worawa aboriginal college · worawa aboriginal college ... yes o no o if yes please specify: ......

15
Worawa Aboriginal College S TUDENT E NROLMENT A PPLICATION We believe in education, culture & wellbeing visit: worawa.vic.edu.au call: 03 5962 4344 email: [email protected]

Upload: vohuong

Post on 03-Aug-2018

217 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

1

Worawa Aboriginal College STUDENT ENROLMENT APPLICATION

We believe in education, culture & wellbeing

visit: worawa.vic.edu.au call: 03 5962 4344 email: [email protected]

Page 2: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

1

WORAWA ABORIGINAL COLLEGE Phone: 03 5962 4344 Fax: 03 5962 2419 Email: [email protected] Website: worawa.vic.edu.au

To enable us to assess this application it must be completed in full. Please note that Enrolment is not automatic.

PERSONAL INFORMATION STUDENT DETAILS

Student Birth Name: (as per Birth Certificate & Centrelink) Preferred / Other Name(s):

Date of Birth: Place of Birth:

Sex: Female Student Mobile Number:

Language Group: Totem/Dreaming:

First Language Spoken: Other Languages Spoken:

Does student identify as (select one): Aboriginal o Aboriginal & Torres Strait Islander o

Current or Previous School:

Last Date of Attendance: / / . Expected Year Level:

Reason for leaving last school if applicable

!Please provide a copy of student’s birth certificate. PARENT / GUARDIAN DETAILS

The government requests that all schools collect the following background information. MOTHER / GUARDIAN 1

Name:

Relationship to Student:

Home Address:

Email Address:

Home Phone Number: Mobile Phone Number:

First Language Spoken: Language Group: (e.g. Aboriginal language or English) (if applicable) Occupation: Group (see next page): 1 2 3 4 8 (please circle) Highest Level of Education: If Tertiary please state level: (e.g. Year 6, Year 10, Tertiary) If contactable via Community: Community Organisation: Phone Number:

Fax Number: Email: FATHER / GUARDIAN 2

Name:

Relationship to Student:

Home Address:

Email Address:

Home Phone Number: Mobile Phone Number:

First Language Spoken: Language Group: (e.g. Aboriginal language or English) (if applicable) Occupation: Group (see next page): 1 2 3 4 8 (please circle) Highest Level of Education: If Tertiary please state level: (e.g. Year 6, Year 10, Tertiary) If contactable via Community:

Community Organisation: Phone Number:

Fax Number: Email:

Page 3: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

2

WORAWA ABORIGINAL COLLEGE Phone: 03 5962 4344 Fax: 03 5962 2419 Email: [email protected] Website: worawa.vic.edu.au

Student Name: Date of Birth:

EMERGENCY CONTACT DETAILS Emergency Contact Name: (Provide the name of your nominated Emergency Contact other than yourself)

Relationship to Student: (Note that this person may be required to make important decisions on your behalf) Home/Community Phone: Mobile Phone:

LIST OF PARENTAL OCCUPATION GROUPS

Group 1: Senior management in large business organisation, government administration and defence & qualified professionals • Senior executive/manager/department head in industry, commerce, media or other large organisation • 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, develop or operate

complex systems; identify, treat and advise on problems; and teach others. • Health, Education, Law, Social Welfare, Engineering, Science, Computing professional • Business (management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer) • Air/sea transport (aircraft/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller)

Group 2: Other business managers, arts/media/sportspersons and associate professionals • Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business • Specialist manager (finance/engineering/production/personnel/industrial relations/sales/marketing) • Financial services manager (bank branch manager, finance/investment/insurance broker, credit/loans officer) • Retail sales/services manager (shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency) • Arts/media/sports (musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer, designer, illustrator,

proof reader, sportsman/woman, coach, trainer, sports official) • Associate professionals generally have diploma/technical qualifications and support managers and professionals. • Health, Education, Law, Social Welfare, Engineering, Science, 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 (NCO)

