MACQUARIE COLLEGE. Application for Enrolment

Similar documents
Temporary Residents Program

REGISTRATION FOR A SCHOOL PSYCHOLOGIST/COUNSELLOR OR SPEECH PATHOLOGIST POSITION IN THE DIOCESE OF MAITLAND-NEWCASTLE

APPLICATION FOR GENERAL EMPLOYEE POSITION 2017

Application for Admission

Application for criminal history screening prescribed notice (yellow card)

CMPR Transport intercommission working group. Dunkirk, 21st march Ports in Nord-Pas de Calais, development & sulphur reduction

Smart and Skilled Qualification Application

CONFIRMATION OF ENROLMENT FORM

2018/19 APPLICATION FOR GRANT OF AN AUSTRALIAN REGISTRATION CERTIFICATE AS AN AUSTRALIAN-REGISTERED FOREIGN LAWYER IN NEW SOUTH WALES

Application for a Business (Short Stay) visa (for a stay of up to 3 months)

Section 1: Applicant s Personal Details

345 NURSERY SCHOOL APPLICATION FOR ADMISSION CARLSWALD

Blue card application

SCHOLARSHIP PROGRAMME REGISTRATION FORM

Application for a Sponsored Business Visitor (short stay) visa (for a stay of up to 3 months)

ADMISSION FORM (GRADE 10-12)

Application for the Grant or Renewal of Registration as a Foreign Lawyer

Queensland Blue Card Application Instructions

International Visa Manual For Wintec SOL

GOLD COAST SCHOOLIES COMMUNITY SAFETY RESPONSE POSITIVE NOTICE (BLUE CARD) PAPERWORK CHECKLIST

2016 AUSTRALIAN OLYMPIC TEAM HOCKEY AUSTRALIA NOMINATION CRITERIA HOCKEY

DISABILITY SERVICES EMPLOYMENT SCREENING

Applicant of 2017 Admission

Part 1: Applicant s Details Complete all spaces and PRINT CLEARLY AAFC Number Rank Surname First Name DOB SQN. *Weight **Height Home Address Postcode

NATIONAL POLICE HISTORY CHECK INFORMATION. Western Australian Education and Training Sectors

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED AGENCIES - CUSTOMERS)

Application for Accreditation by Overseas Qualification, Professional Association Membership or Advanced Standing

Application Form. Please complete the form in BLOCK LETTERS (* indicates compulsory field) 1.Course Details. 2. PERSONAL DETAILS: (As per passport)

BCB. Blue card business application NEW/RENEWAL. Blue Card Services Department of Justice and Attorney-General

STUDENT VISA APPLICATION CHECKLIST:

EVIDENCE OF IDENTITY

The Liberal Party of Australia Western Australian Division APPLICATION FOR ENDORSEMENT NOTES FOR APPLICANTS

complete this QUT will section for you this section Blue card application Insert your name NEW/RENEWAL

Application for a Work and Holiday visa

2014 AUSTRALIAN OLYMPIC WINTER TEAM Ski & Snowboard Australia NOMINATION CRITERIA ALPINE SKIING

SIMCOE MUSKOKA CATHOLIC DISTRICT SCHOOL BOARD STUDENT REGISTRATION and INFORMATION. School Student Enrolling At: For Grade:

Application for Recognition as a Participant of the NSX (if already a Participant of the ASX)

ENROLMENT FORM. ocation:

Application for admission to an Apprenticeship programme

APPLICATION BY INDIVIDUAL FOR AGENT S LICENCE Section 38, Real Estate Agents Act 2008

NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED AGENCIES - CUSTOMERS)

Application for Accreditation by Overseas Qualification, Professional Association Membership or Advanced Standing

Application for an Authority to Drive Taxi-Cab or Private Hire Vehicle (Issued under the Passenger Transport Act 1990)

Application for an Offshore Humanitarian Visa Refugee and Humanitarian (Class XB) visa

APPLICATION FOR GRANT OF AN AUSTRALIAN PRACTISING CERTIFICATE AS A VOLUNTEER SOLICITOR AND MEMBERSHIP OF THE LAW SOCIETY OF NEW SOUTH WALES

Security Providers Form 1-1

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM

DUBAI VISA APPLICATION FORM SRI LANKA (PLEASE FILL IN BLOCK LETTERS)

