Enrolment Application

Student Details

Surname*

Given Name*

Preferred Name (if different)

Gender*

Date of Birth*

Year Level Applying for*

Year of Entry*

Are you Early Learning Centre Applicant

Yes
No

If you are applying for the Early Learning Centre, please indicate your group choice:

Please note: Program days and times are only available as specified and while preferences will be taken into account there is no guarantee that your group choice will be available. Groups are offered on the basis of date of application.

3 year old – 3 days (Mon – Wed)
3 year old – 3 days (Wed – Fri)
3 year old – 4 days (Mon, Tues, Thu, Fri)
3 year old – 5 days (Mon – Fri)
4 year old – 3 days (Mon – Wed)
4 year old – 3 days (Wed – Fri)
4 year old – 4 days (Mon, Tues, Thu, Fri)
4 year old – 5 days (Mon – Fri)

Will your child be continuing on to Prep at Tintern?

Yes
No

Please note that enrolment priority will be granted to those who will be continuing their education with the school.

Nationality

Country of Birth

Religion

Current school: (if applicable)

Current year level:

Victorian School Number: (if known)

Language Spoken at Home

Favourite subjects and interests:

Under which Visa/status will the student be studying

Please attach a copy of your child’s Birth Certificate, Passport and Visa as proof of the above to this application if not an Australian citizen.

an Australian Citizen
a Permanent Resident
Migration
Student
Business

Student will reside with:

Please provide details:

Is there a Court Order or Parent Plan in relation to this student?

If Yes, please attach a copy.

Yes
No

Please list the current school the student is attending and approximate attendance dates:

Name

Age/School Year

School Attending

Siblings:

Name

Age/School Year

School Attending

Name

Age/School Year

School Attending

Name

Age/School Year

School Attending

Medical Information

It is important that the School is aware of all medical conditions your child may have so that it can provide an appropriate level of support. Please disclose all relevant information.

Are you aware of any medical conditions your child may have?*

Yes
No

Please provide details and attach relevant health plan

Other, including allergies

Does your child take any prescribed medication regularly?*

Yes
No

Please provide details

Doctor’s name and number

Student’s Medicare number

Learning Support

It is important that you disclose information relating to your child’s learning needs so that the School can plan appropriately and ensure that an appropriate program can be offered. You need to provide all relevant documentation and specialist reports that are not more than two years old to the school. Failure to provide this may delay the enrolment process or jeopardise the School’s ability to offer your child a place.

Special education requirements*

Yes
No

Details - Special education requirements

Support programs in numeracy*

Yes
No

Details - Support programs in numeracy

English as a second language*

Yes
No

Details - English as a second language

Behavioural support*

Yes
No

Details - Behavioural support

Language other than English spoken at home*

Yes
No

Details - Language other than English spoken at home

Specialist reports*

Yes
No

Details - Specialist reports

Support programs in literacy*

Yes
No

Details - Support programs in literacy

Other relevant information

Tintern Connections

Current family connections with Tintern (e.g. brother, sister, parent, cousins or relatives who have attended Tintern)

Name

First Middle Last

Student

Current Student
Previous Student
Future Student

House: (if known)

Name

First Middle Last

Student

Current Student
Previous Student
Future Student

House: (if known)

Other Family Connections

Parents, cousins or other relatives who have attended Tintern

Name

First Middle Last

Maiden Name

First Middle Last

Relationship

Final year at Tintern

Name

First Middle Last

Maiden Name

First Middle Last

Relationship

Final year at Tintern

Parent/Guardian Details

PARENT/GUARDIAN

Title	Surname	Given Name	Actions

There are no contact details.

If parents/legal guardians live at separate addresses, please specify where appropriate School communications should be sent

AGENT DETAILS (For International Students only)

If the applicant is being introduced by an approved agent please complete the following:

ARE YOU AN INTERNATIONAL STUDENT?*

Yes
No

Name of agency

Contact name

Work Phone

Mobile

Telephone numbers

Fax

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Instructions

We will advise the School in writing of any changes to contact details or information in this application. Please note that payment of the application fee to the school does not guarantee enrolment.

Name/s of person/s the school account should be addressed to:

Relationship to student:

Mailing address for accounts:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Residential address for accounts:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Declaration

We request that the above-named student be registered for enrolment at Tintern Grammar. We have read the Terms and Conditions of Enrolment and noted the contents. We jointly and severally agree to abide by these and other regulations from time to time in force at the School and to pay all fees and other monies falling due to the School in respect of the student enrolled. We have read and understood the Privacy Policy and, in making this application for enrolment, consent to the collection and disclosure of personal information and sensitive information as provided for by the Privacy Policy.

We will advise the School in writing of any changes to contact details or information in this application.

Please note that payment of the application fee to the school does not guarantee enrolment.

I consent to the above named student to be registered for enrolment at Tintern Grammar*

I consent to the above named student to be registered for enrolment at Tintern Grammar

I declare the information provided to be correct and accurate*

I declare the information provided to be correct and accurate

Why have you chosen to apply at Tintern Grammar?

Please rank from 1 being the most important, to 5 being the least important.

Family connection

Resources and Facilities

Location

Recommendation of Friend

School Model

Class Size

Academic Excellence

Farm

Nurturing Environment

Focus on Individual Needs

Sporting Programs

Visual/Performing Arts Programs

Music Programs

Other

How did you hear about Tintern Grammar?

Please specify:

Checklist

Please submit this form, together with:*

Contact Tintern Admissions to pay an Application fee ($150 per student)
Copy of Birth Certificate or Extract of Entry
Copy of school reports for the last two years
Copy of the most recent NAPLAN reports
Copy of AEAS test results (International Students only)
A copy of current Passport (International Students only)
Proof of Visa (if applicable)
Specialist reports (if required)
Immunisation Status Certificate (Available from Medicare)

Please note that from January 2016 under the ‘No Jab, No Play’ legislation, no student will be able to be enrolled into the Early Learning Centre without being fully vaccinated or is on a recognised catch-up schedule, or has a medical reason not to be vaccinated.

Please submit this form and email the relevant documentation to:

The Admissions Office
admissions@tintern.vic.edu.au

Celebrating the Class of 2023 – Zachary Ho

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A Fresh Start Everyday

Celebrating the Class of 2023 – Max Lalor

2024 Top Class Performers – VCE Season of Excellence

Vale Dr Sylvia Walton AO 1941-2024

Student Details

Medical Information

Learning Support

Tintern Connections

Other Family Connections

Parent/Guardian Details

AGENT DETAILS (For International Students only)

Billing Instructions

Declaration

Why have you chosen to apply at Tintern Grammar?

Checklist

2023 VCE Results

Prospectus

Contact

Our Policies

Child Safety

Recent News

Welcome to the world that is Tintern Grammar.

Enrolment Application

Student Details

Medical Information

Learning Support

Tintern Connections

Other Family Connections

Parent/Guardian Details

AGENT DETAILS (For International Students only)

Billing Instructions

Declaration

Why have you chosen to apply at Tintern Grammar?

Checklist

2023 VCE Results

Prospectus

Contact