Group 3: Tradespeople, clerks and skilled office, sales and service staff • Tradespeople generally have completed a 4-year trade certificate, usually by apprenticeship. All tradespeople 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, admissions clerk) • Skilled office, sales and service staff:

o Office (secretary, personal assistant, desktop publishing operator, switchboard operator) o Sales (company sales representative, auctioneer, insurance agent/assessor/loss adjuster, market researcher) o 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:

o Office (typist, word processing/data entry/business machine operator, receptionist, office assistant) o Sales (sales assistant, motor vehicle/caravan/parts salesperson, checkout operator, cashier, bus/train conductor, ticket seller,

service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker) o Assistant/aide (trades assistant, school/teacher's 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 worker (farm overseer, shearer, wool/hide classer, farm hand, horse trainer,

nurseryman, greenkeeper, gardener, tree surgeon, forestry/logging worker, miner, seafarer/fishing hand) • Other worker (labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park attendant, crossing

supervisor)

Group 8: Unemployed for longer than 12 months *** Please note that if you have been employed in the past 12 months, please use your last job to determine the group classification.

Page 4: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

3

WORAWA ABORIGINAL COLLEGE Phone: 03 5962 4344 Fax: 03 5962 2419 Email: [email protected] Website: worawa.vic.edu.au

Student Name: Date of Birth:

STUDENT MEDICAL INFORMATION MEDICARE / CENTRELINK DETAILS

MEDICARE CARD CENTRELINK HEALTHCARE / PENSION CARD

(CRN)

Medicare Card No: Guardian Centrelink Ref No:

Student Named as No: Expiry Date: / / .

Expiry Date: / .

Student Centerlink Ref No:

!Please attach a copy of your current Medicare Card and Centerlink Healthcare Card.

!If you are not eligible for a Centerlink Healthcare Card we recommend you obtain independent Ambulance Cover.Family Health Clinic: Phone Number: Fax Number: Private Health Insurance: Yes o No o Company/Type of Cover: Ambulance Cover: Yes o No o

!Please attach a copy of your current Health Insurance and/or Ambulance Cover Policy (if applicable).

MEDICAL DETAILS Student Name: Does / has your child suffered from with any of the following: *Anaphylaxis: Yes o No o If yes please specify:

*Asthma / Breathing Issues: Yes o No o ADD / ADHD: Yes o No o

Kidney Complaints: Yes o No o Epilepsy / Fits Yes o No o Dizzy Spells: Yes o No o Black Outs: Yes o No o Sleep Walking: Yes o No o *Heart Condition(s): Yes o No o If yes please specify (e.g. Murmur): *Depression/Anxiety Yes o No o If yes please specify: Hepatitis: Yes o No o If yes please specify (A B C D E): *Diabetes: Yes o No o If yes please specify (Type 1 or 2): Allergies: Yes o No o If yes please specify:

Sore Joints: Yes o No o If yes please specify: Substance Abuse: Yes o No o If yes please specify: Sniffing / Alcohol / Marijuana / Other

Other Risk Taking Behaviour: Yes o No o If yes please specify: Hearing Impairment: Yes o No o If yes provide info (e.g. hearing aid): Sight Impairment: Yes o No o If yes provide info (e.g. glasses):

Speech Impairment: Yes o No o Other Illness / Health Issue:

Does your child have treatment, medicine or action plans for any of the illnesses above? Please provide details. (Please note that any illnesses marked with a * require an action plan from a Medical Professional): We require a Medical History for your child from your family GP or Health Service which outlines a description of current and previous health conditions. It should include current medications, action plans and management of ongoing medical conditions. All medications will be administered by the school nurse or her delegated representative. Students will not be allowed to self-administer medication except for Asthma diagnosed children. !Please provide a medical history completed by a doctor / Health Centre outlining current & past medical issues. !Please provide any current medical action plans (e.g. asthma plan) if applicable.

Page 5: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

4

WORAWA ABORIGINAL COLLEGE Phone: 03 5962 4344 Fax: 03 5962 2419 Email: [email protected] Website: worawa.vic.edu.au

IMMUNISATION We require a complete and up to date Immunisation History for your child from your family GP or Health Service.

