Office Use Only

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St Marys Expression of Interest - Non Local Enrolment

Senior
High
School
Year 11 - 2022
Note: This is NOT an enrolment form -
SECTION 1 General Information offers of enrolment will only be made after
all applications have been considered.

Student’s Surname
Given Name

Home Address

Suburb Postcode Daytime Phone No:

Date of Birth / / Age at 29/1/2022 _________Yrs _________Mths Sex M F (circle)

Home Situation [ ] Living with Parent/Guardian [ ] Living Independently

Citizenship Status [ ] Australian Citizen [ ] Permanent Resident [ ] Student Visa (Category Required)

[ ] ATSI [ ] International Student [ ] Interstate [ ] TAFE [ ] Work Force

Current School Year 10 11 12 (circle)

Previous School Left from Year Date / /

Name:

Daytime Phone: Mobile:

Parents/
Guardians Name:
Details
Daytime Phone: Mobile:

Family Email Address:

SECTION 2 Eligibility

Tick one of the following:

[ ] I expect to satisfactorily meet the NESA requirements for successful completion of Stage 5 (Year 10).
[ ] None of the above apply. Please supply full details of your previous education.

Select NO more than 14 Units (7 subjects)

SECTION 3 Subjects for Study in 2022 Subjects will be confirmed upon enrolment

SUBJECT/COURSE SUBJECT/COURSE
English …………………………………………………………………………
SECTION 4 Personal Profile

Use the space below to indicate some things about yourself which will help the Enrolment Committee make a
decision about your application. Priority will be given to those students who can show evidence of a positive attitude
and commitment to learning. It is not necessary to have achieved high marks in your previous schooling, but you
should try to show that you have the commitment to learning and study habits required that will allow you to take
advantage of the special opportunities that St Marys Senior High School offers.

In framing your answer, you might choose to use some or all of the following: future career or tertiary study plans;
past academic achievements and future goals, interest and achievements in sporting or artistic areas, school and
broader community involvement, leadership experience, etc.

The space provided is only a guide. Additional pages (maximum of three) can be attached to your application.

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SECTION 4A Special Circumstances

You only need to complete this section if you believe there are special circumstances
surrounding your application that you would like the enrolment committee to consider.

If you intend to seek special consideration you will need to provide, as far as possible, full
independent documentation (perhaps, from your school or doctor etc) of the
important aspects of your claim. We will not contact you to seek further details – it is up
to you to establish your case.

A. Special Curriculum Needs

Do you have a particularly strong background, aptitude, interest and prospects in one or more of the courses available
at St Marys Senior High School which you will not be able to follow at your present/local high school next year?

If so, please provide details of your background, prospects, aptitude or special interest in the course(s) (including
records, references, work samples, etc), together with independent documentation, where possible. NB: If you do not
provide these details, no special consideration will be given. In addition, your Principal will need to certify that the
course(s) or course combinations you want will not be available to you at your present school next year.

Please note: Any offer of priority enrolment made in respect of special subject needs will be conditional upon:

(i) a class being formed for the course(s) within St Marys Senior High School in 2022, and

(ii) your continued enrolment in the course(s).

Course(s) Sought:

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Principal’s Certification
I do not anticipate that this school will be offering the above course(s) to Year 11 in 2022.

Principal

B. Other Special Needs

If you have particular needs (apart from curriculum needs) which you believe can be met at St Marys Senior High
School, but not at your present/local high school, please attach full details with appropriate supporting materials.

Please note: Claims which are based on residential considerations, sibling enrolment, availability of extension courses,
or perceptions about relative quality of teaching and HSC prospects will generally not be successful.
 Supporting Documents

• You must include a clear, complete certified photocopy of your two most recent school reports (Year 9 Semester
1 Report and Year 9 Semester 2 Report). Interim reports will not be accepted. (Please ensure that each page
has been certified by a Justice of the Peace).

• You may choose to provide photocopies of current documents that convey to us your attitude and commitment
to learning. The learning may be in a range of areas, including; but not limited to, school, work and
sporting/cultural/social groups. (The photocopies can ONLY be 12 months old and need not be certified).

• If you have been away from school for two years or more an employment reference, TAFE result notice or other
documents should be included.

• Please list below the documents you would like us to consider and attach photocopies of them.

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SECTION 5 Principal’s Comments

APPLICANTS PLEASE NOTE: If it is your school’s policy not to provide such

information, please indicate this in the space below and skip this section. Your
application will not be disadvantaged by these circumstances. If your Principal is signing
this form please attach the supporting documents and submit to your Principal in
sufficient time to allow him/her to consider the application and return it to you prior to
the closing date.

Is there any additional information you wish to provide in relation to this student’s application that is not adequately
reflected in the attached documents? You may wish to consider matters such as:

• the appropriateness of the applicant’s subject choices in the light of his/her past achievements,
• the applicant’s readiness to undertake self-directed learning,
• the applicant’s special learning requirements or skills?

YES (use the space below)

NO

Signature of Principal _________________________________ Date ____/____/____

Thank you for your assistance.

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SECTION 6 Personal Commitment

Our school operates in a model slightly different to most 7-12 settings. Some of the differences include matters
relating to dress and behaviour, attendance and punctuality, the mentor program, participation in sport, leaving
the school premises and the use of study periods. For your application to be successful, you must be prepared
to:

1. undertake the necessary attendance hours, travel arrangements and other changes to your lifestyle
to enable you to participate fully in the life of the school.

2. commit yourself to a regular program of study and meet all course requirements, including
attendance at all timetabled lessons, assemblies, tutorials and mentor sessions,

3. establish and maintain eligibility for the award of the Higher School Certificate in terms of the rules
established by the New South Wales Educational Standards Authority,

4. identify yourself with the school through adopting and adhering to its dress code, customs and rules,

5. participate where appropriate in the life of the school, e.g. through the Student Representative
Council, sporting, cultural and social activities.

I have read carefully the information documents provided by the school and declare that I have the
personal commitment to meet all of the above conditions, and

I understand that a serious breach of these conditions may result in the suspension and/or
termination of my enrolment, and

I declare that, to the best of my knowledge, all of the information contained in this application is
true and correct. I understand that providing false or misleading information will result in
cancellation of my enrolment.

Signature of Applicant Date

Signature of
Parent/Guardian

Please deliver or mail this form, together with certified photocopies of your Year 9 Semester 1 report and Year 9
Semester 2 report and copies of other supporting documents (no older than 12 months old), in sufficient time to
reach the address below on or before the closing date.

Deliver in person or by mail to:

St Marys Senior High School
6-48 Kalang Avenue,
St Marys NSW 2760
Ph: (02) 9623 8333

To arrive on or before: 2.30pm

Friday, May 21, 2021