Privacy Policy and Enrolment Procedures Before completing the below Enrolment Application, please review the MLC School Privacy Policy and the MLC School Enrolment Procedures. Yes, I have reviewed the MLC School Privacy Policy.* - required Yes, I have reviewed the MLC School Enrolment Procedures* - required Student Details Given Names* - required Preferred Name* - required Surname* - required CURRENT RESIDENTIAL ADDRESS Street* - required Suburb* - required State* - required NSW QLD VIC SA WA NT TAS Other Postcode* - required Country* - required Phone Number* - required BIRTH DETAILS Date of Birth* - required Country of Birth* - required Nationality* - required Language Spoken at Home* - required Religious Denomination* - required Is the student of Aboriginal or Torres Straight Islander origin? Origin* - required No Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander maximum 1 allowed Residency Status* - required Citizen Permanent Resident maximum 1 allowed SCHOOL DETAILS Proposed Academic Level of Entry Academic Level* - required – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Proposed Calendar Year of Entry (eg. 2022) Calendar Year* - required Current Academic Year of Schooling Academic Year* - required N/A Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Name of Current School Name* - required Please provide details of any special educational and/or medical circumstances that may need to be taken into account to assist MLC School. Special Circumstances * Disclosure Statement: The disclosure of all medical, psychological/psychometric and educational testing information relating to a student seeking enrolment is a fundamental condition to the acceptance of that student for enrolment at MLC School. Such information is important in assessing the appropriateness of an enrolment at MLC School for the purposes of duty of care and educationally, to support fully the student's academic needs and progress. Pre-Kindergarten Please indicate the preferred program for your daughter.Note: Pre-Kindergarten operates during MLC School terms. Pre-K 5 days – Monday to Friday 3 days – Monday/Tuesday/Wednesday 3 days – Wednesday/Thursday/Friday maximum 1 allowed In order to assist with the transition to Kindergarten the following year, all Pre-Kindergarten students are encouraged to attend five days per week in Term 4. Parent/Carer 1 Details Relationship to Student* - required Father Mother Stepfather Stepmother Grandfather Grandmother Aunt Uncle Guardian – Homestay Title* - required Mr Mrs Ms Miss Dr Given Names* - required Surname* - required Driver's Licence No.* - required Country of Birth* - required Nationality* - required Language Spoken at Home* - required CURRENT RESIDENTIAL ADDRESS Street* - required Suburb* - required State* - required NSW QLD VIC SA WA NT TAS Other Postcode* - required Country* - required MAILING ADDRESS(If Mailing Address is different to Home Address, please complete all fields below.) Street Suburb State NSW QLD VIC SA WA NT TAS Other Postcode Country CONTACT DETAILS & OCCUPATION Mobile Number* - required Email* - required Occupation Company Telephone (Business) PARENT/CARER 2 DETAILS Tick this box to add Parent/Carer 2 details. Parent/Carer 2 Details Relationship to Student Father Mother Stepfather Stepmother Grandfather Grandmother Aunt Uncle Guardian – Homestay Title Mr Mrs Ms Miss Dr Given Names Surname Driver's Licence Number Country of Birth Nationality Language Spoken at Home CURRENT RESIDENTIAL ADDRESS Tick yes if Current Residential Address is same as Parent/Carer 1. Street Suburb State NSW QLD VIC SA WA NT TAS Other Postcode Country MAILING ADDRESS(If Mailing Address is different to Home Address, please complete all fields below.) Street Suburb State NSW QLD VIC SA WA NT TAS Other Postcode Country CONTACT DETAILS & OCCUPATION Mobile Number Email Occupation Company Telephone (Business) Family Relationships Applicant lives with* - required Both parents Parent 1 Parent 2 Guardian Grandparents Shared care Other maximum 2 allowed Where the parents are separated or divorced, or both parents named above are not the natural parents of the student, please provide details below (eg. custody, step-parents, guardianship arrangements, etc.). Living Arrangements Court Order* - required No Yes (If yes, please attach a copy) maximum 1 allowed Court Order Document SIBLINGS Tick if the student has sisters currently attending MLC School. Tick if the student has sisters enrolled at MLC School for future years. Siblings (Current Students) Given Names Preferred Name Surname Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley There is more than one sibling currently attending or enrolled at MLC School. Siblings (Future Students) Given Names Preferred Name Surname Level of Entry – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year of Entry (eg. 2021) There is more than one sibling enrolled at MLC School for future years. Additional Siblings (Current Students) Sibling 2 Details Given Names Preferred Name Surname Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley Sibling 3 Details Given Names Preferred Name Surname Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley Additional Siblings (Future Students) Sibling 2 Details Given Names Preferred Name Surname Level of Entry – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year of Entry (eg. 2021) Sibling 3 Details Given Names Preferred Name Surname Level of Entry – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year of Entry (eg.2021) MLC SCHOOL OLD GIRLS IN THE FAMILY Tick if the student has relatives who are former students of MLC School. MLC School Old Girls in Family