CBHS Enrolment (General)

  • ID:0 | 23/04/2019 
  • Recipient: Guest
  • Originator: Guest
1 1. New Enrolment
1. New Enrolment
2 2. Citizenship
2. Citizenship
3 3. Caregiver Details
3. Caregiver Details
4 4. Medical Details
4. Medical Details
5 5. In-Zone Declaration
5. In-Zone Declaration
6 6. Checklist & Conditions
6. Checklist & Conditions
* Mandatory fields | 
Print
1
Guest Info

Please enter the details of the person completing this form



Full Name *

Email Address *
1
New Enrolment

Important Notes when completing this form:

  • Do not use full CAPITAL LETTERS
  • Use capital letters where necessary
  • Do not abbreviate words




Initial Year *

Intended year of entry *

Student Surname *

Legal Surname *

Legal First Names *

Middle Name

Preferred first name *

Mobile phone

Date of Birth *






1
Student's Residential Address in Term Time

The student has been ACCEPTED for Adams House, the CBHS Boarding Hostel. *



Residential address the where the student will reside during the term (not required if Adams House)



Street

Suburb

Town

Postcode

This residential address lies within the school zone (Adams House is In Zone) *


1
Family Connections

Complete any of the following that may be applicable. (Please enter the names and years of attendance that may be relevant)



The student's brother is currently enrolled at CBHS. (Name)



The student's brother is a past student at CBHS. (Name)

Date of attendance (brother)

The student's father is a past student at CBHS. (Name)

Date of attendance (father)

The student's parent is a member of or is employed by the Board of Trustees of CBHS.


2
Citizenship

As testified by the attached birth certificate, passport or citizenship certificate, the student is a citizen of: *

Attach birth certificate, citizenship certificate or relevant page of passport

If this country is not New Zealand or Australia, enter relevant details below and attach copies of permit(s).



Student has a New Zealand Residence Permit/Student Visa with expiry date 

Student visa or residence permit

Parent has a NZ Work Permit with expiry date

Parent NZ work permit

Ethnicity *

Iwi

Ethnicity 2

Iwi 2

Ethnicity 3

Iwi 3

First Language - Specify if NOT English




2
2
Current/Previous New Zealand School

Name of the most recent NZ school attended, or put "Overseas" *




3
Caregiver 1 Details

This parent/caregiver will be responsible for receiving the school account. We will only email account statements to one email address.



Title *

Relationship *

Family name *

First name *

Home phone

Mobile phone

Work phone

Occupation

Email *

Address Title (e.g. Ms A. Surname) *

Postal Address - Street (including unit/house number) *

Suburb

Town *

Postcode *

(State)

(Country)

Student lives with this caregiver during term-time *

Receive reports and newsletters *






3
Caregiver 2 Details

Title:

Relationship

Family name

First name

Home phone

Mobile phone

Work phone

Occupation

Email

Address Title (e.g. Ms A. Surname)

Postal Address - Street (including unit/house number)

Suburb

Town

Postcode

(State)

(Country)

Student lives with this caregiver during term-time

Receive reports and newsletters




3
Emergency Contacts (other than caregivers listed above)

Relationship to student

Name

Phone

Mobile





Relationship to student

Name

Phone

Mobile
4
Medical Details

Doctor

Phone

Asthma *

Diabetic *

Anaphylactic *

Epilepsy *

Paracetamol Allowed *



Specify any special health problems we should be aware of

Specify any other allergies

Specify any family circumstances we should be aware of


5
In-Zone Declaration

IN ZONE APPLICANTS ONLY (hostel and out-of-zone applicants continue to page 6)

In order to claim priority right of entry as an in-zone resident, the address given on the enrolment application must be the student's current place of residence. If you currently live at an out-of-zone address but intend to move to an in-zone address before your son's first day of attendance, you must apply as an out-of-zone applicant then - after you have moved into zone - notify the school of your new address and forward this form with the documentation described below.

The Ministry of Education advises that parents should be warned of the possible consequences of attempting to gain unfair priority in enrolment by deliberately giving a false address or by making an in-zone living arrangement which they intend to be only temporary, for example:

  • Renting accommodation in-zone on a short-term basis;
  • Arranging temporary board in-zone with a relative or family friend;
  • Using the in-zone address of a relative or friend as an "address of convenience", with no intention of living there on an on-going basis

Before attendance begins, if the board has reasonable grounds for believing that the given in-zone address will not be a genuine, permanent living arrangement, the board may withdraw any offer of a place it has made.

If the school learns, after attendance has begun, that a student is no longer living in the zone, and has reasonable grounds to believe that a temporary in-zone residence had been used for the purpose of unfairly gaining priority in enrolment, then the board may review the enrolment. Unless the parents can give a satisfactory explanation within ten days, the board may annul the enrolment. This course of action is provided for under section 110A of the Education Act 1989.

It is a requirement that, should the student's place of residence be moved out-of-zone within two years of enrolment, a formal application of continued attendance at the school must be made. Failure to do this may also lead to the enrolment being annulled.


ATTACH THE FOLLOWING DOCUMENTATION - To confirm the address given is within the school zone:

A copy of a recent Christchurch City Council rates demand or a tenancy agreement.

A recent original copy of a power account - or additional documentation as may be requested by the Board of Trustees.

Complete this section if you have given an in-zone address as the student's usual place of residence.

I declare that the address I have provided is the usual place of residence for my son during school time and I will advise the school of any subsequent change.


Name

Date

Name

Date


6
Enrolment Checklist

The New Zealand Ministry of Education requires us to retain on file documentation that confirms the student's identity, nationality, age and eligibility for free education. This application will not be accepted and will be returned for completion if the following documentation is not attached.

ALL APPLICANTS - Attach a copy of the Student's birth certificate, passport or citizenship certificate (on page 2) and complete the Conditions of Enrolment statement (below) *

ALL APPLICANTS must download THIS form, complete with signatures and upload below.

Upload a completed copy of the EOTC form.  *

IN ZONE APPLICANTS - The completed In Zone Declaration Form on page 5, together with supporting documentation.

NON-CITIZENS of New Zealand or Australia - a photocopy of either the student's Residential Permit or both a parent's Work Permit and the student's Student Permit (valid for a least the first term of the proposed enrolment) are attached on page 2?

YEARS 10 - 13 APPLICANTS ONLY - a copy of the most recent school report.


6
Conditions of Enrolment

I hereby make application to enrol the above student at Christchurch Boys' High School under the terms and conditions of the School Prospectus, which I accept as applying to him, and I have read and understood and agree to abide by these Conditions of Enrolment. *

I certify that all information entered on this enrolment form is factually correct and that I have read the Prospectus. I guarantee that the student will attend regularly and I will endeavour to see that he obeys all school rules. *

I give permission for images and videos of my son to be used in both internal and external publications and media *

I undertake to pay all accounts in full on or before the due date. *

Name *

Date *

Name

Date






6
Next Temporary Save

eForms Workflow statistics  
   Refresh
Please select the student associated with this eForm from the list
  Next  
Do you want to continue the partially filled eForm from the last session?



Warning: Saving New eForm will destroy any partially filled old eForm!