Dubbo School of Distance Education Single Course Provision Application – 2022 Effective 1 September 2021
Myall Street, Dubbo NSW 2830 Tel: 02 5804 7000 Fax: 02 6884 0777 Email: [email protected]
https://dubbo-d.schools.nsw.gov.au
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Single Course Provision Application - 2022 Applications must be submitted via email above by November 10, 2021, and finalised by February 16, 2022
Student Information Surname: First Name:
Date of Birth: Sex:
Is the student of Aboriginal or Torres Strait Islander origin?
Student Mobile: Student NESA No.:
Student School Email:
Student Home Email:
Student is currently or has previously enrolled in a NSW DoE School:
If yes, please supply Enrolment Registration Number (ERN):
Home School Information School: School ID No.:
Number of secondary students enrolled at your school:
Supervisor Title: Supervisor Name:
Supervisor Email:
School Postal Address:
School Phone No.
Course Requested Only courses listed in the Dubbo School of Distance Education Single Course Provision Information handbook are available through Dubbo School of Distance Education
Student’s current school year (2021):
Course requested for 2022:
Year 9 Year 10 Year 11 Year 12
2 Unit Compressed* 1 Unit Extension
Home School Checklist
ITEM YES N/A OFFICE
USE ONLY
ITEM YES N/A OFFICE
USE ONLY
Shared on ERN Languages Eligibility Determination
Evidence for category Current Risk Assessment
NCCD Details Individual Health Care Plan
NESA VET Evidence plus USI ASCIA Plan (if required)
*Must be approved by DSODE before applying
1 Unit
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Student’s Undertaking
• I have read the information for students and I understand the conditions for single course provisions. • I agree to do my work diligently and return work weekly. • I agree to contact my teacher and to be contactable by my teacher at Dubbo School of Distance Education
regularly.
By signing below the student agrees to all of the abovmentioned conditions.
Course Requested:
Student’s Signature: Date:
Reason for Application
Please refer to Distance Education Enrolment Procedures 2021 Booklet for full explanation of enrolment category criteria & DSODE Single Course provision Information handbook.
Please tick the relevant category Application where the quota applies:
Access to an elective course Yrs 9 & 10
Access to meet NESA minimum requirements for HSC (Must not exceed 13 units in Year 11 and 11 units in Year 12 including subject on this application)
Access to meet needs of student with special circumstances
School requiring flexible curriculum to facilitate accreditation
Application not subject to quota:
Transfer from another school* (May include student on recognised exchange program)
Date of transfer:
Previous school:
Single course languages (small cohort) Vocational education training* (VET) in a remote school.
• Has the student completed any VET competencies. If yes – please provide the NESA print out of competencies achieved.
• The student has read and acknowledged the requirements of studying a VET course. (See Preliminary & HSC Course Information Booklet) available on DSODE school website: http://www.dubbo-d.schools.nsw.edu.au/ Select the ‘Enrolment’ tab (top of page) – Year 11 2022 HSC 2023 Course Information
Student with confirmed disability
Full fee-paying overseas student Exceptional circumstances*
Director Public Schools NSW approval required. Please complete Distance Education Supplement – Extraordinary Circumstances Application for Single Course Provision
* Please enclose any evidence and/or documents provided.
Principal’s Statement of Support.
Principal’s Name: Signature: Date:
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Course Information
Previous study of requested course area Where a student has already begun study of the requested course it is essential that the following information be supplied.
RoSA grade: Preliminary Course satisfactorily completed?
Mark/grade at last assessment: Date of last assessment:
Topics already covered – Preliminary and/or HSC topics completed:
1.
2.
3.
4.
5.
Courses to be studied in 2022
Students in Years 9 and 10
Where a Year 9 or 10 student wishes to study an elective course, it must replace a school elective course. For example, if the school is offering six courses – English, Mathematics, Science, HSIE and Elective 1 and Elective 2 – the Distance Education course must replace one of the six courses. In the case of schools offering seven courses – English, Mathematics, Science, HSIE and Elective 1, Elective 2 and Elective 3 – likewise the distance education course must replace one of these courses.
List the electives this student will study in 2022 including the requested distance education course:
Students in Years 11 and 12
The maximum number of units studied by a student including the distance education course cannot exceed thirteen (13) units in Preliminary (Year 11) and eleven (11) units in HSC (Year 12)
List the courses this student will study in 2022 including the requested distance education course:
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Parent/Carer Details – This contact will be listed to receive all official correspondence from the school
Title: Full Name:
Relationship to Student:
Home Address:
Town: State: Postcode:
Preferred Phone: Other Phone:
Email Address:
Student Residency Status
Is the student an Australian Citizen?
