Application for Enrolment

Student's Details
Child's Legal Surname*
Child's Legal First and Middle Names*
Place in Family (Child is one of)*
Enter total number of children in family
Name of Eldest Child at St John's*
Type NA if not applicable
Child's Home Address*
Street Address Suburb City Postal Code
Gender*
- Girl
- Boy
Date of Birth*

Day
Month
Year
Child's Home Phone Number*
Child's Country of Birth*
Child's Country of Citizenship*
Child's NZ Residency Permit Number*
Type NA if not applicable
Child's Date of Permit Expiry*
Type NA if not applicable
Child's Date of Entry into NZ*
Type NA if not applicable
Child's Student Visa*
Type NA if not applicable
Child's Date of Visa Expiry*
Type NA if not applicable

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Please select one*
- Mother
- Guardian
Mother/Guardian Email Address*
Enter Email Confirm Email
Please select one*
- Father
- Guardian
Father/Guardian Email Address*
Enter Email Confirm Email
Family's Cultural Identity/Ethnicity*
Up to 3 may be recorded
If Māori, Iwi affiliation
Up to 3 may be recorded
Languages Spoken at Home*

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Education
For New Entrant Specify Year of Entry*
Year of 5th Birthday
If your child is not a New Entrant please enter NA
Current Year Level (if not a New Entrant)*
- NA
- 1
- 2
- 3
- 4
- 5
- 6
Year Group Applying For (if not a New Entrant)*
This can the same as above or another Year
- NA
- 1
- 2
- 3
- 4
- 5
- 6
Details of School Attended*
Please enter NA if not applicable.
Click on the + button to add more than one school.
Name of School Date From Date To
ESOL*
Has the child applying for enrolment attended ENGLISH FOR SPEAKERS OF OTHER LANGUAGES classes at any previous schools?
- Yes
- No
Early Childhood Education Attendence*
Instructions: “Regularly attend” means the child was booked in to a service for sessions each week/fortnight, and generally went to those sessions unless they were sick, on holiday, or had a family occasion, etc.
- Yes
- Not regularly, only occasionally with no on-going schedule.
- No, did not attend ECE
If yes, how many years were attended?*
Which other Early Childhood Education Services did your child attend?*
Select as many that apply
Details of Other Early Childhoold Education Services*
Please complete the table below for the last service(s) attended.
Instructions:-
1. If the child was attending more than one service at the same time, please enter hours per week for up to three services.
2. If the child attended one service, but changed to a different service within the six months prior to starting school, please complete the table for the last service only, not both.
3. If the child’s attendance hours varied, or the parent/caregiver is uncertain, please enter an approximate or average number of hours per week.
Name of Service Service 1 (hrs/week) Service 2 (hrs/week) Service 3 (hrs/week)
Name of Pre-School/Early Childcare Centre*
Put NA if not applicable

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Preference Enrolment Information
Application Type*
An original Preference Certificate signed by your Parish Priest will need to be given to the School Office before the Enrolment can be processed
- Preference
- Non Preference
Category of Preference*
Please indicate which category of Preference Enrolment you are applying for:
- 5.1 The child has been baptised or is being prepared for baptism in the Catholic Church.
- 5.2 The child’s parents/guardians have already allowed one or more of its siblings to be baptised in the Catholic faith.
- 5.3 At least one parent/guardian is a Catholic, and although their child has not yet been baptised, the child’s participation in the life of the school could lead to the parents having the child baptised.
- 5.4 With the agreement of the child’s parent/guardian, a significant familial adult such as a grandparent, aunt or uncle who is actively involved in the child’s upbringing undertakes to support the child’s formation in the faith and practices of the Catholic Church
- 5.5 One or both of a child’s non-Catholic parents/guardians is preparing to become a Catholic.
Has your child been Baptised?*
- Yes
- No
Details of Catholic Baptism*
Date Place
Has your child made their First Reconciliation?*
- Yes
- No
Has your child made their First Holy Communion?*
- Yes
- No
Details of Holy Communion*
Date Place
Has your child been Confirmed?*
- Yes
- No
Details of Catholic Confirmation*
Date Place

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Medical
Health*
Medication*
If not applicable, please enter NA.
To enter more than one medication, click on the + button
Name of Condition Medication taken
Sight*
If no sight issues, please put NA
Speech*
If no speech issues, please put NA
Hearing*
If no hearing issues, please put NA

