STRONG IN FAITH, EDUCATION AND TRADITION APPLICATION …

STJOHNSNT.CATHOLIC.EDU.AU | #STRONGTOGETHER

APPLICATION FOR ENROLMENT

A CO-EDUCATIONAL DAY, BOARDING AND INTERNATIONAL COLLEGEYEAR 7 - 12


STRONG IN FAITH, EDUCATION AND TRADITION

THE PRINCIPAL | ST JOHN’S CATHOLIC COLLEGE

08 8982 2222

10 - 54 SALONIKA STREET, THE GARDENS | LMB 13, DARWIN NT 0801

[email protected]

Enrolment Checklist:

Birth certificate.

Previous two full semester reports (not interim reports).

An interview will not be conducted until reports are received.

Immunisation records (can be provided by Medicare).

Copies of most recent benchmark levels achieved (from previous school), e.g. Naplan reports

Custody/Guardianship (relevant documentation - see enrolment form).

Passport and Visa (for overseas students).

Baptismal certificate (if available).

The following information should also be provided where/if appropriate:

1. Involvement in special programmes and associated reports e.g. Special Education

units, Reading Recovery, Literacy support, Gifted and Talented programme.

2. Copies of any relevant case conferences held with student services.

3. Copies of any learning, medical or psychological reports that pertain the student’s education.

Yes N/A

Yes N/A

Yes N/A

ST JOHN’S CATHOLIC COLLEGE | DARWIN

St John’s Catholic College is a registered education provider with the Australian Government | CRICOS Provider No.: 00466K

ENROLMENT CHECKLIST

Yes N/A

Yes N/A

Yes N/A


Day student Boarding student International student

1. Legal name (Surname or family name)

Given name/s Preferred given name

2. Email address

3. Gender Male Female 4.Date of birth 5. Place of birth

D D M M Y Y Y Y

6. In which country was the student born?

Australia Other – please specify

7. Residential status

Australian Citizen (go to Nationality) Resident

Overseas Date of arrival D D M M Y Y Y Y Copy of Visa attached

Nationality

8. Indigenous status: Is the student of Aboriginal or Torres Strait Islander origin?

(for persons of both Aboriginal and Torres Strait Islander origin, mark both ‘Yes’ boxes)

No Yes, Aboriginal Yes, Torres Strait Islander

9. Does the student speak a language other than English at home?

(if more than one language, indicate the one that is spoken most often)

No, English only Yes, other – please specify

10. Year level in which student is enrolling Date of commencement

7 8 9 10 11 12 D D M M Y Y Y Y

Has the student attended St John’s Catholic College previously?

No Yes - please give dates/years attended

Has the student been excluded from another school? No Yes

11. Previous school

12. Other family currently enrolled or enrolling at a Catholic school in the Northern Territory

Surname Given names School Name Year level

SECTION A STUDENT INFORMATION


SECTION B FAMILY INFORMATION

13. Are there any special family circumstances? (e.g. single parent, dual custody, foster care, access restrictions)

No Yes - supporting legal documents are required by the school - please attach

14. Religion

15. Sacraments Date Parish

Baptism D D M M Y Y Y Y

Communion D D M M Y Y Y Y

Confirmation D D M M Y Y Y Y

This information refers to parents residing at the same address as the student. For parents/guardians

not residing at the same address, please complete “Section C Alternative Family Information.”

PARENT 1 / GUARDIAN 1 PARENT 2 / GUARDIAN 2

16. Relationship to student Relationship to student

17. Title (e.g. Mr, Mrs, Miss, Ms, Dr, Cr) Title (e.g. Mr, Mrs, Miss, Ms, Dr, Cr)

Given names Given names

Surname or family name Surname or family name

Occupation Occupation

Nationality Nationality

Country of birth Country of birth

18. Does parent/guardian 1 speak a language other Does parent/guardian 2 speak a language other than English at home? than English at home? (If more than one language, indicate the one that is spoken most often) (If more than one language, indicate the one that is spoken most often)

No, English only Yes (please specify) No, English only Yes (please specify)

19. Employer Employer

20. Religion Religion


13. Are there any special family circumstances? (e.g. single parent, dual custody, foster care, access restrictions)

No Yes - supporting legal documents are required by the school - please attach

14. Religion

15. Sacraments Date Parish

Baptism D D M M Y Y Y Y

Communion D D M M Y Y Y Y

Confirmation D D M M Y Y Y Y

This information refers to parents residing at the same address as the student. For parents/guardians

not residing at the same address, please complete “Section C Alternative Family Information.”









