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Life at Providence
- Primary Rebuild
Learning at Providence
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Home
About
Life at Providence
- Primary Rebuild
Learning at Providence
Enrolments
Providence Community
Contact

Enrolment Form

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Online Enrolment Form Process
Thank you for your interest in Providence Christian College. We are delighted that you are considering our College for your child’s educational journey.
Here are a few brief notes about the form ahead.
Process:
This form will take approximately 20 minutes to complete.
You can save and continue at any time by using the save and continue option at the bottom of the page.
This will email a link to you so that you can return and complete the form at a later date.

Documentation:
This form will require you to upload documents on the final page.
The documents you will need are:
1. Your child’s most current School Report
2. Your child’s most current NAPLAN / OLNA test results
3. Your child’s Birth Certificate
4. Your child’s Immunisation Record
5. Your child’s Visa (if applicable)
6. Court Order Form (if applicable)
7. Behaviour Management Plan (if applicable)

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Parent One Details
Name*
Title Given Name Surname
Parent One Address*
Street Address Address Line 2 City State / Province / Region Postal Code Country
Email*
Occupation*
Business Phone
Mobile*
Country of Birth*

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Parent Two Details
Name
Title Given Name Surname
Parent Two Address (If different to Father / Guardian)
Street Address Address Line 2 City State / Province / Region Postal Code Country
Email
Occupation
Business Phone
Mobile
Country of Birth

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Guardianship
Who is the legal guardian?*
- Father / Guardian 1
- Mother / Guardian 2
- Both
- Other
Name of Legal Guardian
Title Given Name Surname
Address
Street Address Address Line 2 City State / Province / Region Postal Code Country
Phone
Email
Is there a court order or child agreement in respect of the child / ren being enrolled?*
- Yes
- No
If yes, please provide copies prior to your child’s commencement at College. Please provide any changes to these documents to the College, as soon as possible, should they occur.
Please indicate who should receive the following information:
Correspondence*
- Father
- Mother
- Both
Reports / Assessments*
- Father
- Mother
- Both
Accounts / Financial Information*
- Father
- Mother
- Both
Is the child in the care of DCP?*
- Yes
- No
Branch*
Case Worker*
Telephone Number*
Email*
Visa Details
Please complete if both parents were born outside of Australia
Date of Entry to Australia
Australian Citizen
- Yes
- No
Permanent Resident or Temporary Resident*
- Permanent
- Temporary
VISA Number*
VISA Expiry Date*

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Other Details
Please describe your relationship with our Lord, Jesus Christ and / or your Personal Spiritual Journey
Church Attending
How did you hear about us?*
- Website
- Word of Mouth
- Signage
- Radio
Why would you like your child/ren to attend our College?

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Emergency Contacts
Please advise who you would like us to contact if we are unable to reach you in case of an emergency or for urgent guidance in relation to your child’s wellbeing.
Name*
Given Name Surname
Contact Number*
Name
Given Name Surname
Contact Number
Permission to Contact Doctor
- Yes
- No
Name of Doctor and / or Medical Centre
Contact Number
In the event of an emergency, I / we authorise the school to secure an ambulance and / or medical  attention for my child.*
- Yes
- No
Private Health Fund
- Yes
- No
Name of fund
Medicare number
St. John's Ambulance Cover
- Yes
- No

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This ends the first part of the enrolment process.
The next stage involves entering details about your Child/ren.
If you wish to continue, please click next.
If you wish to take a break and return later, please select "Save and Continue Later".
Your information will be stored for one month from now.

