Hume Council Kindergarten Application Form

Application for Funded Kindergarten
As part of the Victorian State Government's ongoing commitment to early years, to ensure every child gets the best start in life, from 2023 kindergarten will be free for both three and four year old funded programs.

Privacy and Confidentiality: Hume City Council (Family, Youth and Children’s Services) collects information in relation to families and children to provide to children services programs and for secondary research purposes. Council will only collect personal information and health records that are necessary for its functions and activities. We will not give out information we hold about you without your consent unless otherwise required to do so by law. You may access your personal information and health records by contacting Hume City Council on 9205 2200. Where you have indicated a preference for a non-Council run kindergarten, your personal information will be provided to the service provider if a placement is offered and/or accepted at the kindergarten.

Please refer to the Kindergarten Enrolment Policy for more information on eligibility. Alternatively, you can contact the central enrolment team at kindergarten@hume.vic.gov.au.

Your child is eligible to attend funded kindergarten in the two years prior to attending school. Your child must turn three or four years of age by 30 April in the year of attendance.

Click on this link for further information Give your child the best start | Victorian Government (www.vic.gov.au).
Child Details
Child's Name*

First nameLast name
Child's date of birth*

DayMonthYear
Gender*

MaleFemaleOther
Child's Living Arrangement

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent CareResidential CareInformal Kinship Care
Parent/Guardian Details
Parent / Guardian 1*

First nameLast name
Relationship to the child*
Phone Number*
Residential Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Email*
Please note: you will be notified of all correspondence via email. This email will be used for all future correspondence unless otherwise advised.
Primary language spoken at home*
Do you require an interpreter?*

YesNo
Do any of the below apply to Parent / Guardian 1?

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardNone of the above
Does Parent / Guardian 1 hold a Commonwealth Health Care Card?

YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Please attach a copy of your Health Care card

Cancelof
Does Parent / Guardian 1 hold a Commonwealth Pensioner Concession Card?

YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Please attach a copy of your Pensioner Concession card

Cancelof
Does Parent / Guardian 1 hold a Veterans Affairs Card?

YesNo
Department of Veterans Affairs Number*
Department of Veterans Affairs Expiry Date*

DayMonthYear
Please attach a copy of your Department of Veterans Affairs card

Cancelof
Does Parent / Guardian 1 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Please provide Parent / Guardian 1's NDIS Number
Does Parent / Guardian 1 have complex medical needs that present barriers to accessing a kindergarten program?*

YesNo
Please provide further details*

0/230
Does your child have a second parent / guardian?*

NoYes
Parent / Guardian 2

First nameLast name
Phone Number
Parent / Guardian 2 Address

Same as parent / guardian 1Different to parent / guardian 1
Address

Street Address

Street Address Line 2

SuburbState

Postcode
Email
Do any of the below apply to Parent / Guardian 2?

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardNone of the above
Does Parent / Guardian 2 hold a Commonwealth Health Care Card?

YesNo
Health Care Number*
Health Care Expiry Date*

DayMonthYear
Please attach a copy of your Health Care card

Cancelof
Does Parent / Guardian 2 hold a Commonwealth Pensioner Concession Card?

YesNo
Pensioner Number*
Pensioner Card Expiry Date*

DayMonthYear
Please attach a copy of your Pensioner Concession card

Cancelof
Does Parent / Guardian 2 hold a Veterans Affairs Card?

YesNo
Department of Veterans Affairs Number*
Department of Veterans Affairs Expiry Date*

DayMonthYear
Please attach a copy of your Department of Veterans Affairs card

Cancelof
Does Parent / Guardian 2 have a NDIS number or are they undergoing assessment for disability under the NDIS currently?

YesNo
Please provide Parent / Guardian 2's NDIS Number
Does Parent / Guardian 2 have complex medical needs that present barriers to accessing a kindergarten program?

YesNo
Please provide further details

0/230
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
Do you identify your child as Aboriginal and/or Torres Strait Islander?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
Do any of the below apply to you or your child?*

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDisability Health Care CardDepartment of Veterans Affairs (DVA) Gold or White CardNone of the above
Does your child hold a Commonwealth Health Care Card?

YesNo
Health Care Number*
Health Care expiry date*

DayMonthYear
Please attach a copy of your Health Care card

Cancelof
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
Do you or your child hold a Disability Health Care Card?

