ENROLMENT FORM

STUDENT ENROLMENT DATE ___/___/_____ YEAR LEVEL ________ CASES STUDENT ID ___________

STUDENT DETAILS

Surname: Title: (Miss Ms, Mrs Mr)

First Given Name:

Second Given Name:

Preferred Name (if applicable):

v Sex (tick): ¨ Male ¨ Female Birth Date: (dd-mm-yyyy) _______ / _______ /________

Student Mobile Number:

List any other CURRENT

and/or PAST family members at

this school:

PRIMARY FAMILY HOME ADDRESS: No. & Street: or PO Box details

Suburb:

State: Postcode:

Telephone Number: Silent Number: (tick) ¨ Yes ¨ No

Mobile Number: Fax Number:

OFFICE USE ONLY

Child’s Name and Birth Date proof sighted (tick) ¨ Yes ¨ No Enrolment Date:

Year

Level

Home

Group House Campus

Student Email Address:

Immunisation Certificate received?: (tick) ¨ Complete ¨ Not sighted

Is there a Medical Alert for the student? (tick) ¨ Yes ¨ No

Does the student have a Disability ID Number? (tick) ¨ No ¨ Yes Disability ID No.:

PRIMARY FAMILY DETAILS NOTE: The ‘PRIMARY’ Family is: “the family or parent the student mostly lives with”. . ADULT A DETAILS (PRIMARY CARER):

Sex (tick): ¨ Male ¨ Female

Title: (Ms, Mrs, Mr, Dr etc)

Legal Surname:

Legal First Name:

Has Adult A been in paid work in the last 12 months? ¨ Yes ¨ No

Who is Adult A’s employer?

What is Adult A’s position?

In which country was Adult A born?

¨ Australia ¨ Other (please specify):

v Does Adult A speak a language other than English at home?

(If more than one language is spoken at home, indicate the one that is

spoken most often.) (tick)

¨ No, English only ¨ Yes (please specify):

Please indicate any additional languages spoken by Adult A:

Is an interpreter required? (tick) ¨ Yes ¨ No

vWhat is the highest year of primary or secondary school Adult A has completed? (For persons who have never attended school, mark ‘Year 9 or equivalent or below’.) vWhat is the level of the highest qualification the Adult A has completed? (eg: Certificate I-V, Diploma, Bachelor degree, etc)

ADULT B DETAILS: Sex (tick): ¨ Male ¨ Female

Title: (Ms, Mrs, Mr, Dr etc)

Legal Surname:

Legal First Name:

Has Adult B been in paid work in the last 12 months?

¨ Yes ¨ No

Who is Adult B’s employer?

What is Adult B’s position?

In which country was Adult B born?

¨ Australia ¨ Other (please specify):

v Does Adult B speak a language other than English at home? (If

more than one language is spoken at home, indicate the one that is

spoken most often.) (tick)

¨ No, English only ¨ Yes (please specify):

Please indicate any additional languages spoken by Adult B:

Is an interpreter required? (tick) ¨ Yes ¨ No

vWhat is the highest year of primary or secondary school Adult B has completed? (For persons who have never attended school, mark ‘Year 9 or equivalent or below’.)

v What is the level of the highest qualification the Adult B has completed? (eg: Certificate I-V, Diploma, Bachelor degree, etc)

v These questions are asked as a requirement of the Commonwealth Government. All schools across Australia are required to collect the same information

Main language spoken at home: Preferred language of notices:

Are you interested in being involved in school group participation activities? (eg. School Council, excursions) (tick)

¨ Adult A ¨ Adult B ¨ Both ¨ Neither

PRIMARY FAMILY CONTACT DETAILS

ADULT A CONTACT DETAILS: Business Hours:

Can we contact Adult A at work? (tick) ¨ Yes ¨ No

Is Adult A usually home during business hours? (tick) ¨ Yes ¨ No

Work Telephone No:

Other Work Contact information:

After Hours:

Is Adult A usually home AFTER business hours? (tick) ¨ Yes ¨ No

Home Telephone No:

