MARDEN SENIOR COLLEGE - 2009

- VOCATIONAL STUDIES B ENROLMENT FORM -

STUDENT PERSONAL INFORMATION DATE: ______________
(Please Print)
FAMILY NAME: Given Names:
Date of Birth: / / Age: Gender: M / F OFFICE USE ONLY

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 MARDEN SENIOR COLLEGE - 2009
- VOCATIONAL STUDIES B ENROLMENT FORM -
Mailing Address: Reg. No: .....................................
P/G 1(STUDENT/SELF) DETAILS
Employment Status Codes:
(Suburb/Town) P/Code : 01 02 03 04 05 06 07 08 09 88
Occupation Group: 0 1 2 3 4 8
Phone: Home Date of Arrival:
Silent Y / N Home Language:
Cultural B’GD:
Student Mobile No:
Aboriginal / Torres Strait Islander

Email: (print CLEARLY) ________________ Non Eng. Speaking B’GD: Y / N

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State which Sport (Performing Art)?: ___________________________________ PERSONAL INFO. PART 1
SASI scholarship holder? Yes / No Year Level: 11 / 12 / SP / SR
Counsellor: ....................................
Coach’s name / Dance School ____________________________
Status : A / F / N
Coach’s Email or/ph number(if known) .......................................
COUNTRY OF BIRTH………………………………………………………… F.T.E.: ................ Campus:
ARE YOU A PERMANENT RESIDENT? YES / NO MSC
ARE YOU ABORIGINAL/TORRES STRAIT ISLANDER? YES / NO Starting Date: …………………
PARENT/GUARDIAN CONTACT DETAILS (Must be completed)……..
ORIGIN: RCS / EGS / ENG /
Parent/Guardian 1:
ROT / REP / RUN / RHD
Relationship:
Phone: Mobile No Other Educ.Prov. 2009
Parent/Guardian 2: YES / NO
Relationship: School: ………………………………..
Phone: Mobile No …………….
Fraction:
Mentoring Required
CURRENT SCHOOL ………………………………………………………… YES / NO
………………………….
P E R S O N A L PA R T 2
YEAR LEVEL IN 2009: IMMIGRATION . VISA NO: ……………
……………………………
NESB CODE:
TR / P1 / P2 / P3 / A
DO YOU HAVE A MEDICAL CONDITION? YES / NO
ESL SUPPORT:
Condition:
1A / 2 / 3 / 4A / 4B
Symptoms/Treatment: Student Requires
SACE Registration: YES / NO

SSABSA No:
I declare that the personal information, as stated in this form, is correct
Student’s Signature: ……………………………………………………
Parent/Guardian Signature:……………………………………………

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