here. - Ruyton Girls School

Ruyton Girls’ School
Application for Admission
12 Selbourne Road Kew 3101 Victoria Australia
Telephone +61 3 9819 2422 Facsimile: +61 3 9818 4790
[email protected] www.ruyton.vic.edu.au
Details of Child
please complete in block letters
Family Name
Given Name
Date of Birth
/
/
Country of Birth
Is your child: an Australian citizen
Yes
No
a permanent resident of Australia
Yes
No
a full fee paying overseas student
Yes
No
Yes
No
What school (if applicable) does your child currently attend?
Victorian Student Number (VSN)
What languages are spoken at home?
Are you aware of any special needs your child may have?
Please indicate below, by placing a tick in the appropriate boxes:
English as a second language
Support programmes in literacy or numeracy
Application for entry into Year Level in 20 early learning centre only
Please indicate which Kindergarten option you prefer
OR
Please indicate which Pre-Prep option you prefer
3 Days (Mon, Wed & Fri) KM
4 Days (Mon-Thurs) GIRLS W4
3 Days (Tues, Thurs & Fri) KT
4 Days (Mon-Thurs) CO-ED F4
5 Days K5
5 Days GIRLS W5
5 Days CO-ED F5
Details Of Parent
father/guardian’s contact details
mother/guardian’s contact details
Title (Mr/Dr/other)
Title (Ms/Mrs/Dr/other)
Family Name
Family Name
Given Name/s
Given Name/s
Home Address
Home Address
Post Code
Post Code
Home Phone
Home Phone
Mobile Phone
Mobile Phone
Email Address
Email Address
Employer’s Name
Employer’s Name
Occupation
Occupation
Business Phone
Business Phone
Would we know you by prior name? Would we know you by prior name?
The child lives with: Both parents
Mother
Father
Other
Payable with Application for Admission Form
Collection Notice
•A non-refundable Application Fee of $110.00 (incl. GST)
payable with Application for Admission Form.
Ruyton is committed to protecting your privacy and the
confidentiality and security of personal information provided
by you to us.
•A non-refundable Application Fee of $165.00 (incl. GST)
payable with Application for Admission Form for
overseas students.
Payable on Confirmation of Enrolment
entrance fee
A non-refundable fee of $400* is payable to The Ruyton
Foundation.
fees in advance
Fees in Advance of $1,500* to be credited to the final fee
statement when the student leaves the School.
For overseas students Fees in Advance of $3,000* to be credited
to the final fee statement when the student leaves the School.
old ruytonians’ life membership
A non-refundable fee of $300 (incl GST) is payable to the
Old Ruytonians’ Association.
*subject to change without notice
Application Fee
Enclosed is my payment of $
Payment Method (please tick)
EFT (our preferred method of payment)
Account Name
Ruyton
BSB
013 345
Account Number 3043 42595
Please ensure you include your Family surname in the
description and mail [email protected] once
payment has been made.
The School collects personal information, including sensitive
information about students and parents or guardians before
and during the course of a student’s enrolment at the School.
The primary purpose of collecting this information is to enable
the School to provide schooling for your daughter/son.
You have the right to access any such information held by
Ruyton which relates to you or your daughter/son and to
correct information which is inaccurate. Access and/or
correction enquiries can be made in writing to the Principal,
Ruyton Girls’ School.
For more information on Ruyton’s Privacy Policy, visit our
website at www.ruyton.vic.edu.au.
Declaration
My signature below indicates that I have read and noted the
Fees and Regulations for Enrolment stated in the Business
Notice and agree to abide by these and any regulations in force
at the School. I agree to pay promptly all fees and other money
due to the School in respect of the child enrolled. If my child
is transferring from another school I authorise the School to
obtain from that school such credit or other information that
may be required. I certify that the information given herein by
me is true and correct.
I enclose a non-refundable Application Fee and attach a
photocopy of my child’s birth certificate.
This application requires the signature of both parents. If both
signatures are not appended, the circumstances should be
indicated. If parents are divorced or separated the signature(s)
of the parent(s) responsible for payment of fees is/are required.
Credit Card Visa/Mastercard only
Father’s signature
Credit Card details
Date
Card No.
/
Expiry Date
/
Card Holder Name:
Signature:
Date:
/
/
/
/
Mother’s signature
Date
/
/
Guardian’s signature
Date
/
/
School Connections
Other Information
If applicable please complete the appropriate sections below.
Please tick appropriate box/es below.
Name of sibling/s What influenced your decision to enrol at Ruyton?
1.
Previously attended Ruyton
Current student
Enrolled
Not enrolled
2.
Strong
Influence
Location
Character development
Family connection
with school
Previously attended Ruyton
Open entry policy
Current student
School’s reputation
Enrolled
Sports programme
Not enrolled
Single sex school
Maiden Name
Final Year and House
Other family members who have attended Ruyton
No
Influence
Academic excellence
If mother/guardian attended Ruyton, please provide the
following information:
Moderate
Influence
Staff quality
Subject diversity/choice
Co-ordinate programme
with Trinity Grammar
School
Other – please specify
Maiden Name
Final Year and House
Please Return
Please rank the five most useful sources below that assisted
you learning about Ruyton (with one ‘1’ being the most useful)
1. This completed Application for Admission form
2.A photocopy of the birth certificate – to be retained
by the School
School website
Melbourne’s Child
Online
Word of mouth
Other – please specify
Alumni connection
3.The non-refundable Application Fee made payable to
Ruyton Girls’ School
Leader (i.e. Progress Leader)
Open Morning
And forward to: Mrs Nadine Hibbert – Registrar
Ruyton Girls’ School, 12 Selbourne Road, KEW VIC 3101.
Email: [email protected]
Ruyton Girls’ School is a registered provider on the
Commonwealth Register of institutions and
Courses for Overseas Students (CRICOS) Provider
Number 00336J
The Weekly Review
Attended a Ruyton event
Outdoor billboards/signage
OFFICE USE ONLY
Fee
REC.NO.
Administration $
Entrance
$
FIA
$
Codes
Student
Father
Mother
Guardian
DATE RECEIVED