Pre Enrolment Form | Copperfield College

Full name of student

First

Last

Date of Birth

Gender

Student VET USI No:

Current home address of Student

Will the above address be the same if attending our college?

If no, please give details

PARENT/GUARDIAN name:

First

Last

Home, Business or Mobile Number:

email:

Email

Confirm Email

Applying for Year Level

Applying to commence

Which Campus?

Student current school - If outside Victoria please give contact phone number

Current Year Level

Year Level Coordinator's name

Current siblings at Copperfield College

Students on visas - Visa Class (If Visa is one of the below, upon interview please provide evidence of previous visa & current visa)

In which language were classes taught prior to arrival in Australia?

Reason/s for enrolment - Please detail

Has the student ever repeated any Year levels or had more than 4 weeks out of regular schooling?

If yes, please give details

is the applicant participating in any special program at the current school? E.g. extra literacy/numeracy support?

If yes, please give details

Are there any agencies we would need to contact to support your child in his/her learning?

If yes, please list.