0391134100
endeavour.hills.ss@education.vic.gov.au

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Application Form

Enrolment Enquiry

Child's First Name: Child's Surname: Child's Date of Birth: Child's Age: Parent/Carer Name: Parent/Carer Contact Number: Parent/Carer Email: Child's Permanent Home Address: Please upload proof of address using the following documentation: 1. Rental agreements or unconditional contracts of sale plus 2. A copy of two of the following: a. Electoral enrolment confirmation b. Council rate notices c. Other official documentat

*Only JPG, JPEG, PNG, GIF, PDF, CSV, DOC files are allowed.

*The file size should be less than or equal to 2MB

Do you live in an eligible transport area? (To find this out, please see the link at the bottom of the page.)

No

Yes

If you live in an eligible area, will you be requiring bus transportation?

No

Yes

Does this child have a sibling, living at the same permanent address, that attends Endeavour Hills Specialist School?

No

Yes

Name of child's current School/Kinder: School/Kinder contact person: School/Kinder contact number: Do you give our school permission to contact the child's current school/kinder:

No

Yes

Child's medical diagnosis: Does the child have a paediatrician diagnosis of ASD? (Please upload evidence at the end of this form.)

No

Yes

Does the child have a psychologist's assessment and diagnosis of ASD? (Please upload evidence at the end of this form.)

No

Yes

What is your child’s special school verification category?

Autism

Intellectual Disability

What is the child's Vineland score (sometimes called adaptive behaviour composite or ABC score)? (Please upload evidence at the end of this form.) What is the child's IQ score (sometimes written as FSIQ, as appropriate for ID)? (Please upload evidence at the end of this form.) What is the child's speech score (core language score, as appropriate for Autism)? (Please upload evidence at the end of this form.) Does the child have Complex Communication Needs? Please provide brief details. Does the child have any safety concerns that we need to be aware of? (If so please provide brief details.) Does the child need assistance with personal care?

No

Yes

Please upload your forms below. If you do not include the evidence, we cannot proceed with your enrolment enquiry.

*Only JPG, JPEG, PNG, GIF, PDF, CSV, DOC files are allowed.

*The file size should be less than or equal to 2MB

Captcha

Do you live in an eligible transport area?

To find this out click on the following link: https://www.findmyschool.vic.gov.au/dta_search/

- Note: The answer will either be ‘ASD’, ‘Intellectual Disability (mild)’, ‘Intellectual Disability (moderate to profound)’ or ‘another school.’ If another school is listed as your local special school, you need to approach your local special school first.

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