• Pre-school Program Application Form

    St Augustine's Kindergarten

  • Internal Application Form

    St Augustine's Kindergarten
  • Gender*
  • Child's Date of Birth*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Address
  • Does Parent / Guardian 1 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
  • Does Parent / Guardian 1 have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*
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  • Would you like to add a second parent / guardian?*
  • Address*
  • Does Parent / Guardian 2 hold a Commonwealth Health Care Card?*
  • Health Care Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?*
  • Pensioner Card Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 hold a Veterans Affairs Card?*
  • Department of Veterans Affairs Expiry Date*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Browse Files
    Cancelof
  • Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*
  • Does Parent / Guardian 2 have complex medical needs that present barriers to accessing a kindergarten program (supported by a letter from a medical practitioner or specialist)?*
  • 0/230
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  • Does this child live in Out-of-Home Care (OoHC)*
  • Do you have children that have previously attended St Augustine's Kindergarten?*
  • Names of your other children that have attended St Augustine's Kindergarten
  • Does this child have a sibling who has previously attended this Kindergarten?

  • Enrolment & Immunisations

  • The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel at www.betterhealth.vic.gov.au/campaigns/no-jab-no-play

  • Are your child's immunisation up to date?*

  • Additional information about your child

  • By completing the following information, you will help our team support your family. This information will also be used to access priority of access for a kindergarten placement and access to additional hours for priority cohorts (as defined by the Department of Education)

  • Is this child Aboriginal or Torres Strait Islander?
  • Does your child hold a Commonwealth or Disability Health Care Card?*
  • Health care card expiry date*
     - -
    2 digit day, 2 digit month, 4 digit year
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  • Is this child a multiple birth (triplet or quadruplet or more)?*
  • Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria:
  • Is this child or family at risk?*
  • If yes, please select from the following:*
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  • Second Year of Funded Kindergarten

    Children enrolled in a funded kindergarten program are eligible to access a repeat year of funded 3 or 4 year old kindergarten, only if the early childhood teacher has assessed eligibility for your child to be considered for a second year.

  • Is your child applying for a second year of funded {servicevicepreference_program-type}?

  • Supporting documentation will need to be sighted on commencement at St Augustine's Kindergarten by the Enrolments Officer.

    Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found at: https://www.vic.gov.au/free-kinder

     

  • Does your child have any additional needs*
  • If yes, please select which of the following applies

  • You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.

  • Is your child registered with a specific Support service / agency?*

  • Acknowledgment

  • Waitlist Fee

  • A non refundable waitlist fee is payable for all applications. Should you be unable to pay, please contact the Enrolment Officer at: st.augustines.anglican.kin@kindergarten.vic.gov.au to arrange an alternate payment method.

    Please confirm your child's application at St Augustine's Kindergarten by paying the $25 waitlist fee via direct funds transfer (details below) and then submitting this form.

  • BSB: 063109

    Account Number: 00921907

    Account Name: St Augustines Kindergarten

    Payee Description: Child’s name

  • Date Paid*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Supress Notifications
  • Do you work or live in the City of Whitehorse?
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