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Non-Government Schools Application for Admission to the School of Isolated and Distance Education (SIDE) under Section 24 of the School Education Act

Formal arrangement Under Section 24 of the School Education Act (1999) for a child to attend an alternative education program

An arrangement will not be considered unless this (and subsequent) forms are completed by the Principal (or delegate) of the enrolling school.

Name of registered partner school:

School Enrolment key - this was given to us when the school registered:

Student Details

Name of Student:

Reason for application:*

Legal surname:*

Given names:*

Preferred name:*

Gender:*

Date of Birth:*

Year level requested at SIDE?*

Student Number (SCSA):*

Student email address:*

Student's descent:

Name of parent/caregiver*

Relationship to student:*

Postcode:

Parent/Caregiver email address:*

Best contact number:*

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Medical, Health and Welfare

Please indicate where you have documentation about the student's disability and/or medical condition in the following areas (include copies of reports or relevent documents):

Autism (ASD)

Deaf or Hard of Hearing (D&HH)

Intellectual Disability (ID)

Severe Mental Disorder (SMD) e.g. depression, anxiety

Vision Impairment (VI)

Physical Disability (PD) e.g. cerebral palsy, spina bifida

Severe Medical/Health Condition (SM/HC) e.g. arthritis, chronic fatigue/pain, Ehlers-Danlos

Specific Learning Disability (SLD) – Dyslexia, Dysgraphia, Dyscalculia

Take Picture/Video

CONFIDENTIAL

Access restriction - Is the student subject to any court orders in repsect to their care, welfare and development?

Take Picture/Video

Is the student in the care of the Department for Child Protection and Family Support's (CPFS) Director General?

Take Picture/Video

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Parent Consent

Website, Media and social media consent

Student images and/or their work are published to recognise excellence or effort and may appear in online or print publications of SIDE and the Education Department including social media. Identifying information will be limited. I understand that the internet is accessible by any person worldwide, and that I can withdraw this permission at any time by contacting the school or Department in writing.

Yes. Media consent given.

No. Consent is not given.

Internet Access

Student access to the Internet at SIDE is provided in accordance with school policy (available on the school website). Student access is contingent on abiding by the Online Services Agreement.

Yes. The parent has given permission for this student to access the Internet at SIDE in accordance with school policy.

No. Consent is not given.

Viewing Content

Students often watch video, DVDs and television documentaries as part of their learning. Almost always these are G rated and don't require consent. Very occasionally something with a PG rating is appropriate for which we require parent permission.

Yes. Parent has given consent for PG rated content as deemed suitable by the teacher and SIDE school administration.

No. Consent is not given for PG rated content.

Local Excursions

Visiting students occasionally walk within the local area for minor excursions under the supervision of the teacher and attend activities in local parks, nature reserves, other schools, city council libraries or shopping centres. On all occasions, parents will be notified of local excursions.

Yes. Parent consent has been given for the student to participate in supervised local excursions.

No. Consent is not given.

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Academic and enrolment

SIDE Supervisor name:*

Supervisor email address:*

School hours contact number:*

SIDE subjects/courses requested (include year/course or code):*

Year 10/11/12 pre-requisites met:*

Click here for the SIDE curriculum overview (open in a new tab)

Additional comments (including academic progress, behaviour and attendance):

Language or English as an Additional Language/Dialect (EAL/D)
Enrolment into Year 11 or 12 Languages or Year 12 English as an Additional Language/Dialect (EAL/D) course cannot occur without SCSA eligibility approval.
Note that SCSA approval is not required for students enrolling in Language Certificates.

Attach SCSA Languages or EAL/D approval letter, if available:

Take Picture/Video

Student's school timetable (including start/ finish and break times)

Please include the following information on the timetable:

Student Name
Enrolling subjects/ courses
Times available in relation to SIDE lesson times
Any further information about student availability or things we may need to know

Take Picture/Video

Student image:

Take Picture/Video

By submitting this form I acknowledge that the information provided is correct and I agree to the student undertaking an alternative education program at the School of Isolated and Distance Education.

Your email address:*

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