Preparatory School Pre-Primary in 2018
Step 1 of 7
14%
Completion of this information
Thank you for taking the time to provide this important information, which is necessary for your son's entry into Christ Church next year. If your son lives with both parents at the same residence, only one parent is required to complete this submission. However, please note that the Government Data section requires information on both parents. If you are a sole parent or a split family, this submission needs to be completed by
each parent individually.
Parent/Guardian details
Are you a sole parent?
*
Yes (parents have different residential addresses)
No (parents live at the same residential address)
Parent/Guardian 1 surname
*
Parent/Guardian 1 first name
*
Parent/Guardian 1 relationship to boy
*
Mother
Father
Grandparent
Step Mother
Step Father
Guardian
Other
Parent/Guardian 1 home email
*
Parent/Guardian 1 work email
Parent/Guardian 1 preferred contact email
*
Home email
Work email
Parent/Guardian 1 mobile
*
Has your address changed in the last 6 months? If so, please advise new details below.
Parent/Guardian 2 surname
*
Parent/Guardian 2 first name
*
Parent/Guardian 2 relationship to boy
*
Mother
Father
Grandparent
Step Mother
Step Father
Guardian
Other
Parent/Guardian 2 home email
*
Parent/Guardian 2 work email
Parent/Guardian 2 preferred contact email
*
Home email
Work email
Parent/Guardian 2 mobile
*
Parent/Guardian 2: Has your address changed in the last 6 months? If so, please advise new details below.
Student details
Surname
*
First name
*
ID number (as advised in email)
*
Date of birth
*
Current Kindy (if any)
Family connection
In Term 4, your son will be allocated to one of the four school Houses; Dale, Forrest, Giles and Stirling. If you have a family connection with one of the Houses you may nominate this as your preference. Please contact Sandra Conway on (08) 9442 1666 or
sconway@ccgs.wa.edu.au
if you have any questions.
Do you have a family connection to the School?
*
Yes
No
What is the relationship of your family connection?
*
Grandfather
Father
Uncle
Brother
Other
If other, please specify
*
Relative's name:
*
In which year did your son's relative leave?
In which academic year is your son's relative?
If known, what is your relative's date of birth?
Relative 1
If known, what is your relative's date of birth?
Relative 2
House connection
If you have a family connection to a House, please advise by selection below.
Dale
Forrest
Giles
Stirling
Swimming ability
Please indicate your son's swimming ability:
*
Non-swimmer
Learning (up to 50m continuous swimming)
Do you have a friend already attending Christ Church or one that will be joining us next year?
Friend connection?
If your son has a friend already at the School or one who will be coming into the School next year, please let us know as it may be possible to ensure they are placed in the same class to help your son transition into Christ Church.
Yes
No
If yes, please advise full name of your friend
Additional information?
If you feel there is any additional information we should know about your son please advise in the box below.
Specialist reports
If your son has learning challenges such as giftedness or learning difficulties, hearing or vision impairment, please upload reports below.
Does your son have any specialist reports?
*
ie speech, hearing, occupational therapy, psychometric.
Yes
No
Specialist report - parent permission
*
I give permission for my son's teachers to be made aware of any relevant specialist reports:
Yes
No
Please upload specialist reports such as speech, hearing, occupational therapy or psychometric here. All documents must be in PDF format and clearly named as per this example eg SMITH, John - Speech report. Please be assured they will be treated in the strictest confidence.
Specialist report 1 upload here
Specialist report 2 upload here
Specialist report 3 upload here
If you have already submitted your sons specialist reports to the school, please advise which ones below.
*
Speech
Hearing
Occupational therapy
Paediatric
Psychometric
Psychologist
Other
ANY QUESTIONS?
Admissions office
Admissions office (08) 9442 1555 or
admissions@ccgs.wa.edu.au
GOVERNMENT DATA COLLECTION
Parent information
The Federal Government requires the following information in relation to a parent's level of education, training and employment.
Parent/Guardian 1 - Schooling
*
What is the highest year of primary or secondary schooling you have completed? If you have never attended school, mark Year 9 equivalent or below.
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below
Parent/Guardian 2 - Schooling
*
What is the highest year of primary or secondary schooling you have completed? If you have never attended school, mark Year 9 or equivalent.
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below
Parent/Guardian 1 - Post-School qualifications
*
What is the highest level of qualification you have achieved? mark only one box.
Bachelor degree or above
Advanced Diploma/Diploma
Certificate I to IV (including Trade Certificate)
No non-school qualification
Parent/Guardian 2 - Post-School qualifications
*
What is the highest level of qualification you have achieved? mark only one box.
Bachelor degree or above
Advanced Diploma/Diploma
Certificate I to IV (including Trade Certificate)
No non-school qualification
Parent occupation
Please read the attached PDF
Government data information - occupation groups
detailing occupation groups before continuing.
Parent/Guardian 1
*
Please select the most appropriate parental occupation group from the dropdown menu below. If you are not currently in paid employment but you have had a job in the last 12 months, or have retired in the last 12 months, please use your last occupation. If you have not been in paid employment for the last 12 months, select Group 8 below.
Group 1
Group 2
Group 3
Group 4
Group 8
Occupation:
*
Employer
Parent/Guardian 2
*
Please select the most appropriate parental occupation group from the dropdown menu below. If you are not currently in paid employment but you have had a job in the last 12 months, or have retired in the last 12 months, please use your last occupation. If you have not been in paid employment for the last 12 months, select Group 8 below.
Group 1
Group 2
Group 3
Group 4
Group 8
Occupation:
*
Employer
Ethnicity and background
The Federal Government requires the following information in relation to your family's cultural background, spoken language and ethnicity. Please record the common language spoken at home between you and your son.
Is your son of Aboriginal and/or Torres Strait Islander origin? (you may select both boxes)
*
No
Yes - Aboriginal
Yes - Torres Strait Islander
In which country was your son born?
*
Australia
What is your son's citizenship?
*
Australian
Does your son have a passport?
Yes
No
Your son's passport number
Do you hold a current Australian Visa?
Yes
No
Please advise Visa Class and subclass
Does your son speak a language other than English at home?
*
No, English only
Yes, he speaks another language at home
Other language spoken at home is
*
Parent/Guardian 1: Do you speak a language other than English at home?
*
I speak English at home
I DO NOT speak English at home
What language do you speak at home?
Parent/Guardian 2: Do you speak a language other than English at home?
*
I speak English at home
I do NOT speak English at home
What language do you speak at home?
*
Privacy authorisation
From time to time the School will need to publish images of students and student names in school communications, publications and advertising. Please check the box below to provide your authorisation for the School to use your son's name or image internally within the School and/or externally in the public domain, including but not limited to: social media (such as Facebook and other electronic media), video and film. Please note that generally we use group images on Facebook and do not use student names. If a photo with an individual image is selected we will contact the parent/guardian to seek permission.
I understand and accept that by checking the box immediately below and submitting this form I will be providing authorisation
*
I agree to the use of my son's image as listed above
I do not agree to the use of my son's name or image as listed above (ticking this box will result in your son being excluded from all photos with the exception of his class photo)
Parent/Guardian declaration
Please ensure you have read and understood (translated if necessary) and accepted the School's
Privacy Policy
and
Terms and Conditions of Enrolment
before completing the following declaration and clicking the SUBMIT button below.
I confirm that by ticking both these boxes I have, read, understood (translated if necessary) and accepted:
*
The School's Privacy Policy
The School's Terms and Conditions of Enrolment
I understand and accept that:
*
by checking the box immediately below I am confirming that all information I have provided to the School is correct and current
Spam Prevention