Other After Hours Contact Information:

Mobile No:

Email address:

ADULT B CONTACT DETAILS: Business Hours:

Can we contact Adult B at work? (tick) ¨ Yes ¨ No

Is Adult B usually home during business hours? (tick) ¨ Yes ¨ No

Work Telephone No:

Other Work Contact information:

After Hours:

Is Adult B usually home AFTER business hours? (tick) ¨ Yes ¨ No

Home Telephone No:

Other After Hours Contact Information:

Mobile No:

Email address:

PRIMARY FAMILY MAILING ADDRESS: Write “As Above” if the same as Family Home Address

No. & Street or PO Box

Suburb:

State: Postcode:

PRIMARY FAMILY DOCTOR DETAILS:

Doctor’s Name Individual or Group Practice: (tick) ¨ Individual ¨ Group

No. & Street or PO Box No.:

Suburb:

State: Postcode:

Telephone Number Fax Number

Current Ambulance Subscription: (tick) ¨ Yes ¨ No Medicare Number:

PRIMARY FAMILY EMERGENCY CONTACTS:

Name Relationship Telephone Contact Language Spoken (Neighbour, Relative, Friend or Other) (If English Write “E”)

1

2

3

4

PRIMARY FAMILY BILLING ADDRESS: Write “As Above” if the same as Family Home Address

Statement/Invoice Preference:

¨ Mail ¨ Email

No. & Street or PO Box

Suburb/State Postcode

Billing Email ¨ Adult A ¨ Adult B

¨ Other (Please Specify)

OTHER PRIMARY FAMILY DETAILS

Relationship of Adult A to Student: (tick one) ¨ Parent ¨ Step-Parent ¨ Adoptive Parent ¨ Foster Parent ¨ Host Family ¨ Relative ¨ Friend ¨ Self ¨ Other

Relationship of Adult B to Student: (tick one) ¨ Parent ¨ Step-Parent ¨ Adoptive Parent ¨ Foster Parent ¨ Host Family ¨ Relative ¨ Friend ¨ Self ¨ Other

The student lives with the Primary Family: (tick one)

¨ Always ¨ Mostly ¨ Balanced ¨ Occasionally ¨ Never

Send Correspondence addressed to: (tick one) ¨ Adult A ¨ Adult B ¨ Both Adults ¨ Neither

ALTERNATIVE FAMILY DETAILS

ADULT A DETAILS (PRIMARY CARER): Sex (tick): ¨ Male ¨ Female

Title: (Ms, Mrs, Mr, Dr etc)

Legal Surname:

Legal First Name:

Has Adult A been in paid work in the last 12 months? ¨ Yes ¨ No

Who is Adult A’s employer?

What is Adult A’s position?

In which country was Adult A born?

¨ Australia ¨ Other (please specify):

v Does Adult A speak a language other than English at home?

(If more than one language is spoken at home, indicate the one that is

spoken most often.) (tick)

¨ No, English only ¨ Yes (please specify):

Please indicate any additional languages spoken by Adult A:

Is an interpreter required? (tick) ¨ Yes ¨ No

vWhat is the highest year of primary or secondary school Adult A has completed? (For persons who have never attended school, mark ‘Year 9 or equivalent or below’.) vWhat is the level of the highest qualification the Adult A has completed? (eg: Certificate I-V, Diploma, Bachelor degree, etc)

ADULT B DETAILS: Sex (tick): ¨ Male ¨ Female

Title: (Ms, Mrs, Mr, Dr etc)

Legal Surname:

Legal First Name:

Has Adult B been in paid work in the last 12 months?

¨ Yes ¨ No

Who is Adult B’s employer?

What is Adult B’s position?

In which country was Adult B born?

