Distance Education Application Information

Redwood College – Distance Education Application

Fill in and submit the Application Form
Pay application fee (non-refundable)
Redwood College will send receipt of application and book a phone interview
Phone interview
Enrolment confirmation
Enrolment Contract

Family Details
Family Contact Details
Medicare Details
Student 1 Details
Student 2 Details
Student 3 Details
Student 4 Details
Terms of Agreement & File Uploads

Name

Single Parent?

Are you a single parent?

PARENT/LEGAL GUARDIAN 1

PARENT/LEGAL GUARDIAN 2

Title *

First Name *

Title *

First Name *

Middle Name

Last Name *

Language Spoken at Home *

Indigenous Status *

Citizenship Status *

Gender *

Occupation *

Occupation Group *

To see the Occupational Group guide, please click here.

Religion *

Nationality *

Country of Birth *

Middle Name

Last Name *

Language Spoken at Home *

Indigenous Status *

Citizenship Status *

Gender *

Occupation *

Occupation Group *

To see the Occupational Group guide, please click here.

Religion *

Nationality *

Country of Birth *

What is the highest level of secondary schooling that you have completed? *

What is the highest level of qualification that you have completed? *

Are you responsible for the payment of the account? *

What is the highest level of secondary schooling that you have completed? *

What is the highest level of qualification that you have completed? *

Are you responsible for the payment of the account? *

Who will be the full-time designated supervisor? *

How many students would you like to enrol? *

PARENT/LEGAL GUARDIAN 1

Phone Type *

Phone Type

Phone Number *

Phone Number

Phone Type *

Phone Type

Phone Number *

Phone Number

Email Address *

Street Address *

City *

Email Address *

Street Address *

City *

State *

Post Code *

State *

Post Code *

Country *

Postal Address Same as Above

Postal Address Same as Above?

Postal Address *

City *

Postal Address Same as Above

Postal Address Same as Above?

Postal Address *

City *

State *

Post Code *

State *

Post Code *

Country *

Medicare Number/s (Please provide a photocopy of the Medicare card) *

Medicare Expiry Date (MM/YYYY) *

Non-Parent Emergency Contact Name *

This cannot be Parent/Guardian 1 or 2

Non-Parent Emergency Contact Phone Number *

This needs to be different from the number/s provided on the previous page

Non-Parent Emergency Contact Email *

This needs to be different from the email/s provided on the previous page

First Name *

Middle Name

Last Name *

Date of Birth *

Student's Relationship to Parent/Guardian 1 *

Student's Relationship to Parent/Guardian 2 *

Gender *

Language Spoken at Home *

Religion *

Citizenship Status *

Indigenous Status *

Country of Birth *

Nationality *

What is the address where the student will receive daily instruction?

Street Address *

City *

State *

Post Code *

Country *

Custodial Information

Are there any Family Court orders or other custodial arrangements in place for this student? (If yes, please provide copy on last page) *

Non-Custodial Parent Information - if applicable

Does the child have a non-custodial parent? *

Grade Level Information

Choose the best description *

Desired Entry Year/Term *

Desired Year Level Entry *

Medical Information

Disabilities & Medical Issues *

Allergies *

Has the student had a EAP (Education Adjustment Program)? If so, please provide documentation. *

Known Learning Difficulties *

Disability Aids

Additional Medical Information

Has the student been identified as a student with a disability (SWD)? (If yes, please provide relevant documents, e.g. specialist reports with diagnosis, copies of IEPs) *

Vaccinations

Former School

Name of Previous School (Please provide photocopies of the student's most recent report card on last page) *

Reason for Leaving *

Has the student ever been suspended, expelled or refused enrolment at another school? *

LUI Number - If the student is in Year 10 and is transferring from a QLD school. Please provide their LUI Number (Learning Unique Identifier). *

First Name *

Middle Name

Last Name *

Date of Birth *

Student's Relationship to Parent/Guardian 1 *

Student's Relationship to Parent/Guardian 2 *

Gender *

Language Spoken at Home *

Religion *

Citizenship Status *

Indigenous Status *

Country of Birth *

Nationality *

What is the address where the student will receive daily instruction?