YesNo
Disability Health Care Number*
Disability Health Care expiry date*

DayMonthYear
Please attach a copy of your Disability Health Care card

Cancelof
Do you or your child hold a Department of Veterans Affairs Card

YesNo
Department of Veterans Affairs expiry date*

DayMonthYear
Department of Veterans Affairs Card Number*
Is your child a triplet or quadruplet?*

YesNo
Does your child have any allergies?*

YesNo
Please specify*
Allergies Mapped
max 255 characters
Does your child have any additional needs?*

YesNo
Please Specify*
Which of the following relevant professionals made the assessment?*
Additional Needs Mapped*
max 255 characters
Does your child have a NDIS number or are they undergoing assessment for disability under the NDIS currently?*

YesNo
Please provide the NDIS Number
Is your child registered with a specific Support service / agency?*

YesNo
Name of support service / agency*
Name of support service / agency*
max 255 characters
Is your child or family known to child protection? (i.e. Children at risk of abuse or neglect, including family violence, children in Out-of-Home Care. Family is receiving support from Child Protection/Child First/Orange Door)*

YesNo
If yes, please select from one of the following*
Please attach a copy of relevant documentation

Cancelof
Are there any court orders relating to the powers, duties, responsibilities or authorities of any person in relation to the child or access to your child?*

YesNo
Please attach a copy of relevant documentation

Max 10MB total file size
Cancelof
Do you or your child have, or are you applying for, any of the following visas?

Refugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Resolution of Status visa (subclass 851)Current or expired ImmiCard
Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
Kindergarten Preferences
Please select from the suburbs below to see relevant kindergartens:

BroadmeadowsCampbellfieldCoolarooCraigieburnDallasGladstone ParkGreenvaleKalkalloMeadow HeightsMicklehamRoxburgh ParkSunburyTullamarineWestmeadows
Broadmeadows
- Broadmeadows Pre School at Broadmeadows Primary School - 62-70 Blair Street
- Meadows Primary School Kindergarten - 41 Gerbert Street
- Broadmeadows Valley, Gowrie Victoria - 30-54 Johnstone Street
Campbellfield
- Campbellfield Kindergarten - 26 Waratah Street,
Coolaroo
- Coolaroo South Kindergarten at Coolaroo South Primary School - Bushfield Crescent
Craigieburn
- Aitken Hill Kindergarten - 40 Waterview Boulevard,
- Bank Street Kindergarten - 26 Bank Street,
- Craigieburn Child and Family Centre Kindergarten - 24-36 Cleveland Drive,
- Craigieburn Global Learning Centre Kindergarten - 75-95 Central Park Avenue,
- Craigieburn Leisure Kindergarten - 127 Craigieburn Road West,
- Craigieburn North-West Kindergarten - 1 Sustainable Drive Craigieburn 3064 (Opens 2027)
- Hilton Street Kindergarten - 20 Hilton Street,
- Malcolm Creek Kindergarten - 87-91 Grand Boulevard,
- Mitford Crescent Kindergarten - 14 Mitford Crescent,
- Newbury Kindergarten - 440 Grand Boulevard,
- Pembroke Kindergarten - 48 Pembroke Crescent,
- Willmott Park Uniting Kindergarten - 26 Cowes Street,
Greenvale
- Barrymore Road Kindergarten - 31 Barrymore Road,
- Bradford Avenue Kindergarten - 24 Bradford Avenue,
- Greenvale Primary School Kindergarten - 12-24 Bradford Avenue,
- Greenvale West Kindergarten - 7 Ventura Way,
Dallas
- Dallas Kindergarten at Dallas Brooks Community Primary School - 26-36 King Street
- Holy Child Early Years Centre at Holy Child Primary School - 227 Blair Street
- Upfield Kindergarten at Dallas Brooks Community Primary School - 26-36 King Street
Gladstone Park
- Gladstone Views Primary School Kindergarten - 217 Carrick Dtive
- Taylor Drive Kindergarten - 91 Taylor Drive
Kalkallo
- Kalkallo Kindergarten - 33 Toyon Road,
- Kalkallo North Community Centre - 24 Koeks Vista
Meadow Heights
- Bethal Primary School Kindergarten - 26-52 Eldorado Crescent
- Tarcoola Kindergarten - 12-16 Tarcoola Avenue
Mickleham
- Mickleham North Kindergarten - 82-90 St George's Boulevard,
- Mickleham South Kindergarten - 125 Brossard Road,
- Annadale Kindergarten - 27 Elscott Boulevard
Roxburgh Park
- Bluebird Way Kindergarten - 12-14 Bluebird Way,
- Homestead Kindergarten - 15 Homestead Run,
- Roxburgh Park Primary School Kindergarten - 7-21 Almands Ave
Tullamarine
- Dawson Street Kindergarten - 27A Dawson Street
Sunbury
- Elizabeth Drive Child and Family Centre Kindergarten - 511 Elizabeth Drive,
- Dobell Avenue Kindergarten - 35 Dobell Avenue,
- Dulap Wilim Kindergarten - 13 Leichardt Street,
- McEwen Drive Kindergarten - 9 McEwen Drive,
- St Andrews Kindergarten - 2 Barkly Street,
- Stewarts Lane Kindergarten - 9 Stewarts Lane,
- Sunningdale Avenue Kindergarten - 13A Dornoch Drive,
Weastmeadows
- Westmeadows Kindergarten - 9A Ardlie Street
Is this application for 3 Year Old or 4 Year Old kindergarten? *
What year would you like your child to commence kindergarten?*
Would you also like to add an application for 4 Year Old Kindergarten at this time?*

