e n ro l m e n t a p p l i cat i o n f o r m
APPLICATION FOR A D MI S S ION
Father/Guardian
I/We apply to enrol the child named in the Student Information Particulars at The Geelong College. We understand that if our application is successful that I/we will have a contractual obligation to comply with the College Business Regulations and accept the Admissions Policy outlined below.
Signature
Ad m i ss i o n s P o l i c y
Date
Mother/Guardian Signature
Date
The Geelong College is an open entry school. Subject to the exceptions, the priority in which a new student may be offered a place at the College will be determined according to the date on which the application for enrolment was received.
Before returning this application make sure you have included the following: $100 non-refundable Registration Fee Certified copy of birth certificate or extract of entry
E xc e p t i o n s 1. A sibling of a current or past student will be offered a place before all other applications for enrolment provided the enrolment application is lodged at least 12 months prior to the year in which the student is to be enrolled. 2. A child or grandchild of an Old Collegian will be offered a place after a sibling of a current or a past student and before all other applications for enrolment provided that the enrolment application is lodged at least 12 months prior to the year in which the student is to be enrolled. 3. The priority in which a child who was previously enrolled at the College and in respect of whom an application is received to re-enrol will be determined on the basis that the application was received at least 12 months before the year in which the student is to be enrolled. Prior education progress must be provided when an enrolment application is made.
Cheque
Please find my cheque attached
Credit Card Authority Visa
Mastercard
American Express
Amount $ Card number Expiry date
/
Name on Card Signature Bank Transfer Authority $
has been transferred to
The Geelong College account 083-655 515800488 on
/
/
(Please remember to attach family or student’s name to Transfer Authority)
PARENT OR G UAR D IAN INFORMATION
PARENT OR G UAR D IAN INFORMATION
Father (or state relationship to child) Mother (or state relationship to child) Title (Mr/Dr/Prof)
Surname Title (Mrs/Ms/Miss/Dr/Prof)
Surname
Given name/s Given name/s
Preferred name Preferred name
Home address Home address Home telephone number
Postcode
Mobile number
Home telephone number
Postcode Mobile number
Home email Home email Postal address if different to home address Postal address if different to home address Old Collegian
Yes
No
Year Group
Old Collegian
Yes
No
Year Group
Occupation Occupation
Employer Employer
Business telephone number Business telephone number
Business email Business email Other family connections with school (siblings, parents or grandparents?)
Other family connections with school (siblings, parents or grandparents?)
1. Name 1. Name Status (Future/Current/Past student of the College) Year Level
Status (Future/Current/Past student of the College)
Age Year Level
Relationship to child (Aunt, Cousin, etc.)
Age
Relationship to child (Aunt, Cousin, etc.)
2. Name 2. Name Status (Future/Current/Past student of the College) Year Level
Status (Future/Current/Past student of the College)
Age Year Level
Relationship to child (Aunt, Cousin, etc.)
Age
Relationship to child (Aunt, Cousin, etc.)
ST U D ENT ’S INFORMATION
INTERNATIONAL ST U D ENT RE Q U IREMENT S
Student’s surname Before returning this application make sure you have included the following: Certified copy of the child’s passport Given name/s
Passport number Preferred name Date of birth
Gender
F
M
Religious denomination Nationality
in Year 20
Boarding
Day
Present school/kindergarten Year Level (if applicable) Student resides with: both parents / Mother / Father / Grandparents / Guardian / other Is English the primary language spoken at home?
Yes
Australian resident
No
If not, which language is spoken?
S PECIAL NEE D S
Non-Australian resident
Name
Address
Contact number Please provide details of the student’s agent (where applicable)
Name
Address
Contact number
Does your child have special needs, i.e. social, emotional, physical, educational or intellectual difficulties? No
Temporary Australian resident
Please provide details of the student’s nominated Australian guardian
Country of birth Applying to enter Year Level
VISA number (if known)
Yes
If yes, please provide details In order to ensure that we can plan for your child’s education please tell us now if special needs are evident or, if not currently evident, whenever it becomes evident that your child may have any such special needs, prior to their enrolment date.
MAR K ET RE S EARC H Please note, your answers will help us achieve best practice standards and continuous improvement in marketing and promoting The Geelong College. Question 1 How did you learn about The Geelong College? (please tick all appropriate boxes) Press advertisements Which newspaper/magazine? Old Geelong Collegians’ Association Radio Signage Open Day/Morning
Ad Astra, College Prospectus, Newsletter or other College literature Recommendation from a current College family External websites e.g. My School Which websites? We have a family connection to the College Other, please specify
Question 2 Have you visited The Geelong College Website? Question 3 What was your primary motivator for choosing to enrol your child at The Geelong College? (please tick all appropriate boxes)
.
S h a p i n g t h e Fu t u r e
Academic excellence
Co-education
Location
Student well-being
The Geelong College is an innovative and caring
Broad curriculum
community of learners committed to making a
Facilities
Co-curricular opportunities provided by the College
positive difference to an ever changing world.
Boarding
Outstanding teachers Other, please specify
The Geelong College PO Box 5, Geelong VIC 3220 P (03) 5226 3111 E admissions@geelongcollege.vic.edu.au
geelongcollege.vic.edu.au CRICOS No. 00142G