MGGS CSD

MGGS - Confirmation of Student Details
This form will take 20 minutes to complete. Before commencing, please note the student’s MGGS reference number and ensure that you have scanned copies of relevant documentation such as the student’s Immunisation History Statement, Health Action plans, Visa and Passport. If you close the form, your device will save your progress and you will be able to complete it at a later date.
Melbourne Girls Grammar (“MGGS”, “the School”) requires confirmation of student details as an essential part of the enrolment process at MGGS.

Students are not permitted to commence at MGGS without a completed Confirmation of Student Details form being provided to MGGS.

The information collected in this document is covered by the School’s privacy policy.

If you have any queries regarding this form please contact the Enrolments Team on +61(3) 9862 9200 or enrolments@mggs.vic.edu.au
STUDENT DETAILS
MGGS Reference Number *
e.g. 48743
Full Name *

Given Name Preferred Name (if different) Last Name
Date of Birth *

Day Month Year
Date
Current School *
Year Level at Commencement *
Student Mobile
Main language spoken at home
Please specify which language
Student's Religion
Please specify which religion
Is the student of Aboriginal and/or Torres Strait Islander origin?

Aboriginal Torres Strait Islander
Country of Birth
Nationality

Australian Dual-Nationality with Australia Other
Student's Dual-Nationality
Please specify Nationality
Copy of Student's Visa Grant Notice *

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Scan of the Identification page from the Student's International Passport *

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SIGNIFICANT CONTACTS
Parent/Guardian 1 *

First Name Preferred Name (if different) Last Name
Relationship to Student? *
Please define
Lives with Student? *

Yes No
Address *

Street Address

Address Line 2

City State

Postcode Country
Email *
Please note, it is a condition of enrolment that a unique email address is provided for each parent/guardian
Mobile Phone *
Other Phone
Primary Occupation
Employer/Company
If self-employed, please make sure you specify industry below
Occupation Industry
Parent/Guardian 2

First Name Preferred Name (if different) Last Name
Relationship to Student?
Please define
Lives with Student?

Yes No
Address the same as Parent/Guardian 1?

Yes No
Address

Street Address

Address Line 2

City State

Postcode Country
Email
Please note, it is a condition of enrolment that a unique email address is provided for each parent/guardian

Mobile Phone
Other Phone
Primary Occupation
Employer/Company
If self-employed, please make sure you specify industry below
Occupation Industry
If there is another significant contact regularly involved in the care of the student, please tick to provide details
Additional Contact Name

Title First Name Preferred Name (if different) Last Name
Relationship to Student? *
Please define
Address

Street Address

Address Line 2

City State

Postcode Country
Phone *

COURT ORDERS RELATING TO THE CHILD
In relation to the child or access to the child, are there any: *

Court orders, parenting orders or parenting plans relating to the powers, duties, responsibilities or authorities of any person? Other court orders relating to the child's residence or the child's contact with a parent or other person? None of the above
Please provide a copy of relevant documentation and ensure that the School is updated appropriately.

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YEAR LEVEL PARENT DIRECTORY
The Year Level Parent Directory exists to help parents feel a sense of belonging to the MGGS community. Sharing details assists our Parents Association welcome new members of the community, and to invite you to social events for your daughter's year level/s or broader MGGS activities. It also helps you to liaise with other parents, organise catch ups for your daughter, or even carpool to or from School. Your email address is shared with your daughter’s year level only.
I consent to my name, email address and mobile number being shared with other parents in my daughter's year level
If you DO NOT consent to sharing your name and other details with your daughter’s year level, please UNTICK the box above.
EMERGENCY CONTACTS
Is the student a Boarder? *

Yes No
Please list two emergency contacts for use if the Parents/Guardians are not able to be contacted.

Emergency Contacts must live in Melbourne and surrounding areas.

Emergency contacts are authorised to:
1. Be notified in an emergency
2. Give consent to medical treatment
3. Give consent to administer medication
4. Give consent for an educator to take the student off campus
Please ensure that the nominated people are aware that you have listed them for this purpose.
In the instance where parents/guardians reside a long distance from Melbourne, an Emergency Care Contact is required as a Condition of Enrolment. Please nominate a known relative or family friend who resides within the Melbourne metropolitan region.

In the unlikely event that an Emergency Contact is activated, there are essential understandings within this process:
1. The emergency contacts are authorised to:
  - Give consent to medical treatment
  - Give consent to administer medication
2. I understand that if the student is unwell with a condition that is contagious or not possible to manage onsite, the Emergency Contact may be called and requested to assume Duty of Care.
3. I understand that if the student has medical appointments that are logistically awkward or a longstanding series of appointments that the Emergency Contact may have to be included in the process.
4. The MGGS Boarding House preferred GP is located at South Yarra Medical Centre. The Epworth (Private) or Alfred (Public) hospitals are preferred, however, Boarding House staff will be guided by medical professionals as to which hospital is recommended. The Boarding House will utilise these medical providers unless parents/guardians explicitly express otherwise.
5. The allocated primary Emergency Contact is informed of their responsibilities by you (the parents/guardians) so as to avoid any delay in the care of your child.
Emergency Contact 1 *

