Mountain District Parent Controlled Christian School Association
MOUNTAIN DISTRICT CHRISTIAN SCHOOL
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Student Enrolment Application Form
(One form is to be completed for each student)

Enrolment Date sought    /      /          Enrolment required for year level_______
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Family Surname_____________________________Student Surname____________________________

Given Name/s________________________________________________________________________
                          (names should agree with details on birth certificate)

Father’s name_______________________________Mother’s name_____________________________

Address____________________________________________________________________________

Suburb_________________________________________State_______________P/code___________

Home Telephone______________________________________   Silent Number     YES/NO

Date of Birth____________________  Place of Birth________________________Gender____________
____________________________________________________________________________________

Does your child attend Church on a weekly basis?                     YES/NO

Does your child attend the same church as you, the parents?                  YES/NO

Church Name________________________________________________________________________

Address__________________________________________________State________P/code_________

Pastor’s/Minister’s Name__________________________________Telephone_____________________
____________________________________________________________________________________

Schools or Kindergarten attended (Most recent first)

          SCHOOL/KINDER                   POSTCODE      YEAR ATTENDED     GRADES

__________________________        __________    _______to_______        _______

__________________________        __________    _______to_______       ________

__________________________        __________    _______to_______       ________
____________________________________________________________________________________

On behalf of this child, has there been a submission for enrolment application submitted to another educational institution either full time, part time, locally or out of the local area?
YES/NO          (If yes, please completed the following)

               INSTITUTION NAME                                POSTCODE                DATE
                                                                                                            (of proposed enrolment)

_________________________________      _________      _____________

_________________________________      __________    _____________
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How did you find out about our school? _____________________________________________________

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Why are you interested in our school?______________________________________________________

___________________________________________________________________________________

What are you expecting from a school like ours?______________________________________________

____________________________________________________________________________________

Do you hold the Christian faith?___________________________________________________________

What do you believe it is that makes a person a Christian?______________________________________

___________________________________________________________________________________

___________________________________________________________________________________
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We/I acknowledge all of the above information is true and correct at the time of signing.

Father’s Name_________________________________         Occupation__________________________

Father’s Signature______________________________         Date_______________________________

Mother’s Name________________________________          Occupation__________________________

Mother’s Signature_____________________________          Date_______________________________

Please Note:

• The MDCS Board reserves the right to accept or reject applications.
• A non-refundable booking fee of $100 is payable before this application can be considered by MDCS.

Please forward completed enrolment application to: 

The Principal
Mountain District Christian School
P O Box 483
Monbulk Vic  3793

MDCS collects personal information from it’s students and families when it is deemed appropriate.  The primary purpose of collecting this information is to enable MDCS to carry out it’s duty of care for your child.  This information is solely for the purpose for which it is obtained and will be disclosed to Staff at MDCS.  Any questions in relation to the collection, use and disclosure and retention of health or personal information collected by MDCS can be directed to the MDCS Privacy Officer.