Thank you for considering Tec-NQ.
Before commencing the Application form, please make sure you have the following documents ready to upload:
- Birth certificate
- School reports
- Immunisation report
- Student support (learning plans) and medical action plan
- Court orders and parenting plans
Section 1 - Please provide the following documents |
| Birth Certificate |
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| Immunisation Report |
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| Most Recent Report Card |
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USI (Unique Student Identifier), if your student does not currently have a USI please create one here
www.usi.gov.au
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Please read our Standard Collection Notice
regarding the collection and storage of personal information
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Section 2 - Applicant Details |
| Student Given Name(s) |
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| Student Surname |
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| Student Gender |
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| Date of Birth |
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| Country of Birth |
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| Residential Address (street # and name) |
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| Suburb/City |
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| State |
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| Postcode |
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| Residency Status |
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| Postal Address |
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| Postal Suburb/City |
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| Postal State |
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| Postal Postcode |
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Parent / Guardian / Next of Kin Name(s)
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Relationship to applicant
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Next of Kin Contact Email
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Next of Kin Contact Phone
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Next of Kin Name 2
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Relationship to applicant
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Next of Kin Contact 2 Email
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Next of Kin Contact 2 Phone
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| Which enrolment point are you applying for? |
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| Does the applicant require Tec-NQ to provide accommodation (boarding)? |
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| If yes, please provide your Centrelink Customer Reference Number (CRN) |
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| Does the applicant have a sibling who has attended or is currently attending Tec-NQ? |
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| If yes, sibling name |
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| Are the applicant of Aboriginal or Torres Strait Islander origin? |
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Please nominate your top three preferences in the following industries:
All applicants must choose a preferred industry.
* Electrical and P-Tech trades require passsing grades in Math's, English and Science.
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| Preference 1 |
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| Preference 2 |
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| Preference 3 |
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| Where did you hear about us? |
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Referred by friend / event / station / publication?
Please provide a name |
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Section 3 - Education History |
| Current School |
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| Year Level |
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| Most recent school results for: |
| English |
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| Maths |
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| Is the participant currently enrolled in or completing any certificate programs? |
| Yes/No |
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| Program |
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| Outcome |
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| Has the applicant ever been suspended, expelled or excluded from another school? |
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| If yes please provide a reason. |
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Has the applicant ever been involved in disciplinary action resulting from involvement in/with bullying, fighting, drugs, alcohol or tobacco?
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| If yes please provide details. |
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Section 4 - Must be completed by a parent/guardian |
The answers to these questions will not affect your application to the college.
The information will allow us to assess how to most effectively meet your needs. |
| What are the custody arrangements for the applicant? |
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| Does the applicant have special learning needs? |
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| Please specify: |
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| Is the applicant currently on a modified program or an individual learning plan at their current school? |
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| Please provide a copy of the Individual Learning plan or modified program: |
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| Is the applicant from a non-English speaking background? |
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| If yes, what language is spoken at home? |
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| Does the applicant require assistance with English? |
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| Does the applicant have a disability/impairment or long term condition? |
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| If yes, please provide details: |
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| Does the applicant have a medical condition that may affect his/her studies? |
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| If yes, please provide details: |
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| Please provide a medical action plan: |
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| Has the applicant been victimised or bullied in a previous education setting? |
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| Does the applicant suffer from any psychological conditions? Eg. Depression, anxiety? |
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| Does the applicant require assistance from student welfare in regards to specific emotional needs? Eg. Loss of a parent, trauma, social stresses, phobias? |
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| If yes, please provide details: |
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Any other information you would like to tell us?
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| Under the child protection act 1999, when a child protection order is approved by the children’s court, the child is placed in out-of-home care (OOHC).
Out-of-home care includes short or long term placement with an approved kinship or foster carer, in a supported independent living arrangement, in a safe house and in residential care. |
| Is the applicant identified as residing in out-of-home care? |
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| Is the applicant supported by child safety? |
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| Are there any current court orders or parenting arrangements for the applicant? (i.e. Family Court orders, domestic violence, welfare, safety or parenting arrangements) |
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| Please provide a copy of court orders or parenting arrangements: |
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I understand that supplying false or incorrect information on this form may lead to the reversal of a decision to approve enrolment.
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| Please confirm and hit Submit |
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