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Application for Enrolment CRICOS No. 03317K
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Page 1: Application for Enrolment...2 Our Enrolment Process Parents/guardians of the student seeking enrolment should complete this document in full and return to the College along with the

Application for Enrolment

CRICOS No. 03317K

Page 2: Application for Enrolment...2 Our Enrolment Process Parents/guardians of the student seeking enrolment should complete this document in full and return to the College along with the

2 www.stpatscollege.qld.edu.au

Our Enrolment Process

Parents/guardians of the student seeking enrolment should complete this document in full and return to the College along with the following documents: Acopyofyourdaughter’sbirthcertificate.

Acopyofyourdaughter’sschoolresultsfromtheprevioustwoconsecutivesemesters.

Acopyofyourdaughter’smostrecentNAPLANresults.

Acopyofyourdaughter’ssacramentalreports(ifapplicable).

Copies of any relevant health care or mental health care reports or Individual Education Plans from external professionals asoutlinedintheSTUDENTMEDICALINFORMATIONsectionofthisform.

Copiesoffamilycourtordersorprotectionordersrelatingtothestudent,(ifapplicable). It is important that parents/guardians inform the College if the student has any additional needs such as medical, physical, learning (including giftedness) or social/emotional which requires specialised and professional attention, above and beyond the level of individual attention normally offered to students at St Patrick’s College Townsville. Please provide all relevant information in the STUDENT MEDICAL SECTION of this application and provide supporting documentation where relevant. The College reserves the right to determine its ability to meet the needs of students with additional needs.

THE ENROLMENT PROCESSOncewehavereceivedyourcompletedapplicationwewillarrangeanenrolmentinterviewwiththePrincipalordelegate.

A non-refundable enrolment application fee of $200 for day students and $250 for boarding students is payable at the time of your enrolmentinterview.

Youwillbeadvisedoftheoutcomeoftheapplicationfollowingtheenrolmentinterview.Iftheapplicationprogressesyouwillbesentaletterofoffer. CONTINUOUS DISCLOSURE - KEEPING STUDENT RECORDS UP TO DATEPlease inform the College whenever information provided on this form (addresses, contact details, medical etc) changes so that our recordsareuptodate. RESPECTING YOUR PRIVACYTheCollegerespectsyourprivacyandisboundbyrelevantlegislation.FormoreinformationonourPrivacyPolicypleasevisitwww.stpatscollege.qld.edu.au/our-college/college-policies/. ASSISTANCE WITH COMPLETING THIS FORMIfyoushouldrequireassistancecompletingthisform,pleasecontacttheCollege.

Please note, submission of this document does not guarantee enrolment.

Page 3: Application for Enrolment...2 Our Enrolment Process Parents/guardians of the student seeking enrolment should complete this document in full and return to the College along with the

Enrolment Policy

Rationale

St Patrick’s College Townsville is a community of faith, based on belief in God and the following of Christ as expressed in the charism ofMercy.ThisfaithismadeexplicitintheChristianspirtandvaluesoftheCollege.

Thefocusoftheschoolisthedevelopmentandintegrationoffaithandlearning.IntheBoardingCollege,theChristianspiritandvaluesarethefocusofcommunallife.

TheCollegewelcomesgirlswishingtoundertakeasecondaryeducation,providedthatstudentsandtheirparents/guardiansunderstandandsupporttheCollege’spoliciesandthattheCatholicityoftheCollegeinmaintained.

Enrolment Guidelines

Priority is given to Catholic students, sisters of past or present students and to those in special need, insofar as the College is able to provideresourcesforthem.

1. Thefollowingdocumentsmustbesubmittedwiththeenrolmentapplication: •Birthcertificate(copy) • School reports from two consecutive semesters, including the current year • Most recent NAPLAN report •Sacramentalcertificates(copies),ifapplicable •NZstudentswhoareresidentsofAustralia–refersection3below. • International students (Refer to the International Student Enrolment Application & Policies)

2. Boarding studentswillberequiredtoprovideevidencethattheyaremedicallyfitandhealthyatthestartoftheschoolyear.Ifstudentsareunabletoprovideamedicalcertificateregardingthestateoftheirhealth,theCollegewillorganiseforthegirlstoundergoamedicalcheckinTerm1.

3. Students who hold New Zealand citizenshipandwhoareresidentsofAustraliaarerequiredtoprovideacopyofthepersonaldetailsoftheirpassportsandacopyofthepagewiththeImmigrationDepartmentstampwhichconfirmstheirentrydateforthepurposeoflivinginAustralia.ThisinformationisrequestedtoenablethesubmissionbytheCollegeofvariousgovernmentcensus/statisticalreturnswhichrequirereportingonthesubclassesofvisasforstudentswhodonotholdAustraliancitizenship.Students’namesarenotprovidedinthesereturns.

4. An enrolment fee of$200fordaystudentsand$250forboardingstudentsisdueatthetimeoftheenrolmentinterview.Thisisanon-refundableadministrationfeeandwillbedeductedfromthefirstterm’stuitionstatement.InternationalstudentsshouldrefertotheInternationalEnrolmentApplicationForm&Policies.

5. Parents/guardiansandthestudentmustsigntheApplicationforEnrolmentandEnrolmentAgreement,CodesofBehaviourandICTServicesandPersonalElectronicDevicesPolicies.

6. AnenrolmentinterviewwillbearrangedwiththePrincipalordelegate.Yourdaughterisrequiredtoattendthisinterviewwithatleastoneenrollingparent/guardian.Followingtheinterview,youwillbenotifiedinwritingregardingtheoutcomeoftheapplication.ThePrincipalreservestherighttoenrolstudentsathis/herdiscretion.

7. IfyourdaughterisofferedaplaceattheCollege,herenrolmentwillnotbeconfirmeduntilreceiptofthesignedAcceptanceForm,signedbyatleastoneenrollingparent/guardian.

CRICOS No. 03317K 3

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Tuition and Boarding Fees

All tuition and boarding fees are to be paid by semester in advance, unless a regular payment plan has been established and agreed to bytheDirectorofFinanceandFacilities.

FeeinvoicesareissuedinFebruaryforSemester1andinJulyforSemester2eachyear.FeesaredueforpaymentwithinthefirstfortnightofeachsemesterasdetailedontheFeeStatement.

Parents/guardianswhoareunabletopayinfullbytheduedateshouldcontacttheDirectorofFinance&Facilitiespromptlyonthereceiptoftheirfeenoticetoarrangeasuitablepaymentplan.

Feesmaybepre-paidbeforethestudentcommencesattheCollege.Tuitionandboardingfeesmaybepaidbycreditcard(Visa/Mastercard),electronictransfer,directdebitorBPAY.ArrangementsmaybemadewiththeAccountsOffice.TheCollegereservestherighttorescinddiscountsintheeventoflatepayment.

Discounts (tuition fees only)• 6%discountiftuitionfeesarepaidinadvanceforthefullyearbythefirstFridayinFebruary.• DiscountsareavailableonpresentationofacurrentHealthCarecardoranAustralianDefenceForceCard.

Family RebateA family rebate is available and applies to the tuition fee only of families who have more than one daughter attending St Patrick’s CollegeTownsville.Allotherfeesandleviesarepayableinfull.• 1st student Fees and levies are payable in full• 2nd student 10% discount on tuition fees only for the 2nd student• 3rd student 25% discount on tuition fees only for the 3rd student

Wherediscountsareapplied,thegreaterconcessionwillapply.Astudentwillnotbegrantedmorethanoneconcession(includingsiblingdiscount)atanyonetime.

Individual Fee Payment ProgramsFamiliesareabletoarrangeafeepaymentplanwhichistailoredtotheirfinancialsituation.Forinformation,pleasecontacttheDirectorofFinance&Facilities.

Non Payment of Fees by Due DateTheCollegewillfollowuponoverduefeeaccounts.TheCollegewillfollowgenerallyacceptedprocedurestocollectanyoutstandingfees.Iffamiliesdefaultonpaymentarrangements,theCollegewillrefertheaccountforcollectiontoourDebtCollectionAgents.Iffees and levies are outstanding, students may not be permitted involvement in the Instrumental Music Program and may not be able tobeinvolvedintripsawayorganisedbytheCollege.

ItisthepolicyoftheCollegethatonefullterm’snoticeinwritingisrequiredifastudent’sparents/guardianswishtowithdrawherenrolment.Intheabsenceofsuchnotice,oneterm’sfeeswillbepayable.

Forstudentswhowillnotbecontinuinginthefollowingyear,noticeinwritingisrequiredby31October.Nodeductions/rebatesoffeesaregivenfordelaysinreturningtoschoolafterschoolvacationsorforabsencebythestudentduringtheterm.

