Northern Schools Early Years (NSEY)- 2 Step Application Form

Northern Schools Early Years Application Form
Northern Schools Early Years Application Form for Rothschild Road Kindergarten @ Willowbank Primary School

The Victorian Government provides funding to kindergarten and long day care services. Northern Schools Early Years Cluster is committed to high-quality early years education and support to families at no cost. Kinder is Free.
All applications for the Northern Schools Early Years Application Form for Rothschild Road Kindergarten at Willowbank Primary School, commencing from 2027, will be managed by Macedon Ranges Shire Council. Applicants are advised to visit the Council’s website to submit their application.
Northern Schools Early Years Application Form for Molesworth Street Kindergarten @ North Melbourne Primary School

The Victorian Government provides funding to kindergarten and long day care services. Northern Schools Early Years Cluster is committed to high-quality early years education and support to families at no cost. Kinder is Free.
Child's Name*

First NameLast Name
Child's Date of Birth*

DayMonthYear
Birth Certificate*

Browse Files

Cancelof
MaleFemaleUnspecified
Language/s spoken at home:*
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Same as parent / guardian 1Different to parent / guardian 1
Address*

Street Address

Street Address Line 2

CityState

Post Code
Phone Number*
Email*
Please Note: You will be notified of all correspondence via email
Kindergarten Preferences
What year would you like your child to commence care? *
What program type is this application relevant to?*
Kindergarten*
YesNo
YesNo
YesNo
YesNo
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
YesNo
Kinder Data Collection
YesNo
YesNo
YesNo
YesNo
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)Current or expired ImmiCard
Supporting documentation will need to be sighted on commencement at Sample 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: www.education.vic.gov.au/childhood/parents/support/Pages/financialassist.aspx
Children with Additional Needs
YesNo
If yes, please specify:*
You are encouraged to discuss your child's needs with the educator when your child's place is confirmed.
YesNo
Name of support service / agency:*
Declaration
I give permission for this information to be shared with Northern Schools Early Years for the purposes of:
• accessing kindergarten and,
• if applicable, applications for State funding necessary to provide additional support for my child’s participation.

I give permission for this data to be anonymised, de-identified and aggregated (and shared with identified third parties) to help forecast future needs and help to improve the service.

I declare that all of the information provided is true and correct.
Signature*

Clear
Send Notification?*
Payment_type
payment_1_amount
payment_1_name
payment_1_item
form_name
programType
token
Yes
Yes
Yes
Yes
Yes
Should be Empty:

Northern Schools Early Years Application Form

Northern Schools Early Years Application Form for Rothschild Road Kindergarten @ Willowbank Primary School

Northern Schools Early Years Application Form for Molesworth Street Kindergarten @ North Melbourne Primary School

Kindergarten Preferences

Enrolment & Immunisations

Kinder Data Collection

Children with Additional Needs

Declaration