• Geelong West Kindergarten Application Form

  • Thank you for choosing Geelong West kindergarten for the care and education of your child.

    Please note, this is an application form only. It is not confirmation of a kindergarten place.

    Applications will incur a non-refundable $30 application fee via credit card.

    Kindergarten places are allocated to eligible children in accordance with the Department of Education Priority of Access and our Locally Agreed Criteria.  See our website for more details.

    When to start kindergarten:

    Please note that your child cannot start kindergarten until they have had their third birthday.

    Three year old kindergarten - Government Funded Program

    • Children must be three years old to attend Three-Year-Old Kindergarten.
    • Families with children born between January and April are strongly recommended to consider the best time for their child to access Three-Year-Old kindergarten, as this will impact on their one year of Four-Year-Old kindergarten and their school starting age. e.g. If you access Three-Year-Old Kindergarten in 2026, your child will transition to Four-Year-Old Kindergarten in 2027, then school in 2028.

    Four year old kindergarten - Government Funded Program

    • Children must be four years old by 30 April in the year they are attending kindergarten to be eligible.
    • Children will only be able to access one year of Government Funded Four-Year-Old Kindergarten and will transition to school the following year, unless your child is assessed as being eligible for a second year of Four-Year-Old Kindergarten (when a child shows delays in at least two key outcomes of learning and development as assessed by your child’s kindergarten teacher).

     

    Child Is Eligible for 3YO Eligible for 4YO Eligible to attend school
     Born before 30 April 2023  2026  2027   2028
     Born before 30 April 2024  2027  2028  2029
     Born before 30 April 2025  2028  2029  2030
  • Do you require an interpreter to assist you at the service?*
  • 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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  • Is the family a single parent family?*
  • 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
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  • 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)?*
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  • 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 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)?*
  • Do you or your child have, or are you applying for, any of the following visas?
  • Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.

  • 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 kindergarten?
  • 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)

  • Does your child have any additional needs*
  • If yes, please select which of the following applies*
  • Is your child registered with a specific Support service / agency?*
  • Is this child or family at risk?*
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  • Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to the child?*
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  • Prior Connection

  • Have you had a child attend Geelong West Kindergarten in the past?*
  • Names of your other children that have attended Geelong West 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?*
  • Application Fee

    A non refundable application fee is payable for all applications.
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