¨ Australia ¨ Other (please specify):

v Does Adult B speak a language other than English at home? (If

more than one language is spoken at home, indicate the one that is

spoken most often.) (tick)

¨ No, English only ¨ Yes (please specify):

Please indicate any additional languages spoken by Adult B:

Is an interpreter required? (tick) ¨ Yes ¨ No

vWhat is the highest year of primary or secondary school Adult B has completed? (For persons who have never attended school, mark ‘Year 9 or equivalent or below’.)

v What is the level of the highest qualification the Adult B has completed? (eg: Certificate I-V, Diploma, Bachelor degree, etc)

v These questions are asked as a requirement of the Commonwealth Government. All schools across Australia are required to collect the same information

Main language spoken at home:

Are you interested in being involved in school group participation activities? (eg. School Council, excursions) (tick)

¨ Adult A ¨ Adult B ¨ Both ¨ Neither

ALTERNATIVE FAMILY CONTACT DETAILS ADULT A OF ALTERNATIVE FAMILY CONTACT DETAILS: Business Hours:

Can we contact Adult A at work? (tick) ¨ Yes ¨ No

Is Adult A usually home during business hours? (tick) ¨ Yes ¨ No

Work Telephone No:

Other Work Contact information:

After Hours:

Is Adult A usually home AFTER business hours? (tick) ¨ Yes ¨ No

Home Telephone No:

Other After Hours Contact Information:

Mobile No:

SMS Notifications: ¨ Yes ¨ No

Adult A’s preferred method of contact: (tick one) (If Phone is selected, Email shall be used for communication that cannot be sent via phone.)

¨ Mail ¨ Email ¨ Phone ¨ Facsimile

Email address:

Email Notifications: ¨ Yes ¨ No

ADULT B OF ALTERNATIVE FAMILY CONTACT DETAILS: Business Hours:

Can we contact Adult B at work? (tick) ¨ Yes ¨ No

Is Adult B usually home during business hours? (tick) ¨ Yes ¨ No

Work Telephone No:

Other Work Contact information:

After Hours:

Is Adult B usually home AFTER business hours? (tick) ¨ Yes ¨ No

Home Telephone No:

Other After Hours Contact Information:

Mobile No:

SMS Notifications: ¨ Yes ¨ No

Adult B’s preferred method of contact: (tick one) (If Phone is selected, Email shall be used for communication that cannot be sent via phone.)

¨ Mail ¨ Email ¨ Phone ¨ Facsimile

Email address:

Email Notifications: ¨ Yes ¨ No

ALTERNATIVE FAMILY HOME ADDRESS: No. & Street: or Box details

Suburb:

State: Postcode: OTHER ALTERNATIVE FAMILY DETAILS

Relationship of Adult A of Alternative Family to Student: (tick one)

¨ Parent ¨ Step-Parent ¨ Adoptive Parent ¨ Foster Parent ¨ Host Family ¨ Relative ¨ Friend ¨ Self ¨ Other

Relationship of Adult B of Alternative Family to Student: (tick one)

¨ Parent ¨ Step-Parent ¨ Adoptive Parent ¨ Foster Parent ¨ Host Family ¨ Relative ¨ Friend ¨ Self ¨ Other

The student lives with the Alternative Family: (tick one)

¨ Always ¨ Mostly ¨ Balanced ¨ Occasionally ¨ Never

Send Correspondence addressed to: (tick one) ¨ Adult A ¨ Adult B ¨ Both Adults ¨ Neither

Is the Alternative Family to receive Academic Reports? ¨ Yes ¨ No

7

DEMOGRAPHIC DETAILS OF STUDENT

v In which country was the student born?

