Hume Council Kindergarten Application Form

Application for Funded Kindergarten

Child Details
Child's Name*

First nameLast name
Child's date of birth*

DayMonthYear
Gender*

MaleFemaleOther
Is your child of Aboriginal or Torres Strait Islander origin?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
Primary language spoken at home*
Do you require an interpreter?*

YesNo
Parent/Guardian Details
Parent / Guardian 1*

First nameLast name
Relationship to the child*
Phone Number*
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.
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
Age at Start 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
Does your child have any allergies?*

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

YesNo
Please Specify*
Additional Needs Mapped*
max 255 characters
Which of the following relevant professionals made the assessment?*
Does your child receive NDIS funding?

YesNo
Please provide details*
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 children in Out-of-Home Care. Family is receiving support from Child Protection/Child First/Orange Door).*

YesNo
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
Concession Details
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)Visitor visa (subclass 600)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.
Health Care Number*
Health Care expiry date*

DayMonthYear
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
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
- Gowrie Kindergarten - 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 (3YO & 4YO sessions full for 2025),
- Bank Street Kindergarten - 26 Bank Street,
- Craigieburn Child and Family Centre Kindergarten - 24-36 Cleveland Drive (3YO sessions full for 2025),
- Craigieburn Global Learning Centre Kindergarten - 75-95 Central Park Avenue (3YO Kindergarten only, 3YO sessions full for 2025),
- Craigieburn Leisure Kindergarten - 127 Craigieburn Road West (3YO & 4YO sessions full for 2025),
- Hilton Street Kindergarten - 20 Hilton Street,
- Malcolm Creek Kindergarten - 87-91 Grand Boulevard (3YO sessions full for 2025),
- Mitford Crescent Kindergarten - 14 Mitford Crescent (3YO sessions full for 2025),
- Newbury Kindergarten - 440 Grand Boulevard (3YO & 4YO sessions full for 2025),
- Pembroke Kindergarten - 48 Pembroke Crescent (3YO sessions full for 2025),
- Willmott Park Uniting Kindergarten - 26 Cowes Street (3YO & 4YO sessions full for 2025)
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 (4YO Kindergarten only)
- 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
- 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 Community Centre - 125 Brossard Road,
- Annadale Kindergarten - 27 Elscott Boulevard
Roxburgh Park
- Bluebird Way Kindergarten - 12-14 Bluebird Way,
- Homestead Kindergarten - 15 Homestead Run,
- Roxburgh Park Uniting Kindergarten - 2-4 Perry Court,
- 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 - 30 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.

Collapse Stopper
Please note: In order to submit this application, you will need to choose a different service for each preference
2nd Year of 4 Year Old Kindergarten
Is this a 2nd Year of 4 Year Old Kindergarten? Please Note: This only applies if your child is currently attending 4YO kindergarten and is eligible for a 2nd year of 4YO kindergarten, which has been recommended by their teacher and approved by the Department of Education.

YesNo
Would you like to send a confirmation email for this change?
Todays date

DayMonthYear
Date
Additional information can be uploaded here for your child - Form can still be submitted without this information. e.g. concession/visa, child passport or child birth certificate, child immunisation records

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.
Form_Name_For_Email
Application_Year
Year to send email
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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?
Form Test
token
Should be Empty:

Born Between	Eligible for 4YO Kindergarten	Eligible for 3YO Kindergarten
1 Jan 2020 - 30 Apr 2020	2024 or 2025	2023 or 2024
1 May 2020 - 30 Apr 2021	2025	2024
1 Jan 2021 - 30 Apr 2021	2025 or 2026	2024 or 2025
1 May 2021 - 30 Apr 2022	2026	2025
1 Jan 2022 - 30 Apr 2022	2026 or 2027	2025 or 2026
1 May 2022 - 30 Apr 2023	2027	2026
1 Jan 2023 - 30 Apr 2023	2027 or 2028	2026 or 2027

Application for Funded Kindergarten

Child Details

Parent/Guardian Details

Additional information about your child

Concession Details

Kindergarten Preferences

2nd Year of 4 Year Old Kindergarten

Authorisation and Declaration