First Name Last Name
Relationship to Student? *
Please define
Mobile Phone *
Other Phone
Email
Address

Street Address

Address Line 2

City State

Postcode Country
Emergency Contact 2

First Name Last Name
Relationship to Student?
Please define
Mobile Phone
Other Phone
Email
Address

Street Address

Address Line 2

City State

Postcode Country

PERMISSIONS
Short Excursions

This permission allows the student to leave the School campus grounds for any short School excursions (no further than 2km from the school) during the course of the School day or after hours as appropriate. This permission does not cover overnight, half or all day excursions. Separate permission will be sought for these. Not granting permissions for short excursions means that parents will be required to give permission for each short excursion on an individual basis.
*

Yes, I consent to Short Excursions
If you would prefer to withhold your consent for the student please UNTICK the box above to opt out.
Publicity

MGGS (and approved contractors) takes photos and films of students for reasons that include:
- recording student participation in School events and activities
- celebrating student achievements
- for prosperity and to maintain historical records of the School's past and present students and the nature and course of their education.
Photos and video captured for the reasons listed above are used in support of School learning programs. Photos and videos may be published on the following internal mediums:
- eVI - our internal Learning Management S ystem
- Seesaw digital photos (ELC)
- as a means of documenting programs and student reflections (ELC & JY)
- Messenger – the fortnightly School newsletter where student achievements are highlighted.
- The Anderson – our annual School magazine produced as a keepsake for students and as a reflection of the current year
- Official School photos taken annually including class, year level, or group photos.
I consent to MGGS publishing photos or videos of my daughter on internal mediums in support of School Learning Programs
From time to time, MGGS may seek to publish the photos and videos it records for the following reasons:
- Marketing and promotional initiatives such as on the MGGS website ), MGGS social media platforms, digital marketing, campaigns, promotional print or electronic media, school brochures, flyers, posters, and advertising material.
- Reporting on School initiatives, news, and information about MGGS and student activities and achievements to the MGGS community
Photos and videos may be published on the following external mediums:
- MGGS website
- External newsletters and magazines.
- The Information Exchange (IE) – the biannual online magazine that showcases MGGS, its programs, community endeavours and activities
- Social media
Where the image or video will be used for an extended period in external publications, the family will be formally notified, and additional permission will be sought.
I consent to MGGS publishing photos or videos of my daughter in external publications.
For social media posts through our community facing channels (eg Instagram), the permission granted for records of School events will be deemed satisfactory. No material that could be deemed sensitive will be published. Where there is any doubt, the image/s will not be used.
I consent to MGGS publishing photos or videos of my daughter on social media - MGGS, Arts, Library, Artemis.
If you would prefer to withhold your consent for the student please UNTICK the box/es above to opt out.

If you would like more information, please ask the Enrolments Team for a copy of the Photography and Publishing Policy or the Social Media Policy.
Swimming Ability: My daughter can swim 50m: *
DECLARATION
I/we hereby declare that all details advised and reported in this “Confirmation of Student Details“ form are complete and correct.

I/We understand that MGGS cannot be held responsible for any incidents which arise due to information which I/We have withheld from the School.

I/We understand that it is our responsibility to update the School of any changes to these details.

Where the signature of 1 parent/guardian is provided, the assumption is that all parents/guardians agree to the completeness of the information provided.
Signature of Parent/Guardian 1 *

Clear
Parent/Guardian 1 Name *

First Name Last Name
Relationship to Student? *
Please define
Date

Day Month Year
Date
By submitting this form you agree to your information being used in accordance with Melbourne Girls Grammar's Privacy Policy.

	Student	Parent/Guardian 1	Parent/Guardian 2
No, English Only
Yes, Arabic
Yes, Cantonese
Yes, Greek
Yes, Hindi
Yes, Italian
Yes, Mandarin
Yes, Spanish
Yes, Tagalog
Yes, Vietnamese
Yes, Other

	Parent/Guardian 1	Parent/Guardian 2
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below

	Parent/Guardian 1	Parent/Guardian 2
Doctorate
Masters
Bachelor Degree or Graduate Diploma/Certificate
Advanced Diploma/Diploma
Certificate I to IV (including trade certificate)
No non-school qualification

MGGS - Confirmation of Student Details

STUDENT DETAILS

SIGNIFICANT CONTACTS

COURT ORDERS RELATING TO THE CHILD

YEAR LEVEL PARENT DIRECTORY

EMERGENCY CONTACTS

FAMILY DOCTOR

HEALTH BACKGROUND

EMERGENCY CONSENT / DETAILS

IMMUNISATION STATUS

INSURANCE DETAILS

OTHER

PERMISSIONS

DECLARATION

DATA COLLECTION - INFORMATION REQUIRED FOR FEDERAL GOVERNMENT AND REPORTING PURPOSE

Thank You