2009 Vocstud Enrol

MARDEN SENIOR COLLEGE - 2009 - VOCATIONAL STUDIES B ENROLMENT FORM STUDENT PERSONAL INFORMATION DATE: ______________ (Please Print)

FAMILY NAME: Date of Birth:

Given Names: /

/

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Age:

Gender: M / F

OFFICE

USE ONLY

MARDEN SENIOR COLLEGE - 2009 - VOCATIONAL STUDIES B ENROLMENT FORM Reg. No: .....................................

Mailing Address: (Suburb/Town)

P/G 1(STUDENT/SELF) DETAILS Employment Status Codes:

P/Code :

01 02 03 04 05 06 07 08 09 88 Occupation Group: 0

Phone: Home

1

2

3

4

8

Date of Arrival:

Silent

Y / N

Home Language: Cultural B’GD:

Student Mobile No:

Aboriginal

Email: (print CLEARLY)

________________

/ Torres Strait Islander

Non Eng. Speaking B’GD: Y / N ------------------------------------------------

State which Sport (Performing Art)?: ___________________________________

PERSONAL INFO. PART 1

SASI scholarship holder?

Year Level: 11 /

Yes

/

No

Coach’s name / Dance School ____________________________ Coach’s Email or/ph number(if known) .......................................

PARENT/GUARDIAN CONTACT DETAILS

NO

....................................

Status :

/

A

F

/

N

................ Campus:

Starting Date: …………………

(Must be completed)…….. ORIGIN: RCS / EGS / ENG /

Parent/Guardian 1:

ROT / REP / RUN / RHD

Relationship: Phone:

SP / SR

Counsellor:

F.T.E.: COUNTRY OF BIRTH………………………………………………………… ARE YOU A PERMANENT RESIDENT? YES / NO MSC ARE YOU ABORIGINAL/TORRES STRAIT ISLANDER? YES /

12 /

Other Educ.Prov. 2009

Mobile No

Parent/Guardian 2:

YES / NO

Relationship:

School: ………………………………..

Phone:

Mobile No

CURRENT SCHOOL ………………………………………………………… …………………………. YEAR LEVEL IN 2009: DO YOU HAVE A MEDICAL CONDITION?

……………. Mentoring Required YES / NO Fraction:

YES

/

NO

Condition: Symptoms/Treatment:

P E R S O N A L PA R T 2 IMMIGRATION . VISA NO: …………… …………………………… NESB CODE: TR / P1 / P2 / P3 / A ESL SUPPORT: 1A / 2 / 3 / Student Requires SACE Registration: SSABSA No:

I declare that the personal information, as stated in this form, is correct

Student’s Signature: …………………………………………………… Parent/Guardian Signature:……………………………………………

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4A / 4B YES /

NO