2016 07 29 2017 enrolment folder
PAPAKURA HIGH SCHOOL
ENROLMENT FORM NAME:
Admin No NSN
Year
OFFICE USE ONLY Tutor
Admin
Options
Previous sch.
Start date Other
PAPAKURA HIGH SCHOOL Willis Road PO Box 72-080 Papakura 2244 Phone: 64 9 296 4400 Fax: 64 9 296 4401 Website: www.papakurahigh.school.nz Email: [email protected]
STUDENT DETAILS SURNAME: Legal Surname(if different) First name
Middle Name(s)
Preferred first name
Date of Birth: ________/ ______ /__________
MALE
FEMALE
Country of Birth: STUDENT ADDRESS: (At time of enrolment) Home phone:
Mobile:
Last school attended Year Level
9
10
ETHNICITY 1.
11
12
2.
13
3.
If student is of Maori descent please enter the name(s) of IWI IWI 1. 2.
3.
STUDENT TYPE (Please tick) o Regular Class Student o Learning Support o ESOL-English for students of other language o Foreign Fee Paying Student o Exchange Student o XA Unit (Special needs) ORRS Funded Yes / No ORRS Number: IMMIGRATION INFORMATION (for students NOT born in New Zealand) Country of Birth: Date of arrival in NZ: First Language:
Date of entry to first NZ school:
Information Provided
Copies Attached Yes No Student Visa o Date of issue__________________________
Passport Number_________________________ Permanent residency permit#______________ New Zealand Citizenship
o
Date of Expiry_________________________
o
Number______________________________
Y/N
PRIMARY CAREGIVER DETAILS MOTHER Relationship to student Mother o MRS o MISS Surname
o
Other o
MS
First Name Address
Post code
Email
Occupation
Mobile phone
Employer
Home phone Work phone
PRIMARY CAREGIVER DETAILS FATHER Relationship to student Father Surname
Other
First Name
Address
Post code
Email Occupation
Mobile phone Employer
Home phone Work phone
EMERGENCY CONTACT DETAILS. All contacts have permission to uplift student unless otherwise stated Relationship to student Relationship to student Surname Surname
First Name
First Name
Address
Address
Email
Email
Home phone
Mobile
Home phone
Mobile
Sibling information Name
Name
Name
Name
Current Student Y/ N
Current Student Y/ N
Current Student Y/ N
Current Student Y/ N
Class
Class
Class
Class
PERMISSIONS, AGREEMENTS and GUARANTEES Activities outside the classroom and ‘On Foot’ Excursions Parent or Guardian: I understand that the student named may be involved in activities which require walking off the school grounds under the supervision of members of staff. These activities may include (but are not limited to) local community facilities and events and athletics day, and include walking along and crossing public roads. In exceptional circumstances such as (but not limited to) illness or accident, staff may be required to transport students by vehicle without prior approval of the parent/caregiver. My signature below indicates that I give permission for the student named to participate in walking trips, and to be transported by staff in the above exceptional circumstances. I am aware that all other planned excursions (trips) will require prior approval via permission slip signed by the parent/ caregiver. Permission for Using Photos/Digital Images
Papakura High School takes pride in promoting our school and the events that take place. We like to include photos of students in school publications, school website, Facebook page, local newspapers and school display areas. We require parents/caregivers to give permission for photos/digital images to be used as we appreciate that for various reasons it is not safe or desirable to publish photos of some students. o
I do not give permission to have my son/daughter photographed and have their photos published in school publications, website and for display purposes.
TO BE COMPLETED BY PARENT / GUARDIAN and STUDENT
I hereby apply to enrol my son / daughter ________________________________________ at Papakura High School. I undertake: (Student name) 1. To ensure that the student attends school regularly and punctually. 2. To ensure that the student is in correct and tidy uniform. 3. To meet the student's financial commitments as set out in the Prospectus by the Board of Trustees. 4. To ensure that the student obeys the school rules and regulations. 5. To ensure that the school is reimbursed for any damage the student incurs through neglect, vandalism or graffiti. 6. I give permission for my son/daughter to be photographed and have his/her photo published in school publications, website and for display purposes. Signature of Parent / Guardian:- ____________________________ Date:- ___________________ Signature of Student:- ____________________________________ Date:- ___________________ THE PRIVACY ACT 1993 Papakura High School undertakes to collect, use and store the information you provide on this form according to the principles of the Privacy Act 1993. The information will be used to prepare class rolls, reports required by the Ministry of Education and the school, and for normal school operations.