NATIONAL FORMULA FUTURE DRIVERS LICENCE APPLICATION Form23FF Amended Sept 16

ANNA UNIVERSITY OF TECHNOLOGY MADURAI Alagar Koil Road, Madurai

Russian Visa Application Service

Child Protection. Working with Children Checks Policy

KINGDOM OF CAMBODIA PHNOM PENH

APPLICATION FOR ADMISSION IN 2018

APPLICATION FOR GRANT OF AN AUSTRALIAN PRACTISING CERTIFICATE AS A SOLICITOR AND MEMBERSHIP OF THE LAW SOCIETY OF NEW SOUTH WALES

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED ORGANISATION - CUSTOMERS)

Tourist Visa for Lebanon

Student Visa Application

INSTRUCTIONS: Please print clearly using pen (1) THE COMPLETION OF THIS FORM DOES NOT CONSTITUTE ACCEPTANCE OF YOUR ENROLMENT

AVIATION SECURITY IDENTIFICATION CARD (ASIC) APPLICATION

STAFF-IN-CONFIDENCE (WHEN COMPLETED) NATIONAL POLICE CHECKING SERVICE (NPCS) APPLICATION/CONSENT FORM (ACCREDITED AGENCIES - CUSTOMERS)

APPLICATION FORM - COHORT THREE ACADEMIC YEAR /2017

Freedom of Information Request to Access a Medical Record

MSIC Application Guidelines

Tauraroa Area School International Application and Tuition Agreement Form

AVIATION SECURITY IDENTIFICATION CARD (ASIC) APPLICATION FORM

48R. Application to visit Australia for tourism or other recreational activities. Who can you include in this application? Who should use this form?

WHS General Construction Induction (White Card) (CPCCOHS1001A Work safely in the Construction Industry)

APPLICATION FOR EMPLOYMENT - NON TEACHING

Application for a business short stay visa

Working Holiday Visa

AIRLIE COUNTRY PRE-SCHOOL

TE PUKE MEDICAL CENTRE

Aboriginal or Torres Strait Islander Descent Form

BOXING AUSTRALIA INC. BY-LAWS

Pastoral Care and Redress Process Information Document

Tertiary Education Quality and Standards Agency Act 2011

PHO ENROLMENT CHECKLIST SUMMARY INFORMATION FOR OFFICE STAFF April Eligibility Summary Guide

precise background services telstra employment pack 1

CENTRAL BANK OF BAHRAIN. Form 3: Application for Approved Person Status (Application for approved person status in the Kingdom of Bahrain)

India ATJ. Please send the following to G3: Contact and Shipping Information: Provide a street address for FedEx delivery - no P.O. boxes.

Student Visa Application

Central Bank of Bahrain. Form 3: Application for Approved Person Status (Application for approved person status in the Kingdom of Bahrain)

DUBAI VISA APPLICATION FORM - JORDAN (PLEASE FILL IN BLOCK LETTERS)

Student Visa Subclass 500 Application Checklist

DUBAI VISA APPLICATION FORM - INDIA (PLEASE FILL IN BLOCK LETTERS)

Aviation Security Identification Card (ASIC) Application Form S002

AUSTRALIAN Tourist Visa

International Student Program

CENTRAL BANK OF BAHRAIN. Form 3: Application for Approved Person Status (Application for approved person status in the Kingdom of Bahrain)

Application for grant of Australian citizenship. Details of applicant

CENTRAL BANK OF BAHRAIN

NAB SUPER LEVER Application for new guarantors

This policy and regulation outlines the requirements for investigation and recommendation for pupil expulsion and the appeal process.

KAWARTHA PINE RIDGE DISTRICT SCHOOL BOARD ADMINISTRATIVE REGULATIONS

IRISH Working Holiday Visa & Arrival Services

PASSPORT AND CITIZENSHIP (MINOR) CHECKLIST. Passport form - Complete all sections including signature and left thumbprint.

