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Student Application for Enrolment

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Information about this form (please read before completing)

This confidential enrolment form asks for personal information about the student, family members and others that provide care for them. We are required by law to collect student background information. This includes information about the student’s country of birth, indigenous status, language spoken at home and parent occupation. This information is collected so that Mansfield Autism Statewide Services receives appropriate resource allocations for their students. It is also used by the Department of Education to plan for future educational needs in Victoria. Some information is sent to Commonwealth government agencies for monitoring, reporting, planning and resource allocation. The Department will not otherwise disclose the information to others without your consent or as required by law.

Health information is asked for so that staff at Mansfield Autism can properly care for the student. This includes information about any medical conditions or disability the student may have, medication they may rely on while in our care, any known allergies and contact details of the student’s doctor. Mansfield Autism Statewide Services depends on all relevant health information being provided because withholding some health information may put the student’s health at risk.

Mansfield Autism requires information about all parents, guardians, or carers so that we can take account of family arrangements. Any Family Court Orders with access restrictions and parenting plans should be made available to the school. Please tell us as soon as possible about any changes to these arrangements. Please do not hesitate to contact the CEO Ms Simone Reeves if you would like to discuss, in strict confidence, any matters relating to family arrangements.

We respect the privacy of people who use our services and their right to choose if, when and how their information is collected, used and/or shared with others. We will only collect information about a person using a service that is needed for their care and support, and then only if the person (or their parent or guardian if a child) agrees, that is, gives their consent. All information is treated confidentially and in accordance with our privacy policy.

Emergency Contacts: These are people that the administration staff, CEO, teachers or staff may contact in an emergency. Please ensure that the people named are aware that they have been nominated as emergency contacts and agree to their details being provided to our staff.

Updating information: You can update any personal or background information provided by contacting our office.