ENROLMENT INFORMATION FORM

The information requested in this form is required for enrolment purposes. This information is collected to plan for and support the educational needs of students. This form should be completed by parents or carers who are responsible for enrolling their child. It is the responsibility of the person completing this form to consult with all other adults that need to be involved in the enrolment process. Parents or carers can co-sign the same form or complete separate forms if personal details are unable to be shared between them. If required information is not provided or there is a dispute between parents or carers about a child’s enrolment, the enrolling principal is required to consider the student’s education and wellbeing when deciding whether to defer or accept the enrolment. Only one enrolment form should be submitted per student. By completing and submitting this enrolment form, you are accepting a place for your child at the specified school (subject to any further checks required by the school).

To complete the Enrolment Form easily and quickly you should have the following information at hand.

Victorian School Number (VSN, if known)
Unique Student Identifier (USI, if known) This will apply for students who have enrolled in a Certificate course of some kind e.g. VET

Doctor Details
Name, address and contact details of doctor

Emergency Contacts
Names (other than parents)
Relationship to student
Contact details

IMPORTANT INFORMATION:
The College recommends ambulance cover for all students. In the event an ambulance is required for your child, all associated costs will be the responsibility of the parent/guardian.
Student Details
Enrolment Type*
Which year level are you seeking to enrol this student in 2024?
- Year 11 VCE
- Year 12 VCE
- Year 11 Vocational Major
- Year 12 Vocational Major
Personal details of student
Student Name*
First given name Second given name Surname
Preferred Name
(if applicable)
Gender*
- Male
- Female
Date of Birth*
DD slash MM slash YYYY
Student Email*
Enter Email Confirm Email
Student Mobile*
Are you seeking to enrol the student at this school full-time?*
- Yes
- No
If No, how many days a week would the student be attending this school?*
If No, provide reason you are seeking part-time enrolment:*
List
If No, provide details for other schools:
Other school name: Days / Week Has enrolment been accepted?
Student’s Permanent Residence*
Street Address Suburb State Postcode
How often does this student live at this address?*
- Always
- Mostly
- Balanced (50%)
What are the student’s living arrangements?*
- Student lives with parents/carers together at the same residence
- Student lives with each parent/carer at different times
- Student lives with one parent/carer only
- State Arranged Out of Home Care*
- Informal care arrangement#
- Student is independent
- Homeless Youth
If the student has a Case Manager, please provide their contact details below:
Siblings
A sibling is defined broadly and can include step-siblings and students residing together as part of a multiple family cohabitation or out-of-home-care arrangements, including foster care, kinship care and permanent care.
Does the student have any siblings at this school?*
- No
- Yes
List Siblings
Sibling Name Current Year Level Reside at same residential address as the student
Student Demographics
Does the student speak English?*
- Yes
- No
Does the student speak a language other than English at home?*
- No
- Yes
(please specify the main language spoken at home):*
Is the student of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
- Yes, Both Aboriginal & Torres Strait Islander
Is the student a young carer (providing support/care for other family member/s)? **
* A young carer is a young person under 25 years of age who provides, or intends to provide care, assistance or support to a family member with mental illness, physical illness, disability, chronic illness, or who is aged or has an addiction
- Yes
- No
Does the student have a Victorian Student Number (VSN)?*
- Yes.
- Yes, but the VSN is unknown.
- No. The student has never been issued a VSN.
Please specify VSN*
Does the student have a Unique Student Identifier (USI)?*
- Yes.
- Yes, but the USI is unknown.
- No. The student has never been issued a USI.
Please specify USI*