¨ Australia ¨ Other (please specify): ______________________________________

Date of arrival in Australia OR Date of return to Australia: (dd-mm-yyyy) _____ / _____ / _____

What is the Residential Status of the student? (tick) ¨ Permanent ¨ Temporary

Basis of Australian Residency:

¨ Eligible for Australian Passport ¨ Holds Australian Passport

¨ Holds Permanent Residency Visa

Visa Sub Class: Visa Expiry Date: (dd-mm-yyyy) _____ / _____ / _____

Visa Statistical Code: (Required for some sub-classes)

International Student ID :(Not required for exchange students)

v Does the student speak a language other than English at home? (tick) ( If more than one language is spoken at home, indicate the one that is spoken most often)

¨ No, English only ¨ Yes (please specify):

Does the student speak English? (tick) ¨ Yes ¨ No

vIs the student of Aboriginal or Torres Strait Islander origin? (tick one)

¨ No ¨ Yes, Aboriginal

¨ Yes, Torres Strait Islander ¨ Yes, Both Aboriginal & Torres Strait Islander

What is the student’s living arrangements? (tick one):

¨ At home with TWO Parents/ Guardians ¨ State Arranged Out of Home Care # (See Note)

¨ At home with ONE Parent/ Guardian ¨ Homeless Youth

¨ Independent

# State Arranged Out of Home Care - Students who have been subject to protective intervention by the Department of Human Services and live in alternative care arrangements away from their parents. These DHS-facilitated care arrangements include living with relatives or friends (kith and kin), living with non-relative families (foster families or adolescent community placements) and living in residential care units with rostered care staff.

v These questions are asked as a requirement of the Commonwealth Government. All schools across Australia are required to collect the same information.

8

SCHOOL DETAILS

Date of first enrolment in an Australian School: _____ / _____ / ______

Name of previous School:

Years of previous education: What was the language of the student’s previous education?

Does the student have a Victorian Student Number (VSN)?

¨ Yes. Please specify:

¨¨¨¨¨¨¨¨¨ ¨ Yes, but the VSN is unknown

¨ No. The student has never been issued a VSN.

Years of interruption to education: Is the student repeating a year? (tick) ¨ Yes ¨ No

Will the student be attending this school full time? (tick) ¨ Yes ¨ No

If No, what will be the time fraction that the student will be attending this school? (i.e: 0.8 = 4 days/week)

Other school Name: Time fraction: 0. Enrolled: ¨ Yes ¨ No

Other school Name: Time fraction: 0. Enrolled: ¨ Yes ¨ No

STUDENT ACCESS OR ACTIVITY RESTRICTIONS DETAILS

Is the student at risk? ¨ Yes ¨ No

Is there an Access Alert for the student? (tick) ¨ Yes (If Yes, then complete the following questions and present a current copy of the document to the school.)

¨ No (If No, move to the immunisation / medical condition details questions.)

Access Type: (tick) ¨ Parenting Order ¨ Parenting Plan ¨ Intervention Order ¨ Protection Order

¨ Informal Carer Stat Dec ¨ DHHS Authorisation

¨ Witness Protection Program Order ¨ Other

Describe any Access Restriction:

Is there an Activity Alert for the student? (tick) ¨ Yes ¨ No

If Yes, then describe the Activity Restriction:

OFFICE USE ONLY

Current custody document placed on student file? ¨ Yes ¨ No

9

STUDENT MEDICAL DETAILS MEDICAL CONDITION DETAILS:

Does the student suffer from any of the following impairments? (tick)

Hearing: ¨ Yes ¨ No Vision ¨ Yes ¨ No

Speech: ¨ Yes ¨ No Mobility: ¨ Yes ¨ No

Does the student suffer from Asthma? (tick) If No, please go to the Other Medical Conditions section ¨ Yes ¨ No

ASTHMA MEDICAL CONDITION DETAILS: Answer the following questions ONLY if the student suffers from any asthma medical conditions.

Please indicate if the student suffers from any of the following symptoms: (tick)

If my child displays any of these symptoms please: (tick)

¨ Cough Inform Doctor ¨ Yes ¨ No ¨ Difficulty Breathing Inform Emergency Contact ¨ Yes ¨ No

¨ Wheeze Administer Medication ¨ Yes ¨ No

¨ Exhibits symptoms after exertion Other Medical Action ¨ Yes ¨ No ¨ Tight Chest If yes, please specify:

Has an Asthma Management Plan been provided to School? ¨ Yes ¨ No

Does the student take medication? (tick) ¨ Yes ¨ No Name of medication taken:

