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Mansfield State High School

Enrolment Application Pack for Year 7 2024

Interview: ________________________________ Start Date: __________________________________

Checklist for student enrolment application


Please complete the checklist below before submitting your documents

PROSPECTIVE STUDENT’S DETAILS


*LEGAL FAMILY NAME *YEAR
(as per birth certificate) LEVEL
*GIVEN NAMES IN
(as per birth certificate)
PREFERRED NAME 20 _ _

LOCAL CATCHMENT STUDENTS ONLY OUT OF CATCHMENT STUDENTS ONLY


Please OFFICE Please OFFICE
TICK
Documentation for the student USE ONLY TICK
Documentation for the student USE ONLY
Confirmed address:
https://www.qgso.qld.gov.au/maps/edmap/
* Copy of rates or copy of settlement letter if
recently purchased
* Copy of lease if renting
* Copy of rental bond receipt from RTA
* Copy of latest electricity account or copy of
confirmation letter from provider if recently moved
Statutory Declaration Application fee paid
* Copy of birth certificate * Copy of birth certificate
* Copy of passport and visa if required * Copy of passport & visa if required
* Copy of Australian citizenship if required * Copy of Australian Citizenship if required
Copies of last two school semester reports Copies of last two school semester reports
Copy of latest NAPLAN results (where available) Copy of latest NAPLAN results (where available)
All signatures where required All signatures where required
Medical details form Medical Details form
State school consent form State School consent form
State education fees form State Education Fees form
Additional learning information Additional Learning Information
Subject form Subject form
Music form Music Form
Program of Excellence application form (optional) Program of Excellence application form

* Original documents plus photocopy to be provided for sighting

PLEASE NOTE: failure to submit all of the above forms can result
in the enrolment application not being accepted

Office use only Received: ______/______/______ Receipt: ___________________


Mansfield State High School

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 1 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 2 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 3 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 4 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 5 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 6 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 7 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 8 of 9


Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.

Date of publication 29/04/2021 Page 9 of 9


Mansfield State High School
Enrolment Application Pack for Year 7 2024

Mansfield State High School enrolment agreement


This enrolment agreement sets out the responsibilities of the student, parents or caregivers, and the school staff for the education
of students enrolled at Mansfield State High School.

It is the responsibility of the student to:


 attend school regularly, on time and to be ready to learn and participate in school activities
 act at all times with respect and show tolerance towards other students, staff and community members
 work hard and comply with requests or directions from all staff
 abide by school rules and meet homework and assessment requirements
 be well presented and wear the school’s uniform as prescribed
 behave in a responsible manner that does not infringe on others’ rights to learn
 respect the property of the school and others
 maintain a clean and safe environment
 be a worthy ambassador for Mansfield State High School.

It is the responsibility of the parents to:


 take an active role in their child’s academic and social development by attending school activities, parent evenings and
interviews
 inform the school if there are any situations that may affect their child’s ability to learn
 inform the school in writing of the reason for any absence prior to or within 48 hours of the absence
 make arrangements to enable their child to arrive at school on time
 encourage their child to use safe practices
 treat school staff with respect and tolerance
 support the authority and discipline of the school, enabling their child to achieve maturity and self-discipline
 abide by the school’s policy regarding access to school grounds before, during and after school hours.

It is the responsibility of the school to:


 develop each individual student’s talents as fully as possible
 inform parents and caregivers regularly about how their child is progressing
 inform students, parents and caregivers about what the teachers aim to teach the students each term
 teach effectively and to set the highest standards in work and behaviour
 take reasonable steps to ensure the safety, happiness and self-confidence of all students
 be open and welcoming and offer opportunities for parents and caregivers to become involved in the school community
 clearly articulate the school’s expectations regarding the responsible behaviour plan for students and the school’s
dress/presentation code policies
 ensure that the parent is aware of the school’s record-keeping policy
 set, mark and monitor homework regularly in keeping with the school’s homework policy
 contact parents and caregivers as soon as is possible if the school is concerned about the student’s school work,
behaviour, attendance, punctuality or any other major issues affecting the student
 deal with complaints in an open, fair and transparent manner
 treat students and parents with respect and tolerance.

I understand that if my student has enrolled at this school on the understanding that he/she will be a member of one of the
Programs of Excellence (French Immersion, Technology Integrated Curriculum, Classroom Music or Instrumental Music), he/she
must remain an active participant in the program(s) for its duration, unless otherwise approved by the Principal.