18. Does parent/guardian 1 speak a language other Does parent/guardian 2 speak a language other than English at home? than English at home? (If more than one language, indicate the one that is spoken most often) (If more than one language, indicate the one that is spoken most often)





21. Business phone Business phone

22. Mobile phone Mobile phone

23. Email Email

Do you wish to receive the newsletter by email? Do you wish to receive the newsletter by email?

No Yes No Yes

24. Sole Parent Sole Parent

No Yes No Yes

25. Does the student come from an Australian Defence family?

No Yes – please specify Army Navy Air Force

26. Family parish

27. Family/Individual Medicare number Expiry date

D D M M Y Y Y Y

28. Health care card Expiry date

No Yes D D M M Y Y Y Y

29. Family address details

(for parent/guardian not residing at the same address please complete “Section C Alternative Family Information”)

The child lives at this address Permanently Regularly Occasionally

30. Residential address

Mailing title (e.g. Mr & Mrs D Smith)

Street number and name

Town State and postcode

Home telephone number

31. Postal address (leave blank if same as residential address)

Street number and name or post office box


SECTION C ALTERNATIVE FAMILY INFORMATION


32. The following information is only to be supplied if the payment of school fees is shared or

from an alternative source. This information will be used in the billing for the fees.

Billing title (e.g. Mr & Mrs D Smith)



Home telephone number Mobile telephone number

This information is required if the student resides with an alternative family during the school term.

ALTERNATIVE PARENT/GUARDIAN 1 ALTERNATIVE PARENT/GUARDIAN 2








35. Does parent/guardian 1 speak a language other Does parent/guardian 2 speak a language other than English at home? than English at home? (if more than one language, indicate the one that is spoken most often) (if more than one language, indicate the one that is spoken most often)


Specify: Specify:


“I came that they may have life and live it abundantly.”- John 10:10

ALTERNATIVE PARENT/GUARDIAN 1 ALTERNATIVE PARENT/GUARDIAN 2



38. Business phone Business phone

39. Mobile phone Mobile phone

40. Email Email

Do you wish to receive the newsletter by email? Do you wish to receive the newsletter by email?

No Yes No Yes

41. Copy of student reports Copy of student reports

No Yes No Yes

42. Alternative family residential address

Mailing title (e.g. Mr & Mrs D Smith)



Home telephone number

43. Alternative family postal address (Leave blank if same as residential address)

Street number and name or post office box


SECTION D PARENT/GUARDIAN BACKGROUND INFORMATION


The following information is required by the Australian Government and must be completed. It is used to

measure the achievements of students from various backgrounds for national reporting. Individuals are not

identified.

44. What is the highest year of primary or secondary school the parents/guardians have completed?

Mark only one box. For persons who have never attended school, mark ‘Year 9 or equivalent or below’.


Year 12 or equivalent Year 12 or equivalent



Year 9 or equivalent or below Year 9 or equivalent or below

45. What is the level of the highest qualification the parents/guardians have completed?


Bachelor degree or above Bachelor degree or above

Advanced diploma/diploma Advanced diploma/diploma

Certificate I to IV (including trade certificate) Certificate I to IV (including trade certificate)

No non-school qualification No non-school qualification

The following questions refer to the parental occupation group. Please select the appropriate parental

occupation from the list on the following page. If the person is not currently in paid work but has had

a job in the last 12 months or has retired in the last 12 months, please use the person’s last occupation.

If the person has not been in paid work in the last 12 months, enter ‘8’ in the box below.

46. Occupation group Occupation group



GROUP 1: Senior management in large business organisation, government administration and defence,

and qualified professionals

Senior executive/manager/department head in industry, commerce, media or other large organisation

Public service manager (section head or above), regional director, health/education/police/fire services administrator

Other administrator [school principal, faculty head/dean, library/museum/gallery director, research facility director]

Defence Forces Commissioned Officer

Professionals generally have 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/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller]

GROUP 2: OTHER BUSINESS MANAGERS, ARTS/MEDIA/SPORTSPERSONS AND

ASSOCIATE PROFESSIONALS

Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business

Specialist 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 3: TRADESMEN/WOMEN, CLERKS AND SKILLED OFFICE, SALES AND SERVICE STAFF

Tradesmen/women generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradesmen/women are included in this group.

