2023 Choklits Surrey Hills Kindergarten Funding Form
To receive low-cost kindergarten this form must be submitted by February 17th 2023

Note: collecting this information is a government requirement and essential for us at Choklits to submit on behalf of families for their kinder subsidy (low-cost kindergarten).
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Электронная почта *
Child's Section
Child's first name *
Child's last name *
Gender *
Child's date of birth *
ДД
.
ММ
.
ГГГГ
Kindergarten class *
Street Number *
Street Name
 *
Suburb
 *
Post Code *
Has this child been identified by a parent, carer or legal guardian as being of Aboriginal and/or Torres Strait Islander origin? *
Has this child been identified as being known to Child Protection?
 *

Does this child need a high level of assistance with core activities (compared to children of a similar age) as a result of ongoing disability or health condition?

 *
Main language spoken at home?
 *
Child's first language?
 *
Child's country of birth? *

Who does the child live with?

 *

Please indicate the immunisation status for your child-

 *

Does this child or their family currently have a humanitarian or refugee visa?

 *
Parent Section

For the following section, information is required for BOTH Parent/Guardian A and Parent/Guardian B. If there is only one parent or guardian, tick the box to indicate this.

Parent A

Please tick this box if there is only one parent or guardian for the child

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Country of birth *
If born outside Australia, year arrived in Australia?
What is the highest year of primary or secondary school for Parent/Guardian A?
 *
What is the highest level of education for Parent/Guardian A?
 *
Referring to the parent occupation index below, what is the occupation group for Parent/Guardian A?
 *
Parent occupation index
Parent B
Country of birth
If born outside Australia, year arrived in Australia?
What is the highest year of primary or secondary school for Parent/Guardian B?
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What is the highest level of education for Parent/Guardian B?
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Referring to the parent occupation index above, what is the occupation group for Parent/Guardian B?
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Funding confirmation (only one parent/guardian is required to confirm) *
Please write your name to confirm all the information entered on this form is true and correct *
Anything else we need to know, please include any questions and comments...
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Форма создана в домене Choklits.