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Junior School enrolment questionnaire
Student surname
*
Student given names
*
Student date of birth
DD slash MM slash YYYY
Parent /Guardian 1 full name
*
Parent/Guardian 2 full name
Enrolment year?
*
2024
2023
Enrolment Year level
*
Year 1
Year 2
Year 3
Year 4
Which term will you begin your enrolment with us?
*
Term 1
Term 2
Term 3
Term 4
If you are wish to start mid-term, please indicate the commencement date
DD slash MM slash YYYY
Background Information
Who is in your child's family?
*
Who else is important to them? (friends, pets, etc)
*
Do you have any concerns with your child's hearing or vision?
*
Yes
No
If yes, please provide further details.
Has your child had a hearing test?
*
Yes
No
Has your child had an eye test?
*
Yes
No
Does your child have any ongoing illness or allergies?
*
Yes
No
If yes, please provide further details.
Community
Where does your child currently attend School?
*
Name of current classroom teacher:
*
Do you give permission for us to contact the current/previous school?
*
Yes
No
Communication
What is your child's first language?:
*
Does your child speak or understand any other languages?
*
Yes
No
If yes, please list the language/s.
Is your child involved with a speech pathologist?
*
Yes
No
If yes, please provide further detail below and provide any reports directly to the Admissions Office.
Identity
What interests does your child have?
*
Do you have any concerns with how your child behaves?
*
Yes
No
If yes, please provide further detail.
Do you have any concerns about how your child gets along with others?
*
Yes
No
If yes, please provide further detail.
Learning
What subjects would you describe as your child's strongest?
*
In what areas are you looking for improvement?
*
Has your child been assessed for a learning disorder, such as ADHD, ASD, Dyspraxia?
*
Yes
No
If yes, please provide further detail and reports if applicable.
Do you have any concerns about your child's concentration skills?
*
Yes
No
If yes, please provide further detail.
Do you have any concerns about your child following requests or instructions?
*
Yes
No
If yes, please provide further detail.
Why did you choose Ballarat Clarendon College for your child's future education?
*
Please include any other information that will help support your child in their transition to school.
Email
This field is for validation purposes and should be left unchanged.
