ELC - Expression of Interest
Child's details
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)
Abbotsleigh connections
Is the student's mother an Abbotsleigh Old Girl?
Yes
No
Is the student's mother/father an Abbotsleigh staff member?
Yes
No
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
Enrolment details
Please indicate the number of days that care is required (a minimum of two days attendance is required)
*
2
3
4
5
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
Parent/Guardian contact details
Parent/Guardian 1 details
Surname
*
Given name
*
Contact number (home)
Contact number (work)
Contact number (mobile)
Email
*
Occupation or profession
Employer's name
Business address
Is a child care place needed to allow a return to work?
So the centre can comply with regulatory guidelines please indicate any of the following which may apply to you
Working
Seeking work
Studying
Maternity/paternity leave
Single parent
Parent at home
Disabled parent
Are you of Aboriginal or Torres Strait Islander origin?
Number of dependent children
*
0
1
2
3
4
5
6
Parent/Guardian 2 details
Surname
Given name
Contact number (home)
Contact number (work)
Contact number (mobile)
Email
Occupation or profession
Employer's name
Business address
Is a child care place needed to allow a return to work?
So the centre can comply with regulatory guidelines please indicate any of the following which may apply to you
Working
Seeking work
Studying
Maternity/paternity leave
Single parent
Parent at home
Disabled parent
Are you of Aboriginal or Torres Strait Islander origin?
Number of dependent children
0
1
2
3
4
5
6
For our information
How did you hear about Abbotsleigh's Early Learning Centre?
Friend
Colleague
Employer
Abbotsleigh website
Other
Submit form
© Abbotsleigh | An Anglican Pre K-12 Day and Boarding School for Girls | CRICOS provider code 02270F
Contact us
|
Privacy policy
|
Sitemap
Loading
Please wait...