I accept the rules and regulations of Mansfield State High School as stated in the school policies that have been provided to me,
including:

□ Student Code of Conduct □ School excursions


□ Student dress and presentation code □ Religious education program
□ School charges and voluntary contributions □ Appropriate use of mobile telephones and other electronic
□ Attendance, lateness and absences equipment by students
□ Homework and assessment policies □ Consent to use copyright material, image, recording or name
□ Internet/computer usage □ Complaints management

I acknowledge that information about the school’s current programs, policies and services has been explained to me.

I am aware that my student’s previous school(s) will usually be contacted to provide a profile of the student.

____________________ _________________________ ________________________________


Student’s Signature Parent’s / Caregiver’s Signature On behalf of Mansfield State High School
__________ __________ __________
Date Date Date
Mansfield State High School
Enrolment Application Pack for Year 7 2024
28 February 2023

Introduction to the State School Consent Form (attached) for Mansfield State High School
This letter is to inform you about how we will use your child’s personal information and student
materials. It outlines:
 what information we record
 how we will use student materials created during your child’s enrolment.

Examples of personal information which may be used and disclosed (subject to consent) include part
of a person’s name, image/photograph, voice/video recording or year level.
Your child’s student materials:
 are created by your child whether as an individual or part of a team
 may identify each person who contributed to the creation
 may represent Indigenous knowledge or culture.

Purpose of the consent


It is the school’s usual practice to take photographs or record images of students and occasionally to
publish limited personal information and student materials for the purpose of celebrating student
achievement and promoting the school and more broadly celebrating Queensland education.
To achieve this, the school may use newsletters, its website, traditional media, social media or other
new media as listed in the ‘Media Sources’ section below.
The State School Consent Form may, at your discretion, provide consent for personal information
and a licence for the student materials to be published online or in other public forums. It also allows
your child’s personal information and student materials to be presented in part or alongside other
students’ achievements.
The school needs to receive consent in writing before it uses or discloses your child’s personal
information or student materials in a public forum. The attached form is a record of the consent
provided.
It should be noted that in some instances the school may be required by the Education (General
Provisions) Act 2006 (Qld) or by law to record, use or disclose the student’s personal information or
materials without consent (e.g. assessment of student materials does not require further consent).

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 1 of 4
Voluntary
There will not be any negative repercussions for not completing the State School Consent Form or
for giving limited consent. All students will continue to receive their education regardless of whether
consent is given or not.

Consent may be limited or withdrawn


Consent may be limited or withdrawn at any time by you.
If you wish to limit or withdraw consent please notify the school in writing (by email or letter). The
school will confirm the receipt of your request via email if you provide an email address.
If in doubt, the school may treat a notice to limit consent as a comprehensive withdrawal of consent
until the limit is clarified to the school’s satisfaction.
Due to the nature of the internet and social media (which distributes and copies information), it may
not be possible for all copies of information (including images of student materials) once published
by consent, to be deleted or restricted from use.
The school may take down content that is under its direct control, however, published information
and materials cannot be deleted and the school is under no obligation to communicate changes to
consent with other entities/ third parties.
Media sources used

Following is a list of online and social media websites and traditional media sources where the
school may publish your child’s personal information or student materials subject to your consent.
 School website: www.mansfieldshs.eq.edu.au
 Facebook: Mansfield State High School
 YouTube: event recording for the purpose of a private live stream to parents for events where
seats inside the venue are limited eg; Graduation Ceremony, Award Ceremonies.
 Instagram: n/a
 Twitter: n/a
 LinkedIn: n/a
 Other: n/a
 Local newspaper
 School newsletter
 Traditional and online media, printed materials, digital platforms’ promotional materials,
presentations and displays.
The State School Consent Form does not extend to P&C run social media accounts or activities, or
external organisations.
Duration
The consent applies for the period of enrolment or another period as stated in the State School
Consent Form, or until you decide to limit or withdraw your consent.
During the school year there may be circumstances where the school or Department of Education
may seek additional consent.
Who to contact
To return a consent, express a limited consent or withdraw consent please contact
info@mansfieldshs.eq.edu.au.
School Marketing Officer, Sonia Radel should be contacted if you have any questions regarding
consent.

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 2 of 4
State School Consent Form

IDENTIFY THE PERSON TO WHOM THE CONSENT RELATES
 Parent/carer to complete
 Mature/independent students may complete on their own behalf (if under 18 a witness is required).
(a) Full name of individual: ..........................................................................................................................
(b) Date of birth: ........................................................
(c) Name of school: …………………………………………………………………..
(d) Name to be used in association with the person’s personal information and materials* (please select):
Full Name First Name No Name Other Name ............................................................ 
* Please note, if no selection is made, only the Individual’s first name will be used by the school. However, the school may choose not to
use a student’s name at its discretion.
** For school photos Full Name will be used unless a limitation is given in Section 5 below.