Clerks [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/shipping clerk, 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/refuge/child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor]

GROUP 4: MACHINE OPERATORS, HOSPITALITY STAFF, ASSISTANTS, LABOURERS AND

RELATED WORKERS

Drivers, mobile plant, production/processing machinery and other machinery operators

Hospitality staff [hotel service supervisor, receptionist, waiter, bar attendant, kitchenhand, 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]

LIST OF PARENTAL OCCUPATION GROUPS


SECTION E PARENTAL CONSENT

52. Consent to medical attentionIn the event of illness or injury requiring urgent medical treatment, I consent for medical and/or hospital attention to be sought (if ambulance travel is required the cost is covered by the College ambulance cover). Parents’ emergency contact will be contacted immediately in these events.

If prescription / medication is required to be administered, it is sent to school with the student, accompanied with a note giving details of dosage and permission for College staff to administer medication.

No Yes

53. Consent for publication of photographs and student workBy signing this form I give approval with the understanding that this material is supplied to the Catholic Education Office (CEO) and St John’s Catholic College in good faith and will not be used in any way that may cause embarrassment, or offend the sensitivities of the nominated individual/s. In addition, the Catholic Education Office and St John’s Catholic College will not use this material for any other purpose, or make any copies of the material other than as stated below, and they will not manipulate or change the images or sounds in any way.I hereby grant permission for use of the following Photo/Interactive visual (Video) materials to be used within the following publications: (tick boxes)

CEO and St John’s Catholic College general Catholic School TV Commercial

CEO and St John’s Catholic College print publications

Websites I give consent for my child’s photos / images / videos taken during College activities to be published on the College and/or CEO website/social media. In most circumstances the images will not include any personal information regarding the student’s identity. In addition, I consent to my child’s work being published from time to time on these websites/scoial media platforms.

Parent/guardian signature Parent/guardian signature

54. Aboriginal / Torres Strait Islander students

Is parental consent given for tutorial assistance as per funding guidelines?

No Yes

55. Excursion permission

Travel off campus is often required for curriculum based activities, College sports and access to facilities within Darwin. Is parental consent given for the student to attend off-campus activities?

No Yes

56. I give permission for copies of (student name) ______________________________________________

school records to be transferred from (Previous School)_________________________________________

to St John’s Catholic College.

No Yes

CEO and St John’s Catholic College Website/Social Media

All of the above

Latest school reports

Naplan Reports

Specialist Reports - Speech, Hearing, Vision

Occupational therapy reports

Reading assessments

Behaviour management plans Psychological assessments

Recent PAT test results of other school based assessments

SECTION G AGREEMENT


56. The first and second parent or guardian stated on page 6 will be the school’s first and second priority contacts.

You may wish to provide other names below:

2

Please tick boxes

Enrolments, as outlined in the College Website, Prospectus and Application for Enrolment, are considered on the basis of the documentation submitted with the Application for Enrolment, the applicant’s engagement during the enrolment interview (if granted), and a general assessment by a member of the Leadership Team with regards to the applicant’s:

• Willingness to support and contribute to the Catholic Ethos of the College.• Commitment to upholding the standards, expectations and values of the College.• Engagement, application and commitment to their academic studies as well as supporting the positive learning culture of

the College. I/we understand and accept that St John’s Catholic College (herein known as the College) is a Christian community in which students are given the opportunity to deepen their understanding of Catholic beliefs, clarify their values and develop real and practical concerns for others. The College philosophy encourages the development of personal responsibility in students, recognising and valuing individual differences, and encouraging the achievement of each individual’s potential. The College pro vides an environment where gospel values are lived out, thus allowing students to experience the hope and optimism of the Gospel message of Jesus Christ. I/we agree to support in every possible way this religious dimension of the College.

I/we accept and agree to support the standards of conduct, uniform expectations and 95% + attendance policy which the College requires.

