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Purpose of This Form: Important

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APPLICATION FOR ENROLMENT

PURPOSE OF THIS FORM


If you are a parent or carer use
this form to: FILLING IN THIS FORM
–– A
 pply for your child to enter William Clarke
College, and Acrobat Reader.

–– Make an Enrolment Application Registration Fill out the form using Acrobat Reader (not your web browser) to ensure
Fee payment, and all content is saved correctly. If you don’t have Acrobat Reader download
here: get.adobe.com/reader/
–– Confirm Enrolment Application Registration
– Please type directly into the PDF
fee payment by recording your receipt number
in the area provided – Make your Enrolment Application Registration Fee
payment via the ‘Make a Payment’ button on page 4

– Record your Enrolment Application Registration Fee


payment receipt number in the box provided on page 4

– Submit the form via email with copies of your child’s


IMPORTANT birth certificate and immunisation record

After making your Enrolment Application


Registration Fee payment, you will
need to record your receipt number
in the space provided at the end of
this form. Application is not complete
until payment is made and receipt
number provided. Manually.
– Please use black or blue pen
We welcome applications at any time, – Print in BLOCK LETTERS
however we would encourage families
to apply 24 months prior to start date – Make your Enrolment Application Registration Fee payment
for Years K-12 and 12 months prior to via the payment portal on the William Clarke College website
start date for Preparatory School – Record your Enrolment Application Registration Fee
payment receipt number in the box provided on page 4

– Submit the form via email with copies of your child’s


birth certificate and immunisation record


STUDENT DETAILS
Please print details of the student applying to enter the College.
First name ENTRY LEVEL
Please tick appropriate entry point.

Second name PREPARATORY

A: Prep: 2 day program OR

  B: Prep: 3 day program


Family name

KINDERGARTEN - YEAR 12

Preferred first name (if different to above) Kindergarten Year 1 Year 2 Year 3

Year 4 Year 5 Year 6 Year 7

Year 8 Year 9 Year 10 Year 11


Gender  Male   Female
Year 12
Date of birth (dd/mm/yyyy)
YEAR OF ENTRY (eg 2026)

Place of birth

CURRENT SCHOOL
(if applicable)
Nationality
School name

Is the student Aboriginal or Torres Strait Islander?  Yes   No


Year level

Please attach a copy of your child’s:

i. Birth certificate, and if applicable


ii.  ustralian visa, current proof of Australian Citizenship or
A
documentary evidence explaining the student’s resident status
CHURCH ATTENDANCE
Street Address Which church is attended by student/family. Church name, denomination
and location (eg Kellyville Anglican; St Matthew’s Uniting Baulkham Hills; Dural
Baptist; Beecroft Presbyterian).

Suburb Postcode

With which parent(s) does the student live?

Both parents at one address REGULARITY OF ATTENDANCE & INVOLVEMENT


(Please tick appropriate attendance & involvement by the student).
Mainly Mother
Each week Most weeks Monthly
Mainly Father
Family events Baptism only Easter & Christmas only
Equal time with both parents at separate addresses

 Guardian Sunday school Youth group Church service only

 Other Other

If a student is offered a place at the College, unless there are Court Orders in
place, it is the College’s practice to inform both parents of the offer. Therefore we
ask that the contact details on pages 2 and 3 be completed as fully as possible.


APPLICATION FOR ENROLMENT 1/4 ›
PARENT DETAILS
Please complete the following details as fully as possible to
enable the College to communicate with all people who might
have an interest in the student entering William Clarke College.
A. Father Relationship to the student B. Mother Relationship to the student

 Natural  Step  Foster  Natural  Step  Foster

  Other     Other  

Title First name Title First name

Family name Family name

Street Address (if different to student address) Street Address (if different to student address)

Suburb Postcode Suburb Postcode

Home phone Home phone

Mobile Mobile

Email Email

Occupation Occupation

Employer Employer

Work phone Work phone

Work email Work email

Church attended Church attended

Are you an ex-student of the College?  Yes   No Are you an ex-student of the College?  Yes   No

If yes, when If yes, when

Maiden name (if changed since attending the College)


