Mountain View Adventist College

Step 1 of 10

Is this a first time enrolment for this child? *

YesNo

Family Name *

Given Name(s) *

Preferred Name

Date of Birth *

Gender *

To commence Grade *

NESA Number

In Term *

Year *

Residential Address *

Suburb/Town *

State *

Postcode *

Home Telephone Number *

Student Mobile Number (if applicable)

Home Email Address *

Country of Birth *

Nationality *

Visa Number (If nationality not Australian)

Date of arrival

Religious Denomination *

Church Attending *

Student lives with *

If Other, Please Specify

Main Contact Person *

Main Parent/Guardian Mobile Number *

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 *

Socially *

Sporting Interests & Achievements *

Cultural Interests & Achievements *

Siblings

How many sisters does the applicant have? *

How many brothers does the applicant have? *

Applicant's place among siblings *

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? *

YesNo

Is your child in need of / currently recieveing any of the following supports? *

Has any previous education provider prepared a documented plan to support the student's additional learning needs? *

YesNo

(If yes, please submit a copy of the plan to the school - see instructions on last page of this enrolment form)

Step 3 of 10

Applicant's General Health Status

(Please supply detailed information on the HEALTH RECORD)

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.

Step 4 of 10

Information for Government Census

Is English your child's second language? *

If yes, what language does he/she speak?

Is the applicant of Aboriginal/Torres Strait islander descent? *

Step 5 of 10

Parent/Guardian Details

Parent/Guardian 1

Relationship to Child *

MotherFatherGuardianOther

If Other, Please Specify

Title *

Family Name *

Full Given Name *

Date of Birth *

Nationality *

Country of Birth *

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

MotherFatherGuardianOther

If Other, Please Specify

Title

Family Name

Full Given Name

Date of Birth

Nationality

Country of Birth

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 *

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

Step 7 of 10

Other Information

How did you first hear about our school? *

Why did you choose this school? *

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 *

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. *

YesNo

I am willing for my child to have their image in any digital publication for marketing purposes. *

YesNo

I am willing for my child to have their image in any print publication for marketing purposes. *

YesNo

I am willing for my child to have their image in any social media publication for marketing purposes. *

YesNo

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. *

YesNo

I give permission for the College to provide my contact details to the uniform shop. *

YesNo

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

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

:

Enrolment Form