Enrolment Application

Student Details

Enrolment Application

Submission of this form does not guarantee that the application will receive an offer of enrolment to Kerry Street Community School. Please ensure that all fields in this form are filled accurately and honestly, and all supporting documentation returned, as applications may be declined if information if incomplete or withheld.

Student Details

Preferred starting year *

Applying to enrol in school year level *

Current school

First Name *

Middle name/s

Last name *

Preferred name

Date of Birth *

MaleFemale Other

Country of Birth *

Nationality/ies

Australian citizen or permanent resident *

YesNo

If your child is an Australian citizen, please provide a Birth Certificate, Passport, or Proof of Citizenship. If not, please provide a Passport and eligible visa details.

If no - specify visa subclass

Language/s that your child speaks at home *

English onlyEnglish and other language(s) - please specify Other languages(s) only - please specify

Other languages (if applicable)

Is your child vaccinated to schedule? *

YesNo Unknown

A copy of your child’s Australian Immunisation Register (AIR), not more than two months old will be requested at the end of this form.

Is your child of Aboriginal or Torres Strait Islander Origin? *

Yes, Aboriginal.Yes, Torres Strait Islander.Yes, both Aboriginal and Torres Strait Islander.No, neither Aboriginal nor Torres Strait Islander.

Child resides with *

Both parentsBoth parents (shared custody)Parent/Carer 1Parent/Carer 2

Parent/Carer Details

Parent/Carer 1 Details

Parent/Carer 1 Full name *

Parent/Carer 1 Relationship to child *

Parent/Carer 1 Mobile Phone *

Parent/Carer 1 Email *

Parent/Carer 1 Home Address *

Street address *

City *

State *

Postcode *

Parent/Carer 1 Occupation

Parent/Carer 2 Details

Parent/Carer 2 Full name

Parent/Carer 2 Relationship to child

Parent/Carer 2 Mobile Phone

Parent/Carer 2 Email

Parent/Carer 2 Home Address

Street address

City

State

Postcode

Parent/Carer 2 Occupation

Please indicate if there are any legal orders in place relating to your child (custody arrangements, family court orders, etc) *

Yes No

If yes – a copy must be provided to the school.

Educational Background

Please tell us about your child’s hobbies, passions, or interests.

Have you been made aware that your child is achieving outside their expected grade level in any areas of the curriculum? *

YesNo

If your child benefits from specific teacher adjustments, please describe these (e.g. strategies, resources, or supports that assist their learning)

If your child is supported by any Allied Health Professionals, please provide details (e.g. Paediatrician, Occupational Therapist, Psychologist, Speech Pathologist, etc.)

If applicable, please provide any relevant information

Please indicate if any of the following have been part of your child’s educational history.

Accelerated by an academic year levelHeld back/repeated a year levelParticipation in a Gifted & Talented or extension programHomeschoolingChanged schoolsExtended absence from school (more than 3 weeks)Suspension from school (short-term or multiple days)Expulsion or asked to leave a school

Please expand on the above if you have checked any boxes.

Is there anything else you’d like us to know about your child or your family?

What attracted you to Kerry Street Community School? *

Attachments

Please upload all relevant documents to support this application. If you are unable to upload documents here, you may instead:

Email them to kerrystreet@kerrystreet.wa.edu.au, or
Hand them in at the School Office.

Applications will not proceed until all required documents have been received.

Birth Certificate, Passport OR Proof of Citizenship

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Australian Immunisation Register (AIR)

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Not more than two months old.

If applicable

Previous School Report

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Visa details

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Custody arrangements or Family Court Orders

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Diagnosis Documentation

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I understand that this application will not be processed until all required supporting documents have been provided.

Declaration

I/We declare that the information provided in this application is true and correct.

I/we will inform Kerry Street Community School if any of these details change. *

I/We acknowledge that the lodgement of this enrolment application does not guarantee a place for my/our child at Kerry Street Community School. *

Application Fee

A non-refundable application fee of $80 must accompany this form for the enrolment application to be processed.

Bank Details: Kerry Street Community School Inc.

Bank: ANZ Limited

BSB: 016-307

Account: 440657161

Reference: Child’s surname

Parent/Carer 1 Signature *

Clear

Date *

Parent/Carer 2 Signature

Clear

Date

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