Is the medication taken regularly by the student (preventive) or only in response to symptoms? (tick)

¨ Preventative ¨ Response

Indicate the usual dosage of medication taken:

Indicate how frequently the medication is taken:

Medication is usually administered by: (tick) ¨ Student ¨ Nurse ¨ Teacher ¨ Other

Medication is stored: (tick) ¨ with Student ¨ with Nurse ¨ Fridge in Staff Room ¨ Elsewhere

Dosage time Reminder required? (tick) ¨ Yes ¨ No Poison Rating

OTHER MEDICAL CONDITIONS (More copies of the other medical condition forms are available on request from the school.)

Does the student have any other medical condition? (tick) ¨ Yes ¨ No

If yes, please specify:

Symptoms:

If my child displays any of the symptoms above please: (tick)

Inform Doctor ¨ Yes ¨ No Inform Emergency Contact ¨ Yes ¨ No Administer Medication ¨ Yes ¨ No Other Medical Action ¨ Yes ¨ No If yes, please specify:

Does the student take medication? (tick) ¨ Yes ¨ No Name of medication taken:

Is the medication taken regularly by the student (preventive) or only in response to symptoms? (tick) ¨ Preventative ¨ Response

Indicate the usual dosage of medication taken:

Indicate how frequently the medication is taken:

Medication is usually administered by: (tick) ¨ Student ¨ Nurse ¨ Teacher ¨ Other

Medication is stored: (tick) ¨ with Student ¨with Nurse ¨ Fridge in Staff Room ¨ Elsewhere

Dosage time Reminder required? (tick) ¨ Yes ¨ No Poison Rating

10

CONSENT TO MEDICAL ATTENTION In the event of illness or injury to my child whilst at school, on an excursion, or travelling to or from school; I authorise the Principal or teacher-in-charge of my child, where the Principal or teacher-in-charge is unable to contact me, or it is otherwise impracticable to contact me to: (cross out any unacceptable statement)

§ Consent to my child receiving such medical or surgical attention as may be deemed necessary by a medical practitioner,

§ Administer such first aid as the Principal or staff member may judge to be reasonably necessary. Signature of Parent/Guardian: Date: _____ / _____ / ______

COMPUTER AND INTERNET ACCESS – EXTERNAL FORM TO BE SIGNED AND ATTACHED

STUDENT LOCAL TRIPS SCHOOL PERMISSION NOTICE – EXTERNAL FORM TO BE SIGNED AND ATTACHED

STUDENT CODE OF CONDUCT – EXTERNAL FORM TO BE SIGNED AND ATTACHED CONSENT FOR USE OF STUDENT PHOTOGRAPHS FOR THE LENGTH OF ENROLMENT Should my child’s photograph be taken participating in different school activities, I give permission for;

§ Wembley Primary School to use such photographs in its promotion and publication materials, including the School’s website and in the Newsletter

§ Such photographs to be used in the print media (eg. Local newspapers) using first names only Signature of Parent/Guardian: Date: _____ / _____ / ______ Thank you for taking the time to complete this Student Enrolment form. We understand that the information you have provided is confidential and will be treated as such, but the details are required to enable staff to properly enrol your child at our school.

Enrolment cannot be processed until all documentation (Birth Certificate, Immunisation Record) required has been

submitted.

I certify that the information contained within this form is correct. Signature of Parent/Guardian: Date: _ ____ /

P.S

Student Code of Conduct Agreement

Wembley Primary School has high expectations of all its students. These high expectations have resulted in high outcomes in English and Mathematics, as well as excellent behaviour from the students. To continue our high performance, it is expected all children at Wembley PS will understand and follow the Wembley Primary School’s Code of Conduct. The following is a summary of our behaviour code. After reading it, please discuss it with your child. It will also be discussed in all classes. Please sign and return the agreement to school. At Wembley Primary School all students have rights and responsibilities that relate to the school values. The following are a student’s rights at Wembley Primary School:

• The right to learn and play in a safe, secure, stimulating and positive environment.