I/we realise that in sending my/our child to St John’s Catholic College, I/we am/are undertaking certain financial commitments regarding school fees, uniforms, etc. I/we agree that fees and levies, as determined by the Principal and College Board, will be paid on receipt of an invoice. I/we also understand that pro-rata fees are payable for students commencing or leaving during term. I/we agree to give 5 weeks notice in writing if my child is leaving St John’s Catholic College (excluding school holidays), notice must be given within the school term. If the required notice is not received, full fees will be payable for the current term. If at any time and for any reason I/we should find myself unable to meet my financial obligations in full, I agree to contact the Finance Officer or Principal to make special interim arrangements. I/we understand that failure to do this could jeopardise my child’s ongoing enrolment in the College. If the parent(s) should fail to pay the College fees when they are due, the parent will be responsible for any additional costs associated with recovery of the outstanding amounts, including but not limited to the cost of a solicitor, and any cost incurred by the College’s nominated debt collection agency.

I/we agree that my child will take an active part in the various activities, including co-curricular, that are run as part of the College educational program, and that I/we will ensure their attendance at these activities. These include, but not limited to:

• Masses• Liturgies• Catholic Identity Retreats• Whole school carnivals - swimming, athletics, cross country• Assemblies• Presentation Evening

I/we understand that as parents we work in partnership with the College in the education of my child. To this end, I/we commit to supporting the College in whatever capacity is required.

I/we understand and accept that the completion of this enrolment form does not guarantee enrolment.

I/we understand and accept that attendance at an enrolment interview does not guarantee an enrolment offer being made.

I/we have completed this application form fully and to the best of my/our knowledge. Further, I/we acknowledge and accept that if it can be demonstrated that I/we have withheld information relevant to the application/enrolment process, especially in relation to this student’s individual needs, medical conditions, behaviour, attendance, health care requirements and/or parenting orders, then the enrolment may be refused or terminated on this ground.

Parent 1/Guardian signature Parent 2/Guardian signature

Date Date

1

SECTION F EMERGENCY CONTACTS

Y Y Y YD D M M

CONTACT NAME RELATIONSHIP WORK PHONE HOME PHONE MOBILE

D D M M Y Y Y Y


St John’s Catholic College as the provider ensures that defaulting refunds will be in accordance with

the provisions of the ESOS Act 2000 and the ESOS Registrations 2001.

Refunds, if the registered provider defaults, cannot be covered by a written agreement between the provider and the student. Such situations are covered by the provisions of the ESOS Act 2000 and the ESOS Regulations 2001 (Paragraph 44 of the National Code of Practice). The fee payer must notify the International Student Coordinator at St John’s Catholic College in writing stating the reason for seeking a refund on the fees they have paid. The International Coordinator will inform the Principal and the Business Manager. In the case of an approved refund St John’s Catholic College ensures refund fees will be paid to the fee payer within 14 days. St John’s Catholic Col-lege’s refund policy applies to all course monies paid to the school.

a. In the case where a student has been accepted for enrolment and then withdraws his/her enrolment before arrival, the Application Fee is forfeited and

all bank charges will be incurred by the fee payer. All other monies will be returned to the fee payer within 14 days as specified.

b. All notification of withdrawal from a course, or applications for refunds, must be made in writing and submitted to the International Coordinator.

c. The school will refund within 14 days all course monies paid where the student’s application for enrolment is refused by the school or the student

produces evidence that the application made for a student visa has been rejected by the Australian immigration authorities.

d. If the student’s enrolment is cancelled prior to the commencement of the semester by the Provider, then all fees excluding all bank charges are

refunded to the fee payer generally within 14 days.

e. Refunds for student default apply to tuition fees and overseas students’ health insurance only. Health insurance will be refunded in full. Course monies

will be refunded on a pro rata basis proportional to the amount of time the student was studying in the course, except where a non-refundable

payment on behalf of the student has been made.

f. If the student does not provide written notice of withdrawal and does not start the course on the agreed starting date, only one term’s (or ten weeks)

tuition fees will be refunded from the annual tuition fee.

g. The school will refund within 14 days of the receipt of written notification of withdrawal by the student (or parent(s)/legal guardian if the student is

under 18 years) tuition fees paid by or on behalf of the student less the amounts to be retained as agreed and detailed below.

i. If written notice is received up to four weeks prior to commencement of the course, the school will refund the total

course fee minus $500.00.

ii. If written notice is received less than four weeks prior to commencement of the course, 70% of the tuition fee will be

refunded.

iii. If written notice is received within six months of the commencement date of the student’s course, only one term’s

(or ten weeks) tuition fees will be refunded from the annual tuition fee.