YesNo
Following Year Program Type
Warning: Your Application is unable to be accepted at this time.

Based on the Date of Birth for your child, your registration does not meet the age criteria for the year you have requested.

Please refer to Give your child the best start | Victorian Government (www.vic.gov.au) for more information on eligibility or contact the central enrolment officer at kindergarten@hume.vic.gov.au.
- Preference One
- Preference Two
- Preference Three
- Preference One*
- Preference Two*
- Preference Three*
- Preference One*
- Preference Two*
- Preference Three*
- Preference One
- Preference Two
- Preference Three
- Preference One*
- Preference Two*
- Preference Three*
- Preference One*
- Preference Two*
- Preference Three*
- Preference One*
- Preference One Check
- Preference Two*
- Preference Two Check
- Preference Three*
- Preference Three Check
- Please note: In order to submit this application, you will need to choose a different service for each preference
- Uploading Additional Information
- Form can still be submitted without this information. Select any of the following that you will be uploading:
  
  Child passport or child birth certificateChild immunisation recordsParent support letter from a medical practitioner
- Eligibility documents that are not supplied now, will be verified at a later date
  Cancelof
- Authorisation and Declaration
- I declare that the information provided in this application is, to the best of my knowledge and belief, accurate and complete. I have read and understand the information in this application regarding the collection of personal information, publishing child information and consent. I am aware that if information I have given is false or misleading, any decision made as a result of this application, may be changed.
  
  In submitting this application, you are:
  - Acknowledging that the Council accepts this application on behalf of both Hume City Council run kindergartens and participating external service providers but gives no guarantee that a place will be available in the kindergarten nominated or in any other kindergarten in the municipality; and
  - Acknowledging that the Council will be using data from this application for future planning which may include waiting lists between kindergartens.
- Would you like to send a confirmation email for this change?
- Todays date
  
  DayMonthYear
  Date
- Form_Name_For_Email
- Application_Year
  Year to send email
- internal_hide
  
  YesNo
- additional_internal_hide
  
  Yes
- Program Type
- Date
  
  DayMonthYear
  Date
- Cutoff date calculator
- Cutoff Date
  
  DayMonthYear
  Date
- Age as at cutoff
- ineligible to apply
- form_name
- Offer Declined & Updating Preferences
  
  Yes
- Show Preferences Only
  
  Yes
- Where did your child previously attend 4 year old Kindergarten?
- P1 eligible?
- P2 eligible?
- Form Test
- token
- disable carePeriod
- DNU Department of Education and Training provides a fee subsidy for eligible families. Please indicate if you currently hold, or have held in the past, any of the following entitlements, concessions, or visas (please select all that apply):
  
  Aboriginal or Torres Strait IslanderCommonwealth Health Care CardCommonwealth Pensioner Concession CardRefugee visa (subclass 200)In-country Special Humanitarian visa (subclass 201)Global Special Humanitarian visa (subclass 202)Temporary Humanitarian Concern visa (subclass 786)Protection visa (subclass 866)Emergency Rescue visa (subclass 203)Woman at risk visa (subclass 204)Bridging visa A-E for humanitarian or refugee visaHumanitarian Stay visa (subclass 449)Temporary Protection visa (subclass 785)Safe Haven Enterprise visa (subclass 790)Department of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsCurrent or expired ImmiCard
- PLEASE NOTE: Visitor visa (subclass 600) eligible only for families impacted by the current situation in the Middle East.
- Age at Start Date
- DNU Health Care expiry date*
  
  DayMonthYear
- DNU Health Care Number*
- DNU Does your child receive NDIS funding?
  
  YesNo
- DNUPlease provide details*
- DNU Is the family a single parent family?
  
  YesNo
- Should be Empty:

Application for Funded Kindergarten

Child Details

Parent/Guardian Details

Additional information about your child

Kindergarten Preferences

Uploading Additional Information

Authorisation and Declaration