PERSONAL INFORMATION AND MATERIALS COVERED BY THIS CONSENT FORM
(a) Personal information that may identify the person in section 1:
 Name (as indicated in section 1)  Image/photograph  School name
 Recording (voices and/or video)  Year level
(b) Materials created by the person in section 1:
 Sound recording  Artistic work  Written work  Video or image
 Software  Music score  Dramatic work

APPROVED PURPOSE
If consent is given in section 6 of the form:
 The personal information and materials (as detailed in section 2) may be recorded, used and/or disclosed
(published) by the school, the Department of Education (DoE) and the Queensland Government for the
following purposes:
- Any activities engaged in during the ordinary course of the provision of education (including assessment),
or other purposes associated with the operation and management of the school or DoE including to publicly
celebrate success, advertising, public relations, marketing, promotional materials, presentations,
competitions and displays.
- Promoting the success of the person in section 1, including their academic, sporting or cultural
achievements.
- Any other activities identified in section 4(b) below.
 The personal information and materials (as detailed in section 2) may be disclosed (published) for the above
purposes in the following:
- the school’s newsletter and/or website;
- social media accounts, other internet sites, traditional media and other sources identified in the ‘Media
Sources’ section of the explanatory letter (attached);
- year books/annuals and school photographs;
- promotional/advertising materials; and
- presentations and displays.

TIMEFRAME FOR CONSENT
School representative to complete.
(a) Timeframe of consent: duration of enrolment.
(b) Further identified activities not listed in the form and letter for the above timeframe: celebration of
results/achievements of students who have completed Year 12 in the year following graduation.

LIMITATION OF CONSENT
The Individual and/or parent wishes to limit consent in the following way:

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 3 of 4

CONSENT AND AGREEMENT
 CONSENTER – I am (tick the applicable box):
 parent/carer of the identified person in section 1
 the identified person in section 1 (if a mature/independent student or employee including volunteers)
 recognised representative for the Indigenous knowledge or culture expressed by the materials
I have read the explanatory letter, or it has been read to me. I have had the opportunity to ask questions about it and
any questions that I have asked have been answered to my satisfaction. By signing below, I consent to the school
recording, using and/or disclosing (publishing) the personal information and materials identified in section 2 for the
purposes detailed in section 3.
By signing below, I also agree that this State School Consent form is binding. For the benefit of having the materials
(detailed in section 2) promoted as DoE may determine, I grant a licence for such materials for this purpose. I
acknowledge I remain responsible to promptly notify the school of any third party intellectual property incorporated into
the licensed materials. I accept that attribution of the identified person in section 1 as an author or performer of the
licensed materials may not occur. I accept that the materials licensed may be blended with other materials and the
licensed materials may not be reproduced in their entirety.

Print name of student ...............................................................................................................................


Print name of consenter ..............................................................................................................................
Signature or mark of consenter...................................................................................................................
Date .....................................................
Signature or mark of student (if applicable) ................................................................................................
Date .....................................................

SPECIAL CIRCUMSTANCES
If the form is required to be read out (whether in English or in an alternative language or dialect) to a parent/carer or
Individual student; or when the consenter is an independent student and under 18 the section below must be
completed.
 WITNESS – for consent from an independent student or where the explanatory letter and State
School Consent Form were read
I have witnessed the signature of an independent student, or the accurate reading of the explanatory letter and the State School
Consent Form was completed in accordance with the instruction of the potential consenter. The individual has had the
opportunity to ask questions. I confirm that the individual has given consent freely and I understand the person understood the
implications.
Print name of witness .........................................................................................................................................
Signature of witness ............................................................................................................................................
Date ..........................................................
 Statement by the person taking consent – when it is read
I have accurately read out the explanatory letter and State School Consent Form to the potential consenter, and to the best of my
ability made sure that the person understands that the following will be done:
1. the identified materials will be used in accordance with the State School Consent Form
2. reference to the identified person will be in the manner consented
3. in accordance with procedures DoE will cease using the identified materials from the date DoE receives a written withdrawal of
consent.
I confirm that the person was given an opportunity to ask questions about the explanatory letter and State School Consent Form,
and all the questions asked by the consenter have been answered correctly and to the best of my ability. I confirm that the
individual has not been coerced into giving consent, and the consent has been given freely and voluntarily.
A copy of the explanatory letter has been provided to the consenter.
Print name and role of person taking the consent .............................................................................................
Signature of person taking the consent .............................................................................................................
Date ..........................................................
Privacy Notice
The Department of Education (DoE) is collecting your personal information on this form in order to obtain consent for the use and disclosure of the
student’s personal information. The information will be used and disclosed by authorised school employees for the purposes outlined on the form.
Student personal information collected on this form may also be used or disclosed to third parties where authorised or required by law. This
information will be stored securely. If you wish to access or correct any of the personal student information on this form or discuss how it has been
dealt with, please contact your student’s school in the first instance.

