OFFICE USE ONLY

YEAR APPLIED FOR:

Selective Education Unit

Send a completed form to the principal of each selective high school you are applying for (up to a maximum of 3).
Read the privacy notice on page 4 before completing this application.
Confirm with each school the specific requirements for assessment before completing this application. CLOSING
DATE: 26 July 2024

Years 8 to 12 entry to selective high schools in

Application form 2025

STUDENT DETAILS (To be completed by a parent)

Student’s family name

Student’s given names YEAR APPLIED FOR:

Date of birth YEAR/ APPLIED FOR:
/ Gender Male Female
d d m m y y y y

Student’s current school Y Y Y Y Y Y Y Y Y Y

E E E E E E E E E E
Student’s current academic year YEAR APPLIED
e.g. Yr 7 FOR:
A A A A A A A A A A
Parent 1 name
R R R R R R R R R R
TITLE Y GIVEN NAME FAMILY NAME

A A YEAR A E APPLIED
A AFOR:A A A YEAR APPLIED FOR:A A
Parent 2 name
YEA
PTITLE P P A GIVEN
P P
NAME
P P P FAMILY NAME
P P
R
P P P R APPLIED
YEAR P P FOR:
P P P YEAR APPLIED PFOR: P
Home Address
APP
LYEA L L L L L L L L L
Suburb/Town LIED
IRYEAR I APPLIED
I A FOR:
I I I State
I I Postcode I I
FOR:
EAPP E EP E E E E E E E
Telephone YEAR APPLIED FOR:
D
LIED D DP D D D D D D D
Email address L FOR: Y Y Y Y Y Y Y
FOR:
YEAR APPLIED YEAR APPLIED FOR:
F F FI F F F F FE E E FE E E FE
OYEAR O APPLIED
OE FOR:
O O O O O A A A O A A A OA
RESIDENCY
R R RD R R R R RR R R RR R R RR
AUSTRALIAN RESIDENCY
: : : : : : : : : :
Is the student a citizen of Australia or New Zealand?
F A A A YesA A A
No A
If ‘Yes’ go straight to NSW Residency below. O P P P P P P P
R P P P P P P P
Is the student the holder of a visa granting permanent residency in Australia? Yes Y No Y
: L L L L L L L
E E
I I I I I I I
If ‘Yes’, when was permanent residency granted? Date E A A
E /E / E
YE E EY
R R
D D D D ED D D E
If ‘No’, please state the student’s visa details. Class Subclass
Y Y Y Y Y A AY Y A A
Y
F F F F RF F FR
YEAR E E E E E YEAR
PE E PE
NEW SOUTH WALES RESIDENCY O O O O O O O
A AFOR: A
APPLIED A AAPPLIED
PA AFOR:PA
If the student and family do not currently live in NSW, will they be living inRNSWRin 20R25? R AR
Yes RNo R
R R R R R LR R LA R
: : : : P: : :P
BACKGROUND

Is your child of Aboriginal and/or Torres Strait Islander background? Yes No

Y Y
E E
DISABILITY, MEDICAL CONDITION OR BEHAVIOURAL DISORDER A A
R R
Y
Y
Does the student have a disability, (including a medical or behavioural condition)? Yes E No E
A A
A
A
P P
R
If ‘Yes’, what is the nature of the disability? Y Y Y RY Y Y
E E P E E P
E E
L LA
A A A A A A
I IP
R R R PR R R
E EP
P
D
A A A D LA A LA
P P P IY P P IPY
FE FE
P P P P P P
O O
L L L D AL L DLA
R R
Please indicate any reasonable adjustments (e.g. wheelchair access) the student may I
I require I anR
during I entrance
I IR
test if applicable. : :
FE
E E E FE E
D D D O AD D O DA
RP R P
F F F :PF F :FP
O O O LO O O L
R R R IR R RI
: : : E: : :E
D D

SCHOOL USE ONLY

F F
VERIFIED CORRECT Yes No Verifying officer Date O O
R R
: :
SCHOOL YEAR
YEAR APPLIED YEAR
Y
What academic year are you applying for? Y 8 9FOR: 10 11 APPLIED
12
E E FOR:
SCHOOL CHOICES A A
R R Y Y Y Y Y
E
Please list, in order of priority, all three selective high schools E
you are applying E must complete
for. You E
E an application
form for each of your school choices and you must include this information in the same order on each form.
A A A A A A A
Example P P R R R R R
1 P
FORT STREET HIGH SCHOOL P
L L A A A A A
Name/s of your chosen selectiveI high school/s
I P P P P P
YEAR APPLIED FOR: P P P P P
1Y E E
E D D L L L L L
2A
YEAR APPLIED FOR: I I I I I
YR F F E E E E E
3 YEAR APPLIED FOR:
E O O D D D D D
Y
A
E YEAR APPLIED FOR: R R
RP : : F F F F F
SCHOOL PERFORMANCE
You must check with each school you are applying for to find out the type of evidence they require.

