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INFORMATION
Term 1, 2021
Wed 27 January 2021 - Thurs 1 April 2021
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Final Newsletter 2020
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02 9622 2424
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Home
>
Enrolment
>
Enrolment Form
Enrolment Form
Step 1 of 10
Is this a first time enrolment for this child?
*
Yes
No
This form is NOT to be filled out as a re-registration. If you are re-registering, please read the relevant section
here
.
Applicant (Student) Details
Family Name
*
Given Name(s)
*
Preferred Name
Date of Birth
*
Gender
*
Male
Female
To commence Grade
*
Prep
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
NESA Number
If applying for Prep, please tick your preferred days
Monday
Tuesday
Wednesday
Thursday
Friday
In Term
*
Term 1
Term 2
Term 3
Term 4
Year
*
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Residential Address
*
Suburb/Town
*
State
*
New South Wales
Queensland
South Australia
Tasmania
Victoria
Australian Capital Territory
Northern Territory
Postcode
*
Home Telephone Number
*
Student Mobile Number (if applicable)
Home Email Address
*
Country of Birth
*
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Pacific Island Wildlife Refuges
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Taiwan
European Union
Nationality
*
Visa Number (If nationality not Australian)
Date of arrival
Religious Denomination
*
Church Attending
*
Student lives with
*
Both Parents
Mother Only
Father Only
Guardians
Other
If Other, Please Specify
Main Contact Person
*
Main Parent/Guardian Mobile Number
*
Next: Student Profile →
Step 2 of 10
Student Profile
If your child is already attending school or preschool or Early Learning Centre, please complete the following.
School presently attending
Grade
Academically
*
Very good
Good
Average
Poorly
Very Poorly
Socially
*
Very good
Good
Average
Poorly
Very Poorly
Sporting Interests & Achievements
*
Cultural Interests & Achievements
*
Siblings
How many sisters does the applicant have?
*
0
1
2
3
4
5 or more
How many brothers does the applicant have?
*
0
1
2
3
4
5 or more
Applicant's place among siblings
*
1 (Oldest)
2
3
4
5
6 (Youngest)
Sibling 1 Name
Sibling 1 Age
Sibling 2 Name
Sibling 2 Age
Sibling 3 Name
Sibling 3 Age
Sibling 4 Name
Sibling 4 Age
Sibling 5 Name
Sibling 5 Age
Learning and support needs, including disability
Does your child require support for learning because of disability?
*
Yes
No
Please indicate if your child has any of the following:
*
Autism
A physical disability
Behavioural disorder
A vision impairment
A hearing impairment
Difficulties in learning
Intellectual disability
A language disorder
Acquired brain injury
Mental health disorder
None
Is your child in need of / currently recieveing any of the following supports?
*
English as a second language support
Mathematics support
Individual teacher aide time
Speech therapy
Visual impairment assistance
Hearing impairment assistance
Occupational therapy
Other
None
Has any previous education provider prepared a documented plan to support the student's additional learning needs?
*
Yes
No
(If yes, please submit a copy of the plan to the school - see instructions on last page of this enrolment form)
← Previous: Applicant (Student) Details
Next: Applicant's General Health Status →
Step 3 of 10
Applicant's General Health Status
(Please supply detailed information on the HEALTH RECORD)
Does your child have
Allergies
Asthma
Diabetes
Epilepsy
Other
If Other, Please Specify
Current Medication
Child's Health Cover
Applicant's Medicare Number
*
Child's number on card
*
Private Health Insurance Provider
Fund No.
← Previous: Student Profile
Next: Information for Government Census →
Step 4 of 10
Information for Government Census
Is English your child's second language?
*
Yes
No
If yes, what language does he/she speak?
Is the applicant of Aboriginal/Torres Strait islander descent?
