HCCS Student Application Form
ID:0 | 21/06/2019 |
Recipient: Guest
Originator: Guest
1 1. Family Details
1. Family Details
2 2. Student`s Details
2. Student`s Details
3 3. Terms and Conditions
3. Terms and Conditions
* Mandatory fields | 
Print
1
Guest Info

Full Name *

Email Address *
1
Father's Details

Surname: *

Given Name: *

Relationship: *

Child/ren lives with: *

Home Phone:

Work Phone:

Mobile Number: *

Email Address: *

Past Student: *
1
Mother's Details

Surname: *

Given Name: *

Relationship: *

Child/ren lives with: *

Home Phone:

Work Phone:

Mobile Phone: *

Email Address: *

Past Student: *
1
Correspondence Details

Correspondence Title: *

Street/PO Box: *

Suburb: *

State: *

Postcode: *

Church Attended:

Are you a current HCCS Family? *
2
Student's Details

Student's Given Name: *

Student's Middle Name: *

Student's Preferred Name: *

Student's Surname *





Date of Birth *

Gender: *

Entry Year Level: *

Year of enrolment: *

Current School or Kindergarten/ELC: *

Additional learning/physical needs (if yes please provide details below): *



I give permission for HCCS to contact my child’s previous Educational Setting/Day Care
2
Sibling Details - Please list siblings in the family and their DOB. If siblings currently attend Hills Christian Community School, only complete name of sibling/s.

Name:

Date of birth:

Gender:

Entry Year Level:

Year of enrolment:

Current School or Kindergarten/ELC:

Additional Learning Needs:



Name:

Date of birth:

Gender:

Entry Year Level:

Year of enrolment:

Current School or Kindergarten/ELC:

Additional Learning Needs:



Name:

Date of birth:

Gender:

Entry Year Level:

Year of enrolment:

Current School or Kindergarten/ELC:

Additional Learning Needs


2
Custody:

Are there any custody issues or orders that the School needs to be aware of? *

If yes please attach Court Orders or Parenting Plan:
2
Child's Additional Needs

FURTHER RELEVANT INFORMATION: Eg: Specialist Reports (Speech Pathologist, Occupational Therapist, Psychologist), Behavioural Needs, Pysical Needs and Medical. *

Add Reports if relevant:
3
Terms and Conditions

Failure to accurately complete all sections of the Application Form may result in the school's inability to accommodate your child's individual needs and may affect your child's continued enrolment.  For more information please refer to our School's General Terms and Conditions of Enrolment which is available at https://www.hccs.sa.edu.au//wp-content/uploads/2015/09/Enrolment-Terms-and-Conditions-Agreement.pdf

You will be contacted approximately 9 months prior to entry into ELC and 2 years prior to Reception and beyond.

Please advise the school of any further additions to your family after the date of this application.


HOW DID YOU HEAR ABOUT THE SCHOOL? *

If 'Other' was selected please comment:
3
Disclaimer

Completion of this Application Form does not constitute an offer of enrolment.  An interview with the Principal / Head of School is essential prior to commencement.  After the interview you will receive a formal offer if the school is able to offer a position.

Privacy Policy - HCCS respects your privacy.

For more information please visit our website at https://www.hccs.sa.edu.au//wp-content/uploads/2015/07/Privacy-Policy-Amended-January-2014.pdf

3
Acknowledgement

We understand that failure to disclose special needs may result in termination of our child's enrolment: *



Parent's Name: *

Date: *

Parent's Name:

Date:
3
3
Save and Submit Application

Click on the green Save and Submit button to lodge the Application Form.


Enter the verification text below * :
 
Next Temporary Save

eForms Workflow statistics  
   Refresh
Please select the student associated with this eForm from the list
  Next  
Do you want to continue the partially filled eForm from the last session?



Warning: Saving New eForm will destroy any partially filled old eForm!