DUBAI VISA APPLICATION FORM SOUTH AFRICA (PLEASE FILL IN BLOCK LETTERS)

APPLICATION AND INFORMED CONSENT FORM

Partnership-Based Temporary Visa Application

Transcription:

MACQUARIE COLLEGE Application for Enrolment

ENROLMENT PROCESS Macquarie College is open to families of all faiths and religious persuasions who have regard for the Adventist Christian faith and wish for their children to fully participate in all aspects of the College program. The fees are competitively structured and provide the average family greater access to private education. As limited places are available, parents are advised to submit an Enrolment Application without delay to avoid disappointment. Arrangements will then be made for testing and an appointment organised for you to inspect the facilities and to discuss the education program offered at the College. Enrolment Policy Macquarie College is a coeducational K-12 school which provides an education underpinned by religious values and operating within the policies of the Board of Studies (NSW). All applications will be processed in accordance with our Enrolment Guidelines and consideration will be given to the applicants support for the ethos of the College. Enrolment Process All applications are processed in the following way: 1. Submission of application, supporting documentation and application fee 2. Application acknowledged by mail and application fee receipted 3. Consultation with current and/or previous schools, teachers and referees, as applicable 4. Assessment (if applicable) 5. Panel interview of student with parents 6. Admissions Committee appraisal of all applications 7. Placement offers mailed to successful applicants 8. Positions confirmed by parents with payment of Enrolment Holding Deposit. Enrolment Checklist 1. Application fee as outlined in fee schedule 2. Birth Certificate 3. Immunisation Certificate 4. Reports from the previous two years if applicable 5. Most recent NAPLAN results if applicable 6. Copies of residency, citizenship or visa status for applicants or parents not born in Australia 7. Medical or specialist reports if applicable 8. Student Photo. Note: i. The fee deposit is payable on acceptance of placement offer ii. Photocopies of reports/certificates must accompany this application. MACQUARIE COLLEGE MACQUARIE COLLEGE 182-222 LAKE ROAD, WALLSEND www.macquariecollege.nsw.edu.au Phone (02) 4954 6222 Fax (02) 4956 8685

Application for Enrolment STUDENT DETAILS Surname nnnnnnnnnnnnnnnnnnnnnnnnnnnnn Given Names nnnnnnnnnnnnnnnnnnnnnnnnnnnnn Please underline preferred name to be used Gender M n F n Date of Birth nn/ nn/ nn To commence Year level nnnnnn In Term: nnnnnn In Calendar Year: nnnnnn (i.e. insert grade) MACQUARIE COLLEGE 182-222 Lake Road, Wallsend NSW 2287 Aboriginal Yes n No n Torres Strait Islander Yes n No n Country of Birth nnnnnnnnnnnnn Nationality nnnnnnnnnnnnn Australian Citizen Yes n No n Permanent Resident of Australia Yes n No n Passport Number nnnnnnnnnnnnn Visa Type/Number nnnnnnnnnnnnnn Student lives with: nnnnnnnnnnnnn nn % nnnnnnnnnnnnn nn % Siblings (*please note a separate application is required for each child.) Currently Applying for Year/ Current enrolled at MC? Y/N admission or MC? Y/N Class: School: Currently Applying for Year/ Current enrolled at MC? Y/N admission or MC? Y/N Class: School: Currently Applying for Year/ Current enrolled at MC? Y/N admission or MC? Y/N Class: School: Does the student or their mother/guardian or their father/guardian speak a language other than English at home? (If more than one language, indicate the one that is spoken most often.) Father/Parent Mother/Parent Student Guardian Guardian Sibling s Name nnnnnnnn Age nnn nn nnnnn Sibling s Name nnnnnnnn Age nnn nn nnnnn Sibling s Name nnnnnnnn Age nnn nn nnnnn No, English only n n n Yes, Other - please specify nnnnnnnn nnnnnnnn nnnnnnnn Please insert photo here MEDICAL INFORMATION Medicare No. n n n n n n n n n n Expiry: nn/ nn/nn No. on card nnnnn Does the student have ambulance cover? Yes n No n Is the student covered by Private Health Insurance? Yes n No n Health Fund Provider nnnnnnnnnnnnn Member Number nnnnnnnnnnnnn Doctor s Name nnnnnnnnnnnnn Phone nnnnnnnnnnnnn Emergency Contact nnnnnnnnnnnn Phone nnnnnnnnnnnnn Mobile nnnnnn Relationship to student nnnnnnnnnnnnnnnnnnnnnnnnnn Does the student suffer from any illness, medical condition or disability such as: n Diabetes n Epilepsy n ADHD n ASD n Physical Disability n Intellectual Disability n Low Vision n Poor Hearing Other Condition nnnnnnnnnnnnn NB Please supply a copy of all clinical and/or Doctor s reports on the student s condition and management requirements where applicable. Does the student have any allergies? List allergies nnnnnnnnnnnnn n Mild n Severe n Life Threatening Does the student have asthma? Yes n No n If yes, is it n Mild n Severe n Life Threatening Please sign to confirm the above information is a true and accurate overview of the applicants medical status. Signature nnnnnnnnnnnnnnnnnnnnnnnnnn