• The right to be respected and valued. • The right to express ideas and opinions in a positive way and to be

listened to. • The right to have fair access to school resources.

With these rights also come responsibilities, these are:

• To act responsibly and work to the best of your ability. • To respect the rights of others. • To be cooperative and considerate. • To share and care for resources.

P.S

These rights and responsibilities are developed in conjunction with the School Values: Value Definition Example Cooperation Cooperating, collaborating and

leading or following as the situation demands

Work with each other and share the teacher’s time. Share the playground areas and equipment.

Integrity Being honest and demonstrating a considered sense of fairness

Be honest and fair to yourself and others in the classroom and the playground.

Persistence Persevering and remaining focused and looking for ways to reach your goal

Always give your best efforts even if you are not successful the first time. Not giving up.

Respect Respecting ourselves, others and the environment around us

Speak positively and politely. Listen carefully. Be courteous and respectful of others. Respect other’ differences. Respect and take care of others.

Resilience Ability to manage and learn from difficulties and to bounce back. Self-reliant and have a learning/coping reaction rather than the victim blaming reaction.

Resolve problems in a sensible and reasonable manner. Bounce back after difficulty.

Responsibility Taking action for our learning and behaviour.

Move safely in the buildings. Respect and take care of other’s possessions.

Your child’s class teacher will spend time working with the class to describe these values further. Children will also discuss consequences for not following these rights, responsibilities and values. Teachers will also spend time discussing how children might deal with problems that may occur, e.g. speaking to a trusted adult such as a parent.

P.S

If a student does not follow school expectations, then consequences will apply. A child may be reminded about the school values and expectations, they may also be warned or there might be a consequence such as a detention, paying for a damaged item, repairing damage, being moved to another part of the classroom or walking with a yard duty teacher for a part of a recess. Wembley Primary School has a proud history of being an outstanding school and our students are fortunate to be able to continue our tradition. After reading this agreement and discussing it with your child, please sign below and return to school. I have discussed the Student Code of Conduct with my child and I believe my child will do his/her best to follow the School’s Code of Conduct. I have also reinforced the need to speak with a trusted adult (e.g. parent or teacher) to seek advice on how to deal with a problem. Child’s Name: Child’s Class: Child’s Signature: Parent Signature: Teacher’s Signature: Date:

P.S

Permission/Consent Forms

Student Name:_____________________ Explanation: At various times throughout the year our students are involved in activities that require permission forms to be signed. In order to lessen the amount of signing and reduce the paper being used we have prepared a combined consent/permission. Local Walking Excursions: On occasion, class teachers will take their class for a walk in the local area as part of the school program. Examples may include a visit to the library on Wembley Avenue, a trip to McIvor Reserve for athletics training or interschool sports, a nature observation walk to Cruickshank Park or a walk around our surrounding streets to observe the local community. Parents will be informed of the planned walk, usually via Sentral or the newsletter, prior to the event. Parental permission will still be sought for excursions that require the hiring of buses or the use of public transport. To assist with staff planning of activities, to limit the amount of paperwork sent home and to reduce our photocopying at school, parents are asked to sign the Local Walking Excursion section of the attached form. Photographs/Filming: Examples of this could be that on occasions local newspapers may write about the school’s activities or we may prepare a photo display of students for the local kindergartens or special community events. For example, in a previous year some of our Year 6 students had their photograph in the newspaper when a book was launched at our school. Parents who are concerned about their child’s photo being seen in public should not sign this part of the form. If you have any concerns about signing these permission forms please do not hesitate to contact the school on 9314 7054. Thanking you for your co-operation.