Student Name: Date of Birth:

Legal Guardian’s Name : Phone Number:

Please refer to the Immunisation Information leaflet

o I have read and understood the information given to me about vaccination including risks and side effects. o I understand that I am giving consent for these vaccines to be administered as recommended or if a previous

immunization history is not available or is incomplete. o I understand that the Yarra Ranges Council will provide a record of vaccination to my nominated medical

provider when requested. o I understand that the immunisation provider will record vaccination details and that my child’s vaccination

details will be forwarded to the National HPV Vaccination Program Register and the relevant State/Territory Childhood Immunisation Register.

o I am aware that I am able to discuss the risks and benefits of vaccination with an immunisation provider and can contact the Yarra Ranges Council Immunisation Service on 1300 368 333 or by emailing [email protected].

o I understand that consent can be withdrawn at any time before vaccination takes place. o I am aware that this consent will be valid for the duration of my child’s enrolment at Worawa College.

Please cross out any diseases you are not providing consent for: Hepatitis

Meningococcal C

Chickenpox

Polio

Human Papillomavirus

Measles, Mumps, Rubella

Diphtheria/Tetanus/Whooping Cough

Pneumococcal (students 15 year + with a medical condition)

Season influenza vaccine (students 15 year +)

(Parent Guardian Signature) (Date)

Privacy Statement: the information you provide on this consent form will be used by the State and Australian Governments to monitor immunization programs. The data will be kept confidential and identifying information will not be disclosed for any other purpose. You can access this information by contacting your immunization provider. Personal information will be sent to the National HPV Vaccination Program Register and

used to evaluate the impact of the vaccine, for cancer research and to contact vaccine recipients if booster doses are required.

! Please provide an Immunisation history completed by a doctor / Health Centre.

COUNSELLING Is your child currently involved with any Government Department or support network? (e.g. Court System, Depart. of Children and Family Services NT etc.)

Yes o No o

Does your child have a Social Worker / Counsellor / Case Worker / Mentor who will visit this child whilst they are enrolled at Worawa Aboriginal College?

Yes o No o

If you answered yes to either question please provide details:

Organisation: Contact Name:

Phone Number: Mobile Number:

Email Address:

!Please attach a copy of any relevant Counselling supporting documentation (if applicable).

Student Name: Date of Birth:

Page 6: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

GENERAL APPLICATION LEARNER PROFILE

WHY DID YOU CHOOSE WORAWA ABORIGINAL COLLEGE? In this statement please include reasons why Worawa Aboriginal College is the best educational option for your daughter. Include details such as: school attendance, family living conditions, mental and physical health, negative peer pressure, past events or current events that may have contributed to the decision to apply to Worawa Aboriginal College.

In addition to the above statement please provide a second letter from another person to support this application. This person can be any other person other than a guardian ie: previous school teacher, family support worker, elder, friend or associate. ABSTUDY may also require a copy of this letter to support your application for ABSTUDY Funding. ABSTUDY “Living Away from Home Allowance” will only be granted if reasons fall within their Policy Guidelines. These can be viewed on line via Centrelink/ABSTUDY.

!Please provide a support/recommendation letter from a school teacher, support worker, elder, friend etc.

!Please provide a copy of student’s latest school report.

FAMILY CIRCUMSTANCES

How many people live in your home? ________ Is your home considered over crowed? Yes o No o How many official bedrooms does your home have? How many brothers? How many sisters?

Where is your daughter placed in the family ie; Eldest / Middle / Youngest or 1st 2nd 3rd …. 8th etc. _______________ Are there any special family circumstances to note? e.g. Custody issues, guardianship, sole parent etc. Yes o No o

If yes please specify:

SPECIAL NEEDS / CONSIDERATIONS Are there any special needs or considerations that may need to be considered in providing support for your child? e.g. gifted/talented, learning difficulties or disabilities, behavioural or social/emotional concerns etc. Yes o No o If yes please specify:

!Please provide any supporting documentation about Special Needs or Family Circumstances (if applicable).

Page 7: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

Student Name: Date of Birth: PARENT / GUARDIAN RELEASE OF INFORMATION

Do you give your permission for Worawa Aboriginal College staff to contact Health Clinic’s directly to obtain your child’s medical records, including immunisation records?

Yes o

Do you give your permission for Worawa Aboriginal College staff to contact schools directly to obtain your child’s school reports?

