Fillable INITIAL APPLICATION FOR ENROLMENT (City of Oakland)

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INITIAL APPLICATION FOR ENROLMENT (City of Oakland)

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INITIAL APPLICATION FOR ENROLMENT
Student Details
Student’s Surname ________________________________ Given Names __________________________________
Age _______ Date of Birth _______________ Religious Denomination ___________________________________
Proposed year of entry to Inaburra School _______________ Grade ________ Gender ______________________
Is the student Aboriginal or Torres Strait Islander YES/NO
Please provide such information relating to the student (included but not limited to medical, social,
developmental, academic) as the school may reasonably require__________________________________________
______________________________________________________________________________________________
Please advise of any medication being taken _________________________________________________________
______________________________________________________________________________________________
Parents and Caregivers Details
The following information is required from the person who is responsible for the lodgement of this application
and who would receive all subsequent correspondence with respect to the student’s education, such
as fees, academic reports, etc.
Father’s / Caregiver’s Surname __________________________ Given Names ______________________________
Father’s Title _________________ [Mr / Rev / Dr, etc.] Occupation _________________________________________
Mother’s / Caregiver’s Surname __________________________ Given Names _____________________________
Mother’s Title _________________ [Mrs / Ms / Rev / Dr, etc.] Occupation ________________________________
Home Address ___________________________________________________________ Postcode _____________
Postal Address ___________________________________________________________ Postcode _____________
[If preferred for accounts, reports, etc.]
Contact Details
Father / Caregiver’s Details
Mother / Caregiver’s Details
Home Phone
Work Phone
Mobile
Email Address
* * Please advise the Enrolment Office of any change in contact details. * *
Are either parent/caregiver an ex-student of Inaburra YES/NO
If yes, please state your name and year finished at Inaburra _____________________________________________
Applications already submitted for Siblings:
Name Grade Year
__________________________________________________ ___________________ _____________________
__________________________________________________ ___________________ _____________________
I / we agree to:
1. pay the total amount of the Non-Refundable Application for Enrolment Fee ($200) to the School’s nominated
bank account (details below).
2. the abovementioned applicant undertaking a form of assessment as deemed appropriate by the Principal, and
I/we understand that all offers of enrolment are at the Principal’s discretion.
3. pay the Non-Refundable Enrolment Acceptance Fee upon my/our acceptance of an enrolment offer [currently
$1000, which is used for continuing development of capital works within the School, and may be varied from
time to time.]
4. pay the annual P. & F. Levy.
5. be responsible for the payment of all fees and ancillary charges, all as determined from time to time, where
applicable.
6. pay one term’s fees in the event of failure on my/our part to give to the Principal or his nominee, at least one
term’s notice in writing of the withdrawal of this student having accepted the offer of enrolment at Inaburra
School.
7. abide by the ‘Terms and Conditions of Enrolment’, as attached.
8. the School Board and/or the Principal or other relevant authority, having the right at any time, and from time
to time, to implement (and to amend, modify or otherwise deal with) such rules, policies, fees, charges,
programmes and other requirements in connection with the School and its activities as it or they, in their
absolute discretion, think fit.
9. make separate application for enrolment of any other siblings/s.
10. abide by the Inaburra School Privacy Policy as received and read.
11. provide such information relating to the student (whether as to medical, physical condition or otherwise) as
the school may reasonably require.
I/we confirm that the information provided in this application is true and correct.
_Signature/s of Parent/s or Caregiver/s ___________________________ __________________________
Both signatures are required (if applicable)
Date
__ ________________________ _________________________ ________________________
Print Name Print Name
This ‘Initial Application for Enrolment’ form should be accompanied by a copy of the applicant’s latest School Report
if commencement is proposed for the ensuing year. Receipt of this ‘Initial Application for Enrolment’ form will
be acknowledged. The applicant’s enrolment is subject to vacancies existing at the time for the particular
academic year of entry. Receipt of the ‘Initial Application for Enrolment’ form does not automatically
guarantee the student’s enrolment at the School as assessment and interview procedures, subject to the
Principal’s discretion, will follow.
Please save the application via the below 'Save Application' button. Then please email the application
to, inaburraenrolments@inaburra.nsw.edu.au
Thank you.
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INITIAL APPLICATION FOR ENROLMENT (City of Oakland)

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Completed 24 January 2022

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