BSC News No.18V5.pdf - Brunswick Secondary College

E M AABN 34 989 696 626Dawson Street, Brunswick VIC 3056T: 9387 6133 F: 9387 0061E: brunswick.sc@edumail.vic.gov.auEducation Maintenance AllowanceSign over of parent portion of EMA fundsPlease complete this form and lodge together with your EMA application ONLYif you wish to sign over the parent portion of EMA to the school.I,Parent’s First NameFamily NameofParent’s Address: Number & Street Suburb PostcodeHome Phone Work Phone MobileUnderstand that Brunswick Secondary College has pursuant to the EducationRegulations 2000, received an allocation of Education Maintenance Allowance(EMA) from the Department of Education and Training, (Westpac BankingCorporation Bank Cheque) in respect of:StudentFirstName:FamilyName:YearLevel:StudentFirstName:FamilyName:YearLevel:StudentFirstName:FamilyName:YearLevel:By signing this instrument in the space below, I agree that the EMA currentlyheld by the school on behalf of the above student(s), will be transferred to theSchool to be held on the School’s account. The school acknowledges that it willexpend the funds to benefit the education of the above student(s).1 ST INSTALLMENT TO SCHOOL AND/OR2 ND INSTALLMENT TO SCHOOLParent Signature: _________________________________________Date: ______ / _____ / _____