Yes o

Do you give your permission for Worawa Aboriginal College staff to act on your behalf when working with Centrelink? If yes, please complete Centrelink form: Authorising a person or organisation to enquire or act on your behalf

Yes o

PARENT / GUARDIAN MEDICAL ATTENTION CONSENT As part of our holistic approach to education, Worawa Aboriginal College provides a range of health and wellbeing services to all students as needed, these include: - Registered Nurse - Social Worker - GP visits to a female doctor - Mental Health -Wellbeing Coordinator - Fitness Instructor - Annual Health Checkups including optical /dental/ audio / Ear Nose & Throat (ENT Specialist) etc. In addition to this Worawa Aboriginal College engages with a range of external agencies to support student health and wellbeing as is needed, including; doctors, dentists, psychologists, optical/auditory practitioners, physiotherapists, hospitals, ambulances etc. The College will not accept duty of care obligations unless parents / guardians provide full and accurate disclosure of any medical conditions and medications which a student may have.

CONSENT TO MEDICAL ATTENTIONDo you give your permission for Worawa Aboriginal College staff to give medical attention to your child as outlined above?

Yes o

Do you give your permission for Worawa Aboriginal College staff to act on your behalf or accept instruction from nominated emergency contact to make medical decisions for your child, including in the event of an emergency?

Yes o

Do you give your permission for Worawa Aboriginal College staff to make all necessary medical or dental appointments required by your child?

Yes o

Do you give your permission for Worawa Aboriginal College staff to arrange any counselling or service support that is deemed necessary or requested for your child?

Yes o

Do you give your permission for PANADOL or EQUIVALENT PARACETAMOL to be administered to your child if requested?

Yes o

Do you release Worawa Aboriginal College staff from any legal liability & to acknowledge that staff will act only in the best interests of your child?

Yes o

MEDICAL POLICY ACKNOWLEDGEMENTS Most medical expenses are covered by Medicare, a valid Healthcare Card, Private Health Insurance and/or Ambulance Cover. Worawa Aboriginal College will not be held responsible for any charges associated with emergency or medical treatments, including medications and ambulance fees. If this student is not covered by Centerlink Health care card we strongly recommend Ambulance cover, as Worawa College staff will call for an Ambulance if they feel it necessary.

I have read and understood all information in the Release of Information and Medical Attention Consent sections above and give my consent where indicated above. (Parent Guardian Signature) (Date)

Page 8: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

Student Name: Date of Birth: PARENT / GUARDIAN TRAVEL CONSENT

TRAVEL TO AND FROM COLLEGE The College does not accept any responsibility for travel costs to and from the College (except as part of school programs), either for ordinary opening & closing of terms, or for travel that may be occasioned by illness, family circumstances or any other reason. Travel Policy Notes - Abstudy (if eligible) students may be funded for travel to and from their home community only. - All Abstudy travel bookings must be arranged through this office. - 1 Weeks notice is require for any travel bookings and 2 business days’ notice is needed to cancel travel. If No

shows are registered ABSTUDY may seek reimbursement and travel funding may be withdrawn. - Abstudy DOES NOT fund travel to students who are suspended or exited from the school. This remains the

responsibility of the parent/guardian. - In the event that your child is required to be removed from the College due to violent behaviour toward others and

or themselves it is agreed that that the guardian gives permission for the student to be removed from the College grounds in the best interests of all. Supervision will be arranged short term however the onus will fall to the Legal guardian to collect or arrange collection of the student within a reasonable time frame.

Parent / Guardian Responsibilities - To make sure your daughter boards the transport booked. Missing a flight / train / coach may result in ABSTUDY

no longer funding travel for your daughter to the College. - If there is a need to reschedule a flight (sorry business / illness / family business) you need to contact the College

and ABSTUDY to arrange rescheduling, *conditions apply. - To accompany your daughter, or arrange for a responsible adult to accompany your child while travelling to &

from Worawa Aboriginal College. You can choose to allow your daughter to travel independently. Nevertheless, the College must be satisfied that suitable arrangements for care of travelling students have been made & will ask parents to confirm these as a condition of ongoing enrolment.

I give permission for my child to travel independently to & from Worawa Aboriginal College, i.e. unaccompanied by a parent, guardian or other authorised responsible adult.

Yes o

TRAVEL AT COLLEGE While at Worawa Aboriginal College students will participate in many school or out of school hours activities including physical education, educational visits, entertainment activities, camps, trips shopping, visits to banks and appointments. I give permission to Worawa Aboriginal College to transport my child by official school vehicle, private vehicle or public transport as required.