Notice of Withdrawal of Student

Page 5: Application for Enrolment...2 Our Enrolment Process Parents/guardians of the student seeking enrolment should complete this document in full and return to the College along with the

Application forEnrolment

CALENDARYEAROFCOMMENCEMENT: YEARLEVEL:

ENROLLINGAS:(please circle) DAYSTUDENT BOARDINGSTUDENT

SURNAME:(As recorded on birth certificate)

FIRSTANDMIDDLENAMES:(as recorded on birth certificate)

PREFERREDNAME:(If different to above)

DATE OF BIRTH: COUNTRY OF BIRTH:

NATIONALITY: RELIGION:

WHAT IS THE STUDENT’S RESIDENCY STATUS? (please tick)

AUSTRALIAN CITIZEN PERMANENT RESIDENT TEMPORARYVISAHOLDER (visa number)

IFBORNOVERSEAS,WHATDATEDIDTHESTUDENTARRIVEINAUSTRALIA?

COUNTRYOFCITIZENSHIP:

INDIGENOUS STATUS: (please tick)

ABORIGINAL TORRES STRAIT ISLANDER BOTHABORIGINAL&TORRESSTRAITISLANDER NEITHER

LANGUAGESOTHERTHANENGLISHSPOKENATHOME(INCLUDESINDIGENOUSDIALECT):

CURRENTSCHOOLATTENDING:

PREVIOUSSCHOOLSATTENDED:

IS THE STUDENT REPEATING? (please circle) Yes / No

HASTHESTUDENTBEENSUSPENDEDOREXCLUDEDFROMANOTHERSCHOOL?(please circle) Yes / No

If so, please provide the reason

STUDENT’SPOSITIONINTHEFAMILY:

NAME/SOFSIBLING/SWHOATTENDTHECOLLEGE:

WHODOESTHESTUDENTLIVEWITH?

STUDENT’SRESIDENTIALADDRESS:

STUDENT’SMOBILENUMBER:

IS THE STUDENT OF A DEFENCE FORCE FAMILY? (please circle) Yes / No

IS THE STUDENT A CHILD IN THE CARE OF THE STATE? (please circle) Yes / No

ARETHEREANYCULTURALREQUIREMENTSOFWHICHTHECOLLEGESHOULDBEAWARE?Yes / No

If yes, please specify

STUDENT’SINTENDEDMODEOFTRANSPORTTOANDFROMSCHOOL:

Please note, students who intend driving to school are asked to complete a Student Driver form, available from the College Office on request.

Student Details

CRICOS No. 03317K 5

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Sacraments

RECEIVED (please tick) DATE CHURCH / PARISH/TOWN

Baptism Yes No N/A Reconciliation Yes No N/A Eucharist Yes No N/A Confirmation Yes No N/A

Mother / Primary Female Guardian or Guardian 1

(please tick) Mrs Ms Miss Dr Cr Prof Other

SURNAME:

FIRSTANDMIDDLENAMES:

RELATIONSHIPTOTHESTUDENT:

RESIDENTIALADDRESS:

POSTALADDRESS:

MOBILEPHONENUMBER/S:

WORKPHONENUMBER: HOMEPHONENUMBER:

EMAIL:

OCCUPATION:

EMPLOYER:

HEALTH CARE CARD? Yes NoCardNumber: Expiry: (please provide copy)

DEFENCE CARD? Yes NoCardNumber: Expiry: (please provide copy)

COUNTRY OF BIRTH: NATIONALITY:

INDIGENOUSSTATUS:(please tick)

ABORIGINAL TORRES STRAIT ISLANDER BOTHABORIGINAL&TORRESSTRAITISLANDER NEITHER

LANGUAGESOTHERTHANENGLISHSPOKENATHOME(INCLUDESINDIGENOUSDIALECT):

RELIGION:

ARE YOU A PAST STUDENT OF THE COLLEGE? (please tick) Yes No

If yes, what year did you finish school or leave the College?

If yes, would you like to join our Alumni Database? Yes No

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CRICOS No. 03317K 7

Father / Primary Male Guardian or Guardian 2

(please tick) Mr Dr Cr Prof Other

SURNAME:

FIRSTANDMIDDLENAMES:

RELATIONSHIPTOTHESTUDENT:

RESIDENTIALADDRESS:

POSTALADDRESS:

MOBILEPHONENUMBER/S:

WORKPHONENUMBER: HOMEPHONENUMBER:

EMAIL:

OCCUPATION:

EMPLOYER:

HEALTH CARE CARD? Yes NoCardNumber: Expiry: (please provide copy)

DEFENCE CARD? Yes NoCardNumber: Expiry: (please provide copy)

COUNTRY OF BIRTH: NATIONALITY:

INDIGENOUS STATUS: (please tick)

ABORIGINAL TORRES STRAIT ISLANDER BOTH ABORIGINAL & TORRES STRAIT ISLANDER NEITHER

LANGUAGESOTHERTHANENGLISHSPOKENATHOME(INCLUDESINDIGENOUSDIALECT):

RELIGION:

Parent / Guardian Information

The following refers to the person/s responsible for the day-to-day care of the student, and with whom the student lives.

CUSTODIALPARENTS/GUARDIANSARE:(please tick)

Married De facto Separated Divorced Other

Please attach copies of family court orders or protection orders relating to the student, if applicable.

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8 www.stpatscollege.qld.edu.au

ItisthepolicyoftheCollegethatonefullterm’snoticeinwritingisrequiredifastudent’sparents/caregiverswishtowithdrawherenrolment.Intheabsenceofsuchnotice,oneterm’sfeeswillbepayable.

Forstudentswhowillnotbecontinuinginthefollowingyear,noticeinwritingisrequiredby31October.Nodeductions/rebatesoffeesaregivenfordelaysinreturningtoschoolafterschoolvacationsorforabsencebythestudentduringtheterm.

NAMEOFMOTHER/GUARDIANORGUARDIAN1:

SIGNATURE:

NAMEOFFATHER/GUARDIANORGUARDIAN2:

SIGNATURE:

Notice of Withdrawal of Student

Payment of Fees

Pleaseprovidethedetailsoftheperson/swhowillberesponsibleforthepayment of fees and levies. Invoices for fees will besentdirectlytotheperson/snamedbelow.Bysigningthisdocumentyouagreetoberesponsibleforallschoolfeesandotherexpensesincurredbythestudent.

NAME/S:

POSTALADDRESS:(If different to above)

EMAIL:(If different to above)

SIGNATURE/S:

DATE:

I/WeagreethatfeesandleviesaresubjecttochangeassetoutintheFeesSchedule.

IFPAYMENTISTOBEMADEBYANEXTERNALORGANISATION,PLEASESTATE:

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CRICOS No. 03317K 9

INFORMATION COLLECTIONStPatrick’sCollegeTownsvillecollectsandrecordspersonal,sensitiveandhealthinformationfromstudentsandparents/guardiansbeforeandduringthecourseofthestudent’senrolmentattheCollege.

PURPOSE OF COLLECTIONTheprimarypurposeofcollectingandrecordingthisinformationistoenabletheprovisionofqualityCatholiceducation.Inaddition,someoftheinformation we collect and record is to satisfy the College’s legal obligations, particularly to enable the College to discharge its duty of care to studentsandparents/guardians.

DISCLOSURE OF INFORMATIONThis information may be disclosed by the College for administrative and educational purposes to others, including, but not limited to, State and FederalgovernmentdepartmentssuchasEducationQueensland,TownsvilleCatholicEducationOffice,QueenslandCurriculum&AssessmentAuthority,Non-StateSchoolsAccreditationBoard,DepartmentofEducation,EmploymentandWorkplaceRelations,DepartmentofImmigrationand Citizenship (for international students), other systemic schools, medical practitioners and persons providing services such as visiting teachers andconsultants.

PRIVACY StPatrick’sCollegeTownsvilleisboundbytheAustralianPrivacyPrinciplescontainedintheCommonwealthPrivacyAct.AcopyoftheCollegePrivacyPolicyisavailableonlineatwww.stpatscollege.qld.edu.au/our-college/college-policies/.

INFORMATION REQUIREDIfwedonotobtainthepersonal,sensitiveorhealthinformationreferredtoabove,wemaynotbeabletoenrolthestudent.

By completing and submitting this Enrolment Application Form, you have confirmed your understanding of, and agreement to the above.

ADDITIONAL INFORMATION REQUESTED BY THE TOWNSVILLE CATHOLIC DIOCESE For all students, both Catholic and non-Catholic.