Student’s Residency status: Permanent Temporary
Country of Birth: If born overseas, date of arrival in Australia:
Is English the main language spoken at home?
If no, main language spoken at home:
Student Sibling’s Details
Does the student have any siblings enrolled at a NSW Government School?
If yes please provide the details of the most recently enrolled sibling
Sibling’s sex: Male Female
Sibling’s Full Name:
Student Medical Information
Doctor’s Name/Medical Centre: Phone:
Street Address:
Town: State: Postcode:
Medicare Number:
Reference Number: Expiry Date:
Allergies (please specify): Anaphylaxis: (if yes please attach ASCIA plan)
Other medical conditions (please specify):
Medication (please specify):
By signing below, the parent/carer gives permission for the school to seek information from the doctor named above about how to manage any allergy or medical conditions experienced by the student.
Parent/Carer Signature: Date:
Sibling DOB:
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Student’s History Relevant to Risk Assessment The NSW Department of Education has a responsibility to assess and manage any risk of harm to its staff and students. This application gives you the opportunity to provide schools with information that will help facilitate the smooth transition of students into the specific school setting. This may include preparing a behaviour management plan or other appropriate strategies directed at meeting the specific needs of the student. The action taken in response to the information you provide will help to support students safely in the school and contribute to ensuring the safety of your child, other students and staff.
To your knowledge, is there anything in your child’s history or circumstances (including medical history) which might pose a risk of any type to him or her, other students, or staff at this school? Yes No
If yes, please provide a brief description of your child’s medical or other history, which might pose a risk of any type to him or her, other students, or staff at this school:
Please provide names and contact details of health professionals or other relevant bodies that have knowledge of these issues:
Does the student have any history of violent behaviour? If yes, please provide details:
Has the student ever been suspended or expelled from any previous school?
If yes, was this for:
Yes No
• Actual violence to any person? Yes No
• Possession of a weapon or any item used to cause harm or injury? Yes No
• Threats of violence or intimidation of staff, students, or others at the school? Yes No
• Illegal drugs? Yes No
If yes (to any of the above), please provide further details:
Yes No Does the student have any risk management plans currently operating in your school?
If yes, please provide a copy to the Distance Education school.
Are you aware of any other incidents of the kind listed above in which the student has
been involved outside the school setting? If yes, please provide a brief outline of
these matters:
Yes No
Principal’s Signature: Date:
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General Permission to Publish Form
School publications provide a means of celebrating student achievement sharing ideas. Publications such as the school magazine “Myall Mail”, school newsletter, Website, and Facebook encourage a positive school image and a sense of belonging for students, who are often isolated from their peers. For this reason, we ask you to complete the following authority, so that any photographs, films, recordings or student work submitted (for example at excursions or Workshops) can be published.
Student Authority
I HEREBY AUTHORISE and permit the NSW Department of Education (DoE) through Dubbo School of Distance Education, its employees or agents to use my work, to photograph and/or to make a vision/sound recording of me.
These resources may be published, communicated and distributed for educational purposes both in Australia and internationally and may be published in any form or format whether print, electronic, analogue or digital while these resources remain relevant.
I understand DoE, through Dubbo School of Distance Education, may make use of and exhibit this work and these photograph(s), vision/sound recording(s), incorporating my image, likeness and/or my voice in any media format as it sees appropriate and I understand these will be the absolute property of the NSW Department of Education throughout the world. I understand that my participation is entirely voluntary, and that no payment of any kind is involved. I understand that any use of this material may identify me.
Student’s Name: Date:
Student’s Signature:
Parent/Carer Authority
I HEREBY AUTHORISE and permit the NSW Department of Education (DoE) through Dubbo School of Distance Education, its employees or agents to use my child’s work, to photograph my child, and/or to make a vision/sound recording of my child.
These resources may be published, communicated and distributed for educational purposes both in Australia and internationally and may be published in any form or format whether print, electronic, analogue or digital while these resources remain relevant.
I understand DoE, through Dubbo School of Distance Education, may make use of and exhibit this work and these photograph(s), vision/sound recording(s), incorporating my child’s image, likeness and/or voice in any media format as it sees appropriate and I understand these will be the absolute property of the NSW Department of Education throughout the world. I understand that participation by my child is entirely voluntary, and that no payment of any kind is involved. I understand that any use of this material may identify the child.