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Number of Children*
First Child's Details
Name*
Given Names Surname
Preferred Name
Gender*
- Male
- Female
Date of Birth*
Academic Year of Entry*
Term
Calendar Year of Entry*
Is your child of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
For persons of both Aboriginal and Torres Strait Islander origin, mark both "Yes” boxes
In which country was your child born?*
Current Nationality*
Language your Child speaks at home?*
Medical Details
Complete where applicable
Allergies*
Anaphylaxis*
- Yes
- No
Asthma*
Heart Condition*
Migraine*
Diabetes*
Epilepsy*
Other (Please Specify)
• Please provide us with a ‘Medical Care Plan’ for medical conditions / allergies to help us provide appropriate care for your child. This plan should be prepared in consultation with your doctor.
• The College will only administer prescribed medication by prior arrangement. To arrange for the administration of medication please provide written authorisation.
Immunised*
- Yes
- No
It is a present legal requirement for Providence Christian College to have written authorisation from the Parents/Guardians giving permission to administer Paracetamol / Ibuprofen medications to students. We will still ring on each occasion to confirm that we can administer these medications should the need arise.
Previous School Details
Present / Previous School
Present School Year
I consent to Providence Christian College contacting the previous school as part of the enrolment process.
- Yes
- No
If no, please provide your reasons for this*
Has you child skipped or repeated a grade?
- Yes
- No
Reason*
Has your child ever been expelled or suspended from a school?
- Yes
- No
Reason*
Does your child have a Learning or Behaviour Management plan in place at their current school?
- Yes
- No
If yes, please upload a copy of this on the final page or the submission.
Please provide details about the Learning or Behaviour Management Plan*
Special Needs
Does your child have any educational / learning difficulties / special needs*
- Yes
- No
In order to assist us to address students learning, we require parents to provide documentation of a child’s disability / special needs, at the time of enrolment. Please supply all medical / psychological / or other specialist assessments and reports relevant to your child’s condition. This information is a requirement prior to us processing your application. Failure to disclose these details prior to enrolment may result in a review of your child's admission.
To determine the teaching and learning adjustments that may be necessary to support my child in his/her education, I give permission for the release of information between Providence Christian College and the following agencies
Educational Support Program

Does your child have difficulty in any of the following areas?
Please fill in where applicable
Mathematics
Oral Language
Reading
Writing
Spelling
Movement
Behaviour
Should an area of delay be identified in your child’s knowledge, additional support may be offered. Instruction is in the form of individual or small group withdrawal. Most children do not require such assistance on a long term basis, so time outside the classroom is kept to a minimum. The program is designed to assist any child as the need arises. Parents/guardians will be informed should this support be required.
I hereby give permission for my child to access the Learning Support facilities if required during their education at Providence Christian College.*
- Yes
- No

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Second Child's Details
Name*
Given Names Surname
Preferred Name
Gender*
- Male
- Female
Date of Birth*
Academic Year of Entry*
Term
Calendar Year of Entry*
Is your child of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
For persons of both Aboriginal and Torres Strait Islander origin, mark both "Yes” boxes
In which country was your child born?*
Current Nationality*
Language your Child speaks at home?*
Medical Details
Please fill in where applicable
Allergies*
Anaphylaxis*
- Yes
- No
Asthma*
Heart Condition*
Migraine*
Diabetes*
Epilepsy*
Other (Please Specify)
• Please provide us with a ‘Medical Care Plan’ for medical conditions / allergies to help us provide appropriate care for your child. This plan should be prepared in consultation with your doctor.
• The College will only administer prescribed medication by prior arrangement. To arrange for the administration of medication please provide written authorisation.
Immunised*
- Yes
- No
It is a present legal requirement for Providence Christian College to have written authorisation from the Parents/Guardians giving permission to administer Paracetamol / Ibuprofen medications to students. We will still ring on each occasion to confirm that we can administer these medications should the need arise.
Previous School Details
Present / Previous School
Present School Year
I consent to Providence Christian College contacting the previous school as part of the enrolment process.
- Yes
- No
If no, please provide your reasons for this*
Has you child skipped or repeated a grade?
- Yes
- No
Reason*
Has your child ever been expelled or suspended from a school?
- Yes
- No
Reason*
Does your child have a Learning or Behaviour Management plan in place at their current school?
- Yes
- No
If yes, please upload a copy of this on the final page or the submission.
Please provide details about the Learning or Behaviour Management Plan*
Special Needs
Does your child have any educational / learning difficulties / special needs*
- Yes
- No
In order to assist us to address students learning, we require parents to provide documentation of a child’s disability / special needs, at the time of enrolment. Please supply all medical / psychological / or other specialist assessments and reports relevant to your child’s condition. This information is a requirement prior to us processing your application. Failure to disclose these details prior to enrolment may result in a review of your child's admission.
To determine the teaching and learning adjustments that may be necessary to support my child in his/her education, I give permission for the release of information between Providence Christian College and the following agencies
Educational Support Program