Catholicschoolshavealonghistoryofapastoralrelationshipbetweentheschoolandthelocaldiocesanparish.Infact,Catholicschoolsareagenciesofthediocese,andassuch,seektobeanintegralpartofthelifeoftheirparish.Thissometimesrequiresanexchangeofinformation(eg:forsacramentalpreparation)betweentheschoolandtheparish/diocese.Thiswouldincludenamesandcontactdetailsoffamilies,thereligionofstudentsandparents/guardians,andwhetherornotstudentsdescribedasCatholichavecelebratedthesacramentsofBaptism,Reconciliation,EucharistandConfirmation.Relevantparish/diocesanstaffwilltreatthisinformationwiththesameconfidentialityasdoschoolstaff.

Please acknowledge, by ticking YES and signing below, that you have read and accept that the school may provide contact details and some other relevantinformationtotheparishanddiocesanofficeifrequired,toassisttheirpastoralwork.

Ifyoubelievethereisagoodreasonforyourfamily’sinformationnottopassedonasdescribed,pleasetickNO.

Yes I/Weam/arewillingforthefamily’sinformationtobesuppliedtotheparish/diocesanoffice

No I/Weam/arenotwillingforthefamily’sinformationtobesuppliedtotheparish/diocesanoffice

MOTHER/FEMALEGUARDIAN/GUARDIAN1:

SIGNATURE:

FATHER/MALEGUARDIAN/GUARDIAN2:

SIGNATURE:

Enrolment Information Collection & Privacy

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Non-Identifiable Data Collection

TheCollegeisrequiredtoseektheinformationasoutlinedbelow.Thisinformationwillbeusedtoenablenationallycomparablereporting of students’ outcomes against the Ministerial Council on Education, Employment, Training and Youth Affairs (MCEETYA) NationalGoalsforSchoolinginthe21stCentury.Thebackgroundinformationwillbereportedatanaggregatedlevel.NO individual student or parent/guardian will be identifiable. DOESTHESTUDENTORPARENTS/GUARDIANSSPEAKALANGUAGEOTHERTHANENGLISHATHOME?(If more than one language other than English is spoken at home, please indicate the language that is most often spoken).

STUDENT PARENT/GUARDIAN1 PARENT/GUARDIAN2

English only

Indigenous (Kriol or Creole)

Italian

French

German

Cantonese

Arabic (including Levanese)

Greek

Vietnamese

Mandarin

Tagalog (Filipino)

Spanish

Japanese

Other, please state

WHATISTHEHIGHESTYEAROFPRIMARYORSECONDARYSCHOOLTHEPARENTS/GUARDIANSHAVECOMPLETED?(For persons who have never attended secondary school, please tick Year 9 or equivalent or below)

PARENT/GUARDIAN1 PARENT/GUARDIAN2

Year12orequivalent

Year11orequivalent

Year10orequivalent

Year9orequivalentorbelow

WHATISTHELEVELOFTHEHIGHESTQUALIFICATIONSTHEPARENTS/GUARDIANSHAVECOMPLETED?

PARENT/GUARDIAN1 PARENT/GUARDIAN2

BachelorDegreeofabove

AdvancedDiploma/Diploma

Certificate1-IV(includingTrade)

Otherqualifications(pleaselist)

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CRICOS No. 03317K 11

Occupation (Please select the appropriate parental occupation group from the list below)

OCCUPATIONGROUPOFMOTHER/FEMALEGUARDIAN/GUARDIAN1:

OCCUPATIONGROUPOFFATHER/MALEGUARDIAN/GUARDIAN2:

• Ifthepersonisnotcurrentlyinpaidwork,buthadajobinthelast12monthsorhasretiredwithinthelast12months,please usetheperson’slastoccupation.• Ifthepersonhasnotbeeninpaidworkinthelast12months,pleaselistnumber“8”inthespaceabove.

List of Occupation Groups

GROUP 1: Senior management in large business organisations, government administration and defence, and qualified professionals.

Senior executive/manager/department headinindustry,commerce,mediaorotherlargeorganisation.Public service manager (sectionheadorabove),regionaldirector,health/education/police/fireservicesadministrator.Other administrator -collegeprincipal,facultyhead/dean,library/museum/gallerydirector,researchfacilitydirector.Defence Forces - CommissionedOfficer.Professionals - generallyhaveadegreeorhigherqualificationsandexperienceinapplyingthisknowledgetodesign,developoroperatecomplexsystems;identity,treatandadviseonproblems;andteachothers.Health, education, law, social welfare, engineering, science, computingprofessional.Business -managementconsultant,businessanalyst,accountant,auditor,policyanalyst,actuary,valuer.Air/sea transport - aircraft/shipcaptain/officer/pilot,flightofficer,flyinginstructor,airtrafficcontroller.

GROUP 2: Other business managers, arts/media/sportspersons and associate professionals. Owner/managerofafarm,construction,import/export,wholesale,manufacturing,transport,realestatebusiness.Specialist manager -finance,engineering,production,personnel,industrialrelations,sales,marketing.Financial services manager - bankbranchmanager,finance/investment/insurancebroker,credit/loansofficer.Retail sales/services manager - shop,petrolstation,restaurant,club,hotel/motel,cinema,theatre,agency.Arts/media/sports -musician,actor,dancer,painter,potter,sculptor,journalist,author,mediapresenter,photographer,designer,illustrator,proofreader,sportsperson,coach,trainer,sportsofficial.Associate professionals - generallyhaveadiploma/technicalqualificationsandsupportmanagersandprofessionals.Health, education, law, social welfare, engineering, science, computingtechnician/associateprofessional.Business/administration -recruitment/employment,industrialrelations,trainingofficer,marketing/advertisingspecialist,researchanalyst,technicalsalesrepresentative,retailbuyer,office/projectmanager.Defence Forces - SeniorNon-CommissionedOfficer.

GROUP 3: Tradesmen/women, clerks and skilled office, sales and service staff. Tradespersons - generallyhavecompletedafour-yeartradecertificate,usuallybyapprenticeship.All tradespersons are included in this group. Clerks -bookkeeper,bank/PostOfficeclerk,statistical/actuarialclerk,accounting/claims/auditclerk,payrollclerk,recording/registry/filingclerk,bettingclerk,stores/inventoryclerk,purchasing/orderclerk,freight/transport/shippingclerk,bondclerk,customsagent,customerservicesclerk,admissionsclerk.Skilled office, sales and service staff: Office -secretary,personalassistant,desktoppublishingoperator,switchboardoperator.Sales -companysalesrepresentative,auctioneer,insuranceagent/assessor/lossadjuster,marketresearcher.Service -aged/disabled/refuge/childcareworker,nanny,meterreader,parkinginspector,postalworker,courier,travelagent,tourguide,flightattendant,fitnessinstructor,casinodealer/supervisor.

GROUP 4: Machine operators, hospitality staff, assistants, labourers and related workers. Drivers, mobile plant, production/processing machinery and other machinery operators. Hospitality staff - hotelservicesupervisor,receptionist,waiter,barattendant,kitchenhand,porter,housekeeper.Office assistants, sales assistants and other assistants: Office - typist,workprocessing/dataentry/businessmachineoperator,receptionist,officeassistant.Sales -salesassistant,motorvehicle/caravan/partssalesperson,checkoutoperator,cashier,bus/trainconductor,ticketseller,servicestationattendant,carrentaldeskstaff,streetvendor,telemarketer,shelfstacker.Assistant/aide -trades’assistant,college/teacher’saide,dentalassistant,veterinarynurse,nursingassistant,museum/galleryattendant,usher,homehelper,salonassistant,animalattendant.Labourers and related workers:Defence forces - ranks below senior NCO included in Groups 1 and 2 aboveAgriculture, horticulture, forestry, fishing, mining worker -farmoverseer,shearer,wool/hideclasser,farmhand,horsetrainer,nurseryattendant,greenkeeper,treesurgeon,forestry/loggingworker,miner,seafarer/fishinghand.Other workers - labourer, factory hand, store person, guard, cleaner, laundry worker, trolley collector, car park attendant, crossing supervisor.

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Enrolment Agreement

STUDENTNAME:

YEAROFENTRY:

YEARLEVEL(GRADE)OFENTRY:

Thepartiestothisagreementare:StPatrick’sCollegeTownsville(“the College”)andtheparent/parents/legalguardian/legalguardians(“I/We”) of the named student AND, to the extent permitted by law, the named student (“the student”).

In this agreement, the expression “College Principal” includes any person from time to time acting as Principal, or any staff members for thetimebeingcarryingoutthedutiesorexercisingtheauthorityofthePrincipal.

I/Weacceptthefollowingconditionsonwhichtheofferofenrolmentwasmade:

1. The College PrincipalrepresentstheCollegeinallmattersconcerningthisagreementandhasmadethisofferofenrolment,subjecttotheconditionshereinforandonbehalfof,andwiththeauthorityoftheCollege.

2. A breach of any one of the conditions of this agreement constitutes a breach of this agreement and may result in the cancellation of the student’senrolment.

