Application for Enrolment - Firbank Grammar School

Firbank offers students a distinctive,contemporary education.OVERSEAS STUDENT APPLICATION FOR ENROLMENTCRICOS Registered Provider No. 00140K.Please return to the Enrolment Office, Firbank Grammar School, 51 Outer Crescent Brighton 3186 Australia f 0015 613 9553 8265Please complete in BLOCK letters.Surname:Given Name(s)Preferred NameDate of BirthReligionDate Admission desiredAlternative date: (if applicable)Present SchoolSisters/brothers (and ages)NationalityPassportYear LevelYear LevelYear LevelCampus: Senior School Brighton: Day BoarderJunior: Brighton Sandringham (co-ed)Father/GuardianTitleGiven NamesSurnameAddressPostcodeTel (AH) (BH)OccupationCompanyMobileEmailMother/GuardianTitleGiven NamesSurnameAddressPostcodeTel: (AH) (BH)OccupationCompanyMobileEmailPlease retain for future reference.www.firbank.vic.edu.au

Firbank offers students a distinctive,contemporary education.Guardian in AustraliaTitle Given Names SurnameRelationshipAddressPostcodeTel: (AH)Mobile(BH)FaxOccupation:CompanyPlease list any special needs / learning difficulties you consider the School may need to know to assist your child:ENROLMENTAn offer of a place may be made to a student following an assessment of school reports, an English Proficiency test and/ora reference from the Principal of the student’s present school.Depending on the level of English, the student may be required to undertake a preliminary intensive English language course inAustralia, and will be issued with a letter of offer conditional on the successful completion of this course. Extra English is providedat Firbank in ESL classes that are conducted at all levels.The Application Fee of $60.00 (GS T incl.) is enclosed with this Form.Parent’s SignatureDate:Privacy :Firbank Grammar School is bound by the National Privacy Principles contained in the CommonwealthPrivacy Act. The School’s Privacy Policy is available on our website: www.firbank.vic.edu.auwww.firbank.vic.edu.au