Given Names Surname Maiden Name/Name at School Years Attended (eg.1997-2002) Final Academic Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Relationship to Student – Mother Aunt Grandmother Great-Aunt Great-Grandmother Other House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley There is more than one Old Girl related to the student. Additional Old Girls Old Girl 2 Details Given Names Surname Maiden Name/Name at School Years Attended (eg.1997-2002) Final Academic Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Relationship to Student – Mother Aunt Grandmother Great-Aunt Great-Grandmother Other House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley Old Girl 3 Details Given Names Surname Maiden Name/Name at School Years Attended (eg.1997-2002) Final Academic Year – Pre-Kindergarten Kindergarten Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Relationship to Student – Mother Aunt Grandmother Great-Aunt Great-Grandmother Other House – Abbeythorpe Booralee Churunga Leawarra Lester Mooramoora Prescott Sutton Wade Whitley Documentation The below documents must be received in order for the enrolment process to continue.(Please note: some documents are only if applicable) Birth Certificate* - required Latest School Report (if applicable) NAPLAN Results (if applicable) Passport-sized Photo* - required Immunisation History Statement* - required Note: Immunisation History Statement is available online from Medicare. Psychometric Assessment Report (if applicable) Details of Person/s Taking Responsibility for Payment of School Fees and Sundry Costs After this form is completed and submitted, you will be directed to the MLC School Payments page where signatures and payment will be required. Relationship to Student* - required Father Mother Stepfather Stepmother Grandfather Grandmother Aunt Uncle Guardian – Homestay Title* - required Mr Mrs Ms Miss Dr Given Names* - required Surname* - required MAILING ADDRESS & CONTACT DETAILS Street* - required Suburb* - required State* - required NSW QLD VIC SA WA NT TAS Other Postcode* - required Country* - required Phone Number* - required I declare that I am responsible for the payment of school fees and sundry costs for the above mentioned student.* - required Today's Date* - required Tick if two people will be responsible for payment of school fees and sundry costs. Details of Additional Person Responsible for Payment of School Fees and Sundry Costs Relationship to Student Father Mother Stepfather Stepmother Grandfather Grandmother Aunt Uncle Guardian – Homestay Title Mr Mrs Ms Miss Dr Given Names Surname MAILING ADDRESS & CONTACT DETAILS (If Current Residential Address is different to first person, please complete all fields below.) Street Suburb State NSW QLD VIC SA WA NT TAS Other Postcode Country Phone Number I declare that I am responsible for the payment of school fees and sundry costs for the above mentioned student. Today's Date Declarations and Signatures Signatures will be required after this form is completed and submitted. I/We hereby apply to MLC School for the enrolment of the above student.* - required I/We understand that acceptance of this form by MLC School does not constitute admission of the student, and that we will be required to agree to the Conditions of Entry which apply at the time our daughter is offered a place at the School.* - required I/We will pay the Application Fee once this form is submitted. This fee is to cover administration costs and is non-refundable.* - required I/We hereby declare that the information provided by us is true and correct at the time of application.* - required Parent/Carer 1 Full Name* - required Date* - required Parent/Carer 2 Full Name* - required Date* - required Survey To assist us with planning, can you please kindly respond to the following questions? How did you first hear about MLC School? Select one – Live in the local MLC School area MLC School website Currently enrolled family A former student A member of a former student’s family or family friend Word of mouth Sydney Morning Herald Local newspaper (Inner West Courier, The Leader, etc.) Schools’ Guide publications Sydney Independent Schools Expo MLC School bus signage MLC School Aquatic Centre Sydney Opera House Concert Online School's Directory I am an Old Girl Yellow Pages What are the major reasons motivating your enquiry about or enrolment at MLC School? Tick which apply Dedicated teaching staff A reputation for academic excellence IB Diploma offered Co-curricular and extra-curricular activities offered A non-selective school An all girls school Provides both primary and secondary schools Offers Pre-Kindergarten A focus on students’ individual needs, irrespective of ability An inclusive cultural diversity of students Continuing your family tradition Christian values taught Its pastoral care support Excellent facilities Convenient location to public transport The school’s convenient own private bus transport Your child’s peer group is attending MLC School Scholarship opportunities Other (please specify) Other In the past 12 months, have you: Tick which apply Visited MLC School’s website? Seen any MLC School advertising? Attended an Independent Schools’ expo? Attended an MLC School tour? Seen any MLC School branded buses? Consult any private schools directory publications? What other schools are you strongly considering? Tick which apply Independent girls schools Independent co-educational schools Independent school of your religious faith Selective high schools Other State schools Other (Optional) Please specify which school(s) you are considering. School Name Mandatory field(s) marked with *