3. The College Principalorher/hisnomineehasauthoritytoapplywhateverdisciplinarymeasuresareappropriateornecessaryinrelationtoanybreachofthisagreement.“Disciplinarymeasures”includesadecisiontosuspendand/ortoexcludeastudentforanycauseorbreachjudgedbytheCollege Principal,inher/hisabsolutediscretion,tobesufficient.Ifthestudentisexcluded,thisagreementisatanend(referPAYMENTOFFEES).

4. The studentmustattendandparticipatein,totheextentapplicable,thefollowingcompulsoryCollegeevents:- BeginningofYearMass- St Patrick’s Day Mass- Mercy Day Mass - End of Year Mass- SubjectSelectionEveningsforYear8and10(goingintoYear9and11)- College sports carnivals including swimming, athletics and cross country- Retreats, camps and pastoral days- Speech Night

5. The StudentmustcomplywiththeCollegerules,CodeofBehaviour,uniformregulationsandpoliciesforthetimebeinginforceandI/WewillkeeptheCollegeindemnifiedagainstanylossordamagecausedbyanyfailureofthe studenttoobservetheaforesaid.I/We also understand that the student is expected to act at all times in accordance with the values and rules of the College and that breaches inthisregardcouldleadtoacancellationofanenrolment.

I/WeagreethattheCollegerules,CodeofBehaviour,uniformregulationsandpoliciesmaybeamendedatanytimeuponnotification beinggivenbytheCollegeofsuchamendments.

I/We agree that by accepting this offer, I/WehavereadandunderstoodtheCollegerules,CodeofBehaviour,uniformregulations andpoliciesoftheCollegeasinforceandpublishedontheCollegewebsite:www.stpatscollege.qld.edu.auandthatI/We have provided theCollegewithanemailaddresstowhichtheCollegemaynotifyme/usandthestudentofanyamendmenttotheCollegerules,Codeof Behaviour,uniformregulationsandpolicies.

Student Details

Conditions

Attendance at compulsory events in the college calendar

Compliance with College Rules and Policies

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CRICOS No. 03317K 13

6. TheCollegeisaCatholicschool.The student must participate in the spiritual and religious life of the College, irrespective of whether the studentisnon-Catholic.

7. Intheabsenceofanymedicalconditions(whichisrequiredtobesubstantiatedbywrittendocumentationfromadulyqualifiedmedicalpractitioner) which prohibits or potentially will affect the health of the student, participation in all curricular sporting and extra-curricular activities conducted with the approval of the College, including but not limited to College camps, excursions, retreats and functions,isrequired.Ifthe student doesnot,withoutsufficientcause,participateinsuchactivities,theCollege Principal, may in her/hisabsolutediscretion,cancelthestudent’senrolment.

8. Attendanceatallclassesiscompulsory.Ifthe student is absent from any class or classes due to illness or family emergency, a written explanationfromtheparent/s/guardian/smustbeprovidedimmediatelyuponthestudent’sreturntotheCollege.ForYears10-12,inthecaseofabsenceduetoillness,unlessotherwiseagreedwiththeDeputyPrincipal,amedicalcertificatemustbeprovidedtotheDeputyPrincipal immediately upon the student’sreturntotheCollege.

9. The College has policies in place that outline responses and processes in regards to bullying and forms part of this agreement.

10. The College prohibits the use of drugs, alcohol and tobacco and forms part of this agreement.

11. The College has policies in place to address academic dishonesty and forms part of this agreement

12. The College has policies in place for ICT Services and personal device usage and forms part of this agreement.

13. I/We acknowledge that, unless otherwise agreed in writing with the College, I/We, as parent/s / legal guardian/s are jointly and severally liable for the payment of fees and levies. Should any fees or levies not be paid by the due date, then the College Principal may, in her/his absolute discretion, suspend or cancel the student’s enrolment at the College and the College may take legal action to recover outstanding fees and levies. If fees and levies are outstanding, students may not be permitted involvement in the Instrumental Music Program and may not be able to be involved in trips away organised by the College.

14. If the student is to leave the College, I/We will give written notice, addressed to the College Principal:

a)Bynolaterthanthefirstdayofthetermattheendofwhichitisintendedthestudentwillleave,or

b)Ifitisintendedsheshouldleaveduringaterm,notlaterthanthefirstdayoftheprecedingterm.If I/We fail to provide notice in accordance with the aforesaid requirements, the College reserves the right to invoice me/us for one term’s fees.

15. Absence due to illness or holidays taken during term time does not constitute a claim for exemption from payment of fees.

16. In the event of any medical or other emergency arising in which the College Principal considers it impossible or impractical to communicate with the undersigned parents/guardians, the College will take all reasonable care of the student, but will not be responsible for the costs of any ambulance, medical or dental attention or treatment administered to the student in such an event, nor willitberesponsibleforanyomissionofanymedicalordentalpractitionerormedicalofficerattendingortreatingthe student, including attention provided at the College Health Centre.

Participation in College Life and Attendance

Bullying: Prohibited

Use of Drugs, Alcohol or Tobacco: Prohibited

Academic Dishonesty

ICT Services and Personal Electronic Devices Policies

Payment of Fees

Medical Emergencies

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14 www.stpatscollege.qld.edu.au

17. I/We consent that in respect of any decision to be made by the College Principal concerning the welfare of the student, where the student has more than one parent/guardian with legal authority in relation to the welfare of the student, the College Principal, subject to any Court Order to the contrary, is authorised to accept any direction or consent from any one parent or guardian as the case may be, and thereupon, any decision made or action taken by the College Principal is deemed to be with the express authority of all parents or guardians, as the case may be.

18. I/We consent to the student participating in all normal curricular, sporting and extra-curricular activities conducted with the approval of the College, such as work experience, camps and retreats, excursions and functions and I/We consent to the student travelling by College bus, or on any form of public or private transport, where such transport is deemed in the reasonable opinion of the College Principal to be necessary or desirable.

19. The consent I/We have given is valid at all times while the student is in the custody of the College, including but not limited to, such times as the student is on the school grounds, is present at school camps or is attending or participating in a work experience program, excursion or function..

20. I/We will keep the College informed of any changes to the student’s life and circumstances that could affect or impact upon her school life/participation. I/We acknowledge this obligation to be ongoing.

22. I/We have made full and frank disclosure of all information requested by the College for the purposes of the College offering enrolment to the student. I/We have not withheld any information in respect of behaviour (including past conduct at any previous school), or concerning the welfare, health (mental and physical) or academic performance of the student, from the College.

WAIVERS23. a) Right in favour of the College under this agreement, subject to any express provision of this agreement to the contrary, may be waived

prospectively or retrospectively in writing, signed by the College Principal. b) No other act, omission or delay by the College will constitute a waiver of a right.

EXERCISE RIGHTS24. A single or partial exercise or waiver by the College of any right relating to this agreement will not prevent any other exercise of that right or

the exercise of any other right.

REMEDIES CUMULATIVE25. The rights provided under this agreement are cumulative and not exclusive of any rights provided by law.

TIME26. Time is of the essence in respect of any obligation of the parent/s/guardian/s, and to the extent permitted by law, the student.

WHOLE AGREEMENT27. a) This agreement supersedes all prior representations, arrangements, understandings and agreements between the parties and represents the

entire complete and exclusive understanding and agreement between the parties relating to the subject matter of this agreement.

b) The parties acknowledge and agree that they have not relied on any written or oral representation, arrangement, understanding or agreement not expressly set out or referred to in this agreement.

c) In the event of any inconsistency between any material published by the College from time to time (for example the College Prospectus or College Policies) and this agreement, the agreement will prevail.

SEVERANCE28. If any provision of this agreement shall be, or be determined to be illegal, invalid, void or voidable, the legality of validity or the remainder of this

agreement will not be affected and will continue in full force and effect.

GOVERNING LAW29. a. This agreement shall be governed by and construed in accordance with the laws of Queensland.

b. The parties each irrevocably and unconditionally submit to the non-exclusive jurisdiction of the Courts of Queensland, whether State or Federal, and each waivers any immunity or any objection it may have to any action in those Courts and to a claim that any action has been brought in an inconvenient forum or to those Courts not having jurisdiction.

BINDING FORCE OF AGREEMENT30. This agreement will be binding and will remain in force for the duration of the student’s enrolment at the College.

Consent and Obligations: Welfare of Students – Sporting & Extracurricular Activities

Warranty of Full Disclosure

Miscellaneous

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CRICOS No. 03317K 15

ST PATRICK’S COLLEGE TOWNSVILLE

NOTE: The College requires, where possible, both parents/guardians to sign. However, if only one parent/guardian is available to sign, this agreement is, in such event, deemed to be binding.

I/WetheundersignedagreetotheconditionsassetoutinthisEnrolmentAgreement.