Does your child have difficulty in any of the following areas?
Please fill in where applicable
Mathematics
Oral Language
Reading
Writing
Spelling
Movement
Behaviour
Should an area of delay be identified in your child’s knowledge, additional support may be offered. Instruction is in the form of individual or small group withdrawal. Most children do not require such assistance on a long term basis, so time outside the classroom is kept to a minimum. The program is designed to assist any child as the need arises. Parents/guardians will be informed should this support be required.
I hereby give permission for my child to access the Learning Support facilities if required during their education at Providence Christian College.*
- Yes
- No

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Third Child's Details
Name*
Given Names Surname
Preferred Name
Gender*
- Male
- Female
Date of Birth*
Academic Year of Entry*
Term
Calendar Year of Entry*
Is your child of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
For persons of both Aboriginal and Torres Strait Islander origin, mark both "Yes” boxes
In which country was your child born?*
Current Nationality*
Language your Child speaks at home?*
Medical Details
Please fill in where applicable
Allergies*
Anaphylaxis*
- Yes
- No
Asthma*
Heart Condition*
Migraine*
Diabetes*
Epilepsy*
Other (Please Specify)
• Please provide us with a ‘Medical Care Plan’ for medical conditions / allergies to help us provide appropriate care for your child. This plan should be prepared in consultation with your doctor.
• The College will only administer prescribed medication by prior arrangement. To arrange for the administration of medication please provide written authorisation.
Immunised*
- Yes
- No
It is a present legal requirement for Providence Christian College to have written authorisation from the Parents/Guardians giving permission to administer Paracetamol / Ibuprofen medications to students. We will still ring on each occasion to confirm that we can administer these medications should the need arise.
Previous School Details
Present / Previous School
Present School Year
I consent to Providence Christian College contacting the previous school as part of the enrolment process.
- Yes
- No
If no, please provide your reasons for this*
Has you child skipped or repeated a grade?
- Yes
- No
Reason
Has your child ever been expelled or suspended from a school?
- Yes
- No
Reason
Does your child have a Learning or Behaviour Management plan in place at their current school?
- Yes
- No
If yes, please upload a copy of this on the final page or the submission.
Please provide details about the Learning or Behaviour Management Plan
Special Needs
Does your child have any educational / learning difficulties / special needs*
- Yes
- No
In order to assist us to address students learning, we require parents to provide documentation of a child’s disability / special needs, at the time of enrolment. Please supply all medical / psychological / or other specialist assessments and reports relevant to your child’s condition. This information is a requirement prior to us processing your application. Failure to disclose these details prior to enrolment may result in a review of your child's admission.
To determine the teaching and learning adjustments that may be necessary to support my child in his/her education, I give permission for the release of information between Providence Christian College and the following agencies
Educational Support Program

Does your child have difficulty in any of the following areas?
Please fill in where applicable
Mathematics
Oral Language
Reading
Writing
Spelling
Movement
Behaviour
Should an area of delay be identified in your child’s knowledge, additional support may be offered. Instruction is in the form of individual or small group withdrawal. Most children do not require such assistance on a long term basis, so time outside the classroom is kept to a minimum. The program is designed to assist any child as the need arises. Parents/guardians will be informed should this support be required.
I hereby give permission for my child to access the Learning Support facilities if required during their education at Providence Christian College.*
- Yes
- No

