ELC - Expression of Interest

Surname*

Given names*

Address*

Telephone*

Date of birth*

Gender*

Birthplace*

Nationality*

Religion*

Commencement date requested*

Does your child have special needs? (please include medical, dietary, cultural and/or learning needs)

Is the student's mother an Abbotsleigh Old Girl?

Yes

Is the student's mother/father an Abbotsleigh staff member?

Yes

Also add any other relatives who have attended Abbotsleigh

Sisters currently at Abbotsleigh
Name	School year

Sisters at Abbotsleigh in future
Name	School year	Accepted list	Waiting list

Please indicate the number of days that care is required (a minimum of two days attendance is required)*

Please specify the actual days required

Monday

Tuesday

Wednesday

Thursday

Friday

If you require fewer than five days per week, are you prepared to accept any days that are allocated?

Yes, I would be happy with any days that can be allocated

No, I specifically require the days requested

As days become available all attempts will be made to move children to your first preferences

I/we have other children currently attending the centre

I/we wish to enrol an additional child in the centre

Please state any special circumstances relating to your application for a place in the centre

How did you hear about Abbotsleigh's Early Learning Centre?

Friend

Colleague

Employer

Abbotsleigh website

Other