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 4 of 4
Mansfield State High School
Enrolment Application Pack for Year 7 2024

State Education Fees Scheme


Acknowledgement of Subject Fees

Student’s Name:

Year of Enrolment: Year Level:

Please note: Prior to acceptance of your enrolment at Mansfield State High School, parents/caregivers are to
complete the following acknowledgement in relation to subject fees. Unless otherwise notified, this authority will
remain in force for the duration of enrolment of the student.

I acknowledge that I:
have been informed that Mansfield State High School charges subject fees for each of the subjects
undertaken by my child

will support the school to provide learning resources for my child by paying these subject fees

have been informed that the values of the subject fees are available for perusal on the school’s website

have been informed that I am able to discuss any financial matters with the school’s Business Manager.
Parents/carers are advised to contact our Accounts Department at the commencement of the school
year if they wish to establish a payment plan for the payment of subject fees. Please note that all
parents/carers paying fees by instalments are required to complete and submit a Payment Plan
Authority.

Queensland Government Resource and Textbook Allowance


(Select one option only)

I wish to have the Queensland Government Resource and Textbook Allowance credited against my
account at the start of each school year. This means that the value of outstanding subject fees will be
reduced.

No, I do not wish to participate in the Mansfield State High School State Education Fees Scheme. I have
read and understand the Terms and Conditions (see reverse). I understand I must provide my child with
all items that would be otherwise provided to my child by the State Education Fees Scheme as detailed
on the information provided by the school. I understand that if my child is eligible for the Queensland
Government Resource and Textbook Allowance the school will contact me. I understand that I can
choose to join the State Education Fees Scheme in future years by completing a new Acknowledgement
of Subject Fees form.

Parents/carers, please sign to acknowledge that you have been provided with the information outlined above.

Parent/carer’s signature:

Parent/carer’s full name:

Date:
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Terms and Conditions of the