P.S

Local Walking Excursions: I give permission for my child, ___________________________, Year_____ Room No____ to participate in local walking excursions during the school year. In case of an accident or sudden illness during the excursion, I authorise the teacher in charge to consent, where it is impracticable to communicate with me, to the child receiving medical or surgical treatment as may be deemed necessary. Parent/Guardian name:________________________________ (Please print) Parent/Guardian signature:_____________________________ Date:___________________ Contact telephone number:__________________ Mobile telephone number:______________ Emergency contact name:_____________________ Emergency contact number:___________________ Photographs/Filming: I give permission for my child, _________________________, Year _____ Room No____ to be photographed and / or filmed. I understand that the photographs/video footage may be kept as part of a library and that some photos/video footage may include close up shots of my child. Parent/Guardian name:________________________________ (Please print) Parent/Guardian signature:_____________________________ Date:______________ Contact telephone number:_____________________________

Wembley Primary School recognises the need for students to be safe and responsible users of digital technologies. We believe that explicitly teaching students about safe and responsible online behaviours is essential, and is best taught in partnership with parents/guardians. We request that parents/ guardians work with us and encourage this behaviour at home.

At Wembley Primary School we: * support the rights of all members of the school community to engage in and promote a safe, inclusive and supportive learning environment, * have a Student Code of Conduct Policy that clearly states our school’s values and the expected standards of student behaviour, including actions and consequences for inappropriate behavior, * educate our students to be safe and responsible users of digital technologies, * raise our students’ awareness of issues such as online privacy and intellectual property including copyright, * supervise students when using digital technologies for educational purposes, * provide a filtered internet service but acknowledge that full protection from inappropriate content can never be guaranteed, * respond to issues or incidents that have the potential to impact on the wellbeing of our students, * know that some online activities are illegal and as such we are required to report this to the police.

Student Agreement: When I use digital technologies I communicate respectfully by thinking and checking that what I write or post is polite and respectful. This means I: * never send mean or bullying messages or pass them on, as this makes me part of the bullying, * don’t use actions online to be mean to others. (This can include leaving someone out to make them feel bad), * don’t copy someone else’s work or ideas from the internet and present them as my own. (I will include the website link).

When I use digital technologies I protect personal information by being aware that my full name, photo, birthday, address and phone number is personal information and not to be shared online. This means I: * protect my friends’ information in the same way, * protect my passwords and I don’t share it with others, * don’t join a space online without my parents or teacher’s guidance and permission, * never answer questions online that ask for my personal information.

Wembley Primary School P-3Digital Technologies Acceptable Use Agreement

When I use digital technologies I look after myself and others by thinking about what I share online. This means I: * never share my friends’ full names, birthdays, school names, addresses and phone numbers because this is their personal information, * speak to a trusted adult if I see something that makes me feel upset or if I need help, * speak to a trusted adult if someone is unkind to me, * speak to a trusted adult if I know someone else is upset or scared, * stop to think about what I post or share online, * use spaces or sites that are right for my age, * don’t deliberately search for something rude or violent, * either turn off the screen or use the back button if I see something I don’t like and tell a trusted adult, * am careful with the equipment I use.

When I use an iPad, iPod, Mac or other mobile device at school I agree to: ● use it as requested for learning purposes as directed by my teacher,● be responsible in my use and not use the device to find, create or send information that

might be harmful, inappropriate or hurtful to me or anyone else,● only take photos and record sound or video when it is part of a class or lesson,● seek written or verbal (depending on situation) permission from individuals involved

PRIOR to taking photos, recording sound or videoing them (including teachers),● seek written permission from individuals involved PRIOR to publishing or sending photos,

recorded sound or video to anyone else or to any online space,● be respectful in how I talk to and work with others online and NEVER write or participate

in online bullying,● seek teacher permission before uploading any content to websites, blog etc,● log out of programs on school devices.

This Acceptable Use Agreement applies when I am using any of the above digital technologies at school, at home, during school excursions, camps and extra-curricula activities. I understand and agree to comply with the terms of acceptable use and expected standards of behaviour set out within this agreement. I understand that there are actions and consequences established within the Wembley Primary School’s Student Code of Conduct if I do not behave appropriately. 2

Date: / /2018 Student Name:___________________________________Class:_______ Student Signature:____________________________________________ Parent/Guardian Signature:_____________________________________