Enrolment Enquiries

Your Name required

Relationship to student required

Student full name required

Age required

Date of birth required

Is student Aboriginal/Torres Strait Islander decent? required

Yes

Is student independent (Receives Centrelink/Lives out of home)? required

Yes

Does student identify with a Non-English Speaking Background? required

Yes

Name of secondary school currently attending

Parent/Carer’s full name required

Residential Address required

Email Address

Mobile

Home

Work

Does the student reside at this address?

Yes

If no, where does the student live?

Year level of enrolment required

School Zone

In our Zone

Out of our Zone

Reasons for seeking enrolment at Modbury High School

Does the student have a Negotiated Education Plan? required

Yes

Unsure

Has student been previously enrolled in FLO?

Yes

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

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