Dharra School Pre Enrolment Form
Child's Name
First Name
Last Name
Child's Date of Birth
-
Day
-
Month
Year
Date
Parent's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
Suburb
State
Post Code
Best Contact Number
Please enter a valid phone number.
Format: 0000 000 000.
Email Address
example@example.com
Languages spoken at home?
Intepreter Required?
*
Yes
No
New Prep Student?
*
Yes
No
Previous School/Kindergarten?
Enter your child's previous school if applicable
My child meets the following (Note - Must meet all 3):
A. Sub-average general intellectual functioning which is demonstrated by a full-scale score of two standard deviations or more below the mean score on a standardised individual test of general intelligence, (for example, a full scale score of 70 or below on one of the recommended standardised individual tests of intelligence)B. Significant deficits in adaptive behaviour established by a composite score of two standard deviations or more below the mean on an approved standardised test of adaptive behaviour (for example, a Vineland Adaptive Behaviour Scales composite score of 70 or below)C. A history and evidence of an ongoing problem with an expectation of continuation during the school years.
Yes, my child meets these conditions.
No, my child does not meet these conditions.
Indicate which documents you can provide to assist. Please submit these to enrolments@dharraschool.vic.edu.au
Birth Certificate
Immunisation Status
Speech Therapy Report
Occupational Therapy Report
Pre-School Support Letter
Medical Documentation & Reports
Cognitive Assessment
Submit
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