STUDENTNAME:

STUDENTSIGNATURE:

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

MOTHER/FEMALEGUARDIANORGUARDIAN1SIGNATURE:

FATHER/MALEGUARDIANORGUARDIAN1NAME:

FATHER/MALEGUARDIANORGUARDIAN1SIGNATURE:

NAME:

POSITION:

SIGNATURE: DATE:

Astudentmustnotengageinbullyingatanytimeoratanyplace.Bullyingisaformofabuse.Itcomprisesrepeatedactsovertimethatinvolvesarealorperceivedimbalanceofpower,withthemorepowerfulindividualorgroupabusingthosewhoarelesspowerful.PleaserefertotheStPatrick’sCollegeTownsvilleRespectfulBehaviourAnti-BullyingPolicyavailableontheCollegewebsitewww.stpatscollege.qld.edu.au/our-college/college-policies/.

“Bullying” is defined to include:

i. Anydisseminationofanyinformation(includingbyelectronicmeanssuchasemail,textmessages,onlineandsocialmedia)which,intheCollege Principal’s opinion is, or could be considered to be, harassing, threatening, intimidating, denigrating, embarrassing, humiliating, demeaning,disrespectfulorrudeinrespectofanyotherstudent,thatstudent’sfamilymembersorthatstudent’sfriends.

ii. Anyformofdirectorindirectphysicalcontactwithanotherstudentthat,intheopinionoftheCollege Principal,wasintendedtoand/ordoescausesomeformofphysicaland/orpsychologicaland/oremotionalpainordiscomforttotheotherstudent.

iii. Anydirectorindirectinterferencewiththepersonalpropertyofanotherstudentthat,intheopinionoftheCollege Principal, was intendedtoand/ordoescausesomeformofphysicaland/orpsychologicaland/oremotionalpainordiscomforttoanotherstudent.

AGREEMENT:

AgreetocomplywiththeCollege’sProhibitionPolicyinrespectofbullying.IfurtheragreethatshouldIbeinvolvedinabreachofthepolicy,Iwill undertake to assist the College in respect of providing any information, data or other material of whatsoever kind, concerning the breach, and further to accept any disciplinary measure as may be decided as appropriate by the College Principal.

Ihavereadtheagreementandunderstandmyobligationunderit.

1, (student name)

Agreement

Bullying

STUDENTNAME:

STUDENTSIGNATURE:

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

MOTHER/FEMALEGUARDIANORGUARDIAN1SIGNATURE:

FATHER/MALEGUARDIANORGUARDIAN2NAME:

FATHER/MALEGUARDIANORGUARDIAN2SIGNATURE:

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16 www.stpatscollege.qld.edu.au

Prohibition Policy: Drugs, Alcohol, Tobacco

A student must not at any time or any place: i. KnowinglyhaveinherpossessionanydangerousdrugasdefinedintheDrugsMisuseAct(Qld)oranyotherprescriptiondrugsthatare not prescribed for the student (“dangerous drugs” and “other prescription drugs” are hereinafter referred to as “prohibited substances”), and/oradministerorsupplytoherselfanyprohibitedsubstance,orpermit,allow,aid,and/orencourageanotherpersontoadminister/supply tothatperson,aprohibitedsubstance.

ii. Knowinglyhaveinherpossessionanypieceofequipmentforuseinconnectionwiththesmokingorconsumptionoradministrationofsuch prohibitedsubstance.

iii. Knowinglyhaveinherpossessionalcoholortobaccoand/orconsumeoruseorpermit,allow,aidand/orencourageanotherpersonto consumerorusealcoholortobacco.

AGREEMENT:

AgreetocomplywiththeCollege’sProhibitionPolicyinrespectofdrugs,alcoholandtobacco.IfurtheragreethatshouldIbeinvolvedinabreachof the policy, I will undertake to assist the College in respect of providing any information, data or other material of whatsoever kind, concerning the breach, and further to accept any disciplinary measure as may be decided as appropriate by the College Principal.

Ihavereadtheagreementandunderstandmyobligationunderit.

Astudentmustnotengageinanypractice/actthatwouldconstituteacademicdishonestyatanytimeoranyplace.Academicdishonestyisanyaction or practice on the part of the studentthatunderminesthepurposesofassessment.Thisincludescheatingandplagiarism.Academicdishonesty,byanymeanswhatsoever,inanyformofassessmentisstrictlyprohibited.Ifthe studentisfoundto:

i. Beinvolvedinanydishonestoraided,encouragedorassistedanyotherstudentorstudentstocheat;or

ii. Possessknowledgeofanystudentorstudentswhohaveparticipatedinacademicdishonestyanddespitesuchknowledgefailedtoreportsuch breaches at the earliest opportunity available to the College Principal or the Deputy Principal or a teacher;

Thestudentwillbesubjecttosuchdisciplinarymeasures,includingimmediatesuspensionorexclusion,astheCollege Principal,inher/hisabsolutediscretion,deemsappropriate.

AGREEMENT:

AgreetocomplywiththeCollege’sProhibitionPolicyinrespectofacademicdishonesty.IfurtheragreethatshouldIbeinvolvedinabreachofthe policy, I will undertake to assist the College in respect of providing any information, data or other material of whatsoever kind, concerning the breach, and further to accept any disciplinary measure as may be decided as appropriate by the College Principal.

Ihavereadtheagreementandunderstandmyobligationunderit.

1, (student name)

Prohibition Policy: Academic Dishonesty

1, (student name)

STUDENTNAME:

STUDENTSIGNATURE:

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

MOTHER/FEMALEGUARDIANORGUARDIAN1SIGNATURE:

FATHER/MALEGUARDIANORGUARDIAN2NAME:

FATHER/MALEGUARDIANORGUARDIAN2SIGNATURE:

STUDENTNAME:

STUDENTSIGNATURE:

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

MOTHER/FEMALEGUARDIANORGUARDIAN1SIGNATURE:

FATHER/MALEGUARDIANORGUARDIAN2NAME:

FATHER/MALEGUARDIANORGUARDIAN2SIGNATURE:

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ICT Services and Personal Electronic Devices Policies

ACCEPTABLE USE OF ICT SERVICES POLICY & ACCEPTABLE USE OF PERSONAL ELECTRONIC DEVICES (BYOD) POLICYStPatrick’sCollegevaluestherolethattechnologyplaysinenhancingtheteachingandlearningprocess.Allstudentsarerequiredtobringadevicetoschooleveryday.Thesedeviceswillbeusedinclasstosupportstudentlearning.

StudentsarerequiredtoreadandsignAcceptable Use of ICT Services Policy and Acceptable Use of Personal Electronic Devices Policy. BothdocumentsarelocatedonourCollegeWebsiteviathefollowinglinkwww.stpatscollege.qld.edu.au/our-college/college-policies/

PARENT/GUARDIAN ACKNOWLEDGEMENTIagreethatIhavereadandunderstoodanddiscussedwithmydaughter/student: Acceptable Use of ICT Services Policy Acceptable Use of Personal Electronic Devices PolicyIagreetothetermsandconditionsasoutlinedbytheabovementionedpolicies.Iacceptthat,whileteacherswillalwaysexercisetheirdutyofcare,thenatureoftheinternetissuchthatstudents’mayattimeshaveaccesstoinappropriatematerialandthatitisajointresponsibilitytodevelopinstudentstheappropriateresponsetosuchmaterial.IunderstandthatthenetworkremainsthepropertyoftheCollegeandthattheschoolretainstherighttoaccessinformation(includingtheirfiles,emailsetc.)onthenetworkatanytime.IunderstandthattofullyintegratetheuseofInformation Technology and the internet into the Curriculum and co-curricular life at the College, student produced material may be included on schoolwebsite.

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

SIGNATURE: DATE:

FATHER/MALEGUARDIANORGUARDIAN2NAME:

SIGNATURE: DATE:

SCHOOL LIABILITY STATEMENTStudentsbringtheirownpersonaldevicetouseatStPatrick’sCollegeTownsvilleattheirownrisk.Itistheirdutytoberesponsiblefortheupkeepandprotection(includinganti-virussoftware/securitysettings)oftheirowndevices.

StPatrick’sCollegeTownsvillewillNOTberesponsiblefor: Personaldevicesthatarebroken/damagedwhileatschoolorduringschoolbasedactivities Personal devices that are lost or stolen at school or during school-based activities Maintenanceorupkeepofanypersonaldevice(keepingitcharged,installingupdates,fixingsoftwareorhardwareissues),Schoollicensed softwarewillnotbeinstalledonstudentpersonaldevices.

