Student Enrolment Application Form

Student Enrolment Application Form

Thank you for your interest in our school

You can save this form at any time to resume later, simply by clicking the 'save' button and entering your email.

Information to include in your application

Please ensure you have the following documents readily available before you begin this application form, as you may need to refer to them. You will be asked to upload electronic (i.e. scanned) copies of these documents in the last section of this form. If you do not have access to electronic copies, you can provide printed copies to the school before your application progresses to an interview with the school. You will also need to pay an enrollment application fee after submitting the form, via check at the office, online, or over the phone.
Application fee $100.00

Pay the non-refundable application fee after submitting your application.
Deposit 300.00

Pay the non-refundable deposit after submitting your application.

Section 1: Student information
Student Details
Name*

First NameMiddle NameLast Name
Preferred name
Date of birth*

DayMonthYear
Date
Gender*

FemaleMale
Official Diagnosis
Year of enrollment
Year*
Demographics
Country of birth*
Country of citizenship*
Main language spoken at home*
Visa number*
If not Australian citizen
Other language(s) spoken at home
If applicable
Date of arrival in Australia

DayMonthYear
If applicable
Visa expiry date*

DayMonthYear
Date
Current school (if applicable)
School
Location
Academic level
Additional student

Please indicate whether you wish to enrol another student. If the additional student has different caregivers, please submit a separate form.
Do you wish to enrol another student with SLC?*

YesNo

Section 2: Parent information

This section relates to the student's primary caregivers (e.g. mother and father). You can enter details for up to two primary caregivers using this form. If you need to provide additional caregivers, please contact the office and we will be happy to add their details to the student record.
Parent 1
Name*

TitleFirst NameMiddle NameLast Name
Preferred name
Gender*

FemaleMaleOther (please specify)
Relationship to child*

MotherFatherOther (please specify)
Does the child live with you?*
Contact details

Email and mobile phone are our preferred methods of contact. Please provide both if available. We will send a copy of your completed form to this email address, if provided.
Email*
example@example.com
Mobile phone
Home phone
Work phone
Current home address*

Street Address

Street Address Line 2

CityState / Territory

PostcodeCountry
Demographics
Main language spoken at home*
Other language(s) spoken at home
If applicable
Occupation
If applicable
Employer
If applicable
Highest year of school completed*
Level of highest qualification attained*
Do you wish to add another parent?*

YesNo

Section 2: parent information
Parent 2
Name*

TitleFirst NameMiddle NameLast Name
Preferred name
Gender*

FemaleMaleOther (please specify)
Relationship to child*

MotherFatherOther (please specify)
Does the child live with you?*
Contact details

Email and mobile phone are our preferred methods of contact. Please provide both if available.
Email
example@example.com
Mobile phone
Home phone
Work phone
Current address*

Street Address

Street Address Line 2

CityState / Territory

PostcodeCountry
Demographics
Country of birth*
Main language spoken at home*
Other language(s) spoken at home
If applicable
Employer
If applicable
Occupation
If applicable
Highest year of school completed*
Level of highest qualification attained*

Are there any legally binding parenting orders, or other conditions we should be aware of?*

NoYes (please specify)
Section 4: SIBLINGS
How many siblings does the student(s) have?
Section 5: MEDICAL information
Emergency contacts (other than parents)
Contact 1 name*

TitleFirst NameLast Name
Phone number*
Relationship to child*
Contact 2 name*

TitleFirst NameLast Name
Phone number*
Relationship to child*
Does your student have a seizure plan in place?*

YesNo
Please list any past medical history that we should know about
Please list any medical equipment that you student may need throughout the day
Health providers
Family doctor*
Preferred hospital
Phone number*
Allergies*
Immunization Records.

Please upload all immunization records
File Upload

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Information to include in your application

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