EXPRESSION OF INTEREST FOR ENROLMENT
Student Name:__________________________________________
Gender: _Male_Female
Year Group: 7,8,9,10,11,12Calendar Year: 2009
Parent Name:___________________________________________
Address:_______________________________________________
Street__________________________________________________
Suburb _________________________________Postcode________
Email:__________________________________________________
Telephone (Home): _______________________________________
Mobile ___________________ Work _________________________
Current or last School or College attended:_____________________
Current Electives_________________________________________
For Years 9 to12_________________________________________
_______________________________________________________
_______________________________________________________
Name/s of family members enrolled at Queanbeyan High School
______________________________________________________
Reasons for seeking enrolment (please provide/attach
additional supporting information if necessary) ______________________________________________________
Additional student support required
(__)Special Needs/Learning Support(__)ESL support
Please attach photocopies of the following documents:
(__)Evidence of residential status (_) birth certificate, visa etc
(__)Place of residence(_)rate notice, lease agreement, phone
(__)Most recent school report
(__)Other ____________________________________________

Completing this form does not guarantee an offer to enrol at Queanbeyan High School.

Signature:____________________________ Date: ____________
Parent/Guardian

Please print and email, fax, post or deliver in person to QHS.

All applications for enrolment shoud also include birth certificate, proof of address and reports from previous schools.

A copy of past school report, proof of current address and birth certificate are required for applications to enrol.