STUDENT ACKNOWLEDGMENT I agree to abide by the St Patrick’s College Townsville Acceptable Use of ICT Services Policy and all policies pertaining to the use of personaldevicesattheCollege. I acknowledge that the College will not be liable for any devices damaged, broken or stolen at school or on school-related activates Iwillbringmypersonaldevice/stotheCollegefullychargedeverydayandwillonlyusethedeviceforschoolrelatededucationalpurposesat school. I understand that should I breach any of the College regulations pertaining to the use of laptops, mobile phones or the internet while at school maymeanIforfeittheopportunityofusingmyownpersonaldeviceatschool.

SIGNED(STUDENT): DATE:

SIGNED(PARENT/GUARDIAN): DATE:

SIGNED(SCHOOLOFFICIAL): DATE:

CRICOS No. 03317K 17

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Code of Behaviour

TheCodeofBehaviouratStPatrick’sCollegeTownsvilleisbasedonthevaluesoftheMercytradition,andpromotesthefullnessoflifeandnurturesexcellenceinlearningforallyoungwomeninajoyfulenvironment.InaccordancewiththeChristianspiritandvalues,studentsareexpectedtodemonstrate:

Respect for themselves A sensitivity to the needs of others Respect for the reputation of the College

We work in partnership with each student’s family in developing a Christian basis for social behaviour and expect our families to support the Code ofBehaviourandotherCollegepolicies.ItistheresponsibilityofeachstudenttobehaveinaccordancewiththisCode.

We also set specific guidelines in a number of areas which affect College life:

1. All students are expected to take responsibility for their own learning and to work diligently, participate fully and prepare carefully for all classes.IrresponsiblebehaviourattheCollegeordefianceoftheauthorityofastaffmemberwillnotbetolerated.

2. Studentsmusttakeprideintheirappearance,andtothisend,theiruniformsareexpectedtobecleanandingoodcondition.AllstudentsarerequiredtowearthecorrectCollegeuniformtoallCollegefunctionsandforsportingfixtures.Hairistobetiedbackwhenitreachesthecollarandcolouristoremaintruetoitsnaturaltone.JewelleryistobekepttoaminimumaspertheCollegeHandbookandUniformPolicy.Studentsmustbeinfullschooluniformfromhometohomeandmustnotweartheuniformwithnon-uniformitemsatanytime.

3. Drugs,includingtobaccoandalcoholarenotpermittedatschool.Alcoholshouldnotbeofferedtoyoungpeopleandparents/guardiansare remindedthatthepurchaseofalcoholisillegalforthoseundertheageofeighteen(18).

4. StudentswillbehaveatalltimesinamannerwhichwillnotdetractfromthefinereputationenjoyedbythatstudentbeingamemberofthisCollege.Offensivebehaviour,includingtheuseofoffensivelanguage,smoking,drinkingofalcohol,takingdrugs,stealingorbullyingwillnotbetolerated.AstudentcommittingsuchanoffencemaybeaskedtoleavetheCollege.

5. While the College encourages students’ freedom of speech, students must be mindful of the way they publish their thoughts to ensure they arenotoffensiveorhurtfultomembersoftheCollegecommunity.Student-publishedcommunication,inprintoranyelectronicform,mustvaluethedignityofeachpersonandstrengthenourCollegecommunity.

6. Mistreatment of property reveals a lack of concern for the owner of that property, whether the owner is an individual, the College or the community,andassuch,thisbehaviourisstrictlyforbidden.

7. All students are strongly encouraged to participate in the broad range of extra-curricular pursuits provided at the College and to encourage theinvolvementoftheirpeers.Allareexpectedtoattend,evenifonlyspectators,themajorannualeventsofCollegelifeeg:SpeechNight,sportingcarnivalsandotherfunctionsheldfromtimetotime.

8. ItisarequirementthatstudentsareinattendanceatallweeklyCollegeassembliesandchurchservices,includingschoolMassesandliturgies.SingingisanintegralpartoftheculturallifeatStPatrick’sCollege,andstudentsareexpectedtoparticipateinthegatheringoftheCollegecommunitythroughthesingingoftheNationalAnthem,hymnsandsongsincludingtheCollegesong.

9. AstudentwhoacceptsmembershipofaCollegeteam,cluborsociety,alsoacceptsthecommitmentsinvolvedinthatmembershipeg:attendanceattrainingorrehearsals.

10.AllmustrecognisethattherearecertainlegalresponsibilitiesinvolvedinattendanceattheCollege.Inparticular,astudentmaynotleavethegroundsforanypurposeduringtheschooldaywithoutleaveapprovalfromamemberoftheCollegeadministration.Theparent/guardianmustsignthestudentoutatStudentReceptionondepartureandsignbackinupontheirreturn.AfteranabsencefromtheCollege,astudentmustproduceanabsencenotesignedbytheparent/guardian.Exceptinthecaseofillness,astudentmustbeinattendanceonalldaysonwhichtheCollegeisopen,unlessspecialleavebythePrincipalhasbeengranted.

11.Asaconditionofastudent’senrolmentattheCollege,parents/guardiansagreetobeboundbyallCollegepolicieswhichinclude,butarenotlimitedto,non-bullyingandharassmentofstaffandotherstudents.TheCollegehasanobligationtoitsstaffandstudentstoprovideasafeandenjoyableworkingandlearningenvironment.Ittakesthisresponsibilityveryseriouslyandwillexerciseitsrightstoensuretheseobligationsareachieved.

12.Thereisanexpectationthatparents/guardianscooperatewithteachersandadministrators.ThereisalsoanexpectationthatparentsrequiretheirchildrentoupholdtherulesoftheCollege.TheCollegereservestheunconditionalrighttosuspendorasktoleave,anystudentwhoseconductforanyreasonisdeemedbytheadministrationoftheCollegetobeunsatisfactory.

Guidelines

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GUIDELINES FOR PLAYERS

Playersareexpectedtobemodestinsuccessandgenerousindefeat.Playersarealsoexpectedtoacknowledge,willinglyandopenly,goodplaybyeitherteam/school.

Playersshouldbewhole-heartedintheirapproachtogamesandshouldadherestrictlytotheletterandthespiritoftherulesorthelaws.Therefereeorumpire’sdecisionisfinal,andtheCaptainoftheteamistheonlyonewhomayaskforclarificationofadecision.

Playersshallneverresorttoverbalorphysicalabuse. Playersshouldbepunctualandwell-presentedinaccordancewiththespecificsportuniformoftheirchosenactivity. Attheconclusionofthegame,staff,referees,umpiresandotherofficials(scorers,touchjudgesetc)shouldbethanked. Playersshouldnotapplaudtheopposition’smistakes.

Code of Conduct for Sport

STUDENTNAME:

STUDENTSIGNATURE: DATE:

MOTHER/FEMALEGUARDIANORGUARDIAN1NAME:

SIGNATURE: DATE:

FATHER/MALECAREGIVERORGUARDIAN2NAME:

SIGNATURE: DATE:

CRICOS No. 03317K 19

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Student Medical InformationPlease Complete All Sections

Student Details

FIRSTNAME: SURNAME:

DATEOFBIRTH: BOARDER/DAY(please circle)

YEAROFENTRYTOTHECOLLEGE: YEARLEVELATENTRY:

Consideration will be given to the ability of the College to meet the needs of the student. Parents/guardians must fully inform the College of any special needs of the student and the College reserves the right to determine its ability to meet those needs. Where relevant information relating to the student’s learning needs is not disclosed, the College will have the right to terminate this enrolment.

Medical Information

STUDENT’SDOCTOR:

PHONENUMBER:

STUDENT’SDENTIST:

PHONENUMBER:

MEDICARE NUMBER: POSITION ON CARD:

EXPIRY:

PRIVATEHEALTHCAREFUND:

Emergency Contacts

Intheeventthatneitherparent/guardiancanbecontacted,pleaseprovidethenamesandbestphonecontactsfortwo additional emergency people:

EMERGENCYCONTACTPERSON(1):

RELATIONSHIPTOSTUDENT: PHONE:

EMERGENCYCONTACTPERSON(2):

RELATIONSHIPTOSTUDENT: PHONE:

Please note, students will not be released into the custody of these or any other persons unless specifically requested by the parent/guardian whose details are outlined in this document.

Medical Consent: Please Sign If You Give Consent

I/WEcommittoinformtheCollegeofanychangestotheinformationprovidedinthisformasandwhennecessary.Thisconsentshallremainvalidunlesswithdrawnandnotifiedbyme/usinwriting.CollegeproceduresintheeventofaccidentorillnessareoutlinedontheCollegewebsiteatwww.stpatscollege.qld.edu.au

SIGNED: DATE:

SIGNED: DATE:

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Medical History

ALERTS: PLEASEPROVIDEBRIEFINFORMATIONABOUTTHEFOLLOWINGTHATSTAFFSHOULDBEAWAREOF:

(If none, please write nil)

CURRENTHEALTHISSUES:

MEDICALALERTS:

ALLERGIES:(Further details are requested overleaf)

SPECIALNEEDS:

Immunisations

IS THE STUDENT TAKING ANY REGULAR MEDICATION? (please circle) NO / YES If yes, please specify:

MEDICATION:

DOSAGE: FREQUENCY:

OTHERREGULARMEDICALTREATMENTS:

Please note, school staff will not administer any drugs or other medication (including Panadol) except those prescribed by a doctor andsuppliedinacontainerbearingapharmacist’slabelstatingthestudent’sname,dosageandtime/sforadministration.TherequestforadministrationofthemedicationmustbeaccompaniedbyaMedicationConsentForm.

