FINAL City of Casey - Expression of Interest (EOI)

City of Casey

Kindergarten Expression of Interest Form
Deferral Form

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If you already have a kindergarten registration, please do not complete this form. For any changes to your child’s registration contact Kindergarten Enrolment Planning Team at kinderenrolment@casey.vic.gov.au

The City of Casey's Centralised Registration and Enrolment Scheme (CRES) consists of Council-managed kindergartens and independent organisations that are part of the CRES. Registrations can be submitted in the year before children are eligible to attend 3-year-old or 4-year-old kindergarten.

Kindergarten places are allocated to eligible children in accordance with the Department of Education Priority of Access as outlined in the City of Casey Central Registration and Enrolment Scheme and Priority of Access Guidelines. Please refer to our CRES and Priority of Access Guidelines.pdf (casey.vic.gov.au) for more information.

Registrations must be received by 1 June to be considered in the first round of kindergarten offers. Registrations received after this date will be considered a late registration and will be offered in future rounds. The offer process is lengthy and continues throughout the year.

A child must be three or four years old on or before 30 April in the year they are due to attend kindergarten. The Starting Kindergarten age calculator provides information on when your child is eligible to attend kindergarten.

Key Dates

Expression of Interest form (to be included in the first round, however registrations are accepted all year)	January to June
Registration Stage (formally Update Stage for existing registrations) Last changes to update your details and preferred kindergartens.	From June
Kindergarten Offers	From August
Enrolment into Kindergarten (for Casey managed kindergartens)	From October
Kindergarten Program begins	End of January

Eligible year to attend kindergarten

Child's date of birth	3-year-old Eligible year	4-year-old Eligible year
1-May-2020 – 30-April-2021		2025
1-May-2021 – 30-April-2022	2025	2026
1-May-2022 – 30-April-2023	2026	2027

Child's Details
Child's Legal Name*

First Legal NameLast Legal Name
Gender*

MaleFemaleNot disclosed
Child's Date of Birth*

DayMonthYear
Please provide proof of birth documentation

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One of these documents can be used as Proof of Birth : Birth Certificate, Passport or Immunisation History Statement. Your registration will not be confirmed until one of these proof of birth documents is provided. You can give these documents at a later date. Cancelof
Child's Residential Address*

Street Number and Name

Street Address Line 2

SuburbState

Post Code
Parent's Details
Parent / Guardian 1*

Legal First NameLegal Last Name
Relationship to the child*
Please specify relationship
Parent / Guardian Address*

Same as childDifferent to child
Residential Address*

Street Number and Name

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Residency Status*

I am a ResidentI am not a resident but I am a ratepayerI will be a future residentI am not a resident
Future Address*
Does the parent require an interpreter?*
Language*
Would you like to add a second parent / guardian?*

YesNo
Parent / Guardian 2*

Legal First NameLegal Last Name
Relationship to the child*
Please specify relationship
Parent / Guardian 2 Address*

Same as childDifferent to child
Residential Address*

Street Number and Name

Street Address Line 2

SuburbState

Post Code
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Does this parent require an interpreter?*
Language*
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 identify as Aboriginal / Torres Strait Islander?*

NoAboriginalTorres Strait IslanderBoth Aboriginal and Torres Strait Islander
ATSI Output
Is your family known to Child Protection? (This means your child is or has been at risk of abuse or neglect)*

NoYes
Child's Living Arrangement*

Both ParentsSole ParentFormal Kinship CareFoster CarePermanent CareInformal Kinship CareOther
Do you or your child or have you or your child ever held one of the following VISA's*

NoneRefugee 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)Current or expired ImmiCard
Visa Output
Please attach a copy of your visa

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Max 10MB total file size Cancelof
Concession Calculator
Department of Education provides a fee subsidy for eligible families. Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria:

Commonwealth 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 QuadrupletsAboriginal or Torres Strait IslanderCurrent or expired ImmiCard
Have you been supported completing this registration? e.g Maternal Child Health, CALD worker, Early Intervention worker, Preschool Field Officer, Supported Playgroup Officer, Child First, Family member or Friend, Other.*