Student Residency Status
Note: An Australian birth certificate does not guarantee Australian residency or citizenship. Further information is available at www.passports.gov.au/getting-passport-how-it-works/documents-you-need/citizenship
In which country was the student born?*
- Australia
- Other
Please specify in which country was the student born?*
If born overseas, on what date did the student arrive in Australia? (dd/mm/yyyy)*
DD slash MM slash YYYY
What is the student’s residency status? **
- Australian citizen – holds Australian Passport
- Australian citizen – eligible for Australian Passport
- New Zealand citizen
- Permanent Resident (provide visa details below)
- Temporary Resident (provide visa details below)
Visa Sub Class:
Visa Expiry Date: (dd/mm/yyyy)
DD slash MM slash YYYY
Visa Statistical Code: (Required for some sub-classes)
Does the student hold a Bridging Visa?*
- Yes
- No
If Yes, what was the student’s previous visa?*
If Yes, what visa has the student applied for?*
International Student ID*: (Not required for exchange students)
Note: If you are unsure of your International Student ID, please contact the International Education Division via phone (03 9084 8497) or via email (international@education.vic.gov.au)
Students with Additional Learning and Support Needs
The Department of Education recognises that adjustments may be required for students with additional needs, including students with disability, so that they can participate at school. School personnel and parents or carers work together to identify the adjustments that may be needed to meet the student’s learning and support needs.
Does the student have additional needs and require support for learning?*
- No
- Yes
Please indicate any adjustments that may assist the student to participate at school:
Has the student had a disability assessment before?*
- No
- Yes
(specify outcome):*
Has the student received individualised disability funding before?*
- No
- Yes
(please specify):
Has any previous education provider prepared a documented plan to support the students additional learning needs?*
- No
- Yes
(provide details):*
Does the student have additional needs in one of the following areas?
Hearing:*
- No
- Yes
(please specify):*
Vision:*
- No
- Yes
(please specify):*
Speech/Language:*
- No
- Yes
(please specify):*
Physical:*
- No
- Yes
(please specify):*
Cognitive/Learning:*
- No
- Yes
(please specify):*
Social/Emotional:*
- No
- Yes
(please specify):*
Previous Education
Has the student previously been enrolled at another school?
- Yes, in Victoria – Government School
- Yes, in Victoria – Catholic or Independent School
- Yes, interstate
- Yes, overseas
- No (move to next section)
If Yes, name of last school attended:*
If Yes, location of last school attended: (suburb/town/state/country)*
If Yes, date of attendance: (dd/mm/yyyy) to (dd/mm/yyyy)*
If Yes, year levels of previous education:*
If the student studied overseas, what age did the student first start school?
What was the language of the student’s previous education?
Period of interruption to education: (months/years)
Period of interruption to education: (months/years) Is the student repeating a year level?

PARENT/CARER DETAILS
The following pages will ask you for information about your family.

The definitions below are meant to be a guide to help you understand the variations within families at your school. They are by no means definitive or exhaustive, but rather provide a broad picture of the different family units you may encounter at the school.

CASES21 recognises family groups by their family ID key. Siblings are defined as those students that share a primary family record.

The primary family (Adult 1 / Adult 2)
The primary family is defined as the ‘family or parent the student mostly lives with’ although some students live within a shared custody or dual living arrangement, the primary family may consist of only one adult.
• Adult 1 is defined as the primary carer
• Adult 2 is defined as the other carer

In some families, there will only be one adult carer, in which case Adult 2 is left blank.

In certain situations, the status or identity of Adults 1 and 2 may shift due to changes in the family’s circumstances, for example if there is a change in family status (either Adult 1’s or Adult 2’s relationship breaks up), custody (either Adult 1 or Adult 2 takes over the full-time care of the student after their relationship breaks up).

The Additional Parents/Carers (Adult 3 / Adult 4)
The Additional Parents/Carers is defined as the ‘family or parent the student lives with some of the time, or who they have regular contact with’. Some examples of Additional Parents/Carers may include, but are not limited to, a biological parent and a step-parent, a biological parent living alone, a relative/s the child sometimes lives with, or a foster parent.

Emergency Contacts (add contacts who aren't Enrolling Adults in this form)
Please provide emergency contacts in the event that the enrolling parents/carers are unavailable. Please ensure those listed as emergency contacts are aware that their information has been provided for this purpose.
Click the + at the end of the row to add more emergency contacts.
Emergency Contacts*
Name Relationship (Neighbour, Relative, Friend or Other) Telephone Contact Language Spoken (If English Write “E”)

Correspondence Details
Send correspondence addressed to: (select one option below)*
- Adult 1
- Adult 2 (if applicable)
- Both Adults
- Neither
Billing Details
For more information, please refer to www.vic.gov.au/school-costs-and-fees.
Send any bills to: (select one)*
*Note: If you would like to send bills to another person / address, please ensure Additional Parent/Carer details i.e. Adult 3 and/or Adult 4 are completed in the previous sections.
- Adult 1
- Adult 2 (if applicable)
- Another person / address* (complete details below)
Name to be used for all billing correspondence:*
Billing Address*
No. & Street Suburb State Postcode
Email*
Enter Email Confirm Email

STUDENT MEDICAL DETAILS
The Department of Education and Victorian Government Schools require the health information requested in this section to plan for and support the health and wellbeing needs of students. If there is a situation or incident which requires first aid to be administered to your child, school staff will administer first aid that is reasonably necessary and appropriate to their level of training. School staff will also seek emergency medical attention for your child if it is considered reasonably necessary. Any costs associated with student injury rest with parents/ carers unless the Department of Education is liable in negligence (liability is not automatic). In the event that your child needs medical attention, school staff will contact you as soon as practically possible.
Student Doctor
Doctors name*
Medical Centre:*
Doctor's Address*
No. & Street or Box No.: Suburb State Postcode
Telephone Number*

STUDENT TRAVEL DETAILS
Students residing in rural and regional Victoria or attending special schools may be entitled to receive travel assistance. Travel assistance may be in the form of access to a school bus service or financial support through a conveyance allowance to assist with the cost of travel. Information on eligibility and the application process can be obtained from the school.
How will the student primarily travel to and from school?*
- Walking
- Bicycle
- Public Bus
- Train
- Tram
- Self-Driven
- Driven by parent/carer
- Taxi / Ride Share
If the student catches public transport to school, what station/stop does their journey commence:*
If the student drives themself to school, what is their Car Registration Number:*

AGREEMENT & CONSENT FORMS
Students and parent/guardian/carer are required to read all agreement and consent forms.

