373x Filetype DOC File size 0.89 MB Source: niddrieps.vic.edu.au
NIDDRIE PRIMARY SCHOOL PRIVACY NOTICE
Information about the Enrolment Form.
Please Read This Notice Before Completing The Enrolment Form.
This confidential enrolment form asks for personal information about your child as well as family members and others that
provide care for your child. The main purpose for collecting this information is so that Niddrie Primary School can register your
child and allocate staff and resources to provide for their educational and support needs. All staff at Niddrie Primary School and
the Department of Education & Early Childhood Development are required by law to protect the information provided by this
enrolment form.
Health information is collected so that staff at Niddrie Primary School can properly care for your child. This includes information
about any medical condition or disability your child may have medication your child may rely on while at school, any known
allergies and contact details of your child’s doctor. Niddrie Primary School depends on you to provide all relevant health
information because withholding some health information may put your child’s health at risk.
Niddrie Primary School requires information about all parents, guardians or carers so that we can take account of family
arrangements. Family Court Orders setting out any access restrictions and parenting plans should be made available to Niddrie
Primary School. Please tell us as soon as possible about any changes to these arrangements. Please do not hesitate to contact
the Principal at Niddrie Primary School, if you would like to discuss, in strict confidence, any matters relating to family
arrangements.
EMERGENCY CONTACTS
These are people that Niddrie Primary School may need to contact in an emergency. Please ensure that the people named are
aware that they have been nominated as emergency contacts and agree to their details being provided to Niddrie Primary
School.
STUDENT BACKGROUND INFORMATION
This includes information about a person’s country of birth, aboriginality, language spoken at home and parent occupation. This
information is collected so that Niddrie Primary School receives appropriate resource allocations for their students. It is also
used by the Department to plan for future educational needs in Victoria. Some information is sent to Commonwealth
government agencies for monitoring, planning and resource allocation. All of this information is kept strictly confidential and the
Department will not otherwise disclose the information to others without your consent or as required by law.
IMMUNISATION STATUS
This assists Niddrie Primary School in managing health risks for children. This information may also be passed to the
Department of Human Services to assess immunisation rates in Victoria. Information sent to the Department of Human Services
is aggregate data so no individual is identified.
VISA STATUS
This information is required to enable the school to process your child’s enrolment.
UPDATING YOUR CHILD’S RECORDS
Please let Niddrie Primary School know if any information needs to be changed by sending updated information to the school office. Please
contact the office on 03 9379 6587 or by email niddrie.ps@edumail.vic.gov.au to update any information.
ACCESS TO YOUR CHILD’S RECORD HELD BY SCHOOL
In most circumstances you can access your child’s records. Please contact the Principal on (03) 9379 6587 to arrange this.
Sometimes access to certain information, such as information provided by someone else, may require a Freedom of Information request. We
will advise you if this is required and tell you how you can do this.
If you have any concerns about the confidentiality of this information please contact the Principal. The Niddrie Primary School can also provide
you with more detailed information about privacy policies that govern the collection and use of information requested on this form.
Last updated: Aug-14 version 2.10
DOCUMENTS REQUIRED AT TIME OF ENROLMENT
• Birth Certificate
• Immunisation Certificate
• Proof of residential address (2 documents) e.g electoral enrolment
confirmation, council rates notices, other official documentation that
demonstrates permanent residency at that address such as a driver’s license or
health care card
Niddrie Primary School
STUDENT ENROLMENT INFORMATION – 20__ Computer Generated Student
ID:
STUDENT DETAILS
PERSONAL DETAILS OF STUDENT
Surname: Title: (Miss Ms Mr)
First Given Name:
Second Given Name:
Preferred Name (if applicable):
Sex (tick): Male Female Birth Date: (dd-mm-yyyy) _______ / _______ / ________
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 Home Timetabling House Campus
Level Group Group
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? No Yes Disability ID No.:
(tick)
Has a Transition Statement been provided (either
by the Early Childhood Educator or parents)? (tick) Yes No Pending
For prep students only
Last updated: Nov - 2016 page 2 version 2.10
FAMILY DETAILS
List any other family members attending this school:
This question is asked as a requirement of the Commonwealth Government. All schools across Australia are required to
collect the same information.
Last updated: Nov - 2016 page 3 version 2.10
PRIMARY FAMILY DETAILS
NOTE: The ‘PRIMARY’ Family is: “the family or parent the student mostly lives with”. Additional and Alternative family forms are
available from the school if this is required. These additional forms are designed to cater for varying family circumstances.
Last updated: Nov - 2016 page 4 version 2.10
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