Glenroy College
Enrolment Enquiry Form
Date
*
-
Day
-
Month
Year
Date
Student Name
*
First given name
Second given name
Last Name
Home Address
*
Street Address
Street Address Line 2
Suburb
State
Postal Code
Gender
*
Female
Male
Other
Student Phone Number
*
Please enter a valid phone number.
Format: 0400 000 000.
Date of Birth
*
-
Day
-
Month
Year
Date
Age of Student
*
Was the student born in Australia?
*
Yes
No
If no, has the student been in Australia for less than 7 years?
Yes
No
VISA subclass (if applicable)
Is the student currently attending school?
*
Yes
No
Previous/Current School
Year level last at school
Contact person at the school
Reason for enrolment enquiry
*
Adult A
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: 0400 000 000.
Email
example@example.com
Adult B
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: 0400 000 000.
Email
example@example.com
Are there any other students in the family enquiring about enrolling?
*
Yes
No
If yes, please tell us their Name, Gender, Year Level and Date of Birth
List the names of any students you know at Glenroy College
Additional Information
Which year are you seeking to enrol the student?
7
8
9
10
11
12
Submit
Should be Empty: