Please attach

a recent photograph

OFFICE USE ONLY

Family No: _______________

Student No: _______________

Application Fee: _______________

Receipt No: ________________

Enrolment Date: ________________

Family Ent Fee: ________________

Receipt No: ________________

Date Started: ________________

Date Finished: ________________

APPLYING FOR

Calendar year of entry: 20________ Term: _________

Level of entry: Junior School Senior School Day Student Full Boarder

Year Level (please circle) K 1 2 3 4 5 6 7 8 9 10 11 12

STUDENT DETAILS

Surname: ________________________________________ Given Names: __________________________________________

Preferred name: ____________________________________ Gender: Male Female

Date of Birth: __________________________ Current Age: ______________ Religion: ______________________________

Nationality: ________________________________________ Country of Birth: _______________________________________

Language(s) spoken at home: __________________________________________________________________________________

Aboriginal or Torres Strait Islander origin? NO YES: Aboriginal Australian Torres Strait Islander

Resident Status: Australian citizen Permanent resident Temporary resident (please specify Visa subclass) _____________

Home Address: ______________________________________________________________________________________________

______________________________________________________ Postcode: ____________________________________________

CURRENT SCHOOL (WHERE APPLICABLE)

Name of current school: ______________________________________________ Location: _______________________________

Present year level: ______________________________________ No. of years attended: ___________________________________

Other Schools previously attended: ______________________________________________________________________________

_______________________________________________________________________________________________________________

LEARNING & MEDICAL INFORMATION Please indicate any diagnosed social, emotional or intellectual requirements or medical conditions which may impact on the student’s ability to take full advantage of the curricular or co-curricular programs offered by the School or any special talents which the School may need to accommodate. Please provide documentation if applicable:

Gifted English as a Second Language Medical conditions

Support program in literacy Support program in numeracy Integration (support for disability or impairment)

Other (e.g. occupational, speech therapy - please specify)

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Is your child on any regular prescribed medication or have allergies Yes No

If yes, what is the medication and does it impact on your child’s learning / participation in School Programs?

______________________________________________________________________________________________________________

393 Perry Street ALBURY NSW 2640 I P +612 6022 0000 I enrolments@scotsalbury.nsw.edu.au I CRICOS: 02274B I www.scotsalbury.nsw.edu.au

ENROLMENT APPLICATION

Weekly Boarder

PARENT/S DETAILS

Father / Guardian

Surname: _____________________________________________ Title (Dr/Mr/Other): _____________________________________

Given names: _______________________________________ Preferred name: _______________________________________

Address: (only complete if different from child): ___________________________________________________________________

______________________________________________________ Postcode: ____________________________________________

Telephone: Home: __________________________________ Work: ________________________________________________

Mobile: _________________________________

Email: ______________________________________________________________________________________________________

Mailing address: (if different from residential address): ______________________________________________________________

______________________________________________________ Postcode: ____________________________________________

Profession or Occupation: ______________________________________________________________________________________

Employer: ___________________________________________________________________________________________________

Do you have any specific skills or interests that you would be willing to share with the school? ________________________________

_______________________________________________________________________________________________________________

Mother / Guardian

Surname: _____________________________________________ Title (Dr/Mr/Other): _____________________________________

Given names: _______________________________________ Preferred name: _______________________________________

Address: (only complete if different from child): ___________________________________________________________________

______________________________________________________ Postcode: ____________________________________________

Telephone: Home: __________________________________ Work: ________________________________________________

Mobile: _________________________________

Email: ______________________________________________________________________________________________________

Mailing address: (if different from residential address): ______________________________________________________________

______________________________________________________ Postcode: ____________________________________________

Profession or Occupation: ______________________________________________________________________________________

Employer: ___________________________________________________________________________________________________

Do you have any specific skills or interests that you would be willing to share with the school? ________________________________

_______________________________________________________________________________________________________________

INVOICES

Person to whom accounts are to be sent:

Name: _____________________________________________________________________________________________________

Address: ____________________________________________________________________________________________________

______________________________________________________ Postcode: ____________________________________________

FAMILY SITUATION The Student resides with:

Both parents Mother Father Shared parenting Other

If natural parents are not living together, please complete and select all applicable options (this is to help avoid confusion):

Parents separated Father deceased Mother deceased

Parents divorced Father remarried Mother remarried

Who does the School communicate with regarding day to day matters? (more than one box can be ticked)

Mother Father Guardian

Who receives copies of the School reports and other correspondence from the School? (more than one box can be ticked)

Mother Father Guardian

Please list any special circumstances (i.e. Court Orders) of which the School should be aware:

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

CONNECTION TO THE SCHOOL If either parent attended The Scots School Albury, please provide the following information:

Father: Year Left: ___________________________________ House: _______________________________________________

Mother: Year Left: ___________________________________ House: _______________________________________________

Mother’s Maiden name (if applicable): ___________________________________________________________________________

Other Family Connections with the School (Scots, Albury Grammar, Rosehill, Woodstock - please provide name, year left and relationship to the child):

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Siblings:

Name of Sibling: _____________________________________________________________________________________________

Previously attended Scots Currently attending Scots Applied for Scots Attending another school

Name of Sibling: _____________________________________________________________________________________________

Previously attended Scots Currently attending Scots Applied for Scots Attending another school

Name of Sibling: _____________________________________________________________________________________________

Previously attended Scots Currently attending Scots Applied for Scots Attending another school

MARKETING INFORMATION What influenced your decision to enrol your child at Scots? Please complete and select all applicable options:

Family connection Friend or colleague Academic excellence Met staff at an expo/event Prospectus

School visit/tour Scholarship process Scots’ reputation Relocation to Albury

Website Current families Past families Other Please specify: ______________________

STUDENT SELF REPORT (to be completed by students year 5 and above) Tell us about yourself (eg Hobbies, pets, interests, sports, community)

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

What would you like to achieve at Scots in the following areas: (Please note you can find out more about Life Learning and Leading on our website)

LIFE: __________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

LEARNING: _____________________________________________________________________________________________________

_______________________________________________________________________________________________________________

LEADING: ______________________________________________________________________________________________________

_______________________________________________________________________________________________________________

PARENT DECLARATION

Student’s Family Name: _______________________________________________________________________________________

Student’s Given Name: _______________________________________________________________________________________

I/We request that the above named student be registered as an application for enrolments to The Scots School Albury.

I/We declare that all relevant information about my/our child has been provided in this support of this application.

I /We have read and understood the Enrolment Terms attached and agree that we are jointly and severally bound by them and to accept

responsibility for the payment of all fees and charges should my/our child’s application be accepted. I/we understand that application for

enrolment does not itself constitute an enrolment and that enrolment is dependent on a letter of acceptance being made by the Principal.

Signed: (Father or Guardian): ____________________________ Signed: (Mother or Guardian): ___________________________

Printed Name: ________________________________________ Printed Name: ________________________________________

Date: _______________________________________________ Date: _______________________________________________

Driver’s Licence Number: _______________________________ Driver’s Licence Number: _______________________________

Signatures of both parents (or all guardians) are normally required. If this is not possible please contact the Enrolments Office as where only one parent/ guardian has signed this application, that person must satisfy the School that he/she is the sole or legal guardian and will be responsible for all fees and charges.

TO SUBMIT APPLICATION Please ensure the following (where applicable) are included with your application:

Application fee $150 per child * where 2 or more children are enrolled at the same time the application fee is capped at $250 per family

(payable by cheque, credit card or direct deposit)

A passport sized photo

Copy of Birth Certificate

Copy of most recent report if entering from another school

Any information relevant to the child’s education including medical or diagnostic reports, details of medication etc

If a non-Australian citizen – copy of passport and visa details

Any family arrangement documentation (if applicable)

Completed MCEETYA form (as attached)

393 Perry Street Albury NSW 2640 | P: 02 6022 0000 | enrolments@scotsalbury.nsw.edu.au | www.scotsalbury.nsw.edu.au

STUDENT MCEETYA DATA COLLECTION The Commonwealth Government requires us to collect this information for the purpose of accountability and reporting, research and analysis, and resource allocation. Information collected in this form is covered by our Privacy Policy which can be accessed on our website.

Student First Name: Student Family Name:

Student Year Level in 2017:

1. Sex Male Female

2. Is the student of Aboriginal or Torres Strait Islander origin?

No Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander

3. In which country was the student born?

Australia New Zealand England Other – Please specify:

4. Does the student or their mother/guardian or their father/guardian speak a language other than English at home? (If more than one language is spoken at home, please indicate the one that is spoken MOST often).

Student Mother / Guardian 1 Father / Guardian 2 No, English Only Yes, Other – please specify

5. (a) What is the highest year of schooling the parent/guardians have completed?(For persons who have never attended school, mark ‘Year 9 or equivalent or below’). Mark one box only in eachcolumn.

Mother /Guardian 1 Father / Guardian 2 Year 12 or equivalent Year 11 or equivalent Year 10 or equivalent

Year 9 or equivalent

(b) What is the level of the highest qualification the parents/guardians have completed?

Mother /Guardian 1 Father / Guardian 2 Bachelor degree or above

Advanced Diploma / Diploma Certificate I to IV (including trade Certificate)

No non-school qualification

6. Occupation Groups Mother /Guardian 1 Father /Guardian 2

Please select the appropriate parental occupation group from the list on the next page. If the person is not currently in paid work but has had a job in the last 12 months or had retired in the last 12 months, please use the person’s last occupation. If the person has not been in paid work in the last 12 months, enter ‘8’ in the boxes above.

Please return this form to the School via email to enrolments@scotsalbury.nsw.edu.au OR hand deliver to Reception.

List of Parental Occupation Groups (for question 6) Group 1: Senior Management in Large Business Organisation, Government Administration and Defence and Qualified Professionals. Senior Executive/Manager/Department Head: in industry, commerce, media or other large organisations. Public Service Manager (Section Head or above): Regional Director, health/education/police/fire services administrator. Other Administrator: School Principal, Faculty Head/Dean, Library/Museum/Gallery Director, Research Facility Director. Defence Forces: Commissioned Officer. Professionals: Generally have degree or higher qualifications and experience in applying this knowledge to design and develop or operate complex systems; identify, treat and advise on problems and teach others – Health, Education, Law, Social Welfare, Engineering, Science or Computing professional. Business: Management Consultant, Business Analyst, Accountant, Auditor, Policy Analyst, Actuary. Air/Sea Transport: Aircraft/Ship Captain/Office/Pilot, Flight Officer, Flying Instructor, Air Traffic Controller.

Group 2: Other Business Managers, Arts/Media/Sports Persons and Associate Professionals Owner/Manager: Farm, Construction, Import/Export, Wholesale, Manufacturing, Transport, Real Estate Business. Specialist Manager: Finance, Engineering, Production, Personnel, Industrial Relations, Sales & Marketing. Financial Services Manager: Bank Manager, Finance/Investment/Insurance Broker or Credit/Loans Officer. Retail Sales/Services Manager: Shop, Petrol Station, Restaurant, Club, Hotel/Motel, Cinema, Theatre or Agency. Arts/Media/Sports: Musician, Actor, Dancer, Painter, Potter, Sculptor, Journalist, Author, Media Presenter, Photographer, Designed, Illustrator, Proof Reader, Sportsman/women, Coach, Trainer or Sports Official. Associate Professionals: Generally have diploma/technical qualifications and support managers and professionals. Health, Education, Law, Social Welfare, Engineering, Science or Computing technician/associate professional. Business/Administration: Recruitment/Employment/Industrial Relations Training Officer, Marketing/Advertising Specialist, Market Research Analyst, Technical Sales Representative, Retail Buyer, Office/Project Manager. Defence Forces: Senior Non-Commissioned Officer.

Group 3: Tradesmen/women, Clerks and Skilled Office, Sales & Service Staff. Tradesmen/women generally have completed a 4 year Trade Certificate, usually by apprenticeship. ALL tradesmen and women are included in this group. Clerks: Bookkeeper, Bank/PO Clerk, Statistical/Actuarial Clerk, Accounting/Claims/Audit Clerk, Payroll Clerk, Recording/Registry/Filing Clerk, Betting Clerk, Stores/Inventory Clerk, Purchasing/Order Clerk, Freight/Transport/Shipping Clerk, Bond Clerk, Customs Agent, Customer Services Clerk and Admissions Clerk. Skilled Office, Sales & Service Staff Office: Secretary, Personal Assistant, Desktop Publishing Operator, Switchboard Operator. Sales: Company Sales Representative, Auctioneer, Insurance Agent/Assessor/Loss Adjuster, Market Researcher. Service: Aged/Disabled/Refuge/Child Care Worker, Nanny, Meter Reader, Parking Inspector, Postal Worker, Courier, Travel Agent, Tour Guide, Flight Attendant, Fitness Instructor, Casino Dealer/Supervisor.

Group 4: Machine Operators, Hospitality Staff, Assistants, Labourers and Related Workers. Drivers, Mobile Plant, Production/Processing Machinery and other Machinery Operators. Hospitality Staff: Hotel Service Supervisor, Receptionist, Waiter, Bar Attendant, Kitchen-hand, Porter, Housekeeper. Office Assistants, Sales Assistants and Other Assistants Office: Typist, Data Entry/Business Machine Operator, Receptionist, Office Assistant. Sales: Sales Assistant, Motor/Parts Sales, Cashier, Bus/Train Conductor, Ticket Seller, Service Station Attendant, Street vendor, Tele-marketer, Shelf Stacker. Assistants/Aide: Trades Assistant, School/Teachers’ Aide, Dental Assistant, Veterinary Nurse, Nursing Assistant, Museum/Gallery Attendant, Usher, Home Helper, Salon Assistant, Animal Attendant. Labourers and Related Workers Defence Forces: Ranks below Senior NCO not included above Agriculture, Horticulture, Forestry, Fishing & Mining: Farmer, Shearer, Farm Hand, Horse Trainer, Gardener, Tree Surgeon, Logging Worker, Miner or Seafarer/Fishing Hand. Other: Labourer, Factory Hand, Storeman, Guard, Cleaner, Caretaker, Troller Collector, Crossing Supervisor.

Group 8: If person has not been in PAID work in the last 12 months.

Initials Parent/Guardian 1: ……………. Initials Parent/Guardian 2: …………….

E N R O L M E N T T E R M SIn completing and signing the Enrolment Application we the parent(s) or guardian(s) noted on that application form request The

Scots School Albury (the “School”) to accept the child identified in the application (the “Student”) for enrolment as a student at the

School on the terms set out in these Enrolment Terms.

1. Application and Acceptance Process

1.1 We acknowledge that the Student’s name will beregistered for enrolment at the School following thesubmission of the Enrolment Application form and ourpayment of the non-refundable application fee (asspecified in the Fee Schedule). We understand thatacceptance of this application is at the discretion of theSchool.

1.2 We understand that before the School determines whether or not to accept this application the Student is required to attend an interview with the Principal (or their representative) at the School.

1.3 We declare that all information provided to the School on the Enrolment Application is correct, complete and not misleading and that we have fully disclosed any special needs (including medical, learning, physical or psychological needs) of the Student which may be relevant to the education or welfare of the Student. We understand that the School welcomes applications for enrolment of students with any educational needs but it is not a special School equipped to serve complex disabilities and that as such the School reserves the right to decline such an application if it is determined that the School’s resources and programs are unable to accommodate the specific needs of a student.

1.4 We understand that if the School accepts this application it will notify us in writing offering the student a place at the School.

1.5 On receiving the acceptance of the Enrolment Application from the School for our first child entering the School, we agree to pay the Family Entrance Fee (as specified in the Fee Schedule).

1.6 Confirmation of a place at the School will be made upon receipt of the Family Entrance Fee.

2. School Fees and other charges

2.1 We agree to pay all School Fees levied by the School(being annual tuition fees, annual composite fees andwhere applicable Boarding fees) together with othercharges for all extra goods and services provided bythe School to the Student as invoiced to us (such asoptional subject levies and extra-curricular activities)

by the due dates in accordance with the Fee Schedule published by the School for the relevant year (a copy of the current Fee Schedule is attached). We understand that the School has a right to amend the School Fees and other charges from year to year.

2.2 We understand that School Fees and other charges are rendered in three instalments in February, May and August and are payable within 30 days of an account being rendered. If required a further invoice may be issued monthly / before year end for any additional charges (such as Term 4 extra-curricular activities).