*
Aboriginal but not Torres Strait Islander Origin
Torres Strait Islander but not Aboriginal
Both Aboriginal and Torres Strait Islander Origin
Neither Aboriginal nor Torres Strait Islander Origin
← Previous: Applicant's General Health Status
Next: Parent/Guardian Details →
Step 5 of 10
Parent/Guardian Details
Parent/Guardian 1
Relationship to Child
*
Mother
Father
Guardian
Other
If Other, Please Specify
Title
*
Family Name
*
Full Given Name
*
Date of Birth
*
Nationality
*
Country of Birth
*
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Pacific Island Wildlife Refuges
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Taiwan
European Union
Marital Status
*
Occupation
*
Employer
*
Home Address
*
Postcode
*
Home Phone
*
Business Phone
Mobile Phone
E-mail Address
*
Religious Denomination
*
If you are a Seventh-Day Adventist complete the following:
Church membership is held at
Church I regularly attend is
Parent/Guardian 2
Relationship to Child
Mother
Father
Guardian
Other
If Other, Please Specify
Title
Family Name
Full Given Name
Date of Birth
Nationality
Country of Birth
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Howland Island
Hungary
Iceland
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Pacific Island Wildlife Refuges
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Taiwan
European Union
Marital Status
Occupation
Employer
Home Address
Postcode
Home Phone
Business Phone
Mobile Phone
E-mail Address
Religious Denomination
If you are a Seventh-Day Adventist complete the following:
Church membership is held at
Church I regularly attend is
NOTE: As family structures can differ widely, please supply any details related to the particular circumstances of your family.
Detail any legal arrangements of which the school should be aware.
If necessary, supply a copy of relevant documentation under Other Documents in the Additional Documents section further in the form.
Directions as to Correspondence
(The following information is requested to avoid errors in correspondence, mailing of accounts etc.)
Send School Newsletters and School Reports to
*
Send Fee Accounts to
*
← Previous: Information for Government Census
Next: Emergency Contacts →
Step 6 of 10
Emergency Contacts
(Other than Parent/Guardian)
Contact 1
Full Name
*
Relationship to Child
*
Home Phone
Work Phone
Mobile Phone
*
Contact 2
Full Name
Relationship to Child
Home Phone
Work Phone
Mobile Phone
← Previous: Parent/Guardian Details
Next: Other Information →
Step 7 of 10
Other Information
Please select your child's method of travel to school (you may select more than one)
*
Car
Walk
School Bus
Train
Public Bus
Other
How did you first hear about our school?
*
Why did you choose this school?
*
Did any of the following assist you in choosing this College for your child?
Letterbox flyer
Newspaper article/ad
College fun day
Open Day
Preschool visit
Church promotion
College bus sign
College banner
College website
Other
None
← Previous: Emergency Contacts
Next: References →
Step 8 of 10
References
Please nominate two people who know your child and would provide a reference.
Referee 1
Referee 1 Name
*
Phone Number
*
Relationship to Applicant
*
Referee 2
Referee 2 Name
*
Phone Number
*
Relationship to Applicant
*
← Previous: Other Information
Next: Permission Notes →
Step 9 of 10
Permission Notes
Photo Consent
In the event that the College is unable to contact me in an emergency, I grant permission for my child to be given the treatment deemed necessary.
*
Yes
No
I am willing for my child to have their image in any digital publication for marketing purposes.
*
Yes
No
I am willing for my child to have their image in any print publication for marketing purposes.
*
Yes
No
I am willing for my child to have their image in any social media publication for marketing purposes.
*
Yes
No
I will contact the College in writing if I wish to withdraw consent for my child’s image to be used for any marketing purposes.
*
Yes
I give permission for my child to go on any regular College based program by bus or train.
*
Yes
No
I give permission for the College to provide my contact details to the uniform shop.
*
Yes
No
Parent Pledge
I / We understand that this is a Christian College and agree to support the College in upholding its standards and ethos and I/we accept responsibility for payment of College fees.
*
Yes
Student Pledge
I choose to support the College by wearing the correct uniform, behaving safely and courteously while travelling to and from College, cooperating with my teachers and participating in College life.
*
Yes
I promise to do and say things which show respect to my home and my College.
*
Yes
← Previous: References
Next: Additional Documents →
Step 10 of 10
Additional Documents
The school will require the following documents before processing your application. Documents can either be scanned or photographed for attaching here or they can be sent via email to
enrolments@mvac.adventist.edu.au
. Please note that Kindy/Prep applications do not require a school report to be attached.
Other additional documents you wish to attach may be sent to
enrolments@mvac.adventist.edu.au
with "K-12 Enrolment Other Additional Documents - *Your Full Name*" as the subject heading.
E.g. K-12 Enrolment Other Additional Documents - John Smith
Proof of Identity (birth certificate)
*
Select File
:
Immunisation Records
*
Select File
:
Copy of current school report
(not applicable for Kindergarten or Prep enrolments)
Select File
:
Other Documents
Select File
:
NOTE: Any misleading or inaccurate information may render this application null and void. This information will be used in accordance with the Adventist Schools Australia Privacy Policy, a copy of which is available upon request.
← Previous: Permission Notes
Processing
The data has been submitted.