iv. If written notice is received more than six months after the commencement date of the student’s course, no refund

of tuition fees will be made

h. No refund of tuition fees will be made where a student’s enrolment is cancelled for any of the following reasons;

i. Failure to maintain satisfactory course progress (visa condition 8202)

ii. Failure to maintain satisfactory attendance (visa condition 8202)

iii. Failure to pay course fees

iv. Any behaviour identified as resulting in enrolment cancellation as outlined in the St John’s College Behaviour

Management Policy/Code of Conduct.

i. In the unlikely event that St John’s College is unable to deliver your course in full, you will be offered a full refund of all course money you have paid to

date. The refund will be paid to you within two weeks of the day on which the course ceased being provided.

j. This agreement, and the availability of complaints and appeals processes, does not remove the right of the student to take action under Australia’s consumer protection laws.

SECTION H INTERNATIONAL STUDENTS

Parent 1/Guardian signature Parent 2/Guardian signature

Witness name Witness signature


This information is for the School Nurse’s records.

Surname Given name/s

Date of birth Medicare number Expiry date

D D M M Y Y Y Y

Health care card Health care card number Expiry date

No Yes

Private health fund Member number

Doctor’s name Doctor’s phone number

1. Is the student under medical treatment at present? No Yes (please give details below)

2. Has he/she ever had a serious illness? No Yes (please give details below)

3. Does he/she have any hearing problems? No Yes (please give details below)

4. Does he/she have eye problems/wear glasses? No Yes (please give details below)

5. Is he/she taking any medication? No Yes (please give details below)

6. Does he/she suffer from allergies or allergic to any food, substance and/or medication?

No Yes - please detail below last episode and type of allergy ie Anaphylaxis, rashes or vomiting

7. Medic alert required?

No Yes - please detail below

8. Does he/she suffer from Attention Deficit Hyperactivity Disorder (ADHD) or other behavioural issues?

No Yes - please detail below

SECTION I MEDICAL HISTORY

D D M M Y Y Y Y

D D M M Y Y Y Y

Parent 2/Guardian signature

Witness signature


9. Does your daughter suffer from menstration concerns? No Yes

10. Does he/she suffer from headaches/migraines? No Yes

11. Do you permit the school Health Centre to administer panadol? No Yes

12. Immunisation record (a copy of student’s immunisation record must be supplied with this application):

MMR (Measles, Mumps, Rubella) No Yes Hepatitis B (HEB) No Yes

Tetanus No Yes HIB (Haemophilus Influenza Type B) No Yes

Pertussis (Whooping Cough) No Yes Pneumococcal No Yes

Diphtheria No Yes BCG (TB) No Yes

Polio (OPV) No Yes Mantoux No Yes

Influenza No Yes MEN (Meningococcal) No Yes

Menigitis No Yes HPV No Yes

13. Please tick any of the following illnesses the student may have suffered, or still suffers from:

Asthma Epilepsy Tuberculosis (TB)

Bronchitis Hepatitis (A, B or C) Heart problems (murmur, chest pains)

Kidney problems Rheumatic heart disease Diabetes Type 1 Type 2 Cardiac problems

Other - please specify:

Please give any relevant information (medication, treatment etc):

14. Please supply any other relevant information:


The following questions only apply for boarding students.

15. Do you consent to the School Health Program for your child? No Yes

16. Do you consent to head lice surveillance for your child? No Yes

17. Do you consent to your child receiving children’s dental service by the

NTG Oral Health Service, if required? No Yes

18. Do you consent to your child being given a Mantoux (tuberculosis) test if required? No Yes

19. Do you consent to your child being tested for vision/hearing/speech problems if required? No Yes

20. Do you consent to St John’s Registered Nurse giving oral medication/treatment if required? No Yes

21. Is there anything else the school or health personnel should know that might influence

the child’s participation at school? No Yes - please give details below

08 8982 2222

10 - 54 SALONIKA STREET, THE GARDENS | LMB 13, DARWIN NT 0801

[email protected]


A CO-EDUCATIONAL DAY, BOARDING AND INTERNATIONAL COLLEGEYEAR 7 - 12

QR Code for College Enrolment form | Prospectus | Fees

St John’s Catholic College is a registered education provider with the Australian Government | CRICOS Provider No.: 00466K

QR Code for College website

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STRONG IN FAITH, EDUCATION AND TRADITION APPLICATION …