APPLICATION FOR ENROLMENT 2/4 ›
OTHER CAREGIVERS/GUARDIANS OTHER FAMILY DETAILS
Other significant caregiver / guardian who shares an address Please list students already enrolled, or previously
with the student. If necessary, please attach another sheet enrolled, at William Clarke College.
of paper with the details of other caregivers/guardians.
1. First name

Title First name

Family name

Family name

Date of birth (dd/mm/yyyy) College House

Relationship to the student

2. First name

At which address listed on page 2 of this


application does the caregiver reside?  A   B
Family name
Home phone Mobile

Date of birth (dd/mm/yyyy) College House


Email

Please list other children for whom you have ALREADY submitted
Occupation Enrolment Applications.

1. First name

Employer

Family name

Work phone

Date of birth (dd/mm/yyyy)

Work email

2. First name

Church attended

Family name

Are you an ex-student of the College?  Yes   No

If yes, when Date of birth (dd/mm/yyyy)

Maiden name (if changed since attending the College)

Please list any other children for whom you might consider applying
in the future.

1. First name
ADDITIONAL NEEDS AND FURTHER INFORMATION
This section MUST be completed.

Is there any information about the student’s Family name


needs or aptitudes which we should know?  Yes   No

Is there any physical or psychological condition


or social situation which may affect the education Date of birth (dd/mm/yyyy)
of the student and/or their safety and/or the
safety of others in the College?  Yes   No
2. First name
If yes to either question, please attach a letter
explaining these needs in detail, including where
applicable, Doctors and/or specialist reports /
statements and other documentary evidence.
Family name
Are there any Court orders or Parenting Plans
in force in regard to the student?  Yes   No
If yes, please attach a copy of the Orders or Plan. Date of birth (dd/mm/yyyy)


APPLICATION FOR ENROLMENT 3/4 ›
IMPORTANT INFORMATION SURVEY
Acceptance of this Enrolment Application and Registration Fee by It would help us a great deal for our future development
the College does not constitute an offer of a place in the College if you could answer these brief questions.
or the guarantee of an interview.
How did you hear of the College?
REQUIRED ATTACHMENTS
(Please tick as many as applicable).
Please note that the following MUST accompany this
application for it to proceed:  Friends  Neighbours

A copy of a birth certificate, and, if applicable, citizenship  Church   General ‘word of mouth
papers, Australian Visa, or documentary explanation.
 Website   Passing by
A copy of immunisation history.
  Local Advertising   School Expo
Documentary evidence where asked for in the application
eg. Court Orders, Parenting Plans, specialist reports.   Seeing College Students   Recommendation from local schools

A non-refundable Enrolment Application Registration Other


fee of $115 per student.
Please indicate five (5) of the MAIN reasons as to why you
Cheques should be made payable to William Clarke College. are applying for a place at the College.

1 = most important reason; 2 = next most important; and so on

  Christian Ethos   Pastoral Care / Welfare

  Student Management   Academic Results

  Subject Choice   Co-curricula Opportunities

 Affordability   Physical Resources

  College Reputation  Locality

 Staff   Good relationships in the College

Other

ONLINE PAYMENT
Click here to make the ‘Application Fee’ payment online Don’t forget to record your receipt number here!

MAKE A PAYMENT

Alternatively: wcc.onestopsecure.com/OneStopWeb/enrol/menu

CONFIRMATION OF APPLICATION
FOR ENROLMENT
 y ticking this box I/we confirm that to the best of my/our
B  oth parents or legal guardian(s) have provided their full names
B
knowledge,the information in the Application for Enrolment below and support this application.
is complete and correct.

Father / Guardian 1 Date Mother / Guardian 2 Date

CLICK HERE TO SUBMIT Office Use Only (17/06)

YOUR FORM ONLINE Date Received Amount

or mail to: or deliver to:


Enrolments College Reception
William Clarke College, 1 Morris Grove, Kellyville

 Initials Data entered
PO Box 6010,
Baulkham Hills Business Centre, or via email:
NSW 2153 apply@wcc.nsw.edu.au

APPLICATION FOR ENROLMENT 4/4
5 ›

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