ENROLMENT FORM NAME:
Admin No NSN
Year
OFFICE USE ONLY Tutor
Admin
Options
Previous sch.
Start date Other
PAPAKURA HIGH SCHOOL Willis Road PO Box 72-080 Papakura 2244 Phone: 64 9 296 4400 Fax: 64 9 296 4401 Website: www.papakurahigh.school.nz Email: [email protected]
STUDENT DETAILS SURNAME: Legal Surname(if different) First name
Middle Name(s)
Preferred first name
Date of Birth: ________/ ______ /__________
MALE
FEMALE
Country of Birth: STUDENT ADDRESS: (At time of enrolment) Home phone:
Mobile:
Last school attended Year Level
9
10
ETHNICITY 1.
11
12
2.
13
3.
If student is of Maori descent please enter the name(s) of IWI IWI 1. 2.
3.
STUDENT TYPE (Please tick) o Regular Class Student o Learning Support o ESOL-English for students of other language o Foreign Fee Paying Student o Exchange Student o XA Unit (Special needs) ORRS Funded Yes / No ORRS Number: IMMIGRATION INFORMATION (for students NOT born in New Zealand) Country of Birth: Date of arrival in NZ: First Language:
Date of entry to first NZ school:
Information Provided
Copies Attached Yes No Student Visa o Date of issue__________________________
Passport Number_________________________ Permanent residency permit#______________ New Zealand Citizenship
o
Date of Expiry_________________________
o
Number______________________________
Y/N
PRIMARY CAREGIVER DETAILS MOTHER Relationship to student Mother o MRS o MISS Surname
o
Other o
MS
First Name Address
Post code
Occupation
Mobile phone
Employer
Home phone Work phone
PRIMARY CAREGIVER DETAILS FATHER Relationship to student Father Surname
Other
First Name
Address
Post code
Email Occupation
Mobile phone Employer
Home phone Work phone
EMERGENCY CONTACT DETAILS. All contacts have permission to uplift student unless otherwise stated Relationship to student Relationship to student Surname Surname
First Name
First Name
Address
Address
Home phone
Mobile
Home phone
Mobile
Sibling information Name
Name
Name
Name
Current Student Y/ N
Current Student Y/ N
Current Student Y/ N
Current Student Y/ N
Class
Class
Class
Class
PERMISSIONS, AGREEMENTS and GUARANTEES Activities outside the classroom and ‘On Foot’ Excursions Parent or Guardian: I understand that the student named may be involved in activities which require walking off the school grounds under the supervision of members of staff. These activities may include (but are not limited to) local community facilities and events and athletics day, and include walking along and crossing public roads. In exceptional circumstances such as (but not limited to) illness or accident, staff may be required to transport students by vehicle without prior approval of the parent/caregiver. My signature below indicates that I give permission for the student named to participate in walking trips, and to be transported by staff in the above exceptional circumstances. I am aware that all other planned excursions (trips) will require prior approval via permission slip signed by the parent/ caregiver. Permission for Using Photos/Digital Images
Papakura High School takes pride in promoting our school and the events that take place. We like to include photos of students in school publications, school website, Facebook page, local newspapers and school display areas. We require parents/caregivers to give permission for photos/digital images to be used as we appreciate that for various reasons it is not safe or desirable to publish photos of some students. o
I do not give permission to have my son/daughter photographed and have their photos published in school publications, website and for display purposes.
TO BE COMPLETED BY PARENT / GUARDIAN and STUDENT
I hereby apply to enrol my son / daughter ________________________________________ at Papakura High School. I undertake: (Student name) 1. To ensure that the student attends school regularly and punctually. 2. To ensure that the student is in correct and tidy uniform. 3. To meet the student's financial commitments as set out in the Prospectus by the Board of Trustees. 4. To ensure that the student obeys the school rules and regulations. 5. To ensure that the school is reimbursed for any damage the student incurs through neglect, vandalism or graffiti. 6. I give permission for my son/daughter to be photographed and have his/her photo published in school publications, website and for display purposes. Signature of Parent / Guardian:- ____________________________ Date:- ___________________ Signature of Student:- ____________________________________ Date:- ___________________ THE PRIVACY ACT 1993 Papakura High School undertakes to collect, use and store the information you provide on this form according to the principles of the Privacy Act 1993. The information will be used to prepare class rolls, reports required by the Ministry of Education and the school, and for normal school operations.
