Enrolment Enquiry

Name of Person making enquiry

Relationship to Student

Your Email

Your Phone Number

Student First Name

Student Middle Name

Student Last Name

Date of Birth

Is the Student Aboriginal/Torres Strait Islander

Gender (as per birth certificate)

Preferred Personal Pronouns

Is the Student an Independent Student? (Receives Centrelink/Lives out of home)

Name of current school

Attended previous school - From (Year)

Attended previous school - To (Year)

Current Year level

Desired Start Date

Does the Student speak another language other than English at home?

What language does the student speak

Parent/Caregiver/Guardian's Full Name

Parent/Caregiver/Guardians's Email

Parent/ Caregiver/Guardian's Phone Number

Parent/Caregiver/Guardian's Address

Address Line 1

Address Line 2

Postcode

Suburb

State

Country

Does the Student reside at this address?

Where does the student live?

Address Line 1

Address Line 2

Suburb

Postcode

State

Country

Who with?

School Zone

Has the student been previously enrolled in FLO?

Reasons for Seeking enrolment at Modbury High School

Please supply us with other relevant information to assist us in enabling a supportive transition to Modbury High School