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Father's Details
Father's Name*
First Last
Father's Date of Birth
Date of Birth requested as an identifier. It is not compulsory to disclose

Day
Month
Year
Father's Occupation*
Type NA if not applicable
Father's Address*
Type NA if not applicable
Father's Phone Numbers*
Type NA if not applicable
Home Work Mobile
Mother's Details
Mother's Name*
First Last
Mother's Date of Birth
Date of Birth requested as an identifier. It is not compulsory to disclose

Day
Month
Year
Mother's Occupation*
Type NA if not applicable
Mother's Address*
Type NA if not applicable
Mother's Phone Numbers*
Type NA if not applicable
Home Work Mobile
Religion of Parents
Religion of Mother*
Religion of Father*
East Coast Bays Parish*
Do the parents have an active association with the East Coast Bays Parish?
- Yes
- No
Name of Parish Attended:*
Type NA if not applicable
Parish Details*
Please give details of your involvement at ECB or other Parish. Type NA if not applicable

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General Information
1st Emergency Contact Person*
Not including parents/caregivers. Please include two contacts.
Emergency Contact Name Relationship Phone
2nd Emergency Contact Person*
Not including parents/caregivers. Please include two contacts.
Emergency Contact Name Relationship Phone
Doctor's Contact Details*
Doctor's Name Phone Address
Special Learning Assistance*
Does your child currently receive any special learning assistance?
- Yes
- No
Special Learning Assistance Received*
If yes, please explain
Family Members*
Names of siblings likely to attend St. John’s in the future [Individual Application Forms must be completed for each child]. THIS ENTRY IS NOT AN INDIVIDUAL APPLICATION FOR OTHER FAMILY MEMBERS
If not applicable enter NA. If more than one, use the + button
Child's Name Date of Birth

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Conditions of Enrolment
Acceptance and Agreement*
1.The herein named student will participate in the general school programme that gives St. John’s School its Catholic Special Character.
2. We will pay the School Fees which include Attendance Dues. Attendance Dues, at a rate determined by the Proprietor, are approved by the Minister of Education. Furthermore, I/we accept that the school can discontinue attendance of the named student in default of this undertaking
3. We will ensure that the policies and rules as laid down by the School are observed.
4. Enrolment is subject to availability of places within the prescribed allocation; and that
5. The final decision of whether a student meets the enrolment criteria and is therefore able to be accepted as a student at St. John’s School rests with the Principal.
6. That the school will take action on my behalf in case of sudden illness or injury.
- I/We, the undersigned, accept as conditions of enrolment that:
Information Privacy
Privacy Acceptance and Agreement*
* I agree to St. John’s School collecting personal information on the child named on this online pre-enrolment application.
* I have been advised by the School that the information I provide will be used for :
- Student records (and, if necessary, transfer to another school)
- Accounting purposes of the St. John’s School Board
* I accept that St. John’s School undertakes to collect, use and store information provided on this form according to the principles of the Privacy Act 2020. The information may be provided to the Proprietor or Proprietor’s agent, the Minister of Education and the Education Review Office, and for administration purposes within the school and agree this information can be used for the above purpose. Information provided will be entered into ENROL and shared with Stats NZ.
*I understand that the Privacy Act 2020 the information I provide will be held at the offices of St. John’s School whose address is 87a Penzance Road, Mairangi Bay, Auckland.
*I am aware of the rights of access to, and collection of this information.
- I/We, the undersigned, accept as conditions of enrolment that:
Preference Enrolment
Parents or guardians are requested to produce evidence of ‘preference’, ie a white Preference Card, signed by the Parish Priest that the applicants have established a connection with the community of their Parish. Such a statement, known as a ‘Certificate of Eligibility for Preference Enrolment’, may be obtained from St. John’s School Office prior to completion by the Parish Priest.
If there are any difficulties related to ‘Preference Enrolment’, please contact the Principal.

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Application for Enrolment

Step 1 of 9

Student's Details

Education

Preference Enrolment Information

Medical

Father's Details

Mother's Details

Religion of Parents

General Information

Documentation

Conditions of Enrolment

Information Privacy

Preference Enrolment

Name of School	Date From	Date To

Name of Service	Service 1 (hrs/week)	Service 2 (hrs/week)	Service 3 (hrs/week)

Name of Condition	Medication taken

Child's Name	Date of Birth