Meli Registration Form - Extended Preferences

Meli Kindergarten Services

Central Registration for Funded Kindergarten
Deferral Form

YesNo

Do you require an interpreter to assist you at the service?*

YesNo
What language do you require?*
What year would you like your child to commence kindergarten? *
What year would you like your child to commence kindergarten? *
What Year Mapped
What program type is this application relevant to?*
If you require assistance please contact our enrolments team:

Email: enrolments@meli.org.au

Phone: 52730200
Child's Details
Child's Name*

First NameLast Name
Gender*

MaleFemaleUnspecified
Child's Date of Birth*

DayMonthYear
WARNING: YOUR APPLICATION IS UNABLE TO BE ACCEPTED ONLINE.

Based on the Date of Birth entered for this child, they will not meet the age criteria for attending in {service-preferences_care-period}. Please contact us via email to discuss: enrolments@meli.org.au
Child's Residential Address*
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)
Do you or your child identify as Aboriginal and/or Torres Strait Islander?*

NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander
*Based on your selection above, you are eligible for Pre Prep hours of 4-year-old funded kindergarten. When choosing your preferences below look out for Pre Prep groups. You have the option of choosing a group with Pre Prep hours.

Call Meli Central Enrolments if you require asssitance with group selection.
Does your child have any additional needs*

YesNo
Please provide further details of your child's additional needs*
max 255 characters
Are your child’s additional needs supported by:*

National Disability Insurance Scheme plan (NDIS)A referral from preschool field officerReferrals from Maternal Child Health NurseEarly Intervention ServicesNone
Is your child or family known to Child Protection Services or the Department of Families, Fairness and Housing?*

YesNo
*Based on your selection above, you are eligible for Pre Prep hours of 4-year-old funded kindergarten. When choosing your preferences below look out for Pre Prep groups. You have the option of choosing a group with Pre Prep hours.

Call Meli Central Enrolments if you require asssitance with group selection.
Is you or your child being supported by one of the following services:*

Child ProtectionFamily Services Referral and Support TeamOrange DoorIntegrated Family ServicesServices Connect Case WorkerMaternal and Child Health nurseOut-of-Home Care providerOther
If other, please specify*
max 255 characters
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)Current or expired ImmiCardNone of the above
Please attach a copy of your Visa

Browse Files

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*Based on your selection above, you are eligible for Pre Prep hours of 4-year-old funded kindergarten. When choosing your preferences below look out for Pre Prep groups. You have the option of choosing a group with Pre Prep hours.

Call Meli Central Enrolments if you require asssitance with group selection.
Do any of the below apply to you or your child?*

Commonwealth Health Care CardCommonwealth Pensioner Concession CardDepartment of Veterans Affairs (DVA) Gold Card or White CardTriplets or QuadrupletsNone of the above
Do you or 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*

Browse Files

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Do you or your child hold a Pensioner Concession Card

YesNo
Pensioner Number*
Pension Card Expiry Date*

DayMonthYear
Please attach a copy of your Pensioner Concession card*

Browse Files

Cancelof
Do you hold a Veterans Affairs (DVA) 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*

Browse Files

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Is this child a multiple birth (triplet or quadruplet or more?)

YesNo
Please note: The eligibility of concessions may vary from time-to-time. Up-to-date information can be found here.
The child's living arrangements are best described as:*

Both parentsParent / Guardian 1Parent / Guardian 2Formal Kinship CareFoster CarePermanent Care OrderResidential CareInformal Kinship Care
*Based on your selection above, you are eligible for Pre Prep hours of 4-year-old funded kindergarten. When choosing your preferences below look out for Pre Prep groups. You have the option of choosing a group with Pre Prep hours.

Call Meli Central Enrolments if you require asssitance with group selection.
P1 eligible?
P2 eligible?
input_PPPC
Pre Prep Priority Cohort
Prior Connection
Does your child have a sibling who is currently attending or attended in the previous year to your 1st preferenced kindergarten?*

YesNo
Sibling Details*
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 {servicevicepreference_program-type}?*

YesNo
Which service did they previously attend?*
*Supporting documentation will need to be sighted at the time of enrolment.
Parent's Details
Parent/Guardian Email: We will send all correspondence/emails to the email address you provide. Please ensure you advise us of any changes to your contact details via email at enrolments@meli.org.au
Parent / Guardian 1*

First NameLast Name
Relationship to the child*
Parent / Guardian 1 Residential Address*
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Is the family a single parent family?*

YesNo
Parent / Guardian 2*

First NameLast Name
Relationship to the child*
Parent / Guardian 2 Residential Address*
Phone Number*
Mobile preferred
Email*
Please Note: You will be notified of all correspondence via email
Kindergarten Program Times

To view the kindergarten programs relevant for your child, please select the year and age your child will attend kindergarten
How to view kindergarten and timetable information on the map below:

1. Select your program type and year from the dropdown menu.

2. Enter your home address or suburb to drop pin your location, displayed by a blue home icon.

3. If you prefer specific days, untick the days of the week you do not want to see timetable information for.

4. Use the + sign to zoom in to your home location and to easily navigate between kindergartens, displayed as green pins

5. Clicking on kindergarten service locations will display the kindergarten details, program type and timetables for your preferred days.

Collapse Stopper
Please select a unique session time for each preference.
Alternative options (please select one):*

I am happy to be considered for an alternative group at one of the preferred kindergartens if the preferences I have provided are full.If the preferences I have provided are full, I do not want to be considered for any kindergarten/group. I understand that this will limit my chances of being offered a kindergarten place.
Mapped Alternative options :

Yes, will consider alternative optionsNo, will not consider alternative options
Authorisation and Declaration
By submitting this application the parent/guardian agrees and understands:
- I declare that all of the information provided on this application form is true and correct and I will update Meli of any changes.
- This is an application form, not a guarantee of placement. Offers for kindergarten places will be made in July prior to the application year.
- I understand that kindergarten groups are subject to change (days, times and sizes).
PRIVACY STATEMENT & AGREEMENT

Meli is collecting this information to comply with the Education and Care Services National Law Act 2010 and Education and Care Services Regulation 2011 and also for the purposes of enrolling your child in the Meli Central Enrolment System. Meli considers it necessary and important to collect this information to ensure that appropriate information is registered for your child. This information will be used for Meli administrative purposes and will be provided to relevant kindergarten staff as required for the enrolment of your child at the kindergarten listed on this form. This information will not be disclosed to any other party except as required by law. You may access this information by contacting Meli on 03 5273 0200.
WARNING: YOUR APPLICATION IS UNABLE TO BE ACCEPTED ONLINE.

Based on the Date of Birth entered for this child, they will not meet the age criteria for attending in {service-preferences_care-period}. Please contact us via email to discuss: enrolments@meli.org.au
Send Notification?
Please verify that you are human*
Already Paid?

Yes
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Yes
show_preferences_only

Yes
transfers

Yes
form_name
Offer_Response
Program Type Input
token
Flag
Form Test

Yes
Cutoff date calculator
Cutoff Date

DayMonthYear
Date
Age as at cutoff
ineligible to apply
Current Date

DayMonthYear
Date
Should be Empty:

Child Is	Eligible for 3YO	Eligible for 4YO	Eligible to attend school
Born before 30 April 2022	2025	2026	2027
Born before 30 April 2023	2026	2027	2028
Born before 30 April 2024	2027	2028	2029

Meli Kindergarten Services

Child's Details

Additional information about your child

Prior Connection

Parent's Details

Kindergarten Program Times

Authorisation and Declaration