State Education Fees Scheme

Privacy Statement  Withdraw the student’s participation in the SEFS


Mansfield State High School collects this information in in order to  Require the return of items provided by the SEFS
administer the State Education Fees Scheme. The information will only be  Withhold the provision of any further items under the SEFS
accessed by school employees administering the Scheme. However, if  Refuse participation in the SEFS where participation fees are
required, some of this information may be shared with Education overdue from the previous year/s,
Department employees for the purpose of debt recovery.  Exclude the student from optional, non-curricular activities,
and/or
Definitions  Imitate debt recovery action.
1. Reference to a “parent” is in accordance with the definition in the
Education (General Provisions) Act 2006 and refers equally to an Parents NOT participating in the SEFS
independent student. 24. Parents indicate whether or not they wish to participate in the SEFS by
completing this Acknowledgement of Subject Fees Form.
The State Education Fees Scheme (SEFS) 25. This agreement is for the duration of the student’s enrolment at the
2. The cost of providing instruction, administration and facilities for the school, unless a new Acknowledgement of Subject Fees Form is
education of students enrolled at state schools is met by the State. completed.
3. The school is not responsible for providing textbooks, in-class 26. Where a parent has previously indicated that they will participate in the
consumables and personal resources for students. SEFS, but wishes not to participate in any year/s, the parent must notify the
4. The SEFS enables parents to access certain resources, as detailed by school prior to the invoice due date of their intention to cease participation.
the school, for an annual fee. 27. Parents who choose not to participate in the SEFS are responsible for
5. Participation in the SEFS is optional: parents are under no obligation to providing their child with all items that would otherwise be provided by the
participate. SEFS. School-produced resources (e.g. Student Diary) will be available for
separate purchase from the school for non-participants.
Textbook and Resources Allowance (TRA)
6. The State provides the TRA annually to parents of eligible secondary Operating the SEFS
students to assist with the costs of education. 28. Schools will provide all parents with a list of resources provided by the
7. The TRA is paid to the school based on enrolment data and will reduce SEFS to enable parents to assess the cost effectiveness of participation.
the cost of participating in the SEFS. 29. Schools will also provide non-participating parents with detailed lists of
8. Parents who choose NOT to participate in the SEFS and whose children resources to supply for their child.
are eligible for the TRA have the option to receive the TRA as a credit to 30. All items included in the SEFS must be able to be independently
their child’s school account or directly from the school. sourced by parents who choose not to participate in the SEFS, either from
a third party supplier or by purchasing a school-specific-resource (such as
Parents and Citizens’ (P&C) Association support of the SEFS a diary or workbook) from the school.
9. All parents are invited to participate in the annual meeting of the P&C 31. Schools may distribute information and invoices to parents in the year
Association at which the income and expenditure report is presented and preceding the SEFS but invoices must not be due before the end of the first
the proposed SEFS inclusions and fees are tabled for approval. week of term 1 of the SEFS year. All invoices must have a minimum of 30
days for payment.
Parents experiencing financial hardship 32. Parents must be given the option annually to choose not to participate
10. Principals may vary payment options and /or waive all or part of the in the SEFS.
SEFS for parents experiencing financial hardship. 33. In return for payment of the participation fee, the SEFS will provide
11. Parents experiencing financial hardship who wish to participate in the participating students with the resources and materials as outlined in the
SEFS should contact the Business Manager to discuss options. school SEFS documents.
12. The onus of proof of financial hardship is on the parent. 34. SEFS monies received are to be expended only on student resources
13. The school may require annual proof of continuing financial hardship. outlined in the school’s SEFS and must not be expended on other items or
14. All discussions will be held in the strictest confidence. used to raise funds for other purposes.
35. As the SEFS operates for the benefit of participating parents and is
Parents participating in the SEFS funded primarily from participation fees, the school retains control of the
15. Parents indicate whether or not they wish to participate in the SEFS by resources and determines the rules around their availability to non-
completing this Acknowledgement of Subject Fees Form. participants.
16. Invoices for the amount of the annual participation fee will be issued to 36. A student entering the school during the school year is entitled to pay a
the parent providing consent to participate in the SEFS pro-rata fee to participate.
17. This agreement is for the duration of the student’s enrolment at the 37. Where participation fees have been paid and a student leaves the
school, unless a new Acknowledgement of Subject Fees Form is school during the year, schools must determine if parents will be eligible for
completed. a pro-rata refund. This calculation will also take into account any pro-rata
18. Parents must notify the school before the invoice due date if they intend allocation of the TRA (if eligible) and any outstanding SEFS debts
to cease their participation in the SEFS in any year. (including any debts from damaged or non-returned items). Where the cost
19. Where a parent chooses to participate, they are agreeing to pay the of outstanding debts is higher than the calculator refund, parents will be
annual participation fee. liable to pay this balance of funds.
20. All SEFS resources provided for the student’s temporary use remain 38. The replacement cost of any resource will be up to the maximum value
the property of the school and must be returned when requested by the (subject to depreciation where appropriate) of the acquisition cost to the
school or if the student leaves. school, as detailed on the annual SEFS information provided to parents.
21. Parents are responsible for ensuring that any SEFS resources provided 39. Schools may initiate debt recovery action in accordance with the debt
for the students temporary use are kept in useable condition. Where an management procedure where a parent has an outstanding debt.
issued item is lost, not returned, or negligently damaged, parents will be
responsible for payment to the school of the value of the item or its repair.
22. Parents must inform the school if items on the list of resources are not
received.
23. Non-payment of the participation fee by designated payment dates
may result in debt recovery action in accordance with the Department’s
Debt Management Procedure. In such cases, the principal may:
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Queensland Oaths Act 1867


STATUTORY DECLARATION

This statutory declaration is to be completed for all enrolment applications made under the
local catchment area category of Mansfield State High School.

I, __________________________________________________________________________________________
(Print FULL NAME in BLOCK letters)

do solemnly and sincerely declare that:

1. I am applying for entry to Mansfield State High School under the Local Catchment category on behalf of my
child ____________________________________________________ (Child’s full name)
2. This application is made in accordance with the Mansfield State High School Enrolment Management Plan.
3. All documents enclosed with my application are true and correct photocopies of the originals. If required, I will
present the originals of the documents to the Executive Principal. All statements made within my application
are true and correct.
4. The address cited in the application, namely,
__________________________________________
__________________________________________

falls within the Local Catchment Area as defined in the Mansfield State High School Enrolment Management
Plan and Catchment map.
5. This address is the Principal Place of Residence of my family and me, including my child named above.
This is our permanent family arrangement, and I make this solemn declaration conscientiously believing the
same to be true, and by virtue of the provisions of the Oaths Act 1867.

