9:09:17 PM

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Page 1: St Cecilia’s Catholic Primary School · 2019. 10. 21. · St Cecilia’s Catholic Primary School. Author: Registered User Created Date: 10/21/2019 9:09:17 PM

35 Sutherland Street (PO Box 700), Port Hedland, WA, 6721 T (08) 9174 7000 E [email protected] W ww.stcecilia.wa.edu.au

ENROLMENT CANCELLATION FORM

STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ STUDENT NAME: ____________________________YEAR/CLASS: _______________________ DOB: ____________ LAST DAY AT SCHOOL: ____________________________________________________________________________

MOTHER’S FORWARDING ADDRESS: ________________________________________________________________ PHONE: _________________________ MOBILE: _______________________ OTHER: _________________________ FATHER’S FORWARDING ADDRESS:_________________________________________________________________ PHONE: ________________________ MOBILE: _______________________ OTHER: __________________________

FORWARDING SCHOOL: ___________________________________________________________________________ ________________________________________________________________________________________________

ANY OTHER INFORMATION: ________________________________________________________________________ ________________________________________________________________________________________________

DO YOU GIVE PERMISSION FOR US TO FORWARD INFORMATION ONTO YOUR CHILD/RENS NEW SCHOOL ON REQUEST?

SCHOOL REPORTS: YES/NO MEDICAL REPORTS: YES/NO PSHYC REPORTS: YES/NO ANY OTHER REPORTS: YES/NO

FORM COMPLETED BY: ______________________________________ DATE: _______________________________

SIGNATURE: _______________________________________________

IT IS HELPFUL IF PARENTS PROVIDE THE SCHOOL WITH A PREPAID 3KG SATCHEL TO FORWARD ITEMS ONTO FAMILIES AFTER STUDENTS HAVE LEFT EG: YEAR BOOK, REPORTS ETC

OFFICE USE: FAMILY CODE: _______STUDENT CODE: ______ ______ _____ _____ FORM RECIEVED BY: _________________________________________ DATE RECEIVED: ____________________ COPY TO: PRINCIPAL: YES / NO ADMINISTRATION OFFICER: YES / NO

TEACHER: YES / NO SCHOOL SECRETARY: YES / NO

Family complete cancellation form (keep in students file) WHEN SCHOOL TRANSFER REQUEST RECEIVED: Copy form for Admin Officer (check school fees) AoS Exiting Student: “Student Enrolment Record” Copy form for Teacher End date: enter applicable date Retrieve Students file Is Exit Student: YES Retrieve Health/Referral file (if applicable) Destination School: select from the dropdown Retrieve School Nurse Entry Health Assessment Form Reason for Leaving select from the dropdown Delete from Brightpath Click on “School Enrolment Record”: Is Current: NO Cancellation recorded in Transfers In & Out File Save & Close SEQTA: Enter not required to attend (term/year)

St Cecilia’s Catholic Primary School