ESP Application 2017
1. This application MUST be completed by a parent or guardian.
2. Applications are closed for Year 9 2017 students. Limited places are still available, please contact Mr Liam Walsh via walsh.liam.j@edumail.vic.gov.au if you are interested in applying for Year 9 2017.
3. Applications close for 2017 Year 8, 11 and 12 students on November 1st.
5. Applications for 2017 Year 7 students close on November 1st.
6. An invoice will be posted to you later in 2016.
7. Your position in the program is dependent upon all College fees being paid by the due date.
Sport *
Which sport are you applying for? If your sport is not listed select 'General'
Would you like to be considered for the Wednesday Period 5/6 sessions? *
2017 Year 9, 10, 11 and 12 students are involved in a training session during Periods 5 and 6 on a Wednesday. Note: student numbers in Year 9 and 10 may be restricted, and selecting "Yes" does not guarantee selection. No limit for 2017 Year 11 and 12 students. Not available for 2017 Year 7 and 8 students. General Fitness does not run during the Wednesday session, 2016 Year 8 students in General Fitness must select a sport for the Wednesday session in 2017.
Student's SURNAME *
Your answer
Student's FIRST NAME *
Your answer
Student ID number
If known, e.g. DOW0031 (assigned by PSC)
Your answer
Family ID number
If known, e.g. DOW0031 (assigned by PSC)
Your answer
Gender *
Year level in 2017 *
Publicity *
The school often uses images of students training and competing. Do you give permission for your son/daughter's picture to be used? Examples include, but are not limited to the school newsletter, Facebook and publicity banners.
Medical *
Have you ever had a serious or long term injury? If yes, provide details in 'other'.
Required
Parent/Guardian *
Full name of parent/guardian(s) responsible for payment of program fees
Your answer
Contact number *
Mobile or landline
Your answer
Email *
Confirmation of receipt of application will be sent to this address
Your answer
Fees and contract *
An invoice and contract will be posted to you after submiting this form. Your place in the program is dependent upon fees being paid in full by the due date.
Submit
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