Signed: ____________________________________

Declared at _________________________________ in the state of Queensland

this _____________________day of _____________20____.

Before me ___________________________________________
(Full name of Qualified Justice of the Peace
or Commissioner for Declarations)
Stamp of Qualified
Justice of the Peace ________________________________________________
or Commissioner for (Signature of Qualified Justice of the Peace
Declarations or Commissioner for Declarations)
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Additional learning information


The information provided below assists the school to support your student, ensuring that all information is considered
when planning class placements for each student.

1. Does your student have an advanced learning plan? (working in acceleration above year level)

No Yes If yes, please provide details:

2. Does your child have a verified disability? If yes, please tick the category below and include any further
information required to make reasonable adjustments for their learning.

Autism Spectrum Disorder (ASD) Physical impairment (PI)


Hearing Impairment (HI) Speech-language impairment (SLI)
Intellectual Disability (ID) Vision impairment (VI)

3. Does your child have other specific learning needs?

Emotional or behavioural difficulties Or a specific learning disorder such as:


General learning difficulties  Dyslexia
Attention and concentration difficulties  Dysgraphia
 Dyscalculia

4. Does your child receive assistance at primary school to support their learning needs?

Teacher aid support Reading support or intervention


Numeracy support or intervention Social assistance or social skill building programs
Literacy support or intervention Personalised Learning Plan

5. Is your child on an ICP? (working towards learning goals at another year level eg: Year 4 level)

No Yes ICP level: _______________ Specific subjects: ___________________________

Any further details:


Mansfield State High School
Enrolment Application Pack for Year 7 2024

Year 7 subject selections for 2024

Student’s Name:

Students in Year 7 will complete the core subjects of English, Mathematics, Science, Humanities, Health and Physical
Education (one semester) and Languages (one semester).

In addition to these core subjects, students are able to select one elective each semester. Electives are offered in the
curriculum areas of Arts and in Technology. To learn more about the available electives, please read the Year 7
Curriculum Overview .

Art and Technology elective preferences


Please complete both tables below, indicating a preference 1 and 2 for each curriculum area:

In the boxes below, write a 1 next to your first In the boxes below, write a 1 next to your first
Arts preference subject, and a 2 next to your Technology preference subject, and a 2 next to
second Arts preference subject. your second Technology preference subject.
Preference Preference
Arts Electives Technology Electives
Number Number
Visual Arts Design and Technologies
Drama Digital Technologies
Media Arts Fibre Technologies
Music Food Specialisations

All students are required to make two choices as it may not be possible to get your first choice of subject due to
resource restrictions.

Language elective preferences


In Year 7 students will study a language for one semester. The languages offered are French and Japanese.

In the boxes below, write a 1 next to your


Language preference.
Preference
Subject Name
Number
French
Japanese

Programs of Excellence electives


Students accepted into a Program of Excellence will be allocated electives that complement the program:
 French Immersion Program of Excellence students will automatically be placed into French language
extension.
 Classroom Music (Accelerando) Program of Excellence students will automatically be placed into Music as
their Arts elective.
 TIC Program of Excellence students are not required to study Digital Technologies and may choose their
preferred Technology electives.
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Co-curricular Instrumental Music Program


Please complete if your child is currently learning an orchestral instrument at their current school and is interested in
continuing to learn that instrument through our Instrumental Music Program.

Student’s name:

Primary School:

Instrument/s played:

My child wants to participate in the Yes No


Instrumental Music Program

Background
The co-curricular Instrumental Music Program at Mansfield State High School is one of the most extensive and
successful co-curricular music programs in Queensland.
With over 600 students actively participating, Mansfield's Instrumental Music Program offers all students exceptional
music education through participation in a range of group lessons, instrumental ensembles and choral groups.
All students enrolled at Mansfield State High School are eligible to participate in the Instrumental Music Program if
they currently learn an instrument at their current school and/or with a private teacher.

Instrumental Music classes


All students enrolled in the Instrumental Music Program are required to attend a weekly lesson during class time.
Instrumental music lessons are 35 minutes in length; students miss half of a subject lesson each week to attend
instrumental music lessons. These lessons are rotated so your student does NOT miss the same lesson each week.
Students agreeing to be part of the Instrumental Music Program must also be a member of one of our core ensembles.
Vocal and guitar lessons are offered on a ‘user-pay’ basis but there are no lessons offered for piano.