Yes o

STUDENT IMAGE / VOICE & ARTWORK RELEASE IMAGE / VOICE RELEASE I hereby consent for my child’s name, likeness and voice and biographical material to be used for possible inclusion in future Worawa Aboriginal College and Worawa Aboriginal College approved third party publications this will include the internet. I agree that no fee will be made for my child’s participation and acknowledge that no additional fees will be payable. All materials produced by Worawa Aboriginal College and Worawa Aboriginal College approved third parties and all rights therein including copyright and other intellectual property shall be the sole and absolute property of Worawa Aboriginal College.

I give consent to the Image/ Voice Release as outlined. Yes o

STUDENT ARTWORK RELEASE Student artwork is primarily assumed to be owned by Worawa Aboriginal College and that copyright remains with the artist. The possibility of sale or gifting of student artwork will be agreed to by both Worawa Aboriginal College and the student(s) concerned. By signing below I give permission to Worawa Aboriginal College to act as Agent for my child. I acknowledge and consent to the arrangements with the College’s Licensing Agreement arrangement relative to the promotion / sale of artwork belonging to my child and I release the College from any claims by me for payment, misrepresentation, defamation or libel.

I consent to the Artwork Release outlined above. Yes o No o

Student Name: Date of Birth:

Page 9: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

PARENT / GUARDIAN VISITOR/LEAVE PERMISSION If you have family or friends that may be able to visit or take your child on special or weekend leave please provide their details if you allow Worawa Aboriginal College staff to release them into their care.

We recommend that persons nominated have a Current Working with Children Card. In some cases Worawa College will insist in the best interest of all parties.

Link: http://www.workingwithchildren.vic.gov.au/

VISITOR 1

Name:

Relationship to Student:

Home Address:

Home Phone Number: Mobile Phone Number: Does this person have permission to take your child off campus?

Day Leave: Yes o No o Overnight / Weekend Leave: Yes o No o

Onsite Visitation ONLY: Yes o VISITOR 2

Name:

Relationship to Student:

Home Address:

Home Phone Number: Mobile Phone Number: Does this person have permission to take your child off campus?

Day Leave: Yes o No o Overnight / Weekend Leave: Yes o No o

Onsite Visitation ONLY: Yes o

UNDESIRABLE CONTACT If a person is banned by law or you have reason to believe it is not suitable for a particular person to have contact with this student please outline details here.

Name: This person legally is not to have contact: o I prefer this person doesn’t have contact: o (select one) I have read and understood all information in the Travel Consent, Student Image/Voice & Artwork Release and Visitor Notification sections above and give my consent as indicated above. (Parent Guardian Signature) (Date)

Privacy Statement: The information you provide on this consent form will be used by the State and Australian Governments to monitor immunization programs. The data will be kept confidential and identifying information will not be disclosed for any other purpose. You can access this information by contacting your immunization provider. Personal information will be sent to the National HPV Vaccination Program Register and

used to evaluate the impact of the vaccine, for cancer research and to contact vaccine recipients if booster doses are required.

Student Name: Date of Birth:

Page 10: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

Organisation Stamp

CONFIRMATION OF ABORIGINALITY For funding and guideline purposes Worawa Aboriginal College requires that evidence is provided of each student’s Aboriginal heritage and adopts the criteria recognised by government and community: 1. Being of Aboriginal descent 2. Identifying as an Aboriginal 3. Being accepted as such by the community in which you live, or formerly lived.

.STATEMENT BY A COMMUNITY ELDER OR INCORPORATED INDIGENOUS ORGANISATION

I, _______________________ _________________ declare that _________________________________________ (Elder or Indigenous Organisation Representatives Name) (Student’s Name)

is of Aboriginal descent, identifies as an Aboriginal person & is accepted as such by our community where she currently lives, or has formerly lived.

Signed (Elder/Representative):

Indigenous Org / Community:

Date: / / .

FEES & FUNDING Families are means tested and must meet ABSTUDY criteria to be eligible for tuition, boarding and where eligible travel.

ABSTUDY approval must be finalised prior to first day of attendance or by mutual agreement by both parties and declared in writing. Government Departments placing students at Worawa Aboriginal College may be subject to further charges.

