Year 7, 2024 Interviews

Parent Questionnaire
& Information Release Consent Form

Completion of this form and submission of required documentation is necessary prior to attending your interview. If we don't receive these documents by the due date below, your interview may be cancelled. You can save the form and return to it if you don't have all the information to complete it in one session.

Due date for submission of this form and all required documents is 4pm Friday 30 July 2021.

The following points should be considered carefully as you decide whether Hillbrook is the right high school for your child:

Hillbrook does not offer a vocational pathway (e.g. non-ATAR subjects) in our senior curriculum. Every child who attends Hillbrook will be expected to follow an academic pathway and study towards obtaining an ATAR score. Further details about our curriculum can be found on our website here.
Our Outdoor Education program is an important part of our curriculum and is compulsory for all Hillbrook students. Further details about our Outdoor Education program can be found here.

Please note: withholding information regarding a diagnosis, or learning support requirements, could impact on our ability to provide you with important information regarding how we can support your child’s education at Hillbrook and may impact your enrolment application.

Parent Information

Parent 1 First Name *

Parent 1 Last Name *

Parent 2 First Name

Parent 2 Last Name

Email address *

Mobile Number *

Details about your child

Please note: If your child is a twin, you will need to complete a separate form for each child.

Child First Name *

Child Last Name *

Date of birth *

Student Code *This number is provided in your email invitation

Current School *

Please share with us why you are considering Hillbrook for your child's education. *

To help us gain a good understanding of your child, please comment on how your child engages with their schooling. Any particular strengths, weaknesses, favourite subjects, awards etc? *

Your child's learning and health details

Does your child have any particular health needs or concerns that may impact on their everyday life at school? *

NoYes

If yes, please provide more information: *

Hillbrook expects all students to participate in the Outdoor Education Program. Do you have any concerns about your child’s full participation? *

NoYes

If yes, please provide further information: *

Does your child have any learning or social issues? *

NoYes

If yes, please provide further information: *

Is your child currently (or previously) receiving any learning support or extension during primary school? *

NoYes

If yes, please provide further information: *

Please provide specific details (eg 1 hour of Maths support per week in Year 3) *

Has your child ever received support or any assessment from the following? *

Please provide any additional information you think will help your child learn and thrive at Hillbrook.

If you have any relevant documentation to support the details provided above, please ensure you scan and upload these documents in the next step.

Please note: withholding information regarding a diagnosis, or learning support requirements, could impact on our ability to provide you with important information regarding how we can support your child’s education at Hillbrook and may impact your enrolment application.

Required Documentation

The following documentation is attached: *

Student Questionnaire - this is required for every studentMost recent 2021 Primary School Report (Year 4, Semester 1) - this is required for every studentDiagnosis Verification DocumentationMedical reports (eg paediatrician or allied health)Learning support information, including primary school learning plans Other general information regarding your child's learning needs

Upload your documents here *

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Please check all uploaded files appear in the box above.

Information Release - Parent Consent

In some instances it may be beneficial for us to contact a health or educational professional to obtain further information regarding your child. This will only be done with your express permission given below.

In accordance with the Enrolment Application and Support Procedures, permission must be given by parent/s or guardian/s before we (Hillbrook) can contact third parties, collect and record any relevant information about your child.

If I/we have selected yes and provided contact details for any of the health or education professionals below I/we hereby authorise the Principal or a Hillbrook representative to collect information, either verbally or written, in relation to my/our child. This may include school reports and general classroom feedback, IEP or EAP documents.

Contact current primary school *

YesNo

This information may be required to help us place your child in the appropriate Home Class or to obtain some additional information to assist with learning support needs.

School Name *

School Contact Number *

Contact GP *

YesNo

GP Name *

GP Contact Number *

Contact Paediatrician *

YesNo

Paediatrician Name *

Paediatrician Contact Number *

Contact Psychiatrist *

YesNo

Psychiatrist Name *

Psychiatrist Number *

Contact Counsellor/Psychologist *

YesNo

Counsellor/Psychologist Name *

Counsellor/Psychologist Contact No *

Please provide a contact name and number for any professionals chosen in 'Other' *

Privacy and Consent

I/we acknowledge and understand that the information collected for interview purposes will be shared and stored by Hillbrook School strictly for the purpose of ongoing educational provision and adhering to the school’s Privacy Policy.

*

Signature Parent 1 *

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Signature Parent 2

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Date *

Date

You can always come back and complete this form later if you don't have all the required information. Choose the 'Save and Complete Later' link below and don't forget to click on the option to email yourself the URL. This will make getting back to your form easy.

Save and Complete Later