Parent/Carer’s Name: Date:
Parent/Carer’s Signature:
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Supervision – Conditions of Single Course Provision
The supervisor must provide appropriate supervision for the student in their learning environment. They must ensure that the student is not left alone while learning through distance education.
The supervisor must arrange for supervision of the student’s tests and examinations and take full responsibility for precautions and safety in all practical work. All formal communication will be addressed to the supervisor.
The School Supervisor certifies that:
• the student is capable of working independently and will be supervised during school timetabled activities.
• tests, examinations, assessment tasks and assignments: • will be conducted under strict supervision, ensuring that they are the unaided & independent work of the
student. • examinations will be completed on the date(s) specified by Dubbo School of Distance Education. Assessment
tasks will be submitted by the due date.
• work will be completed and submitted in all courses on a weekly basis.
• the supervisor will be contactable by phone or email.
• the student will be provided with resources where required, such as printing, textbooks, reference materials, access to telephone, computer, internet, video conferencing, audio equipment and access to supervised specialist teaching rooms, that meet the Department’s current specifications.
• any teaching materials (e.g. audio recordings, DVDs, videos), unmarked learning materials and library books that have been issued by Dubbo School of Distance Education will be returned when the student completes the course or leaves the school.
• procedures are in place to ensure that the parent/carer permission is obtained for the student to attend activities arranged by the distance education school and that the home school will carry out risk assessments related to these activities.
• a suitable and safe work placement for any vocational education and training course is available. • access to a suitable venue and supervision for NESA examinations is available.
The School Supervisor agrees to:
• provide their signature on all work submitted to Dubbo School of Distance Education. Note: Any completed learning activity/examination paper/assessment task received without the supervisor’s signature may be regarded as invalid.
• interpret and explain instructions or comments in lesson materials.
• provide assistance with locating necessary materials and resources.
• develop a timetable that accommodates the required number of hours of distance education subject study each week.
• ensure that the student satisfactorily participates in oral and practical work as prescribed by the course.
• ensure that portfolios of work and depth studies are completed when required.
• provide timely advice to Dubbo School of Distance Education about illness or absences which have affected the student’s ability to complete set activities.
Official NESA course warning letters issued by Dubbo School of Distance Education will be forwarded to the student’s parent/carer with a copy to the student’s home school. IMPORTANT: Not complying with the above conditions may lead to a student not meeting course requirements or a review of the single course provision.
By signing below the school supervisor agrees to the abovementioned conditions and has discussed them with the student.
Supervisor’s Title: Supervisor’s Full Name:
Phone: Email:
Signature: Date:
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Principal’s Agreement – Conditions for Single Course Provision
For an enrolment to be accepted, the Home School Principal guarantees:
• the student is capable of working under the supervision of a nominated member of their teaching staff who will supervise the study arrangements of the student including assignments, formal examinations and assessment tasks.
• that the required time is allocated to the student within the home school’s timetable to complete coursework & study.
• the student will return course work once a week in this course, as per NESA requirements.
• the student will be provided with the required support resources, e.g. work room, textbooks, computer, use of specialist rooms (such as a laboratory), access to phone and email.
• the student will be supervised at the home school, by a suitably qualified teacher, whilst the student carries out any practical exercises and practical project work
• examinations and assessment tasks will be supervised at the home school by a member of their teaching staff and will be held on the dates and under the conditions specified by Dubbo School of Distance Education.
• all DVDs, USBs and other resources will be returned to Dubbo School of Distance Education as required.
• the student is entered by the home school for the RoSA, Preliminary Certificate or the Higher School Certificate, indicating that the course is studied “elsewhere” at the Dubbo School of Distance Education – NESA number 8112.
• where the student is applying for single course provision in a Higher School Certificate course, the Preliminary requirements for that course have been met.
• written notification will be made to Dubbo School of Distance Education in the event of a change of Supervisor.
• to notify Dubbo School of Distance Education of any special needs, special circumstances, special provisions or learning adjustments made for this student.
• The home school is responsible for paying the required fees to Dubbo School of Distance Education.
Please complete the following:
• The student’s previous history may pose a risk of some type to the student, other students, or staff at Dubbo School of Distance Education. If yes, please ensure the Student’s History Relevant to Risk Assessment has been completed.
Yes No
• Does the student suffer from a severe allergic condition (anaphylaxis)? If yes, please attach a copy of the student’s current Anaphylaxis Action Plan (ASCIA) from a medical practitioner.