YesNo
Name of Support Person/Service/Agency*

CALD Outreach OfficerEnhanced Maternal Child Health NurseEnhanced Maternal Child Health Family Case WorkerMaternal Child Health NurseAMES Case WorkerAEL case workerChild Protection (DFFH) workerSupported Playgroup OfficerEarly Intervention WorkerPreschool Field OfficerFamily member or FriendOther
Name of support service / agency*
max 255 characters
Please provide details of your case workers name and contact details*
max 255 characters
Kindergarten Preferences
What year would you like your child to commence kindergarten? *
What program type is this application relevant to?*
Preference One*
PreferenceOne
Preference Two
PreferenceTwo
Preference Three
PreferenceThree
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.
Warning: Please select unique service preferences
Authorisation and Declaration
Declaration
In submitting this kindergarten application you are:
- Acknowledging that the information provided on this form is true and correct to the best of my knowledge.
- Understanding that this form is a legal document and penalties exist for providing false or misleading information.
- Acknowledging that the Council accepts this future kindergarten registration form on behalf of participating kindergartens but gives no guarantee that a place will be available in the kindergarten nominated.
- Acknowledging that the Council will be using data from this future kindergarten registration form for future planning which may include waiting lists between.
- Understanding that we collect your personal information where we reasonably believe it is necessary for performing our enrolment functions and activities. In most enrolment matters we will collect personal and health information, including but not limited to sensitive information, directly from you or your authorised representative. Your information will only be collected if you give your consent at the time we collect the information from you, unless an exception in the Privacy Act or Health Records Act applies. The information requested on this form is being collected by City of Casey for the purpose of enrolment for your child/ren into a kindergarten program. The information collected will be disclosed to the kindergarten you have elected for your child to attend. If you wish to gain access to the information provided or amend any of the information you have supplied to City of Casey, please contact Council via telephone on 9705 5200 or use this www.casey.vic.gov.au/council/contact/feedback-form. City of Casey will not be liable for third party disclosure, distribution, copy or misuse of the information contained in this enrolment form.
City of Casey is committed to protecting your privacy. Your information will be handled in accordance with the Privacy and Data Protection Act 2014 and Health Records Act 2001. All personal and health information including but not limited to sensitive and/or confidential information collected by the City of Casey will only be used for the purposes outlined within our Privacy Policy.

Council’s Privacy Policy is available from our website www.casey.vic.gov.au/council/your-council/privacy and all Council Customer Service Centres. For further Information about how Council manages and uses your personal information or how you can access and/or amend your personal information please contact Council’s Privacy Officers via our website www.casey.vic.gov.au/council/contact/feedback-form or by calling on 9705 5200
Would you like to pause the send of a notification email for this change?

YesNo
Already Paid?

Yes
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Yes
show_preferences_only

Yes
form_name
Offer_Response
Program Type Input
showPauseQn
Date

DayMonthYear
Date
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
In submitting this kindergarten application you are:

Acknowledging that the information provided on this form is true and correct to the best of my knowledge.I understand that this form is a legal document and penalties exist for providing false or misleading informationAcknowledging that the Council accepts this future kindergarten registration form on behalf of participating kindergartens but gives no guarantee that a place will be available in the kindergarten nominated.Acknowledging that the Council will be using data from this future kindergarten registration form for future planning which may include waiting lists betweenWe collect your personal information where we reasonably believe it is necessary for performing our enrolment functions and activities. In most enrolment matters we will collect personal and health information, including but not limited to sensitive information, directly from you or your authorised representative. Your information will only be collected if you give your consent at the time we collect the information from you, unless an exception in the Privacy Act or Health Records Act applies. The information requested on this form is being collected by City of Casey for the purpose of enrolment for your child/ren into a kindergarten program. The information collected will be disclosed to the kindergarten you have elected for your child to attend. If you wish to gain access to the information provided or amend any of the information you have supplied to City of Casey, please contact Council via telephone on 9705 5200 or use this www.casey.vic.gov.au/council/contact/feedback-form. City of Casey will not be liable for third party disclosure, distribution, copy or misuse of the information contained in this enrolment form
DNU Do you have one of the following:

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardTriplets or Quadruplets
DNU Health Care Number
DNU Health Care start date

DayMonthYear
DNU Health Care expiry date

DayMonthYear
DNU Pensioner Number
DNU Pensioner card start date

DayMonthYear
DNU Pension Card Expiry Date

DayMonthYear
DNU DVA Card Number
DNU DVA Card Expiry Date

MonthDayYear
Date
DNU Please attach a copy of your concession / visa

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Max 10MB total file size Cancelof
Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
DNU Does your child have additional needs requirements?

YesUndergoing DiagnosisNo
DNU Type of Additional Needs

BehaviouralDevelopmentalPhysicalHearing, SpeechOther
DNU If yes, please specify
max 255 characters
DNU Please upload any supporting documentation

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DNU Does your child have a diagnosed medical condition?

YesNo
DNU Please Specify

0/255
DNU Have you applied for or are you registered for NDIS funding?

YesNo
DNU Please Specify

0/255
DNU Main language spoken at home
DNU Country of birth
DNU Cultural background
DNU 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?

NoYes
DNU Please attach a copy of relevant documentation

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Max 10MB total file size Cancelof
DNU Please select the type of court order in effect and upload a copy below:

Family Law Order/Parenting Order (Formal custody agreement)Parenting Plan/Agreement (Informal arrangement)Intervention Order (Including Family Violence Intervention Order)Family Reunification OrderInterim Accommodation OrderCare by Secretary OrderInformal Care arrangementOther
Should be Empty:

City of Casey

Child's Details

Parent's Details

Additional information about your child

Kindergarten Preferences

Authorisation and Declaration