Father/Guardian Surname: nnnnnnnnnnn Title: nn Given Name(s) nnnnnnnnnnnnn Residential Address nnnnnnnnnnnn nnnnnnnnnnnn Post Code nn Mailing Address: (if same as residential, write same nnnn nnnnnnnnnnnnnnnnn Nationality nnnnn Country of Birth nnnn Religion nnnnnnnnnnnnnn Occupation nnnnnnnnnnnnnn Type of Business nnnnnnnnnnnn Name of Company / Employer nnnnnnnnnn Position nnnnnnnnnnnnnn Telephone H nnnnnn W nnnnnn M nnnnnn F nnnnnn Email nnnnnnnnnnnnnnn Other/Guardian Surname: nnnnnnnnnnn Title: nn Given Name(s) nnnnnnnnnnnnn Residential Address nnnnnnnnnnnn nnnnnnnnnnnn Post Code nn Mailing Address: (if same as residential, write same nnnn nnnnnnnnnnnnnnnnn Nationality nnnnn Country of Birth nnnn Religion nnnnnnnnnnnnnn Occupation nnnnnnnnnnnnnn Type of Business nnnnnnnnnnnn Name of Company / Employer nnnnnnnnnn Position nnnnnnnnnnnnnn Telephone H nnnnnn W nnnnnn M nnnnnn F nnnnnn Email nnnnnnnnnnnnnnn Mother/Guardian Surname: nnnnnnnnnnn Title: nn Given Name(s) nnnnnnnnnnnnn Residential Address nnnnnnnnnnnn nnnnnnnnnnnn Post Code nn Mailing Address: (if same as residential, write same nnnn nnnnnnnnnnnnnnnnn Nationality nnnnn Country of Birth nnnn Religion nnnnnnnnnnnnnn Occupation nnnnnnnnnnnnnn Type of Business nnnnnnnnnnnn Name of Company / Employer nnnnnnnnnn Position nnnnnnnnnnnnnn Telephone H nnnnnn W nnnnnn M nnnnnn F nnnnnn Email nnnnnnnnnnnnnnn Please complete if natural parents are not living together: (This information is to help avoid confusion and embarrassment) Please tick whichever applies: n Parents separated n Parents divorced n Father deceased n Mother deceased n Father remarried n Mother remarried Where relevant, please attach copies of any Family Court or other Court Orders. RELIGIOUS INFORMATION Religion / Denomination: nnnnnnnnnn Place/congregation of membership: nnnnnnnnnn Student regularly attends church? Yes No Minister s contact phone number: nnnnnnnnnn Father regularly attends church? Yes n No n Mother regularly attends church? Yes No Are you happy for the student to fully participate in the religious life of the College? Yes No Has the student ever made a profession of faith in Christ? Yes n No n If so, has applicant been baptised? Yes n No n If yes, in which year: nnnn Signature of Minister if regular church attendee nnnnnnnnnnn Minister s Name: nnnnnnnn [NB SDA applicants are required to include a letter from their church pastor to authenticate their church membership with this application.]