Yes No
• The original documents listed below have been sighted by the principal of the home school.
1. Birth Certificate or identity documents Yes No
2. For students who are not permanent residents (complete below) Yes NA
Passport or travel documentation number: Country of Issue:
Current visa and sub-class (if applicable):
Previous visa and sub-class (if applicable):
Authority to enrol (Temporary visa holders):
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Principal’s Declaration
I am aware that this application will not proceed until:
• All pages / check boxes are completed
• Supervisor and home school Principal have signed where required
• A copy of any relevant Action and/or Behaviour Management plans have been provided
• Student has been “shared” on ERN (NSW DoE Schools only)
I acknowledge that the student’s continued provision is dependent on the above conditions for the duration of the course. I acknowledge and agree to the conditions of single course provision for distance education as listed above and I have nominated the following teacher as the school supervisor for this student:
Supervisor’s Title: Supervisor’s Full Name:
Principal’s Name:
Principal’s signature: Date:
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Course Access Fee for 2022
School contributions for Government School Students
Enrolments in Year 9,10,11 and 12 $115.00 – 1 year course (No GST)
$230.00 – 2 year course (No GST)
Where a student discontinues a course after enrolment, the School Contributions for Government School students are non-refundable.
Please complete the interschool journal at the end of this enrolment form.
School contributions for Non-Government School Students
Enrolment, or continuing enrolment – Years 11 or 12 $800.00 – 1 year (No GST)
Enrolment, or continuing enrolment in each 1 Unit Extension course $400.00 – 1 year (No GST)
Enrolment, or continuing enrolment – Years 9 or 10 $340.00 – 1 year (No GST)
• Where a student in a Non-Government school discontinues a course within one (1) term, the school contribution, less a $135 administration fee, is 75% refundable.
• Where a student in a Non-Government school discontinues a course within two (2) term, the school contribution, less a $135 administration fee, is 50% refundable.
• Where a student in a Non-Government school discontinues a course after more than two (2) terms, the school contribution is non-refundable.
The pro-rata adjustments for Non-Government students only are listed below:
Years 11-12 Years 9-10
Enrolled for: 4 terms 3 terms 2 terms 1 term or less
Refund Nil Nil $332.50 $498.75
Enrolled for: 4 terms 3 terms 2 terms 1 term or less
Refund Nil Nil $102.50 $153.75
NOTE - It is the home school’s responsibility to pay the Single Course enrolment fees.
If a cheque made payable to Dubbo School of Distance Education or online proof of payment does not accompany the application form an invoice will be sent to your school for the course fees.
Return this enrolment application with your cheque (made payable to Dubbo School of Distance Education) or proof of online payment made through our school website. Payments can also be made using cash or EFTPOS at Dubbo School of Distance Education.
Textbook and Resource Responsibility
Schools are responsible for the supply of textbooks, equipment etc. to their students. If a student selects a subject requiring special kits or equipment that the home school cannot provide and which are integral to the course, an extra subject fee may apply. The extra subject fee will need to be paid with enrolment. Materials for such courses will not be sent without the fee being paid. Any resource lent to a Single Course student will be the responsibility of the home school. Dubbo School of Distance Education will be reimbursed by the home school for any resources not returned by the student at the completion of the course.
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Eligibility determination – Beginners language courses in Arabic, Chinese, French, German, Indonesian, Italian, Japanese, Modern Greek and Spanish In order to enter a Stage 6 Beginners Language course, students must be determined eligible (see Eligibility criteria, below). Students should apply to their school principal for an eligibility determination, if possible during Term 3 of Year 10. Applying for eligibility determination
Students applying for an eligibility determination must:
• complete all sections of the Beginners Language Course - Application for Eligibility Determination, (including the Statutory Declaration) • provide relevant additional documentation if required by the principal • provide relevant additional documentation that the student wishes to include.
False, inaccurate or incomplete information could place at risk a student's eligibility for the Higher School Certificate.
Eligibility criteria
The eligibility criteria for Beginners Languages courses are as follows.
• The student has had no more than 100 hours' study of the language at the secondary level (or equivalent). • The student has little or no previous knowledge of the language. For an exchange student, a significant in-country experience (involving experiences such as homestay and attendance at school) of more than three months renders the student ineligible.
Note: for the purpose of determining eligibility:
• A speaker of a dialect or a variant of a language is considered to be a speaker of the standard language.
• A speaker of Indonesian or Malay is considered to be a speaker of both languages.