Instrumental Music fees


The costs below are our 2023 Instrumental Music fees and give an indication of costs that will be associated with this
program in 2024.

Instrumental Ensemble $250


Choral Ensemble $70
Instrument hire for larger school instruments (not all instruments are available Used at home $70
for hire) Used at school $40
Guitar & Voice $30

N.B. No student will be required to pay more than $320, regardless of how many instruments they play.

Instrumental Music Placement Auditions


 Thursday 23 November 2023
 Friday 24 November 2023
 Monday 27 November 2023
Information about how to book a music placement audition will be sent to you in Term 4, 2023.
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Programs of Excellence Application Form


Part 1: Application form for Programs of Excellence Year 7 2024
This form is Part 1.
Please also complete Part 2 online at https://forms.office.com/r/Yv7ZBaE6iP. Both Part 1 and Part 2 must be completed
 For information on these programs, please refer to the information in our enrolment pack and website:
https://mansfieldshs.eq.edu.au/curriculum/programs-of-excellence
 You MUST express a preference for at least one (1) Program of Excellence (indicate with a number 1 in the box)
 You MAY express a preference for multiple Programs of Excellence (indicate other preferences by marking 2,3 and 4)

PROSPECTIVE STUDENT’S DETAILS


*LEGAL FAMILY NAME
(as per birth certificate)
*GIVEN NAMES
(as per birth certificate)

□ Technology Integrated Curriculum (TIC) (Must place number in box if choosing this program)
NOTE: If you receive an offer for a place in this Program, a non-refundable payment of $250 towards subject costs (above
the normal Year 7 charges) is required by 8 September 2023 as confirmation of your acceptance of the offer.
For further information, please contact Mr Tadhg O’Loingsigh, Head of Program (TIC), on 3452 5333 or email:
toloi0@eq.edu.au.

□ French Immersion (Must place number in box if choosing this program)


NOTE: If you receive an offer for a place in this Program, a non-refundable payment of $250 towards subject costs is
required by 8 September 2023 as confirmation of your acceptance of the offer.
For further information, please contact Ms Allison Peel, Head of Department (Languages), on 3452 5333 or email:
apeel7@eq.edu.au.

Music Excellence Programs


All students with a confirmed enrolment can participate in the Instrumental Music program. The programs below are Music
Excellence programs for students with advanced music ability.
NOTE:
i. Students must also complete an audition and a written exam in order to gain entry to both Programs.
ii. If you receive an offer for a place for one of these Programs, a non-refundable payment of $250 towards subject
costs is required by 8 September 2023 as confirmation of your acceptance of the offer.
For further information, please contact Mrs Kathrine Jacobsen, Head of Department (Music) on 3452 5333 or email:
kjaco15@eq.edu.au.

□ Classroom Music (Accelerando) (Must place number in box if choosing this program)
This program involves being in a specialised music class in which students will study Classroom Music at a more advanced
level. This program is available for local catchment and out of catchment students.
□ Instrumental Music Excellence (Must place number in box if choosing this program)
This program provides entry for gifted music students from outside the catchment area – includes instrumental and/or voice.
Please attach: a copy of results of any music exams

Parent’s Name: Parent’s Signature

PART 2: Online Application form for Programs of Excellence


IMPORTANT:
Once you have completed this form, please also complete Part 2 online at
https://forms.office.com/r/Yv7ZBaE6iP or by scanning the QR code on a phone or tablet.
Mansfield State High School
Enrolment Application Pack for Year 7 2024
Mansfield State High School
Enrolment Application Pack for Year 7 2024

One-to-one laptop program


Mansfield State High School has always had a strong emphasis on providing students every opportunity to achieve or
exceed their potential academically, culturally and socially. As a school we recognise the importance that technology is
now playing in everyday lives beyond school, including universities and the workplace. As a result, Mansfield State
High School has a one-to-one personal laptop program. All students are required to bring a personal laptop to school.
Detailed information is available on the school website.
There are a range of options for providing a device. If your child already has a suitable device, they may be able to
bring this to school (Bring your own device or BYOD). Alternatively, there is a school purchased laptop program where
you pay a participation fee and the school buys and maintains ownership of the device including installation and
maintenance of all software for three years. Other options can be negotiated based on need including the use of loan
devices.

