Name: BUSY Schools
Address: 37-43 Commercial Drive, Shailer Park, Queensland, 4128, Australia
Telephone: 611300176472
Price range: 0-0

Step 1 of 5

ADDITIONAL OR EMERGENCY CONTACT
First Name
Surname
Preferred Name
Home Phone Number:
Mobile Phone Number:
Relationship to Student:
Gender:
- Male
- Female
- Other
Email Address:
Home Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student lives with contact:
- Full-time
- Part-time
- Does not live with
EXTERNAL STAKEHOLDERS (GUARDIAN)
Name of Organisation
Phone
Email Address:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary contact in relation to the Student:
Job title in relation to the Student:
Contact number:
Email Address:
Additional Organisation Contacts: (Name, phone, job title, etc.)
Who can sign forms and documents in relationship to the Student? (eg permission forms, etc)

DECLARATION
- I/we apply to have the Student named in this application enrolled at BUSY Schools.
- I/we understand that this application is made without any implication that an offer of enrolment at BUSY Schools will be made.
- I/we understand that under normal circumstances BUSY Schools requires any prospective student to attend an interview with the Principal (or Principal’s representative) before an offer of enrolment can be made.
- I/we understand that to accept an offer of enrolment at BUSY Schools we must accept the school’s Terms & Conditions of enrolment as per the Enrolment Agreement and Code of Behaviour.
- I/we understand that this application may not be processed until all required documents have been provided.
- I/we declare that the information we have supplied on this form is complete, true and correct, and understand that inaccurate, incomplete or misleading information may jeopardise enrolment.
- I/we give permission for external stakeholders and specialist support teams to be contacted to support the students application.
- I/we give permission for BUSY Schools to engage with internal staff, external stakeholders, allied health and specialist support teams e.g. youth worker, psychologist and counsellors, to support and assess the students overall wellbeing.
- I/we agree to the implementation of a flexible timetable arrangement for this student at BUSY Schools to allow for employment pathways and additional education and training programs to run within their timetable.
Parent/Carer 1 Signature:
Date
DD slash MM slash YYYY
Parent/Carer 2 Signature:
Date
DD slash MM slash YYYY
Or, I wish to apply for an enrolment as an Independent Student and will be responsible for signing all School forms and payment of all accounts.
Student Signature:
Date
DD slash MM slash YYYY
Or, signed for on behalf of the organisation that holds legal guardianship for this student.
Student Signature:
Date
MM slash DD slash YYYY
Name:
Position:
Comments
This field is for validation purposes and should be left unchanged.

Online Application Form

Step 1 of 5

APPLICATION FOR ENROLMENT

STUDENT DETAILS

PREVIOUS SCHOOL DETAILS

MEDICAL DETAILS

EDUCATION NEEDS - IN CLASS SUPPORT

PROFESSIONAL SUPPORT

OTHER INFORMATION

FAMILY DETAILS

ADDITIONAL OR EMERGENCY CONTACT

EXTERNAL STAKEHOLDERS (GUARDIAN)

DECLARATION