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Fourth Child's Details
Name*
Given Names Surname
Preferred Name
Gender*
- Male
- Female
Date of Birth*
Academic Year of Entry*
Term
Calendar Year of Entry*
Is your child of Aboriginal or Torres Strait Islander origin?*
- No
- Yes, Aboriginal
- Yes, Torres Strait Islander
For persons of both Aboriginal and Torres Strait Islander origin, mark both "Yes” boxes
In which country was your child born?*
Current Nationality*
Language your Child speaks at home?*
Medical Details
Please fill in where applicable
Allergies*
Anaphylaxis*
- Yes
- No
Asthma*
Heart Condition*
Migraine*
Diabetes*
Epilepsy*
Other (Please Specify)
• Please provide us with a ‘Medical Care Plan’ for medical conditions / allergies to help us provide appropriate care for your child. This plan should be prepared in consultation with your doctor.
• The College will only administer prescribed medication by prior arrangement. To arrange for the administration of medication please provide written authorisation.
Immunised*
- Yes
- No
It is a present legal requirement for Providence Christian College to have written authorisation from the Parents/Guardians giving permission to administer Paracetamol / Ibuprofen medications to students. We will still ring on each occasion to confirm that we can administer these medications should the need arise.
Previous School Details
Present School Year
Present / Previous School
I consent to Providence Christian College contacting the previous school as part of the enrolment process.
- Yes
- No
If no, please provide your reasons for this*
Has you child skipped or repeated a grade?
- Yes
- No
Reason*
Has your child ever been expelled or suspended from a school?
- Yes
- No
Reason*
Does your child have a Learning or Behaviour Management plan in place at their current school?
- Yes
- No
If yes, please upload a copy of this on the final page or the submission.
Please provide details about the Learning or Behaviour Management Plan*
Special Needs
Does your child have any educational / learning difficulties / special needs*
- Yes
- No
In order to assist us to address students learning, we require parents to provide documentation of a child’s disability / special needs, at the time of enrolment. Please supply all medical / psychological / or other specialist assessments and reports relevant to your child’s condition. This information is a requirement prior to us processing your application. Failure to disclose these details prior to enrolment may result in a review of your child's admission.
To determine the teaching and learning adjustments that may be necessary to support my child in his/her education, I give permission for the release of information between Providence Christian College and the following agencies
Educational Support Program

Does your child have difficulty in any of the following areas?
Please fill in where applicable
Mathematics
Oral Language
Reading
Writing
Spelling
Movement
Behaviour
Should an area of delay be identified in your child’s knowledge, additional support may be offered. Instruction is in the form of individual or small group withdrawal. Most children do not require such assistance on a long term basis, so time outside the classroom is kept to a minimum. The program is designed to assist any child as the need arises. Parents/guardians will be informed should this support be required.
I hereby give permission for my child to access the Learning Support facilities if required during their education at Providence Christian College.*
- Yes
- No

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This ends the second stage of the enrolment process.
The next stage involves entering MYCEETA details required by the Government.
If you wish to continue, please click next.
If you wish to take a break and return later, please select "Save and Continue Later".
Your information will be stored for one month from now.

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MYCEETA Data Collection
Does the student or their mother/guardian or their father/guardian speak a language other than English at home?
(If more than one language, indicate the one that is spoken most often)
Does the student or their Mother / Guardian or their Father / Guardian speak a language other than English at home?*
- Yes
- No
Student*
Mother / Guardian*
Father / Guardian*
What is the highest year of primary or secondary school the parents/guardian have completed?
(For persons who have never attended school, mark Year 9 or equivalent or below)
Mark one box in each column
Mother / Parent 1 / Guardian 1*
- Year 12
- Year 11
- Year 10
- Year 9 or equivalent below
Father / Parent 2 / Guardian 2*
- Year 12
- Year 11
- Year 10
- Year 9 or equivalent below
What is the level of the highest qualification the parents/guardians have completed?
Mark one box in each column
Mother / Parent 1 / Guardian 1*
- Bachelor Degree or Above
- Advanced Diploma / Diploma
- Certificate I to IV (including trade Certificate)
- No non-school qualification
Father / Parent 2 / Guardian 2*
- Bachelor Degree or Above
- Advanced Diploma / Diploma
- Certificate I to IV (including trade Certificate)
- No non-school qualification
Please select the appropriate parental occupation group from the attached list.
What is the occupation group of the Mother - Parent 1 - Guardian 1*
- Group 1
- Group 2
- Group 3
- Group 4
- Group 8
What is the occupation group of the Father - Parent 2 - Guardian 2*
- Group 1
- Group 2
- Group 3
- Group 4
- Group 8
- If the person has not been in paid work in the last 12 months, enter’8’ in the box above.

