Kindergarten Application

This will be Council’s primary contact. Council Officers can only discuss the application with the Parent/Guardian listed on the form. Please ensure all contact details below are current for this Parent/Guardian.

• Title... Mr Mrs Ms Miss Dr Prof

• Home Phone

  Mobile Phone

• Email addresses entered must match

• Preference options will be shown once you have selected your registration type and application year

  Please only select preferences you will be willing to accept.

• Has your child/family received support from Child Protection, Child FIRST, The Orange Door, or a Family Services Agency * e.g. Berry street, Anglicare)?
  
  Yes No

• Family Services

• Does your child/family have a case manager / family support worker?
  
  Yes No
  
  

  Phone

  Mobile

• Is your child in an Out of Home Care arrangement including Foster/kinship care?
  
  Yes No
• Is your child of Aboriginal or Torres Strait Islander origin?
• Aboriginal Status Aboriginal Aboriginal and Torres Strait Islander Origin No Torres Strait Islander

• Asylum Seeker

• Are you an Asylum Seeker or Refugee?
  
  Yes No
• Are you interested in applying for Early Start Kindergarten - for Aboriginal/Torres Strait Islander children, Asylum Seekers/Refugees or those who have been supported by Child Protection/Orange Door etc.?
  Yes No
  
  

• Concession Cards/Visa Documents

• Do you or your child hold a current health card card, concession card, humanitarian/refugee or bridging visa?
  Yes No

  Card Type Commonwealth Health Care Card Commonwealth Pension Card Department of Veteran's Affairs Gold or White Card Temporary Protection/Humanitarian Visa Refugee & Special Humanitarian Visas 200 to 202 Women at Risk Visa (subclass 204) Emergency Rescue Visa (subclass 203) Protection Visa 866 Asylum Seeker on Bridging Visa A to E Immicard Resolution of Status Visa
  
  
  
  

• Proof of eligible Concession Card/Visa Document:
  JPG or PDF Format. Max 10MB

• Live in City of Whittlesea or connection to Council

• Are you a City of Whittlesea resident or are you a ratepayer with this Council?
  
  Yes No
• Please upload proof of address within City Of Whittlesea:

  Rates Notice
  Drivers Licence
  Utility bill
  Contract of Sale or Certified statutory declaration

  Proof of Address/Ratepayer:
  JPG or PDF Format. Max 10MB
  Document must be in name of parent/guardian entered on this form.
• Can you demonstrate a connection connection to City of Whittlesea area (e.g., work/school/care arrangements)?
  
  Yes No
• Please upload one of the following:

  Document confirming employment/education in City of Whittlesea area
  Proof of sibling/s enrolled at school in area
  Evidence of enrolment at a child care service in area
  Statutory Declaration stating unpaid child care arrangements in area

  Proof of connection:
  JPG or PDF Format. Max 10MB
  Document must be in name of parent/guardian entered on this form.
• Please upload proof of address.
  Proof of address:
  JPG or PDF Format. Max 10MB
  Document must be in name of parent/guardian entered on this form.

• Multi Birth

• Is your child a twin who is attending in the same year as their siblings?
  
  Yes No
• Is your child a triplet/quad who is attending in the same year as their siblings?
  
  Yes No

• Medical Condition(s) and/or Additional Needs

• Does your child have any allergies, chronic medical conditions or diagnosis?
  
  Yes No

• Is your child receiving support for development needs and/or do they require assistance in order to attend?
  
  Yes No

• Custody Orders

• Are there any custody/intervention orders relating to your child?
  
  Yes No

  
  

• Additional information relevant to your application

• Email Consent

  Do you wish to receive information regarding parent education training programs, e.g. Kindergarten/school readiness?
  Yes No

• Information Sharing

  If your child is not attending the Maternal and Child Health service, do you agree to being contacted?
  
  Yes No

• I declare that I have read and understood the above procedure and agree for this application to be considered under these terms. I understand that the personal information provided on this application form is for the Whittlesea City Council Kindergarten Central Enrolment Scheme and will be used for this purpose. No information will be disclosed to any other party without permission except as required by law. I acknowledge that I may apply to Council for access to or amend information contained on this application form.
  
  Note: information can only be given out to the Parent/Guardian listed on the application
  I understand and agree to this privacy statement.