MACQUARIE COLLEGE 182-222 Lake Road, Wallsend NSW 2287 EDUCATIONAL INFORMATION Current School nnnnnnnnnnnn Class Teacher / Year Adviser nnnnnnnnnnnnnn Class nnnnn Phone nnnnnnnnnnn Pupil s previous academic level of work was n Excellent n Good n Average n Poor Describe any special learning difficulties that your child will require assistance with (e.g. Dyslexia, ADD) nnnnnnnnnn Is the student currently receiving any of the following? Language support n Specialist Interventions (eg Speech, OT etc.) n English as a Second Language support n Mathematics support n Individual Teacher Aide time Time given nnnnn Other nnnnnnnnnnnnnnnnn Has the student been identified as gifted/talented? Yes n No n Please list/enclose photocopies of any special academic achievements or awards (also sport, music, debating, other awards or accomplishments etc...) BEHAVIOURAL INFORMATION Indicate your child s level of past conduct n Excellent n Good n Average Poor Has the student ever been expelled, suspended or refused admission to another school? Yes n No n If yes, give details: nnnnnnnnnnnnnnnnnnnnnnnnnnnnnn Has your child ever: Had disciplinary difficulties? Yes n No n If yes, give details nnnnnnnnnnnnnnnnn Been arrested or in trouble with the law? Yes n No n If yes, give details nnnnnnnnnnnnnnnnnnnnnnnnnnnnnn Used alcohol, tobacco or illegal drugs of any kind? Yes n No n If yes, give details nnnnnnnnnnnnnnnnnnnnnnnnnnnnnn REFERENCES Please give the name and telephone number of two referees who may be contacted Name nnnnnnnnnnnnn Occupation nnnnnnn Phone nnnnnnn Name nnnnnnnnnnnnn Occupation nnnnnnn Phone nnnnnnn GENERAL INFORMATION Do you allow the College to use photos of the student in newsletters and other College communications? Yes No Would you allow the College to use photos of the student for marketing purposes? Yes n No n Reasons for selecting Macquarie College: Source of information about Macquarie College: (please tick) n Website n Word of mouth n I live locally n Macquarie College advertisement Type nnnnnnnn Other nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn

Commonwealth Government Data Collection The State, Territory and Commonwealth Education Ministers have made decisions that now require all government and non-government schools to comply with new data collection and reporting arrangements. All schools must collect information on the gender, Indigenous status, geographic location, socioeconomic background and language background of school students to fulfill their functions and obligations under State, Territory and Australian Government legislation. For more information, please go to www.mceetya.com.au/. All information which could identify (or would reasonably identify) individuals to whom particular background characteristics apply, is removed for national reporting so that no personal information is reported publicly. Information collected from this form will be covered by Macquarie College s Privacy Policy. A copy of the policy is available from the Administration Office. If you have already completed a form for another student in your family at Macquarie College, then you do not need to complete the remaining questions. 5(a) What is the highest year of primary or secondary school the parents/guardians have completed? (For persons who have never attended school, mark Year 9 or equivalent or below.) Mark one box only in each column Father/Parent Mother/Parent Guardian Guardian Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent Year 9 or equivalent or below. n n 5(b) What is the level of the highest qualification the parents/guardians have completed? Mark one box only in each column Father/Parent Mother/Parent Guardian Guardian Bachelor degree or above Advanced Diploma/Diploma Certificate I to IV (including trade certificate) No non-school qualification n n 6(a) What is the occupation group of the Father/Parent/Guardian? (please enter 1, 2, 3, 4 or 8. from the attached list) 6(b) What is the occupation group of the Mother/Parent/Guardian? (please enter 1, 2, 3, 4 or 8. from the attached list) n FEE INFORMATION Refer to policy conditions in Conditions of Enrolment. Name of person/s responsible for payment of fees. If bill is split between two parties, please indicate what percentage each party is responsible to pay. I/We agree to pay all tuition and charges for this student. nnnnnnnnnnnnn nnnnnnnnnnnnnn nnnnnnn Print name clearly Signature % of fee nnnnnnnnnnnnn nnnnnnnnnnnnnn nnnnnnn Print name clearly Signature % of fee Relationship to Student nnnnnnnnn Email address 1 nnnnnnnnnnnnnnnnnnnnnnnn Email address 2 nnnnnnnnnnnnnnnnnnnnnnnn If different to Parent / Guardians on page 3 please provide the following information: Residential Address Phone nnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnnn

