Application for Admission

Churchie

Student Information

Please enter names with correct capitalisation. Examples: John Smith, James McDonald, William O’Reilly.

First Name* Middle Name
Surname* Preferred Name
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country*
Residential Address*
Suburb/City* Postcode*
State*
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country*
Postal Address*
Suburb/City* Postcode*
State*
Student Date of Birth* Birth Country
Primary Language Spoken at Home
Present School
Religion*
Baptised         Date Baptised *
Is the student of Aboriginal descent?
Is the student of Torres Strait Islander descent?
Intake years are Reception, 3, 5, 7 and 10.
If you wish to apply for an entry year outside of these intake years or if you require a mid-year entry please contact the Churchie Registrar before completing your enrolment.


Calendar Year*  

Special Needs

Does your son have any special needs ? *
If you select 'No' the School will progress the application on the basis that the Student has no Special Needs
It is important that the School is informed when a student has any particular Special Needs (such as medical, physical, learning or social/emotional needs) which require specialised and professional attention above and beyond the level of individual attention already afforded to students at Churchie. Please disclose these Special Needs in the space below and post separately applicable documentation to the Admissions Office. If parents are separated, please post copies of relevant supporting legal documentation e.g.Court Orders for custody. Should the information be highly confidential, then enclose it in an envelope marked "Confidential-Headmaster only."

Nationality and Citizenship

Nationality*
Citizenship*

Father/Guardian or Primary Contact

Please enter names with correct capitalisation. Examples: John Smith, James McDonald, William O’Reilly.

Title First Name*
Surname* Email *
Relationship with Student * Date of Birth*
Citizenship*
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country*
Residential Address*
Suburb/City* Postcode*
State*
Phone number
Mobile number
Occupation
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country*
Postal Address*
Suburb/City* Postcode*
State*

Mother/Guardian or Secondary Contact

Skip this Contact
Please select the reason why a secondary parent or guardian is not being included as part of this application.

   I am a single parent with full-time care of my child
   I am a single parent with part-time or shared care of my child
   The other parent is deceased
   Other

Please enter your reason in the text box provided below.
*
Please enter names with correct capitalisation. Examples: John Smith, James McDonald, William O’Reilly.

Title First Name*
Surname* Email *
Relationship with Student * Date of Birth*
Citizenship*
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country*
Residential Address*
Suburb/City* Postcode*
State*
Phone number
Mobile number
Occupation
Search for your Address: (?)
  I could not locate my address by searching for it and must enter my address manually
Address*
Country
Postal Address*
Suburb/City* Postcode*
State*


Have any other family members attended Churchie previously or are any other family members presently attending or enrolled to attend? If yes, please enter details below.

Enrolled to Attend

First Name Surname
Year Enrolled to Attend: Relationship to Student
First Name Surname
Year Enrolled to Attend: Relationship to Student
First Name Surname
Year Enrolled to Attend: Relationship to Student
 

Currently Attending

First Name Surname
Presently at Churchie in: Relationship to Student
First Name Surname
Presently at Churchie in: Relationship to Student
First Name Surname
Presently at Churchie in: Relationship to Student
 

Old Boys

First Name Surname
Relationship to student
Years at Churchie: From To
First Name Surname
Relationship to student
Years at Churchie: From To
First Name Surname
Relationship to student
Years at Churchie: From To

Communication

I am happy to receive news and updates about what is happening at Churchie from time to time.
Which of the below has been the most influential in forming your decision to lodge this application ?

Add files...
 

Notes

  • Only image files (JPG, PDF, TIFF) are allowed.
  • You can drag & drop files from your desktop on this webpage.
  • After click on 'Submit', Please don’t click ‘Back’ or close your browser until you see the payment page.
The Anglican Church Grammar School (the School) collects personal information necessary for the application of enrolment at the Anglican Church Grammar School. The School collects, uses, holds and discloses personal information in accordance with the Privacy Act 1988 (Cth) and the Australian Privacy Principles (Apps). If the School does not obtain the requested information as per the enrolment application form, it may not be able to enrol the student. Personal and sensitive information collected by the School may be disclosed to others for administrative and educational purposes. This would include disclosure to other schools, government departments, the Corporation of the Synod of the Diocese of Brisbane, the Anglican Church Southern Queensland and other persons providing services to the School. Sometimes that information is transferred and managed overseas, for example if the School’s records are stored offsite by third party providers. For a full copy of the School’s standard collection notice, please refer to the School’s Privacy Policy.