Determining eligibility
• Eligibility to undertake a Beginners Language course is determined by the principal of the school delivering the course. This may be the student's home school, the Saturday School of Community Languages, the Open High School, a Distance Education Centre or TAFE. For a student who intends to study the course with an approved outside tutor, eligibility is determined by the principal of the student's home school. • To be deemed eligible for a course, a student must meet all of the eligibility criteria for that course at the time of entry to the course. • The principal's eligibility determination should, where possible, be provided to the student in writing at least 10 school weeks prior to the commencement of delivery of the course. • If the student believes that the principal's determination has not been made in accordance with the course eligibility criteria, they may seek a review of the determination from the principal. The student may subsequently appeal to NESA. Principals should inform students of the review and appeal procedures and provide students with the relevant forms on request.
Further information regarding the procedure for requesting a review is available on the NESA website.
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Courses Target Candidature Eligibility Criteria
Beginners Students are learning the language as a second (or subsequent) language. Students have either no prior spoken or written knowledge or experience of the language, or their experience is derived solely from, or is equivalent to, study of the language for 100 hours or less in Stage 4 or Stage 5.
• Students have had no more than 100 hours’ study of the language at the secondary level (or the equivalent).
• Students have little or no previous knowledge of the language. For exchange students, a significant in-country experience (involving experiences such as homestay and attendance at school) of more than three months renders a student ineligible.
Continuers Students are learning the language as a second (or subsequent) language. Students typically have studied the language for 200–400 hours at the commencement of Stage 6.
(In languages where Extension courses are offered, the Extension courses are available to HSC Continuers course candidates only.)
• Students have had no more than one year’s formal education2 from the first year of primary education (Year 1) in a school where the language is the medium of instruction.
• Students have no more than three years’ residency in the past 10 years in a country where the language is the medium of communication.
• Students do not use the language for sustained communication outside the classroom with someone with a background in using the language.
Background Speakers Students have a cultural and linguistic background in the language.
Note: For the purpose of determining eligibility: 1. Beginners languages courses, Continuers courses in languages where there are Background Speakers courses, and Heritage languages courses. 2. Formal education is “education that is institutionalised, intentional and planned through public organisations and recognised private bodies and – in their totality – constitute the formal education system of a country” UNESCO – International Standard Classification of Education (2011). 3. Eligibility is determined by the Principal of the school delivering the course. The authority to determine eligibility is delegated to Principals by NESA. 4. Documentary evidence supporting the Principal’s determination must be retained by the school until the student completes the HSC.
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Beginners Languages Courses – Application for eligibility determination
Part A: to be completed by the student
Applicant Details
Student NESA Number:
Student Name:
Language Requested:
Home School Details
School Name: Phone Number:
Contact Person Supervisor:
Principal:
Teaching School Details (if this is not the home school)
School Name: Phone Number:
Contact Person:
Principal:
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Student Name: Student NESA Number:
Section 1: Formal Education*
Please write the required information in the table below. Fill in ALL the blanks. If you did not attend school in any of these years, please write ‘none’ in the relevant space.
*Formal education is “education that is institutionalised, intentional and planned through public organisations and recognised private bodies and – in their totality – constitute the formal education system of a country” UNESCO – International Standard Classification of Education (2011).
School Year Calendar Year Name of main school(s) attended
Country(ies) in which school was attended
Language(s) learned other than English
10
9
8
7
6
5
4
3
2
1
Any further information related to formal education (if applicable):
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Student Name: Student NESA Number:
Section 2: Knowledge of the language from other sources
Please use the space below to provide a statement about the extent of your knowledge of the language gained from other sources.
Have you used the language to communicate with anyone outside the classroom? Yes No
If yes, please provide details of the type and extent of any communication that has involved you in speaking, writing, reading or listening to the language outside the classroom.
Have you attended classes in the language given at a community language school or by a private tutor?
Yes No
If yes, please provide details of:
(a) The classes you have attended
(b) The period of attendance and the total number of hours you have spent in these classes.
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Have you been an exchange student in a country where the language you are applying for is used as the language of communication?
Yes No
If yes, please give details of:
a) Time spent in that country:
b) Time spent living with a family in that country:
c) Time spent attending a school in that country:
Section 3: Additional documentation provided by student
Students may choose or be asked to provide additional documentation to support their application. Such documentation may include school reports from other schools, passports or evidence of residency in Australia and/or overseas.
Please list any additional documentation submitted with this application.
