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ENROLMENT DETAILS

Australian Islamic College

139 President Street, Kewdale WA 6105
P.O.Box 252 Cloverdale WA 6985
Ph: (618) 9362 5340 / Fax: (618) 9355 2988

 

 

Admission into:          KEWDALE       THORNLIE         DIANELLA

Date of Application:  Grade:     

 Year in which desired:

STUDENT DETAILS

 

SURNAME:     First Name: 

Father/Guardian Surname:  

First Name:  

Address:

Tel:      

Fax: 

Mobile: 

Date of Birth:          Age:

Gender: Male          Female

City of Birth:       Country: 

Are you an Australian Citizen?              Yes           No  
(Please provide copy of Birth Certificate/Citizenship Certificate.)

Are you a Permanent Resident?            Yes           No  
(Please provide copy of Passport details and current Resident Visa.)

Are you a Temporary Resident?            Yes            No
(Please provide copy of Passport details and current Temporary Resident Visa.)

Passport Number:             Nationality: 

Date of Entry into Australia:     

Citizenship: 

 

FOR OFFICE USE ONLY

School Fee Deposit (non refundable): $50.00 Paid       Yes          No

Receipt No:   Issued By: /Admin Office

Transport Required:
Yes     No
Bus Code: 

DATE OF ADMISSION:

YEAR/GRADE:

Teacher-In-Charge: 

EDUCATIONAL BACKGROUND

School Last Attended: 

Address:
   

Copy of last academic report received from last attended School?
  Yes   No

Highest Academic Level Achieved:   

Year:

 

 

LANGUAGE ABILITY

English

Spoken:            Excellent       Good      Poor

Written:            Excellent       Good      Poor

Arabic

Spoken:           Excellent       Good      Poor

Written:            Excellent       Good      Poor

Other Languages: 

ISLAMIC KNOWLEDGE

Holy Quran

Reading from Text:        Excellent       Good      Poor

Recitation:                      Excellent       Good      Poor

General Knowledge:      Excellent       Good      Poor

MEDICAL CONDITIONS

Do you have any existing illnesses or conditions that the College should be aware of?
Yes       No

If yes, what kind including medication taken:

Any allergies?  Yes       No

If yes, list known allergies:
 

Please provide any therapy, medical or special education needs of the child. (Attach separate paper if necessary).

 

PARENT/GUARDIAN DETAILS

Father

Surname:         

Given Names:

Address: 

Tel No: 

             

Occupation:

Nationality: 

Citizenship: 

Country of Birth:

What is your residency status? 

Citizen Permanent Temporary

Date of Arrival In Australia

Passport No.

Language Most Spoken at Home?

Mother

Surname:         

Given Names:

Address: 

Tel No: 

             

Occupation:

Nationality: 

Citizenship: 

Country of Birth:

What is your residency status? 

Citizen Permanent Temporary

Date of Arrival In Australia

Passport No.

Language Most Spoken at Home?

 

 

LEGAL GUARDIAN (if other than parent)

Surname:        Given Names: 

Relationship to Applicant: 

Address:
 

Tel No:      

EMERGENCY DETAILS

Should an emergency arise, who should we contact?

Surname:       Given Names: 

Tel No:          

Relationship to Applicant: 

Address:
 

 CONDITIONS OF ENROLMENT

All applications for entry into The Australian Islamic College is subject to review and acceptance in accordance with the prerequisites of the College hence all applicants do not automatically qualify for admission.  A Student Contract may be required to be completed and returned to The Australian Islamic College upon receipt of a Letter of Acceptance of Enrolment.

PARENT/ GUARDIAN UNDERTAKING STATEMENT

I / We the parent(s)/ guardian(s) understand the implications of the following conditions of enrolment and agree to abide by the pledges therein to the best of my/our capacity:

· The applicant (student) shall attend all lessons and activities.  Failure to do so will necessitate the student to provide a signed explanatory note from either parent or guardian and if required, a medical certificate may be requested.

· The student shall abide by the Rules and Regulations as enforced by the College and conduct himself/herself in the appropriate high Islamic standards and academic achievement.

·  The college is responsible for the supervision of the students during normal school hours between 8:15 am - 4:00 pm . Please ensure that your child is adequately supervised if he/she is attending college outside those hours.

· The student will be allowed to leave College grounds whilst under staff supervision.

· I/We pledge to support the College in all aspects and in particular to the payment of school fees as and when they become due and as outlined in the signed Fee Declaration Form.

· I/We hereby authorize the College to take the student to a professional medical entity and/or administer medications and treatment if deemed necessary for the well being of the student.

· I/We agree that at least 21 days notification of withdrawal of the student will be given in writing and that no portion of fees shall be refundable if I/we fail to abide by this request.

  

                    

Parent / Guardian                                                    Applicant / Student

 

Date:  

OFFICE USE ONLY

Checklist of Documents:

       A signed and completed Application Form

       Certified Copy of Academic Results from last school attended

       Immunisation Record Card and/or other relevant Health Certificate

       Certified Copy of Birth Certificate / Citizenship Certificate/ Passport Details/ Visa Details

       Three (3) Passport sized photographs

       School Fee Deposit $50.00 received and receipt given

Applicant Interviewed By:       

Date/Time: 

Checked By: 

 

ENROLMENT CHECKLIST

  Please note: All activities related to enrolment are of the highest priority and all staff are requested to attend immediately to any tasks allocated by Enrolment Officers

First Name:    SURNAME: 

COLLEGE:   Year: Contact Ph:

 

CHECK BOX

TASK

TASK COMPLETED BY (name):

Enrolment form fully completed and signed by parent/guardian.

 

Visas/Passport and Birth Certificates photocopied.

 

Bus Fees form completed, signed and Bus Number provided.
Bus No

 

Date Student would like to start school provided on Enrolment form.

 

Fees form fully completed and signed by parent/guardian.

 

Parent/guardian received enrolment package;

                  Booklist                                  Uniform List

                  Assembly Procedure            Bullying Procedure

                  Parent Hand Book                AIC Graduation results

                  Vision of AIC                         Student Contract

 

Photograph of student taken for ID card and photo of parent taken for records.

 

Testing performed

 

Interview with Principal.

 

Tour of School.

 

Ensure that if the student is in high school, they have paid for their locker and diary.

 

Enrolment form and Fees declaration form checked.

 

Fax front page of enrolment form, Fees declaration form and visas/passport copies (If necessary) to Booragoon on the day of application.

 

Received fax of acceptance letter for the student from Booragoon (Allow one days processing from the date of students application).

Note: Student must receive acceptance letter before entering the school grades.

 

Enrolment Officer has telephoned the parents to inform them of their child acceptance into the College.

 

Student’s files requested from old school

 

Driver has been informed to pick up the student on start date.                

 

 

 

 

 

 

Arrangements have been made to receive and welcome student on their first day.

  NB: If any of the above areas are NOT COMPLETED please specify reason.

 Date        

 Enrolment Officer Name