Willoughby Girls High School



Expression of Interest for Enrolment

EXPRESSION OF INTEREST FOR ENROLMENT

1. Student’s Name: ______________________________________________________________________________

2. Current School: ___________________________________________ Date of Birth: ______________________

3. Preferred Time of Enrolment: ___________________________________ (month) __________________ (year)

4. Year in which student seeking to enrol: 7 8 9 10 11 12 (please circle one)

5. Mother’s/Carer’s Name: ________________________________________________________________________

Residential Address: ___________________________________________________________________________

Email: ___________________________________________________________ Post Code: ________________

Home Phone No: __________________ Work Phone No: ___________________ Mobile: __________________

6. Father’s/Carer’s Name: _________________________________________________________________________

Residential Address: __________________________________________________________________________

Email: ___________________________________________________________ Post Code: ________________

Home Phone No: __________________ Work Phone No: ___________________ Mobile: __________________

7. Please indicate your status:

|Australian Citizen |( | Permanent Resident |( |Temporary Visa Holder |( | International Student |( |

8. Subjects/courses sought: ___________________________ _____________________________ __________________________

_______________________ _______________________ ____________________________ ____________________________

9. While residential proximity, order of application and siblings attending the school are the key factors for placement, other factors may be considered. Please comment.

____________________________________________________________________________________________

____________________________________________________________________________________________

10. Has your daughter been suspended or expelled from school? Please provide details.

____________________________________________________________________________________________

____________________________________________________________________________________________

11. Does your daughter have any special learning or physical needs?

____________________________________________________________________________________________

____________________________________________________________________________________________

12. For your application to be considered attach a copy of:

(a) the most recent progress report from the current school including attendance record;

(b) credentials such as the Year 11 Preliminary Course record of achievement if applicable;

(c) Verification of residential address (in parent’s name – ORIGINAL and COPY)

i. A current rates notice OR current lease agreement for a minimum period of one year from date of enrolment

and

ii. Two recent utility account statements (that include parent’s name and address)

e.g. electricity account and ONE other (gas, telephone or water account etc.) and if renting an official bond receipt from Fair Trading in your name

(d) Student Identification (ORIGINAL and COPY)

i. Birth certificate

OR

ii. If not born in Australia – Passport or Citizenship papers, Visa

(This information will be used for school administrative and educational purposes only)

The above information is true and accurate.

Mother/Carer’s Signature:_______________________________ Father/Carer’s Signature:________________________________

Student’s Signature:___________________________________

Please return this completed expression of interest to the school.

PLEASE NOTE: IF YOUR DAUGHTER IS PLACED ON A WAITING LIST, AN UPDATED EXPRESSION OF INTEREST FORM NEEDS TO BE SUBMITTED IN SIX MONTHS TIME.

OFFICE USE ONLY: Date received: ________________ Principal’s Signature: _______________________

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Willoughby Girls High School

Mowbray Rd Willoughby 2068

Phone: 9958 4141 email: willoughbg-h.school@det.nsw.edu.au Fax: 9967 2174

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