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2022 Practitioner/Agency Referral Form
Section A: Important information
This form is to be completed by a specialist practitioner or an agency working with the
student in order to determine a student’s eligibility for enrolment with Virtual School Victoria
(VSV) and to assist with the development and coordination of learning and support plans.
A Practitioner/Agency Referral Form completed by a General Practitioner (GP) will not
be accepted.
Full-time enrolment at VSV requires the student to be withdrawn from the environment of their
local school to undertake study through online learning platforms from their family home
under the supervision of a parent/carer. Students are expected to participate in online classes.
VSV does not receive funding through the Victorian or Commonwealth student disability
support funding programs (PSD, NCCD).
Enrolment is for the current academic year only. It is expected the student will return to a
local school after this time or will be required to reapply for enrolment at VSV.
VSV recognises that an important prerequisite for successful engagement with education is
the establishment of eective ongoing treatment and support for health conditions and
complex social circumstances. Referral information should demonstrate the student will be
receiving ongoing professional treatment and/or support for their condition/s and are
committed to using these supports.
Students enrolled at Virtual School Victoria require supervision by a parent or carer.
Supervisors are required to perform a range of duties including:
• facilitating communication between the student and teachers
• ensuring age appropriate adult supervision of the student
• engaging with material provided by VSV both in a written and verbal format
• ensuring that the student has access to a telephone, computer, reliable internet
connection and suitable work area
• supporting the student to engage and participate in the learning program and the wider
school community
• ensuring the student submits work in accordance with the prescribed or negotiated
submission timetable.
Online Classes
All Year 7 - 10 students participate in regular timetabled online classes. Online attendance is an expectation.
If this is not possible due to personal circumstances, students, parents/carers/supervisors must contact the
relevant Student Coordinator to arrange an exemption.
Practitioner/Agency recommendation for online class attendance:
Student is able to attend and participate in online classes.
Student is able to attend and observe online classes.
Student will require additional support to attend online classes.
Student is not currently able to attend online classes.