MACQUARIE COLLEGE 182-222 Lake Road, Wallsend NSW 2287 CONDITIONS OF ENROLMENT In this application for enrolment, College means Macquarie College and where the context permits, our child means the child referred to on the Application under the heading Student Information being the child in respect of whom this Application is made. 1. We will support the Christian ethos and philosophy of the College at all times while our child is enrolled. We will endeavour to support and uphold the principles, practices and educational policies of the College in every way. Further, we will ensure that, in after-hours meetings of College students under our jurisdiction or organised by us, the Christian principles and moral standards of the College will be upheld at all times. 2. We understand and agree that: a) Our child must abide by the College Rules in force from time to time as interpreted by the College and the continued attendance at the College is at the absolute discretion of the College Council and Administration. b) The College reserves the right to take any disciplinary action thought appropriate in relation to any student whose attitude, progress or behaviour is not, in the College s opinion, conducive to the welfare of that student at the College. c) Our child will accept the discipline and other requirements of the College. 3. We recognise that the College reserves the right to amend its educational program. While every care will be taken, this may include the right to discontinue teaching subjects or adjusting other programs as deemed necessary. 4. We recognise that for our child to progress academically it is essential that he/she have confidence in the staff of the College. Therefore, we will do all in our power to see that our child respects and obeys the staff and rules of the College. If our child should experience any difficulty in the College, we will in no case complain to any other parents but will bring any necessary complaints directly to the College Administration. 5. We agree to uphold and support the high academic standards of Macquarie College by providing a place at home for our child to study and giving them positive encouragement while reinforcing the necessity for the completion of home work and assignments. 6. We give permission for our child to take part in all College activities, including sports and College-sponsored trips away from the College and understand and accept that teachers will be responsible and liable for such reasonable care and protection as is normally given by parents. 7. In the event of injury or illness to our child necessitating urgent hospital and/or medical treatment including injections, blood transfusions, surgery and the like, and if the parent or guardian is not readily available to authorise such treatment, we authorise the Principal or, in his absence, a member of the College staff to give the necessary authority for such treatment without the College or such person incurring any legal liability to the parent, guardian or pupil in so doing. 8. The College from time to time discloses personal and sensitive information to others. a) This includes to others schools, government department, the Seventh-day Adventist Schools (NNSW) Ltd, medical practitioners, and people providing services to the College, including specialist teachers, (sports) coaches and volunteers. The College collects personal and sensitive information about students. b) The College sends personal information in regard to assessment details on your child to specific funding bodies for the purpose of accessing Commonwealth funding and support services. 9. We agree to the following financial obligations as a condition of continuing enrolment: a) To lodge an entry deposit as determined by the College Fee Policy as confirmation of acceptance of the enrolment offer. The deposit, and any income it may earn, may be invested or otherwise used by the College, at its discretion. No interest shall be payable by the College in relation to the deposit. Deposit return requests must be made in writing. A refund of the deposit will be in accordance with College policy. b) To be jointly and severally liable for the payment of fees as published by the College, and to ensure that all tuition and other fees are paid as they fall due in accordance with the fee policy. d) To give at least one term s notice of our intention to withdraw our child from the College, or pay fees in lieu of due notice. 10. We agree to actively support and to assist where possible in the life of the College program. 11. If the College Council and the Principal believe that a mutually beneficial relationship of trust and cooperation between a parent and school has broken down to the extent that it adversely impacts on that relationship, then the College Council and the Principal may require the parent to remove the child from the College. 12. We recognise that the Conditions of Enrolment may be amended at the discretion of the College Council at any time. In so doing, we understand that due notice will be given of any such change. We declare that: a) to the best of our knowledge, all the information provided on this application is true and correct b) we have read and accept the Conditions of Enrolment. All Parents/Guardians must sign: Parent/Guardian 1 name Parent/Guardian 2 name Other Date nnnnnnnnnnnn Signed nnnnnnnnnnnnn nnnnnnnnnnnn Signed nnnnnnnnnnnnn nnnnnnnnnnnn Signed nnnnnnnnnnnnn nn/ nn/ nn

MACQUARIE COLLEGE Application for Enrolment Application Fee Payment I/We enclose an application fee with this form as listed on the current Fee Schedule and I/we acknowledge and agree that this fee is not refundable. Cheque attached: Yes n No n Please charge my credit card: $ n Card Number: n n n n n n n n n n n n n n n n Name: nnnnnnnnnnnnnnn Expiry Date: nn nn mm/yy OFFICE USE ONLY Application rec d date: EHD rec d: Application complete: Confirmation sent: Application fee rec d: Date registered: Payment by: Start pack sent: Acknowledgment sent: Student code: Testing/assessment date: Family code: Interview date: File code: Offer sent: Date start school: Acceptance rec d: Date left school: n 182-222 Lake Road, Wallsend Phone (02) 4954 6222 Fax (02) 4956 8685 www.macquariecollege.nsw.edu.au Seventh-day Adventist Schools (NNSW) Limited ABN 68107 046 846