Online Enrolment Step 1 of 3 33% Section A Student DetailsName* Legal First Name(s) Legal Surname Preferred Names Preferred First Preferred Surname Gender Female Male Date of Birth* DD slash MM slash YYYY Requested Start Date* DD slash MM slash YYYY Ethnicity(ies)*Iwi Affiliation(s)Citizenship*New Zealand CitizenPermanent NZ ResidentOtherCitizenship (if other please enter here)(If applicable) Date of Child's Entry into New Zealand DD slash MM slash YYYY Main Language Spoken at Home*Other Languages SpokenSiblings who are also applyingNames & date of birth of younger siblingsPlease upload a copy of the child's Immunisation CertificateMax. file size: 512 MB.NZ Citizen: Please upload a scanned copy of NZ Birth Certificate or Passport photo pageMax. file size: 512 MB.Other: Upload copy of Visa a & child's passportMax. file size: 512 MB.Student level for first year of enrolment*New Entrant (child's birthday after April 1st)Year 1 (child's birthday before April 1st)Year 2Year 3Year 4Year 5Year 6Year 7Year 8New Entrant DetailsPrior participation in Early Childhood Education Did the child attend one or more Early Childhood Education service(s) in the six months prior to starting school? Please complete the table below for the last service(s) attended. 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.Most Recent Service*Preschool/KindergartenPlaycentreHome based serviceDid not attend formal ECE educationName of most recent FacilityHours/Days attended(e.g. Monday 9-12)Most Recent ServicePreschool/KindergartenPlaycentreHome based serviceDid not attend formal ECE educationName of most recent FacilityHours/Days Attended(e.g. Monday 9-12Transferring Student Details (Y2-Y8)Previous SchoolUpload Last report from schoolMax. file size: 512 MB.Current Reading LevelCurrent Writing LevelCurrent Maths LevelPrevious SchoolUpload Last Report from schoolMax. file size: 512 MB.Parent/Guardian/Caregiver First Contact DetailsPlease note this is the person who will be most engaged with school communication. They will receive all school correspondence and be the first point of contact in an emergency.Relationship to student (first contact)*First Contact Name* First Name(s) Surname Title (First Contact)MrMsMrsMissDrOtherMarital Status (First Contact)*Address (First Contact)* Street Address Address Line 2 City ZIP / Postal Code Mobile Phone (First Contact)*Home Phone (First Contact)Work Phone (First Contact)*Email (First Contact) Church Attending (First Contact)Occupation (First Contact)*Business Name (First Contact)Business AddressParent/Guardian/Caregiver Second Contact DetailsRelationship to student (2nd contact)2nd Contact Name First Name(s) Surname Title (2nd Contact)MrMsMrsMissDrOtherMarital Status(2nd contact)Address (2nd Contact) Street Address Address Line 2 City ZIP / Postal Code Mobile Phone (2nd Contact)Home Phone (2nd Contact)Work Phone (2nd Contact)Email (2nd Contact) Church Attending (2nd Contact)Occupation (2nd Contact)Business Name (2nd Contact)Business AddressOther Parent/Guardian/Caregiver DetailsStudent Lives with*Both parentsMotherFatherOtherIf other, specify name(s) & relationship(s)If there are legal custodial arrangements, please state these arrangementsAlternative Emergency Contact DetailsFull name*Relationship to student*Mobile Phone*Home PhoneEmail* Student Medical Details/HistoryFamily Doctor's Name*Doctor's Phone*Doctor's Surgery Name*Doctor's Surgery Address Street Address City ZIP / Postal Code AllergiesConditionsTreatmentSightHearingOther health factors the school should know aboutSpecial Learning RequirementsPlease tick the consents that you agree with for your child. By ticking you agree that these consents are valid for the time your child attends Rolleston Christian School, unless you notify the school otherwise in writing.Consents Sudden Injury - I give permission for the school to call an ambulance in the case of sudden illness or injury of my child. Paracetamol - I give permission for the school to administer paracetamol to my child without needing to contact me first Publication of Photo - I give permission for the school to publish un-named photos of my child in any school publication. Contact Details - I give permission for my child’s name, phone, physical address and the name of my child’s primary contact to be recorded in a directory for distribution within the Rolleston Christian School community. I'm aware my contact details will be shared with the CST (Christian School Trust) and the CEN ( Christian Education Network) for enrolment and billing purposes. Do you give Rolleston Christian School permission to contact the applicant’s school for additional information?* Yes No I give permission for services such as hearing, vision, and the Dental Van to test/see my child/ren on school premise* Yes No Introduction to Our ChildStudent's Name*I/we consider our child has particular strengths in the following areas: (eg, academic, creative, social, spiritual)*I/we are aware of learning difficulties in the following areasI/we would like our child to participate in or be especially encouraged in the following areas*I/we believe our child’s temperament to be*I/we have found that our child responds best to discipline that is*Introduction to Our Child - For Older StudentsHobbies/Areas of InterestCommunity InvolvementSports BackgroundWhy do you wish your child/ren to attend Rolleston Christian School?* Section B - Parents' Statement Personal views on the Christian faithMother*Describe your personal stance with regard to Christian beliefs and practiceFather*Describe your personal stance with regard to Christian beliefs and practice Section C & D - ReferencesI will provide a Character reference from*Church Pastor/MinisterEmployer/Manager, Teacher, Maori or Pasifika Community Leader, Public servant etcName of person providing a reference*Applicants name as the referee knows them* First Last Email address of person providing character reference The person providing the character reference does not use email If the person providing the reference does not use email, please click to download either Section C (Pastor/Minister) or Section D (Other) and get them to fill in a physical copy and mail it. Section EYou can view our our Statement of Faith here Section F - Parents' Covenant & DeclarationPreferred email address for newsletters, reports and other information* Covenant* I, having become familiar with the aims and objectives of Rolleston Christian School, commit to support the school’s principles. We will actively participate in the education of our children, with specific reference to behaviour encouraged and expected by the school. We agree that Christian education is a partnership between school and parents. To know and have an understanding of what our child is learning, we recognise the need to work together with teachers. We will liaise directly with our child’s teacher when necessary, will attend parent-teacher interviews and parent forums each term. We are aware the school encourages the active involvement of parents in the life of the school. To this end, we will familiarise ourselves with school activities through the weekly school newsletter and will respond quickly to special requests when able. Where able, we will offer services to assist the cause of the school. We commit to paying the attendance dues, as set by the Christian Schools Trust. I/we have read the above Parents’ Covenant and Declaration, Statement of Faith, understand there is a compulsory attendance due, and agree to abide by these conditions. I/we hereby submit an application for a place at Rolleston Christian School. You will also be required to sign a declaration at the Principal interview to confirm your agreement and that all the information you have just provided is correct
