Australian Christian College Hume

Enrolment Application

If you are ready to take your first step in enrolling with the College On Campus, this form is for you! However, if you have more questions, please contact us with any questions.

By completing this online application form, you are telling the College that you would like to apply for enrolment at ACC. You only need to provide the parent/legal guardian details once.

If we have any questions about your application, we will contact you.

Each Application for Enrolment is to include copies of relevant documentation which can be uploaded via the form or emailed to the College at hume@acc.edu.au.

Birth Certificate
Australian Citizenship/Visa/Passport if child/ren not born in Australia
Latest school report
Years 3/5 NAPLAN results (if applicable)
Copy of Medicare Card
Copies of Immunisation records
Custody orders/parenting agreements (if applicable)
Specialist reports/documents relating to students with a physical disability, social/emotional, sensory or cognitive (if applicable)
Medical reports eg. asthma, anaphylaxis (if applicable)

Once all documents have been provided and we have received your $100 (per student) application fee (using the 'Pay Now' button below the form), an enrolment interview will be scheduled with the Principal.

It is important that you read through the Student Enrolment Contract to become fully aware of the conditions of enrolment.

After your application is received and interview completed, you will receive a Letter of Offer OR a letter advising application is unsuccessful.

An application does not guarantee a place at the College.

Before starting your application, please start by saving your form (incase you need to recover your progress).

Student Details & Information

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

Student Name*

First Name

Middle Name (optional)

Last Name

Date of Birth*

Gender*

Permission to Photograph

Country of Citizenship*

Country of Birth*

Place of Birth

Religion

Student's First Language*

Ethnic Group*

ATSI*

Does the student mainly speak English at home?

If the student speaks another language at home, please specify which language it is:

Residential Status*

Passport Number

Passport Expiry Date

Date of Arrival into Australia

Visa Sub-Class Number

Visa Grant Number

Visa Expiry Date

Is the student identified as an international fee paying student?

Is the student classified as "isolated" by the government?

Does the student receive secondary assistance from the government?

Does the student receive youth allowance from the government?

Does the student receive Abstudy?

Has the student previously been enrolled in home schooling?

Student Medical Data

Has the student been professionally diagnosed with a disability?

Please describe the disability

Does the student receive additional funding from the government to assist with the disability?

Please upload any relevant documentation including the care plan for the student with a disability

No File Chosen

File uploads may not work on some mobile devices.

Does the student have a professionally diagnosed medical condition?

Please describe the medical condition

Does the student receive additional funding from the government to assist with the medical condition?

Please upload any relevant documentation including the care plan for the student and their medical condition

No File Chosen

File uploads may not work on some mobile devices.

Is the student up to date on their vaccinations and immunisations?

Please describe the current status of the student's vaccinations and immunisations?

Approximate date of the last tetanus shot?

Student Medication at School

Does the student have regular medication that will need to be taken at school?

Medication name

Medication Instructions

Student's Medical Practice Information

Practice Name

Doctor's Name

Practice Phone Number

Practice Address

Address Line 1

Address Line 2

City

State

Postcode

Permission To Administer Over The Counter Medicine

Salbutamol (Ventolin)

Paracetamol (Panadol)

Ibuprofen/Nurofen

Antihistamine (Claratyne)

Medicare & Private Health Fund

Medicare Number

Medicare Expiry Date

Medicare Position on the Card

Private Heath Fund

Private Heath Fund Number

Ambulance Cover

Ambulance Cover Provider Name

Student Residential Location

Physical Address*

Address Line 1

Address Line 2

City

State

Postcode

Postal Address (complete only if different from the physical address)

Address Line 1

Address Line 2

City

State

Postcode

Emergency Contact

Please provide the name, address and telephone number of family member, friend or neighbour who would accept responsibility for this child, if parents cannot be contacted. Please make sure this person is local to the school.

Name

Relationship to Student

Address

Mobile

Other Phone

Transport

This child travels to school by:

Private Car Public Bus/Train

Other:

Student Documentation

Student Birth Certificate

No File Chosen

File uploads may not work on some mobile devices.

Australian Citizenship/Visa/Passport

No File Chosen

File uploads may not work on some mobile devices.

*if child is not born in Australia

Student Immunisation Records

No File Chosen

File uploads may not work on some mobile devices.

Custody Orders and Parenting Agreements (if applicable)

No File Chosen

File uploads may not work on some mobile devices.

Asthma Action plan (if applicable)

No File Chosen

File uploads may not work on some mobile devices.

Anaphalaxisis Action plan (if applicable)

No File Chosen

File uploads may not work on some mobile devices.

Student Enrolment Details

If your application is successful, what year level would you be joining?

If your application is successful, when will you be joining ACC?

Declarations

In case of emergency, I authorise the principal or his/her deputy to contact the family doctor or nearest doctor available, and arrange for any medical, ambulance or hospital services as deemed necessary. I accept responsibility for any/all costs involved

I authorise the administration of appropriate first aid, as deemed necessary by a qualified first aider.

I give permission for this child to attend off-campus sporting events, camps and excursions organised by the school.

In the event that this child has a moderate or high severity medical condition, I give permission for this child’s Medical Information to be displayed.

If applicable, an action plan for my child’s moderate or high severity medical condition is attached

Enrolment Application Fee

The Enrolment Fee is a non-refundable fee which is required to be paid to demonstrate the firm intention of parent/guardians to take up a place held for their child for commencement on a nominated date. It is security held for the enrolled child, as the School has to incur expenditure for both physical and human resources in preparation for the enrolling student.

Please use the 'Pay Now" button to make the payment.

Save and Resume Later

Progress

Australian Christian College Hume

Student Details & Information

Student History & Court Orders

Student Medical Data

Student Medication at School

Student's Medical Practice Information

Permission To Administer Over The Counter Medicine

Medicare & Private Health Fund

Student Residential Location

Father/Guardian

Mother/Guardian

Emergency Contact

Transport

Student Documentation

Student Enrolment Details

Declarations

Enrolment Application Fee