Have you attached copies of the student’s reports for the current year and/or for the previous year?

Yes No
Have you asked each school you are applying for if there are any other assessment or evidence requirements?

Yes
Y No
Y
E E
If required by the school to which you are applying, have you attached additional copies of evidence aboutA the A
student’s excellence in academic and co-curricular activities, e.g. academic performance, sport, music, art?
RY RY
Yes
E No
E
Please note: You may be required to produce original documents at a later date. A A
PR PR
SCHOOL SUBJECTS YP YP
ELA ELA
What subjects is the student studying What subjects would you like the student AIP to studyAIP
this year next year R R
EP EP
DL DL
A I A I
PFE PFE
POD POD
LR LR
I:F I:F
EO EO
D R D R
: :
F F
O O
AGRICULTURAL HIGH SCHOOL APPLICANTS ONLY R R
: :
This section is to be completed only if you are applying for entry to an AGRICULTURAL high school on this
application form. If not, please go on to ‘Parent’s Declaration’ on page 4.
Why do you wish the student to attend an agricultural high school?

Is the student studying agriculture at the present school? Yes No

If ‘Yes’, for how many years has agriculture been studied? years
Y Y
Please tick to indicate the type of placement you are seeking.
E E
Y
A A
• Day (not available at Yanco) • Boarder (not available at James Ruse)
ER R
A
Is a brother or sister currently attending the school? Yes No
Y R
A AY
Name of brother or sister: E P PE
A YA
P PY
A
YEAR APPLIED FOR: EP E
In Year: R L LR
AP
I IA
BOARDER APPLICANTS FOR AGRICULTURAL HIGH SCHOOLS ONLY
Complete this section if you wish to apply for boarder placement at a residential agricultural high school,
where geographic isolation is considered, otherwise please proceed to the ‘Parent’s Declaration’.
Is the student eligible for the Assistance for Isolated Children Scheme through Centrelink? Yes No

Nearest government high school* which Nearest government high school, (not an
the student can currently attend as a day agricultural high school) where agriculture
student. is available from Year 8. Y Y
*Note: Not the school you are applying E E
for.
A A
Name of nearest government high school
R R
Distance from the student’s home to this
nearest school using available transport km not applicable
service. (If there is no transport service A A
show distance by road.) P P
Time taken for a one-way journey to the P P
nearest school, excluding waiting time. (If hrs mins hrs mins
morning and afternoon times are L L
different, state the average.) I I
Distance from the student’s home to the km not applicable E E
nearest transport to this school. D
D
Where does the student usually live? (a) in or near town (b) out of town
F F
If you answered (b) out of town, and you know the latitude and longitude of your residence, please provide O
it below. O
Y YR R
Latitude Longitude
E E: :
Are there special
YEARcircumstances
APPLIED FOR: where the student might be consideredAisolated?
YEAR APPLIED FOR: Yes A No
If yes, please provide details. R R

Y Y
A A
E E
P P
A A
P P
R R
L L
Please comment on the student’s ability to cope in a boarder situation, both socially and emotionally. AG
I I
A A
E E
P P
D D
P P
L L
F F
I I
O O
E E
PARENT’ S DECLARATION: TO BE COMPLETED BY ALL APPLICANTS R R
D D
: :
I declare that, to the best of my knowledge, the information I have provided in this application form is accurate.
I understand that all successful applicants will be required to show original documentation, such as birth certificates
F F
and relevant visas, as proof of residency before enrolment can be finalised by the school.
I understand that placement is subject to the Department of Education enrolment policies and procedures.O O
R
I understand that offers may be cancelled if placement is made on the basis of false or misleading information. R
: :
PARENT’S NAME AS SIGNATURE DATE

PRIVACY NOTICE
YEAR APPLIED FOR: YEAR APPLIED
Information provided to the NSW Department of Education will be used, disclosed and stored in accordance with the NSW privacy laws (the Privacy and Personal
Information Protection Act 1998 (NSW) and the Health Records and Information Privacy Act 2002 (NSW)).
FOR:
The information contained on this form is required to assess and process the student’s application for enrolment in a selective high school. In addition the Department
will collect and obtain other personal information (including future information) to assist in assessing and processing the application, including but not limited to results
and information about the student’s performance in the assessments.
This information will be stored securely for at least 3 years. You may contact the school to access or correct information held if necessary. This information, or part
thereof, may be used and disclosed by the NSW Department of Education for the following purposes:
• Assessing and processing the application for enrolment in a selective high school, determining placement and review of such placement;
• Communication to Departmental staff, including NSW government school principals, volunteers and persons who may be involved in any way in the placement process.
• General student administration, including notifying the student’s current government school of the outcome of the application as well as notifying any other person
authorised by the parent;
• For any other matters relating to the education and welfare of the student, for the purposes of data collection and for any other purpose required by law.