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Kalianna Enrolment Enquiry
Please complete the form below. We will endeavour to respond within 5 working days.
Please read the Eligibilty and Criteria for Kalianna prior to completing this form.
https://www.kalianna.vic.edu.au/copy-of-about-kalianna
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Student Name
*
Your answer
Student Date of Birth
*
Your answer
Parent/ Legal Guardian Name
*
Your answer
Parent/ Legal Guardian Phone Number
*
Your answer
Email address
*
Your answer
Current School
*
Your answer
Current Year Level
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Your answer
Does the student have a current cognitive assessment (less than 2 years old?)
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Yes
No
Unsure
Does the student have a formal diagnosis of a disability?
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Your answer
Does the student have supports in place such as OT, Speech, NDIS.....
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Yes
No
Other:
Additional Information/Questions.
Your answer
Please note the information gathered here is private and confidential and used for school enrolment purposes only.
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