BCC Student Application Form
ID:0 | 23/02/2019 |
Recipient: Guest
Originator: Guest
1 1. Student Details
1. Student Details
2 2. Family Information
2. Family Information
3 3. Additional Information
3. Additional Information
4 4. Signatures
4. Signatures
* Mandatory fields | 
Print
1
Enrolment Acknowledgment

  • The enrolment fee is $200. The Administration fee is not refundable nor does the ‘Application For Enrolment’ guarantee a position in the College. Please note there is a 0.4% surcharge for this credit card payment
1
Guest Info

Full Name *

Email Address *
1
Enrolment Acknowledgment

Privacy

I/We have read the College’s Privacy Policy and agree to its terms.

Liability and indemnity

I/We agree that the College is not liable for the loss of the child’s personal effects.

I/We indemnify the College against any loss or damage caused by any failure by me/us or the child to comply with this Agreement, the College’s policies and the College’s rules.

I/We indemnify the College against any loss or damage caused by the wilful disobedience or reckless behaviour of the child.

Failure to comply with the terms of this Agreement

I/We acknowledge that a breach of the above terms may result in revocation of an offer of enrolment, or the child’s suspension or removal from the College, at the sole discretion of the College.

General

I/We agree that our financial obligations (fees) under this contract are joint and several.

I/We acknowledge that that the College will not enter into disputes arising from disagreements between parents over responsibility for paying College Fees.

I/We agree to authorise the College to act on the direction of any one parent or guardian.

I/We agree that this contract forms the entire agreement in relation to your child’s enrolment.  This contract supersedes all prior communications, contracts, or agreements between you and the College in relation to your child’s enrolment, whether oral or written.

This contract is governed by the laws of the Australian Capital Territory.

I have read the Enrolment Agreement. http://www.bcc.act.edu.au/lyneham/enrol/how-to-enrol

  *


As part of the enrolment process, this document will need to be signed.  *
1
New Enrolment

Student First Name *

Student Surname *





Home Address
Suburb

State *

Postcode

Country *



Date of Birth *

Sex *

Position in Family *



Are you an Australian Citizen: *

Does student identfy as Aboriginal or Torres Strait Islander *

If the above answer is ‘No’ 

What is your Permanent Residency Visa number?

Please note: Brindabella Christian College usually accepts students with a Permanent Residence Visa.  

Students on other visas are required to pay the full fees of the college and the amount of governement funding.  Your fees will be required upfront.


For Students from overseas 

Date of arrival in Australia
Did student participate in a new arrivals programme

Languages Spoken at Home *

Is English an additional language for the student? *

Main language spoken


Religious Affiliation *

Church Attending (if applicable)

If coming from an ACT School, please list Student ID number.
How many years of schooling has the student had? *

List School's attended and year of attendance *

Current Year Level

Has schooling ever been interrupted? *

If yes how long for and for what reason?

Has the student ever received additional support at school? *

Please provide reason for support and level of support provided

Has the student ever been referred for additional evaluation? *

Please provide details

Proposed Year of Commencement  *

Proposed Academic Year Level at Commencement *

Which BCC Campus *

What year level do you anticipate your child completing their education at BCC?  *

Does the student have siblings at Brindabella Christian College? *


1
Enrolment Needs

Are there any physical, medical, intellectual or behavioural circumstances (disability or additional needs) regarding your son/daughter of which the College should be aware? *

Please attach:

  • Individual Learning Plan
  • Psychological reports
  • Specialist reports
  • Special needs diagnosis
  • Action Plan

Please detail any long term medication being taken.

Is there any other information that may affect the education of this child?
2
Father's Information

Father's Title *



Father's Name *

Father's Surname *

Same as student address  *



Father's Residential Address

(only complete if different from the students)
Suburb

Postcode


Same as student address  *



Father's Postal Address
Suburb

State
Postcode

Father's Occupation *

Father’s Religion

Father's Place of Business
Father's Phone No (home) *

Father's Phone No (business)
Father's Mobile Number *

Father's Email *

Father was a past student *

If a past student of the College, what was your final year and year level?
2
Mother's Information

Mother's Title *



Mother's First Name  *

Mother's Surname *

Same as student address  *



Mother's Residential Address (only complete if different from the students)
Suburb

Postcode


Same as student address  *



Mother's Postal Address (only complete if different from Fathers)
Suburb

State
Postcode

Mother's Occupation *

Mother’s Religion

Mother's Place of Business
Mother's Phone No (home) *

Mother's Phone No (business)
Mother's Mobile No *

Mother's Email *

Mother was a past student *

If a past student of the College, what was your final year and year level?
2
Sibling Information

Please list names and birthdates of siblings who have attended or may (in future) attend 
3
Additional Information

I will *

Please note: Copies of these documents are required for applications to proceed.

Birth Certificate

Immunisation Record

Passport and Visa (if applicable)

Previous School Reports

Previous NAPLAN Reports (last 12 months) (if applicable)
3
Early Learning Centre

Early Learning Centre Options
This choice covers an ELC programme for 2 years (P3 & PK). Any request for change will be dependent upon a place being available.
3
Additional Information

How did you hear about us? *

If 'Other' please comment
3
Billing Information

Account Owner *

Billing Address  *

Suburb *

State  *

Postcode
Country  *
4
Declaration

The applicant’s enrolment is subject to vacancies existing at the time. Receipt of Application for Enrolment form does not automatically guarantee the child’s enrolment at the College as assessment and interview procedures, subject to the Principal’s discretion, will follow.
4
Signatures

Parent / Carer 1 Signature:
Date: *

Parent / Carer 1 Name: *