For students to receive ABSTUDY TRAVEL funding to attend Worawa College Applications to ABSTUDY must be approved under “Home Conditions”. Form SY019.1609. As we are in Melbourne students from interstate must apply under home conditions to be eligible for Travel funding.

Worawa has a NO Return fee policy

PRIVACY STATEMENT Personal information collected by Worawa Aboriginal College is for the primary purpose of gathering information for the enrolment of students at Worawa Aboriginal College. Information obtained will be maintained in a secure location as required under the Privacy Act 1988. ABN 18

371 286 615 Registered Number A0000018W

Page 11: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

MORE ABOUT THIS STUDENT

WORAWA COLLEGE PATHWAYS Worawa is committed to contributing to efforts to Close the Gap in Indigenous Education. Students are expected to actively participate, engage and contribute as a member of the Worawa community. Our curriculum is based on the Australian Curriculum and offers a number of pathways to transition to senior secondary or employment. Students must identify the pathway of their choice. Students aiming for VCE have the opportunity to apply for scholarships at a partner school. Students interested in VET /VCAL must indicate an area of interest. All students must demonstrate commitment to academic studies, attendance and engagement in a pathway stream of interest. Name of student: _________________________ DOB __________________ ________________________________________________________________________________________________

________________________________________________________________________________________________

Sports Academy Talent identification and skills development in sport and sport related activities in a range of sports. Netball [ ] Basketball [ ] Soccer [ ] AFL Football [ ] Cricket [ ] Touch football ________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

The Arts Dance [ ] Singing [ ] Music [ ] Art [ ] Media [ ] Acting [ ] ________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Caring for Country Cadet Ranger Program working with Animal Keepers at Healesville Sanctuary. ________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Hospitality Learning food handling food preparation, coffee making and working in the kitchen with our Chef ________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

Page 12: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

WELLBEING As a parent or carer you know your daughter best. Please answer these questions so that we can all help her to settle in at Worawa and support her while she is here. 1/ What is your daughter most looking forward to at Worawa?

a/ Culture b/ School c/ Sports d/ Art e/ Girls School 2/ What do you think she might find hard about Boarding School in Victoria?

a/The weather c/ Schoolwork b/ Being away from home d/ Other ----------------------------------------------

3/ What could she bring from home that would help her settle in? ________________________________________________________________________ 4/ Do you have any worries about her that we could help her with?

5/ Does she have problems getting to sleep? Yes No 6/ Is she keen to try new experiences? Yes No 7/ Does she worry a lot? Yes No 8/ Does she hurt others when she is angry? Yes No 9/ Does she keep to herself when she is sad? Yes No 10/ Does she have a lot of yarn carrying against her? Yes No 11/ Is she kind and helps others? Yes No 12/ Does she show respect for other people and their property? Yes No Is there anything during this student’s young life that has had an impact on her and that we would benefit of knowing to be able to provide her with Wellbeing support either directly or discretely?

Page 13: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

MEMORANDUM OF UNDERSTANDING BETWEEN

Worawa Aboriginal College and Student Parent / Guardian

This Agreement seeks to define the relationship between Worawa Aboriginal College and the legal guardian of individual students attending the College. Students are enrolled on the basis of a partnership of the College and legal guardians. Legal guardians must undertake to support the goals, policies and practices of the College before an enrolment will be finalised. This Agreement aims to develop mutual understanding, trust and respect between the two parties to: “Specify the shared responsibilities of the school and the guardian to create the conditions for continuous improvement in the student’s education.” CONTEXT Worawa is a boarding school that caters especially for Aboriginal girls in the middle years of secondary school, Years 7-10. The education of each student is important to us and we ask the guardian of each student to help the College achieve its aim of making Worawa a safe and happy environment which provides for each student to maximise their educational potential. WORAWA Worawa seeks to provide a safe and happy learning environment that supports each student to reach her full potential. Worawa provides:

• a holistic education to students • a safe and secure learning and living environment • help for students to live with others in a school setting • small class sizes • student support / specialised attention • each student with a personalised learning plan • quality teaching staff to deliver the curriculum • qualified health and wellbeing staff • a happy living environment with qualified, caring staff

LEGAL GUARDIAN The legal guardian needs to ensure that:

• students travel in time for the commencement of Term • bookings for flights for student travel are kept • Students are encouraged to remain at school until end of term. Approved leave may be granted for sorry

business or urgent family matters. • students encouraged to attend classes and strive for achievement • the College is aware of any special health needs: illness, medication, allergies or dietary requirements • The student has appropriate clothing, footwear and personal items for life at the College. • the College is advised if the student is on a court order, or needs to attend court at a later date • Inappropriate items such as cigarettes and aerosol cans do not accompany the student to the school. • is aware of the ABSTUDY requirements for student travel in relation to missed flights and for Sorry

Business. ATTENDANCE

• Students are to attend all scheduled classes unless certified ill by the school nurse. • Students are required to be at Circle Gathering each morning and be ready for school. • Students are required to attend classes on time. • Students should arrive at Worawa at the beginning of each term on the day that the College has booked

flights for their arrival. • Student positions at Worawa College will be withdrawn after 14 days if a student is absent and the

College has not given approved leave. FEES

Page 14: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

MMUNISATION INFORMATION

The College has a fixed base fee structure that is adjusted each year and payable each term. Parent/Guardians are to acknowledge that:

MEMORANDUM OF UNDERSTANDING Continued

• Worawa Aboriginal College and Student Parent / Guardian • Fees for boarding and tuition are payable each term; • Fees can be funded through Abstudy or paid by private arrangement; • Parent/Guardians are responsible for ensuring all fees are paid in full by the end of each term; • Parent / Guardians will be invoiced for any outstanding fees. • Worawa College has a no refund policy.

BEHAVIOUR MANAGEMENT The College believes that students and staff at the College have a right to live and work without negative impact from others. We expect students to treat others as they would like to be treated. There is the need for people to respect each other, respect the property of students and staff as well as school property. The College encourages students to accept responsibility for their own actions and to be aware of the impact of their behaviour on others. Students are also not to engage in activity that is not in accordance with College policy eg. smoking, use of inhalants etc. Consequences of negative behaviour may include:

• Verbal reprimands admonishments • Special assignments or duties • Behavioural contracts • Counselling by staff, student peers, Community Leaders, outside agencies of the Federal, state or local

governments • Withdrawal of privileges • Financial restitution for damage • Denial of attendance or participation in extracurricular activities eg sport, school outings • Detention • Temporary removal from classes • Parent conferences • Referral to outside agencies eg: police • Removal from school premises for suspension (travel expenses will be covered by the legal guardian) • Expulsion

Students failing to attend scheduled classes on a regular basis give reason for withdrawal from Worawa College. The College reserves the right to search students’ rooms and bags before entering, during and before leaving the College and in accordance with College Policy. This memorandum of Understanding (MOU) is between Worawa Aboriginal College and Legal Guardian:

_____________________________________________________________________________

Parent /Guardian of

Student name:___________________________________________________________

Parent/Guardian Signature: __________________________________Date___________

Page 15: Worawa Aboriginal College · Worawa Aboriginal College ... Yes o No o If yes please specify: ... that any illnesses marked with a * require an action plan from a Medical Professional)

IMMUNISATION INFORMATION

CHECKLIST Please ensure you have provided a copy of the following documents: ESSENTIAL

Page 1 -!Please provide a copy of student’s birth certificate.Essential

o

Page 3 -!Please attach a copy of your current Medicare Card. o

Page 3 -!Please attach a copy of your current Pension or Healthcare Card. o

Page 3 -!Please provide a medical history completed by a doctor / Health Centre outlining current & past medical issues.

o

Page 4 -!Please provide an Immunisation history completed by a doctor / Health Centre.

o

Page 5 -!Please provide a support/recommendation letter from a school teacher, support worker, elder, friend etc.

o

Page 5 -!Please provide a copy of student’s latest school report.

o

IF APPLICABLE

Page 3 -!Please attach a copy of your current Health Insurance and/or Ambulance Cover Policy (if applicable).

o

Page 3 -!Please provide any current medical action plans e.g. asthma plan (if applicable).

o

Page 4 -!Please attach a copy of any relevant Counselling supporting documentation (if applicable).

o

Page 5 -!Please provide any supporting documentation about Special Needs or Family Circumstances (if applicable).

o

TO DO

• Apply for ABSTUDY funding - Centrelink 1800 132 317

o • Once ABSTUDY is approved, please contact the Worawa

Aboriginal College Registrar to organise travel arrangements. o