2.3 We acknowledge that School Fees and other charges are payable either by:

three equal payments (“Instalment Payments”) asdetailed below; or

ten equal payments (“Monthly Payments”) or

one lump sum payment in advance (“Annual inAdvance Payment”).

2.4

2.5

2.6

All School Fees and charges may be paid by cheque, BPay, credit card (Mastercard, Visa, American Express or Diners Club – see Fee Schedule for applicable credit card surcharges) or if we elect the Monthly Payments option by Direct Debit Scheme.

Fees will be charged on a pro-rata basis for new students commencing during a School term. These will be due 14 days from the date of invoice.

We agree that all signatories to the Enrolment Application (and thereby these Enrolment Terms) are jointly and severally liable for all fees and charges payable and that this arrangement continues irrespective of any changes between the relationship of co-signatories, any child support arrangements or any private agreement with a third party regarding payment of fees.

The School will apply discounts for second and subsequent siblings who attending the School at the same time. These discount rates are set out in the relevant Fee Schedule. We also acknowledge that any such discounts will be revoked if there are outstanding amounts owing on our account.

Initials Parent/Guardian 1: ……………. Initials Parent/Guardian 2: …………….

2.7 The School will apply Annual in Advance Payment discounts if we elect to pay a full year’s School Fees in advance – the amount of the discount and the due date for payment are specified in the Fee Schedule.

2.8 We recognise that the School maintains an active building programme and to enable parents to contribute to this programme, an amount (as specified in the Fee Schedule) is added to the voluntary contributions section of each Instalment Payment’s billing statement. Donations to the School’s Voluntary Building Fund are tax deductible.

2.9 We understand that the School levies a late payment fee for fees owing at 30 days and a further late payment fee if still owing at 60 days (both of which are specified in the Fee Schedule) and agree to pay this fee if applicable. Once the debt to the School is 30 days old, we understand that we must be in regular communication with the Business Operations Manager and enter into an agreement with acceptable repayment terms. Any such agreement will not act as a waiver in respect of School Fees or other charges outstanding as at the time the agreement was reached. Failing this, we acknowledge that the School will commence legal proceedings for recovery and/or exclude the Student(s) from the School. We also acknowledge that any discounts will be revoked if there are outstanding amounts owing on our account.

2.10 We accept and agree that the School reserves the right to suspend or terminate the enrolment of a student if any portion of the School Fees or other charges remains unpaid. We also understand that the Student will not be permitted to return to School for another term if the School Fees for the previous billing are unpaid unless expressly agreed in writing with the School.

3. Withdrawal of Students

3.1 We understand that we must provide one term’snotice in writing of our intention to withdraw theStudent from the School, and that such notice must begiven no later than the first day of the School term atthe end of which the notice expires. If this notice is not given, we agree to pay ONE term’s School Fees in lieuof notice.

3.2 A full Term’s notice, in writing, of intention to change the status of a student from Boarder to Day student must be given to the Principal and such notice must expire at the end of a Term, unless such requirement is waived by the Principal.

3.3 We acknowledge that the Principal reserves the right to suspend or terminate an enrolment. No remission of fees will be made in the case of suspension or removal of a student for unacceptable conduct or failure to pay fees.

4. Expectations and Behaviour

4.1 In enrolling the Student, we agree to support the ethosand to abide by the policies, rules and regulations ofthe School as set out in the School Handbook (andwhere the Student is a boarder, the Boarder’sHandbook) and as published from time to time at thePrincipal’s discretion. We note that the Student’sbehaviour is required to be at all times lawful, safe forall concerned, considerate of others and a goodreflection on the Student, the Student’s family and theSchool and we agree to encourage the Student in this.

4.2 We agree to support the School in the administration of its discipline policies and acknowledge that these apply to conduct of the Student both inside and outside the School and whether or not the conduct is connected to School activities. We accept that the School’s disciplinary procedures for breach of School rules or behaviour by the Student which is prejudicial to the welfare of the School, its staff or students or for where we have failed to comply with these conditions of enrolment include suspension from the School and immediate termination of the Student’s enrolment at the School’s absolute discretion. We acknowledge that In the event of suspension or termination of enrolment there will be no refund of any School Fees or other charges previously paid.

4.3 We accept that the School may determine which particular courses and activities are offered and/or provided at any time and which of these courses and activities are compulsory. We understand that all students are required to attend the School at the dates and hours nominated by the Principal as well as attend must participate in and/or attend the following compulsory activities, as determined by the Principal:

School Chapel and religious and values educationclasses;

obligatory co-curricular activities including allSchool camps;

the School sports events such as athletics andswimming carnivals

School functions such as Speech Day, Anzac Day,Carol Service and other events as required by the Principal from time to time;

various excursions that occur from time to time asan integral part of the School curriculum.

We consent to the Student participating in these events and agree to ensure that the Student attends these events.

Initials Parent/Guardian 1: ……………. Initials Parent/Guardian 2: …………….

4.4 We are aware that the School requires parents to be actively involved in the School through attendance at parent-teacher interviews and parent forums, participation in courses offered by the School relevant to the student’s education and assistance to the School in a voluntary capacity from time to time.

5. Health and Safety

5.1 If the student is ill or injured, necessitating urgenthospital and/or medical treatment (for exampleinjections, blood transfusions, surgery) and if we are not readily available to authorise such treatment, orshould the School consider it impracticable tocommunicate with us, we authorise the Principal or, intheir absence, a responsible member of the Schoolstaff, to give the necessary authority for suchtreatment. We agree to indemnify the School inrespect of any costs or expenses which the Schoolincurs as a result of the School taking action pursuant to this clause.

5.2 We acknowledge that the School seeks to maintain an environment that is safe for all students and in which learning can take place. We also acknowledge that to this end the Principal or their nominee may search the student’s bag, locker or other possessions where there are reasonable grounds to do so. We also agree that we will be responsible for all breakages and damage to School property caused by a Student.

5.3 We recognise that the Student’s personal property is not insured by the School and that the School does not accept any responsibility for loss or damage.

6. Leave

6.1 We acknowledge that requests for leave from Schoolactivities, including academic and co-curricularprograms, and for early departure at the end of termand/or late return from breaks must be applied for inadvance in writing to the Principal.

6.2 We agree that absence from the School due to illness, leave or suspension during the whole or part of a term does not remove our obligation to make payment of the full term’s School Fees and charges.

6.3 However, we understand that we may apply for a planned leave of absence from the School of between two terms and one year from the School (whole terms only), and that subject to the School’s discretion, the School may guarantee to hold the Student’s place for a fee equivalent to 50% of the applicable School Fees for that period. All requests for a planned leave of absence from the School must be submitted in writing

to the Principal for approval at least one full term in advance. Approval is not guaranteed.

7. Privacy

7.1 We accept that the School may from time to timecollect personal information about us and the Studentwhich may be necessary for the School’s function oractivities. We authorise the School to use and disclosesuch personal information in such a manner as the Principal may deem appropriate for the purposes ofthe Student’s education, health, care, welfare ordevelopment. We acknowledge having read the School’s Privacy Policy and Standard Collection Notice.

7.2 We give permission for photographs and videos of the student to be placed in the School’s records, displayed from time to time around the School, be published in School publications, on its website and in other marketing and promotional material.

7.3 Where relevant, we agree to provide to the School all current Family Court or other court orders relating to us and the student. We understand that the School’s Privacy Policy deals with the confidentiality of such information.

7.4 We agree to advise the School of any change of address, contact details or other information as soon as the change takes place.

8. Changes to these Conditions

8.1 We agree that these conditions are subject toalteration from time to time by the School. Any suchalterations shall be notified, in writing, to parents.Continuing enrolment of a student at the Schoolfollowing receipt of such notice shall be deemed toconstitute acceptance of the revised conditions.

Find out how we can help open a new world of life, learning and leading

393 Perry Street ALBURY NSW 2640

(PMB 6006 AMDC ALBURY NSW 2640)

P +612 6022 0000 F +612 6041 3210

E enrolments@scotsalbury.nsw.edu.au

www.scotsalbury.nsw.edu.au

CRICOS 02274B

Co-educational, PS-12

Day & Boarding