Agent Application Form

Agent Details

Agent's First Name *

Agent's Last Name *

Agent's Company *

Agent's Email Address *

Student Details

Student's First Name *

Student's Last Name *

Preferred Name

Date of Birth *

Year Level Interested in *

Intended Year of Commencement *

Boarding or Day Student?

BoardingDay Student

Current Year Level *

Country of Birth *

Family Details: Parent 1

Parent / Guardian 1's Title

Parent / Guardian 1's First Name *

Parent / Guardian 1's Last Name *

Parent / Guardian 1 Email address *

Parent / Guardian 1 Phone *

Address line 1 *

Address line 2

City *

State / Province *

Postal Code *

Country *

Is Parent / Guardian 1 a previous student of Toorak College? *

NoYes, but did not graduateYes, and graduated

If Yes, Graduation Year

Parent / Guardian 1 is the candidate's... *

Family Details: Parent 2 (optional)

Parent / Guardian 2's Title

Parent / Guardian 2's First name

Parent / Guardian 2's Last Name

Parent / Guardian 2's Email Address

Parent / Guardian 2's Phone

Is Parent / Guardian 2 a previous student of Toorak?

NoYes, but did not graduateYes, and graduated

If Yes, Graduation Year

Parent / Guardian 2 is the candidate's...

Student Citizenship

Student's Country of Citizenship *

Is this their primary citizenship? *

YesNo

Please upload a copy of the student's passport (preferred) or birth certificate *

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Passport Number

Issue Date

Expiration Date

Current Schooling

Current School *

Language of Instruction *

Please upload a copy of your English Language Testing if applicable

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Medical, Learning, Emotional or Social Needs

Does the student have any Medical, Learning , Social or Emotional needs that the school needs to be aware of? *

YesNo

If Yes, please describe these needs in the space provided.

If you answered Yes to the Medical, Learning, Emotional or Social Needs question and need to submit further documentation, please upload here.

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Data Consent

I have read and accept the data policy.
By checking this box, you consent to allow Toorak College to store and process the personal information submitted above to provide you with the content requested.
You can unsubscribe from these communications at any time. For more information please review our Privacy Policy. *

Application Fee

Payment of $150 Application Fee *

Pay

Conditions and Privacy The information provided within this form is collected to satisfy the School's legal obligations especially with regard to its duty of care and to enable the School to provide education for your child. It is used for general purposes as intended under the Enrolment Agreement contract and for development and fundraising within the School Community. It will be used only for the purposes of which it has been provided. By submitting this information you have consented to its use under the information management processes and Privacy Policy at Toorak College, as outlined on the School website. Toorak College undertakes to enable individuals to examine and authorise changes to any of their personal information, held by the School, by contacting the School or in annual update forms. 'The School'... refers to Toorak College (Early Learning Centre, Wardle House, Senior School) I/We agree to the following terms and conditions in respect to the enrolment of our child and our child's attendance at Toorak College: Parents will be invited to bring their child to the School for an interview with the Principal or their delegate prior to the nominated date of entry. If possible, both parents/guardians should attend. Admission to the School is conditional upon the Principal being satisfied as to the suitability of the applicant. Parents will be notified, if a place has been reserved for their child at the School. The Application is for the year in which the student is enrolled and subsequent years. Change of address should be supplied promptly. Failure to do so may result in the School being unable to make contact and cancellation of the Application may result. The School reserves the right without prior notice to make changes as it deems appropriate in its course offerings, curricular, co-curricular offerings, teaching policies and other rules affecting its students. When making an application for enrolment parents must notify the School of any disability including specific learning or behavioural needs that the child may have and of which the School should be aware and which may require adjustments to be made by the School to meet the child’s special needs in relation to education. Tuition and Boarding fees are subject to change at the discretion of Toorak College and there will be no dispute, claim or demand in respect of the same. This application will be assessed in accordance with the Enrolment Policy I/We the undersigned, wish to enrol our child as a student at the School. We enclose the non-refundable Application Fee and understand that this does not guarantee enrolment. I/We agree to keep the School informed if our family experiences any difficulties which could impact on our child’s well-being, performance and attendance at School. I/We have read the Conditions of Application for Enrolment and agree to be bound by these terms. Payment of the Application Fee signifies agreement to these terms and conditions

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