School laptop program


The school laptop program is a cost-effective three-year program with entry points in Year 7 and Year 10. In this
program the school bulk purchases laptops for students. The school maintains ownership for three years. At the end of
three years the laptop may be transferred to the family after all school software is removed and a new version of the
current Windows OS is installed. The school laptop program includes the following benefits:
 A robust commercial grade device built for the rigours of school and guaranteed to work on the school network
 Inclusion of extended warranty and accidental damage protection
 Computrace capability to allow tracking in case of theft
 Fully compatible software including enterprise operating system with automatic updates and patches. Health
of system is monitored and maintained by technical staff.
 All school specific software included, installed and maintained
 Full technical support via IT Helpdesk including a hot swap device if repairs are needed
 Internet is filtered at school and at home (Social media sites blocked in school hours).
To join the program, the participation fee is paid in full prior to delivery. Payment options are available but must be
finalised prior to delivery which is scheduled at the beginning of the school year. If this is not suitable, the best option
is BYOD where longer payment plans are available. Indicative costs and specific model of the laptop are to be
determined later in 2023.

Sample laptop
Below is a standard specification laptop suitable for all years. Current price through the school, including operating
system and all school required software is approximately $1,550 in 2023.

 Intel Core i5
 8GB RAM
 256GB SSD
 14” Touch Screen & Stylus Pen
 3yr Warranty & Accidental Damage Cover
 Protective Case
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Bring Your Own Device (BYOD)


Students can bring their own device if the device meets certain minimum specifications. The sample device on the
previous page is a good guide for recommended specifications. This can be a device you already own or one you want
to purchase yourself. We have made selecting a BYO device easier by arranging several vendor portals. Portal
information can be found on our website: https://mansfieldshs.eq.edu.au/extra-curricular/computer-and-internet/bring-
your-own-device-b-y-o-d#PORTALS

If BYOD is your preferred option, please be aware of these considerations:


 Many cheaper devices do not have sturdy cases and are more prone to damage when being transported in
students' bags.
 Older laptops may suffer from a shortened battery life and a replacement battery may be necessary to ensure
it lasts a full school day.
 Families are responsible for all repairs and warranty claims. It is highly recommended that extended next
business day warranty is purchased along with accidental damage protection. It is also important to check
your contents insurance to see if the laptop is covered or can be added to the policy for loss or theft.
 Microsoft Office and Adobe CC applications can be installed for free on BYO devices. However, some
software may not be covered by school licences e.g. QAX, MYOB, Sibelius etc. Information will be provided
when choosing subjects. These programs will need to be installed by the family.
 Support from IT Technicians will not be able to include hardware issues and can only offer assistance limited
to connecting to the school network and installing school software.
 Some vendors may offer the option to have the device repaired at school. This would require first arranging
the service with the vendor and leaving the device at an IT collection point for repair.
 Internet is filtered at school but not at home. Advice can be provided for securing home internet.
There are a range of cheaper laptop options from various electronics stores that may appear to be a bargain. It is our
experience and the experience of many current BYO schools that these cheaper models do not last as long as the
models offered in the school laptop program and this results in a poor experience for the students. Please consider the
models offered in the BYOD Portals.
Mansfield State High School
Enrolment Application Pack for Year 7 2024

Payment options – OUT OF CATCHMENT ONLY


Please note that Mansfield State High School will only accept payments made by either:
 Internet Banking or
 Credit Card

Internet banking payments


Please make a direct payment into the school bank account and include the reference details so your payment can be
recorded correctly.

School’s Bank Account Name: Mansfield State High School General A/C
BSB Number: 064 118 (CBA Branch Mount Gravatt)
Account Number: 00090257
Reference/Details: APP 2024 First Name and Last Name of Student in the
reference/details section so that your payment can be recorded
correctly.
 Provide a copy of the payment receipt with enrolment application to the Administration Office.

Credit card payments


 Complete credit card details on the payment advice below and place in sealed envelope.
 Submit payment advice with enrolment application to the Administration Office.

CREDIT CARD PAYMENT ADVICE


*** Please ensure this credit card payment advice is in a sealed envelope ***

STUDENT’S NAME: _____________ ____ YEAR LEVEL: ____ in 2024

AMOUNT PAID: $250 ACTIVITY/INVOICE NO: Application Fee 2024 DATE: __ ___

NAME ON CREDIT CARD: ___________________ ______

CARD TYPE: VISA MASTERCARD

CREDIT CARD
NUMBER:
(Please ensure that all sixteen numbers are entered)

EXPIRY DATE: /

SIGNATURE ON CARD: Phone Number: ____________________

Please return to: Mansfield State High School


Broadwater Road, Mansfield Qld 4122

School Finance Department Telephone: 3452 5368


Email: accounts@mansfieldshs.edu.au

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