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General authorisation is given for my child(ren) to attend educational and sporting excursions. Transportation for excursions is authorised by the Principal. Staff private transport may, on very rare occasions be necessary, no private student transport will be used. Parents/guardians will be informed of all details pertaining to each excursion prior to the event. A form will be sent home with more specific details of medical requirements and your signature prior to camps/tours.
I/We authorise the teachers and instructors to obtain medical assistance, which they may deem necessary should an accident or medical emergency occur, and I/We agree to pay all medical expenses (including ambulance call out) incurred on behalf of our children. I/We further authorise a qualified medical practitioner to administer anaesthetic if such an eventuality arises. Parents/guardians may withdraw this authorisation at any time by providing a letter to the Principal.
Authorisation Acceptance*
- Yes
- No
I hereby consent to the use of my child/ren's photograph/video on the College website, College-related social media (incl. Facebook, Instagram and Seesaw), promotional/advertising materials, and media for the purpose of communication of College activities and programs. I understand and agree that should I wish to withdraw this consent it is my responsibility to notify the College.
Authorisation Acceptance*
- Yes
- No

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Form Complete
Please attach the following documentation
First Child
Your child’s most current School Report
Your child’s most current NAPLAN / OLNA test results
Your child’s Birth Certificate(s)
including any change of name documents
Medicare Card*
Your child’s Immunisation Record*
The Immunisation History Statement available from the MyGov website.
Your child’s Visa (if applicable)
If both parents are born outside of Australia irrespective of child being born in Australia we require evidence of parents/child, visa/citizenship status
Court Order Form
Behaviour Management Plan
Second Child
Your child’s most current School Report
Your child’s most current NAPLAN / OLNA test results
Your child’s Birth Certificate(s)
including any change of name documents
Your child’s Immunisation Record*
The Immunisation History Statement available from the MyGov website.
Your child’s Visa (if applicable)
If both parents are born outside of Australia irrespective of child being born in Australia we require evidence of parents/child, visa/citizenship status
Court Order Form
Behaviour Management Plan
Third Child
Your child’s most current School Report
Your child’s most current NAPLAN / OLNA test results
Your child’s Birth Certificate(s)
including any change of name documents
Your child’s Immunisation Record*
The Immunisation History Statement available from the MyGov website.
Your child’s Visa (if applicable)
If both parents are born outside of Australia irrespective of child being born in Australia we require evidence of parents/child, visa/citizenship status
Court Order Form
Behaviour Management Plan
Fourth Child
Your child’s most current School Report
Your child’s most current NAPLAN / OLNA test results
Your child’s Birth Certificate(s)
including any change of name documents
Your child’s Immunisation Record*
The Immunisation History Statement available from the MyGov website.
Your child’s Visa (if applicable)
If both parents are born outside of Australia irrespective of child being born in Australia we require evidence of parents/child, visa/citizenship status
Court Order Form
Behaviour Management Plan
We ask that you please read through the Enrolment Conditions & Parent Declarations form here.
By proceeding with the enrolment of your child at Providence Christian College, you:
- Acknowledge and support the distinctly Christian culture that underpins all learning and life within the College.
- Support the College's unequivocal intention to develop in your child an understanding and acceptance of the Christian worldview.
I have read and agree to the Terms and Conditions*
- Yes
- No
Administration Fee
Price: $ 50.00

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Term Dates for 2021

Term 1: 01/02/2021 – 01/04/2021
Term 2: 20/04/2021 – 25/06/2021
Term 3: 20/07/2021 – 24/09/2021
Term 4: 11/10/2021 – 14/12/2021

Contact info

Location:
19 Furley Road, Southern River, WA 6110
Phone numbers:
+61 8 9455 1607
E-mail:
admin@providence.wa.edu.au
ABN:
42983626009

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