Current Medications & Treatments

Under the Queensland Public Health Act 2005 Chapter 5, legislation is in place to protect all students against contagious conditions that are preventable by vaccine. Enrolment is dependent upon immunisations being completed or an approved exemption recorded.

FULLYIMMUNISEDASPERRECOMMENDEDSCHEDULE.PLEASETICKBELOW.

AUSTRALIANCHILDHOODIMMUNISATIONEXEMPTIONCLAIMED:ACOPYOFTHISEXEMPTIONMUSTBEATTACHED.

VACCINATIONS: ADDITIONAL VACCINATIONS:

HEPATITISBVACCINE(HEB) TUBERCULOSIS

COMBINEDDIPHTHERIATETANUSPERTUSSIS(DTP) ROTAVIRUS

POLIOMYELITISORALORINJECTABLE(OPV) DEPTHERIA AND TETANUS (CDT)

HAEMOPHILUSINFLUENZATYPEB(HIB) TWINRIXVACCINE(COMBINEDHEPITITUSA&B)

MEASLES,MUMPS&RUBELLA(MMR) INFLUENZA (FLU)

VARICELLA(CHICKENPOX)(VZV)

PNEUMOCOCCAL(PVC)

CRICOS No. 03317K 21

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Medical Concerns & Conditions

PLEASEINDICATEIFTHESTUDENTHASAFFECTEDBYORSUFFERSFROMANYOFTHEFOLLOWING:Please provide details or the management plan for those marked*

PRENATAL CONCERNS ALLERGIES *Refer below

BIRTHCONCERNS ANAPHYLAXIS*

POSTNATAL CONCERNS ASTHMA *Refer below

VISIONCONCERNS EPILEPSY/CONVULSIONS*

HEARING CONCERNS OTHER, PLEASE NAME

SPEECH CONCERNS NONE OF THE ABOVE

MANAGEMENTPLAN:(Please provide details or attach)

Asthma Please complete if you ticked the box above indicating your child suffers from Asthma.

HASYOURCHILDBEENTOHOSPITALDUETOASTHMAINTHEPAST12MONTHS?(please circle) YES / NO

HASYOURCHILDBEENTREATEDWITHORALCORTISONEINTHEPAST12MONTHS?(please circle) YES / NO

DOESYOURCHILDHAVEANACTIONPLAN?If yes, please outline in the space above YES / NO

CURRENTRELIEVER: CURRENTPREVENTER:

OTHERMEDICATIONSTAKENFORASTHMA:

Allergies and Treatments Please list allergies and treatments. If none, write Nil or N/A

MEDICATIONS: TREATMENT:

FOOD: TREATMENT:

INSECTS: TREATMENT:

OTHER: TREATMENT:

Childhood Diseases Please indicate if your child has had any of the following:

CHICKENPOX GLANDULARFEVER MUMPS

MEASELS WHOOPING COUGH RUBELLA(GERMANMEASLES)

RHEUMATICFEVER CROUP OTHER, PLEASE SPECIFY

Other If none, write Nil or N/A

PLEASELISTANYSURGERIES,INJURIES,DISORDERSORRECURRINGILLNESSES:

ARETHEREANYSPORTSOROTHERPHYSICALACTIVITIESINWHICHTHESTUDENTSHOULD NOT PARTICIPATE?

NO/YESPlease specify

ISTHEREOTHERMEDICALINFORMATIONOFWHICHTHECOLLEGESHOULDBEAWARE?

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CRICOS No. 03317K 23

HAS YOUR DAUGHTER PARTICIPATED IN ENRICHMENT PROGRAMS? Yes NoIf yes, please attached documentation

HASYOURDAUGHTEREVERRECEIVEDLEARNINGSUPPORT? Yes No

Hasyourdaughtereverbeenverified? Yes NoIf yes, please state current level:

HASYOURDAUGHTEREVERREPEATEDASCHOOLYEAR? Yes NoIf yes, please state the year level that was repeated:

HASYOURDAUGHTEREVERBEENACCELERATED?(Skippedayear) Yes NoIf yes, please state the year level that was skipped:

HASTHESTUDENTBEENASSESSEDORTREATEDBYANYOFTHEFOLLOWINGSPECIALISTSERVICES?

SERVICE YES/NO NAME OF CENTRE/PRACTITIONER

DATE OF FIRSTVISIT

IS YOUR CHILD ATTENDING NOW?

Child Guidance Yes No

Speech Pathologist Yes No

Occupational Therapist Yes No

Physiotherapist Yes No

Psychiatrist Yes No

Psychologist Yes No

Specialist Clinic Yes No

Audiology Clinic Yes No

Learning Support Yes No

Paediatrician Yes No

Optometrist Yes No

EducationGuidanceOfficer Yes No

Other, please specify

Special Assessment

Education History

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Disability Verification Information

DOESTHESTUDENTHAVEADISABILITYTHATHASBEENFORMALLYVERIFIEDORDIAGNOSED THROUGH PROFILING FOR AN EDUCATION ADJUSTMENT PROGRAM (EAP)? Yes No IFYES,PLEASEINDICATEBELOWTHESTUDENT’SCURRENTASCERTAINED/VERIFIEDDIAGNOSIS.Please attach documentation.

CATEGORY PLEASE TICK LEVEL(IFAPPLICABLE)

Intellectual Impairment

VisionImpairment

Speech Language Impairment

Hearing Impairment

Physical Impairment

Social Emotional Disorder

Autism Spectrum Disorder

ADDITIONAL INFORMATION:PLEASEINDICATEANYOTHERPHYSICAL,SOCIAL/EMOTIONALORINTELLECTUALCONDITIONSWHICHMAYAFFECTLEARNINGOROTHERSCHOOLACTIVITIESORWHICHMAYREQUIREADDITIONALOREMERGENCYATTENTIONATSCHOOL.If none, write Nil or N/A.

College Procedures in the Event of Accident or Illness

MINOR AILMENTS ThestudentwillreporttoStudentReceptionwheretheymaybeassistedordirectedtovisittheHealthCentreforFirstAidcare. TheHealthCentrewillassessandtreatthestudentasrequired.Iffurthercareisrequiredforboardingstudents,theywillbereferredtoappropriatehealthprofessionals.

MINOR INJURIES ThestudentwillreporttoStudentReceptionforassessmentandthendirectedtotheHealthCentreforFirstAid. Ifthestudentisinjuredwhileplayingsport,theyshouldreporttotheircoach/teacherinthefirstinstance. Treatmentswillbedocumentedinthestudent’spersonalmedicalrecordsandifpresented,thestudent’sdiarywillbestamped.

SERIOUS ILLNESS/INJURY REQUIRING A DOCTOR OR HOSPITAL Thestudent’sparent/guardianwillbecontactedwherepossible. TheHealthCentrewillbecalledtothesiteoftheinjury/illnessand/orthestudenttransferredtotheHealthCentrewhereFirstAidwillbeadministered.

Inanemergency,oronadvicefromtheHealthCentre,thestudentwillbetakenbyambulanceorothersuitablevehicletothenearesthospital.

MEDICATION PROCEDURES Allparents/guardiansarerequestedtoinformtheCollegeHealthCentreofanymedicationsbeingtakenbytheirdaughter/s. AllmedicationstakenduringtheschooldayshouldbestoredintheHealthCentreunlessotherarrangementsaremadewiththeHealthCentre. AllmedicationsadministeredbytheHealthCentrewillberecorded.

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CRICOS No. 03317K 25

PRESCRIPTIONS AND RESTRICTED MEDICATIONS: AssistancewillbegivenbytheHealthCentreintheadministrationofprescriptionmedication,whenrequestedinwritingbyparents/guardians,orasprescribedbyadoctor.

Assistance will be given by the Health Centre in the administration of restricted medication (such as Ritalin, Dexamphetamine) after receiving documentationfromthedoctororparent/guardian.

Instructionsregardingchangestotheoriginaldosageoflong-termorrestrictedmedicationsmustbeinwritingfromthedoctororparent/guardian.

The Health Centre may only administer or assist with the administration of any medication if the medication is provided in its original container withalabelclearlydisplayingthestudent’snameandrequireddosage.

