2025 Information Request Form

Gumbaynggirr Giingana Freedom School

This information will be placed on our waitlist- when a place becomes available we will be in contact with enrolment forms.
Information regarding placement on the Waiting List

GGFS has a comprehensive enrolment process that aims to:

Provide in-depth information about the school to enable parents to make informed decisions about enrolment of their child at the school.
Provide teachers with information about the child and the families goals and expectations to enable the school to make informed decisions about proceeding with enrolments.
There are times when the enrolment process cannot be completed because:

There is currently no position available in the relevant class
The family currently resides out of area and cannot attend for interviews (however Zoom interviews are available)

The child to be considered for enrolment is not yet 4.5 years of age.
Level of Entry*

KindergartenYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8
Proposed Year of Entry to School*

MonthDayYear
Date
Current/Previous School*
Student Information*

SurnameGiven Name
Birth Date*

MonthDayYear
Date
Place of Birth*
Gender*

FemaleMale
Aboriginal*

YesNo
Torres Strait Islander*

YesNo
What tribe/s are you from?*
(Gumbaynggirr, Bundjalung, Worimi etc)
Australian Citizen*

YesNo
Language Spoken at Home*
Are you involved in any of the Bmnac programs? If yes please indicate below*

Goori Learning CentreNyanggan Tutoring ProgramCommunity Language classLanguage class at preschool/schoolNot Applicable
Did your Child attend Kulai Aboriginal Preschool?

YesNo
What Education- preschool/school has your Child attended*
Parent/Guardian 1 Information
Relationship to Child*

ParentStep-ParentLegal GuardianGrandparent
Name*

NameSurname
Marital Status*

MarriedSingleDivorcedSeparatedDe Facto
Residential Address*

Street Address

Street Address Line 2

CityState

Post Code
Contact Number*
Email*
Parent/Guardian 2 Information
Relationship to Child*

ParentStep-ParentLegal GuardianGrandparentFamily/Support person
Name*

NameSurname
Marital Status

MarriedSingleDivorcedSeparatedDe Facto
Residential Address*

Street Address

Street Address Line 2

CityState

Post Code
Contact Number*
Email*
Are there any Parenting Orders in place for this Student*

YesNo
Please provide brief details and attach a copy of the Parenting Order*
Parenting Orders

Cancelof
Are there any Restraining orders or Other Court Orders in place for this student other than this in the previous question?*

YesNo
Please provide brief details and attach a copy of any other orders*
Other court orders

Cancelof
Student Individual Needs
To assist the school to respond to individual requirements, please detail any social needs your Child has in the following areas that may affect his/her learning, participation or welfare during school hours.
Has your Child ever repeated a year?*

YesNo
If yes- what year level?*
Has your Child ever been accelerated (skipped a year)*

YesNo
If yes- what year level?*
Does your Child have a need which affects his/her learning?*
Autism/Aspergers?*

YesNo
Acquired brain injury?*

YesNo
ADD/ADHD?*

YesNo
ODD?*

YesNo
Giftedness?*

YesNo
Language disorder?*

YesNo
Mental Health Issues?*

YesNo
An intellectual disability?*

YesNo
A physical disability?*

YesNo
Behaviour issues?*

YesNo
Hearing impairment?*

YesNo
Vision impairment?*

YesNo
If yes to any questions please specify*
Does your child currently receive 'students with disability' funding?*

YesNo
If yes please specify *
What accomodation and/or learning adjustments, if any, were provided for your child at his/her previous school/preschool?*

Alternate teaching and learning strategiesPersonal carer supportA reader or scribeSigningPersonal Carer SupportAccess to technologyBrailleModifications to equipment, furniture, learning space etc.Not applicable
If you have answered yes to any of the above questions, please provide full details of those needs and any intervention/support that your child may be currently receiving (support documents must be provided) *
Has your child been assessed for their developmental, learning or behavioural needs by a specialist?*

YesNo
If yes please identify what type of specialist they were assessed by*

Child PsychologistSpeech TherapistGuidance OfficerVision TherapistPaediatricianPsychiatristnot applicableOther
Behaviour, Medical & Medical Issues
Does your child suffer from any significant health issues such as:*

AllergiesCancerAnaphylaxisCoeliac DiseaseAnxietyCrohns DiseaseAsthmaCystic FibrosisDepressionDiabetesEpilepsyHeart DiseaseEczemaEar InfectionsImmune System DisordersMigrainesThyroid DiseaseNot Applicable
Other (please specify) *
Does your child take medication on a regular basis?*

YesNo
If yes please specify*
Does your child have social difficulties with other children?*

YesNo
If yes please specify*
Has behaviour management ever been an issue with your child in school/preschool?*

YesNo
If yes please specify*
Has behaviour management ever been an issue with your child at home?*

YesNo
If yes please specify*
Sibling Details

Please indicate whether you wish siblings to be added to the waiting list. Also note that each child needs a separate application done to secure your spot on the waitlist.

Sibling Details

	Name	D.O.B	Sex (M/F)	Waitlist Y/N
Sibling 1
Sibling 2
Sibling 3
Sibling 4

Signature of parent/guardian*

Clear
Steps in the successful Enrolment Process at GGFS.
- Submit completed Application for Placement on the Waiting List (on Website)
- Acknowledgement of receipt of application and initial invitation to Language classes
- Complete 3 Language classes
- Attend Orientation or Open day (if applicable)
- Principal and/or Teacher enrolment interview
- Complete Enrolment paperwork, reports etc. delivered to the school and Enrolment fee paid
- Potential place becomes available
- Additional Principal and/or support staff meeting (if applicable)
- Offer and acceptance of placement
- Trial day/s (if applicable)
- Enrolment begins
Should be Empty:

Gumbaynggirr Giingana Freedom School

Parent/Guardian 1 Information

Parent/Guardian 2 Information

Student Individual Needs

Behaviour, Medical & Medical Issues

Sibling Details