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Student Name: NESA Student Number:
Section 4: Student Declaration
Please complete the Statutory Declaration, which must be signed by the student and an appropriately qualified person. The following persons may witness a statutory declaration in NSW:
• A justice of the peace • A notary public • A solicitor or barrister with a current NSW or interstate practising certificate • A commissioner of the court for taking affidavits • A person by law authorised to administer an oath.
It is an offence under the Oaths Act, 1900 to make a false statutory declaration. If you are unsure of the answers to any of the questions you have given above, seek advice from your principal before you sign the declaration. Statutory Declaration (Oaths ACT 1900, NSW, Eighth Schedule)
I, (student name) ___________________________________, do solemnly and sincerely declare that all information
given on this form is complete and correct, and I make this solemn declaration conscientiously believing the same to be
true, and by virtue of the provisions of the Oaths Act, 1900.
Declared at ________________________________________ on ______________________________
place date
_________________________________
signature of declarant in the presence of an authorised
witness, who states:
I, ___________________________________ , a _________________________________________, name of authorised witness qualification of authorised witness certify the following matters concerning the making of this statutory declaration by the person who made it: (*please cross out any text that does not apply) 1. *I saw the face of the person OR * I did not see the face of the person because the person was wearing a face
covering, but I am satisfied that the person had a special justification for not removing the covering, and
2. * I have known the person for at least 12 months OR * I have confirmed the person’s identity using an identification document and the document I relied on was _____________________________________________________________________________ describe identification document relied on
_______________________________________ ______________________________________ Signature of authorised witness date
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Student Name: NESA Student Number:
Part B: To be completed by the home school
Section 5: Statement by Student’s home school
The language course for which (student’s name)
is applying will be delivered through:
• the student’s home school
• TAFE
• the Saturday School of Community Languages
• the NSW School of Languages
• Distance Education Centre at Dubbo School of Distance Education
• an approved Outside Tutor
The following additional information is provided for the consideration of the principal making the eligibility determination. Such additional information can be drawn from school enrolment forms, school interviews or school assessment. Where possible a teacher’s assessment should be included.
Teacher’s signature:
Teacher’s name:
Principal’s signature:
Principal’s name:
Date:
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Student Name: NESA Student Number:
Section 6: Statement by school delivering the course where this is not the home school.
Additional comments/information where the school delivering the course is not the student’s home school:
Teacher’s signature:
Teacher’s name:
Date:
Section 7: Eligibility determination
The eligibility determination is to be made by the school delivering the course for which the student is seeking an eligibility determination. This may be the Student’s home school, the Saturday School of Community Languages, the NSW School of Languages, a Distance Education Centre or TAFE. In this case of a student who intends to study the course with an approved tutor, this section is to be completed by the student’s home school
Determination:
is Eligible Ineligible to commence
(student’s name)
the Course in 20
(name of course) (calendar year)
Principal’s signature:
Principal’s name:
School/Institute:
Date:
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Students enrolled at your school who wish to study a course at Dubbo School of Distance Education will need to “share” the enrolment via ERN before the single course application has been posted or faxed to 6884 0777.
Before the application form can be processed the home school must complete the following procedures on ERN.
If the application is not successful, we will contact the home school so the necessary changes may be made to ERN.
1. Select “Place
Management”
2. Click of the corresponding scholastic year to find the student to be shared
3. Check the box to the right
of the student’s name.
4. Click the “share” button.
5. Search for target school
ERN information for government schools only for enrolments at Dubbo School of Distance Education
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Dubbo School of Distance Education
6. Be sure to indicate that the
enrolment to be shared is DEC – Distance Education Centre
7. Select the year in which your
student will be shared with Dubbo School of Distance Education Centre.
8. Students who are “shared“ will be flagged with a “blue” flag
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Details of School Creating Journal
School Name School Code
Dubbo School of Distance Education 4587
School contact Phone number Email address
Lynda Ipkendanz (SAM) (02) 5804 7000 [email protected]
General Journal Information
General Ledger Number: (Note: This six digit number is the same for both Schools) Tax Code: (P5 or S5 only)
420010 P5
Total Cost Date of event
Description: Single Subject Enrolment Fees
Student Name Description Student Name Description
School to be Billed Information Please Provide YOUR school details as required for this Journal
School name School code
Cost Centre Fund code
Internal Order number WBS number
Signature: (Principal or delegated officer of school to be billed) Date
DSODE Office Use Only
Fund code Cost centre Internal Order /WBS number Journal name Journal number Date Journal processed
Interschool Journal – Dubbo School of Distance Education
NSW Government Schools Only