TheHealthCentrewillarrangeforthelocalpharmacytofillprescriptionsforboardingstudents. AllmedicationswillbestoredinalockedcupboardintheCollegeHealthCentre. NON-PRESCRIPTION OR OVER THE COUNTER MEDICATIONS:The following non-prescription medications are held in the College Health Centre for the relief of minor pains, coughs, colds, fever or allergies.

PLEASE INDICATE YES/NO BESIDE EACH MEDICATION THAT YOU AUTHORISE THE COLLEGE TO ADMINISTER TO YOUR DAUGHTER, IF REQUIRED.

Panadol Gastrolyte BrondeconCoughMixture

Nurofen Dexsal Senegar Cough Mixture

Disprin Mylanta Rikodene Cough Mixture

Panadeine Cold Sore Cream Throat Gargle

Sudafed Anti-InflammatoryGel Throat Lozengers

Orthoxical Heat Rub Claratyne

Auralgin Ear Drops Hirudoid Telfast

Acetopt Eye Drops Anti-Fungal Cream Phenergan

Please list below any other non-prescription medications that your daughter may need and the name of the condition being treated:

NON-PRESCRIPTIONMEDICATION:

TOTREATCONDITION:

Medical Consent – Please Sign If You Give Consent

I/WegiveconsenttotheproceduresandinformationprovidedinthisdocumentandcommittoinformingtheCollegeofanychangestotheinformationI/wehaveprovided,asandwhennecessary.Thisconsentshallremainvaliduntilitiswithdrawninwritingbyme/us.

MOTHER/FEMALE GUARDIAN OR GUARDIAN 1NAME:

SIGNATURE: DATE:

FATHER/MALE CAREGIVER OR GUARDIAN 2 NAME:

SIGNATURE: DATE:

Important Notes

TheCollegewillnotsupplymedicationofanytypetostudents.

Studentsarenotpermittedtokeepanymedicationwiththem(eitherontheirpersonorintheirschoolbagorlocker).

Ifyourdaughterrequiresregularmedication(suchasparacetamolforperiodicailments)youmaysendasupplyofthesetotheCollegeOfficewheretheywillbestoredforherprivateuse.Writtenpermissionforthemedicationtobedispensedtoyourdaughterandinstructionsregardingthedosagemustaccompanythissupply.

StudentswhouseAsthmamedicationshouldsupplyasparepuffertotheCollegeOfficesoitmaybestoredfortheirprivateuse.Thesameconditionsapplytotheuseofthismedication.AnAsthmaActionPlanfromyourdoctorshouldbecopiesandattachedwithyourenrolmentapplication.

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26 www.stpatscollege.qld.edu.au

MediaConsent

St Patrick’s College Townsville promotes the College and the achievements of students through the use of social, online, digital and traditional mediaaswellasinprintedandonlinepublications,signageandotherpromotionalmaterials.Assuchstudentsmaybephotographedorfilmedforinclusioninthesemarketingactivitiesornamedforothercontentpurposessuchasarticles,newslettersandsocialmediaposts.ApprovedCollegeimages or stories containing information about student achievements and activities may also be provided to media and other relevant Catholic andeducationalorganisationsforpromotionalpurposes,suchastheTownsvilleCatholicEducationOffice,theTownsvilleCatholicDiocesanOffice,QueenslandCatholicEducationCommissionandtheNationalCatholicEducationCommission.

IfyouwouldpreferyourchildisNOTincludedinanymediaorpromotionalactivityasoutlined,pleaseindicatebelow.

Decliningtoconsenttomediawilltakeeffectfromthedateofenrolment.Thiswillberecordedinthestudent’senrolmentrecordsandallnecessary action will take place (where possible and feasible) to ensure the child is not included in any promotional images or content on any platform.Thiswillremainuntilotherwisenotifiedbythechild’sparents/guardians.

YES,I/WEGIVECONSENTFORMY/OURDAUGHTERTOBEINCLUDEDINALLPROMOTIONALACTIVITIESOWNEDANDMANAGEDBYTHECOLLEGE,ASOUTLINEDABOVE.IF,HOWEVER,THEREISAPARTICULARMEDIUMTHATI/WEDONOTWISHMY/OURDAUGHTERTOBEINVOLVEDIN,PLEASESTATE.

I/WEUNDERSTANDANDAGREETHATIFI/WEWISHTOWITHDRAWTHISCONSENT,ITISMY/OURRESPONSIBILITYTOINFORMTHECOLLEGE.

NO,I/WEDONOTGIVEMEDIACONSENTFORANYACTIVITYASOUTLINEDABOVE.

MOTHER/ FEMALE GUARDIAN OR GUARDIAN 1 NAME:

MOTHER/ FEMALE GUARDIAN OR GUARDIAN 1 SIGNATURE:

FATHER/ MALE GUARDIAN OR GUARDIAN 2 NAME:

FATHER/ MALE GUARDIAN OR GUARDIAN 2 SIGNATURE:

STUDENT NAME:

DATE OF BIRTH:

YEAR LEVEL OF ENTRY:

STUDENT SIGNATURE (IF AGED 15+):

How Did You Hear About St Patrick’s College Townsville? (Please tick boxes that apply)

Current family of the College Websiteand/orsocialmedia

Parent/relativeisapaststudent Advertising

Recommendation from a current family of the College Open Day

Principal’s visit to primary school Other College event

Word of mouth

Why Did You Choose St Patrick’s College Townsville? (Please tick boxes that apply)

Current family of the College Pastoral care

Parent/relativeisapaststudent/familyconnection Academic standards and opportunities

All-girls education Reputation of the school

Catholic/Mercyschool/valuesandmission Boardingfacilities

Size of the College College bus service

Location Other, please list

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ParentEngagement

Parent/guardianengagementisvitalforadynamicandhealthyschoolcommunityandwearecommittedtoensuringthatourparents/guardiansfeelconnectedandengagedthroughouttheirtimeinourCollegecommunity.

Parent/guardianengagementstartswithyourenrolmentinterviewandtourofthecampus.Thisisagreatopportunitytoaskquestionsandprovideuswithasmuchinformationaspossibleaboutyourdaughtersothatwecanprovideasmoothtransitionforherandyourfamily.Afteryourenrolmentprocesshasbeenconfirmedandfinalised,thereareanumberofotherwaysyoucanengageinthelifeoftheCollege.

• Year7ExperienceDay-Providesnewparents/guardianswithinformationabouttheYear7programandanintroductiontoyourmainpointofcontact,yourdaughter’sHeadofHouseandHeadofYear7.

• Boarders’OrientationWeekend-Mums/femaleguardiansareinvitedtostaywiththeirdaughtersfortheweekendpriortoschoolstarting,asawayofprovidingacomfortingtransitiontoboardinglife.

• ParentWelcomeEvening-Asocialgatheringforallparents/guardians,hostedbyourP&F.HeldonthefirstFridayeveningofWeek1,Term1.

• AcademicConferences-StudentledAcademicConferencesthroughouttheyear.

• P&FMeetings-Agreatopportunitytojoininpositive,contributingconversationabouttheCollege.Pleasenote,ourP&Fisanon-fundraisingentity.PleasevisitourP&Fpageonthewebsitewww.stpatscollege.qld.edu.au

• CollegeEvents-Agreatopportunitytomeetwithotherparents/guardiansandenjoyhospitalityandentertainment.

• CollegeMasses–Parent/guardiansareinvitedtoattendourCollegesMassesheldfourtimesayear-BeginningofYearMass,StPatrick’sDayMass,MercyDayMass(September),EndofYearMass.

• CollegeAssembliesandLiturgies–Parents/guardiansareinvitedtoattendourassemblies,inparticularthosespecialassembliesheldfortheDiligenceAwards,AcademicAwards,ANZACDay,NAIDOCWeek,PNGIndependenceDayetc.

• SpeechNight-Acelebrationofourstudents’academicandleadershipachievementsthroughouttheyear.

• Women’sCareerNetwork-Weinvitepaststudents,currentparent/guardiansandfriendsoftheCollegetoactasmentorstoourYear11and12studentsfortheircareeraspirationsthroughthisprogram.

Ifyouhaveothersuggestionsorskills/resourcesthatcanassisttheCollege,wewelcomeyourcontribution.

College Communications

• Regular newsletters during term time, emailed to parents and uploaded to the website

• Social media posts (Facebook, Instagram, Twitter, Linkedin)

• Collegecalendar-providedonthewebsite(homepage)andinCollegenewsletters.

• Collegenotices-sectiononthewebsitehomepagethatprovidesimportantinformationandupdates.

• Groupemails/SMS/letterstoparents/guardianswhenrequired.

ForacopyofourCommunicationsPolicy,visitourwebsitewww.stpatscollege.qld.edu.au/our-college/college-policies/

CRICOS No. 03317K 27

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