Street Address *

City *

State *

Post Code *

Country *

Custodial Information

Are there any Family Court orders or other custodial arrangements in place for this student? (If yes, please provide copy on last page) *

Non-Custodial Parent Information - if applicable

Does the child have a non-custodial parent? *

Grade Level Information

Choose the best description *

Desired Entry Year/Term *

Desired Year Level Entry *

Medical Information

Disabilities & Medical Issues *

Allergies *

Has the student had a EAP (Education Adjustment Program)? If so, please provide documentation.

Known Learning Difficulties *

Disability Aids

Additional Medical Information

Has the student been identified as a student with a disability (SWD)? (If yes, please provide relevant documents, e.g. specialist reports with diagnosis, copies of IEPs) *

Vaccinations *

Former School

Name of Previous School (Please provide photocopies of the student's most recent report card on last page) *

Reason for Leaving *

Has the student ever been suspended, expelled or refused enrolment at another school? *

LUI Number - If the student is in Year 10 and is transferring from a QLD school. Please provide their LUI Number (Learning Unique Identifier). *

If this page is blank, just click the next page button.

First Name *

Middle Name

Last Name *

Date of Birth *

Student's Relationship to Parent/Guardian 1 *

Student's Relationship to Parent/Guardian 2 *

Gender *

Language Spoken at Home *

Religion *

Citizenship Status *

Indigenous Status *

Country of Birth *

Nationality *

What is the address where the student will receive daily instruction?

Street Address *

City *

State *

Post Code *

Country *

Custodial Information

Are there any Family Court orders or other custodial arrangements in place for this student? (If yes, please provide copy on last page) *

Non-Custodial Parent Information - if applicable

Does the child have a non-custodial parent? *

Grade Level Information

Choose the best description *

Desired Entry Year/Term *

Desired Year Level Entry *

Medical Information

Disabilities & Medical Issues *

Allergies *

Has the student had a EAP (Education Adjustment Program)? If so, please provide documentation. *

Known Learning Difficulties *

Disability Aids

Additional Medical Information

Has the student been identified as a student with a disability (SWD)? (If yes, please provide relevant documents, e.g. specialist reports with diagnosis, copies of IEPs) *

Vaccinations

Former School

Name of Previous School (Please provide photocopies of the student's most recent report card on last page) *

Reason for Leaving *

Has the student ever been suspended, expelled or refused enrolment at another school? *

LUI Number - If the student is in Year 10 and is transferring from a QLD school. Please provide their LUI Number (Learning Unique Identifier). *

If this page is blank, just click the next page button.

First Name *

Middle Name

Last Name *

Date of Birth *

Student's Relationship to Parent/Guardian 1 *

Student's Relationship to Parent/Guardian 2 *

Gender *

Language Spoken at Home *

Religion *

Citizenship Status *

Visa Sub Class *

Indigenous Status *

Country of Birth *

Nationality *

What is the address where the student will receive daily instruction?

Street Address *

City *

State *

Post Code *

Country *

Custodial Information

Are there any Family Court orders or other custodial arrangements in place for this student? (If yes, please provide copy on last page) *

Non-Custodial Parent Information - if applicable

Does the child have a non-custodial parent? *

Grade Level Information

Choose the best description *

Desired Entry Year/Term *

Desired Year Level Entry *

Medical Information

Disabilities & Medical Issues *

Allergies *

Has the student had a EAP (Education Adjustment Program)? If so, please provide documentation. *

Known Learning Difficulties *

Disability Aids

Additional Medical Information

Has the student been identified as a student with a disability (SWD)? (If yes, please provide relevant documents, e.g. specialist reports with diagnosis, copies of IEPs)

Vaccinations

Former School

Name of Previous School (Please provide photocopies of the student's most recent report card on last page) *

Reason for Leaving *

Has the student ever been suspended, expelled or refused enrolment at another school? *

LUI Number - If the student is in Year 10 and is transferring from a QLD school. Please provide their LUI Number (Learning Unique Identifier). *

If this page is blank, just click the next page button.

Upload supporting files.

You agree that you have read, understood and support the following:

You have supplied the student's Birth Certificate

You have supplied the student's Medicare Card

You have supplied a photograph of the student/s

You understand that a $100.00 non-refundable enrolment application fee is required with this application

You understand this application is a registration on the waiting list and is not a guarantee of an available position or offer of enrolment

All required documentation has been uploaded

All information included in this enrolment application is true and complete

How did you find out about Redwood College? *

Questions Or Comments