Expression of Interest

"*" indicates required fields

Enrolling for *

Enrolling into *

Who is making the enquiry *

First Last

Relationship to the student *

Contact Details

Address *

Street Address Suburb State Postcode

Home phone *

Work phone *

Mobile *

Email address *

Name of student *

First Last

Date of birth *

Current school *

Year level *

Co-ordinator at current school *

First Last

Phone number *

Previous school(s)/ educational background

Will the student satisfactorily complete current year of school *

Has the student attended any special education settings, teaching units or programs for students with additional learning needs? If so please detail below

Has the student received additional assistance such as literacy or numeracy or integration support at school? If so please detail below

Program/subjects student may be in interested in at lnc

Future pathway/career intended (if known)

Additional information/comments

Is the student an eal student? Been in australia for less than seven years? *

Is the student an international student? *

Enrolling siblings (if applicable)

Name

Year Level

Please ensure that reports from your previous school(s) are attached to this enquiry form Reports received *

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