Please take your time to read each attachment.
Swinburne Senior Secondary College Enrolment Agreement
The Swinburne Senior Secondary College Enrolment Agreement MUST be read and signed by the student and their parent/guardian/carer. Open Agreement in new tab
Student to complete:
I have read the Swinburne Senior Secondary College Enrolment Agreement and agree to comply with the following school expectations (select each expectation to agree):
School Values*
Subject requirements
- I agree
Attendance*
Subject requirements
- I agree
Behaviour*
Subject requirements
- I agree
Subject requirements*
- I agree
College activities*
- I agree
Parent/Guardian/Carer to complete:
I have read the Swinburne Senior Secondary College Enrolment Agreement and agree to comply with the following school expectations (select each expectation to agree):
Monitoring of student progress*
- I agree
Communication*
- I agree
Supporting student wellbeing*
- I agree
School engagement*
- I agree
Agreement Review:
We understand the expectations for both students and parents/guardians at Swinburne Senior Secondary College as listed above. We understand that this enrolment agreement will be reviewed as required if it is deemed that we have not reasonably met the commitments made here.
Signature of Enrolling Student:*
Date*
MM slash DD slash YYYY
Signature of Enrolling Adult:*
Date*
MM slash DD slash YYYY

Privacy Statement The personal and health information collected in this form, and any attachments, is required for enrolment at all Victorian Government Schools. The information is collected to ensure accurate enrolment, and to plan for and support the educational needs of students. The information will be managed securely and accessed only by staff, on a need-to-know basis, and in accordance with the Department of Education Schools’ Privacy Policy which applies to all government schools (available at: www.education.vic.gov.au/Pages/schoolsprivacypolicy.aspx) or where mandated or allowed by law. Please also refer to the Victorian Government School Privacy Collection Notice for details on handling of personal and health information in schools: www.education.vic.gov.au/Pages/Schools’-Privacy-Collection-Notice.aspx.
DECLARATION
Thank you for completing this Student Enrolment form. The information provided is required to enable staff to properly enrol your child at our school as such it is important that it is accurate and up to date.
I/We confirm that: • I am/We are the person/people named as completing this form.
• The information in this form is true and correct.
• I/We agree to authorise this form by electronic means with an electronic signature.
Signature of Enrolling Adult 1:*
Date*
DD slash MM slash YYYY
Signature of Enrolling Adult 2 (if applicable):
Date
DD slash MM slash YYYY
* If there are any court orders about the child, please provide copies of those orders to the school.
Please select the category that best describes who has signed and completed this form. This will assist the school with the enrolment process.*
Who can sign this form?
- Both parents/carers have completed and signed this form.
- Parents/carers are completing separate forms (schools can provide additional forms on request).
- One parent has completed and signed this form on behalf of both parents. Contact details for the other parent have been provided in the form for the school’s use as required.
- One parent has completed and signed this form and the contact details for the other parent are unknown to the enrolling parent/carer and not provided.
- There is only one parent/carer with legal responsibility for the child and that person has completed and signed this form.
- There is only one parent/carer with legal responsibility for the child and that person has completed and signed this form.
- Other (specify below)
Other, please specify: (for instance, where the contact details for the other parent are known but it is not appropriate or safe to contact them)*

Step 1 of 18

Student Details

Personal details of student

Siblings

Student Demographics

Student Residency Status

Students with Additional Learning and Support Needs

Does the student have additional needs in one of the following areas?

Previous Education

PARENT/CARER DETAILS

Primary Family

All correspondence will be sent to this address

Enrolling Adult 2

Additional Enrolling Adults

Section Break

Enrolling Adult 4

Emergency Contacts (add contacts who aren't Enrolling Adults in this form)

Correspondence Details

Billing Details

STUDENT MEDICAL DETAILS

Student Doctor

Asthma

Medical Conditions

If the student displays any of the symptoms above, please:

Medication

Allied Health Support

STUDENT SAFETY, ACCESS, AND SPECIAL CIRCUMSTANCES

Activity Restrictions and Considerations

STUDENT TRAVEL DETAILS

AGREEMENT & CONSENT FORMS

Swinburne Senior Secondary College Enrolment Agreement

Agreement Review:

ADDITIONAL AGREEMENT & CONSENT FORMS

DECLARATION

Sibling Name	Current Year Level	Reside at same residential address as the student

Period of interruption to education: (months/years)	Is the student repeating a year level?

Name	Relationship (Neighbour, Relative, Friend or Other)	Telephone Contact	Language Spoken (If English Write “E”)

Other school name:	Days / Week	Has enrolment been accepted?