For office use only

Enrolment Agreement

Questionnaire

Enrolment agreement signed (student, parent, staff member)

Image Consent form signed

Enrolment Form

Completed and signed

Sight original birth certificate / Australian Residency documentation Number: _____________________________________

Additional Forms (if required)

Beyond the Broncos

ARTIE Academy

EAL/D

School Management

Support requested for Q Parents

Student to remain for voluntary Recharge

Participate in SRS

Junior Secondary Enrolment Name of Student ________________________ Previous School. _________________________

Welcome to Deception Bay

State High School

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QUESTIONNAIRE

1. Do you identify as one or more of the following?

Aboriginal Torres Strait Islander Please complete the ARTIE Academy form and Beyond the Broncos form (if female)

Pacific Islander Maori

2. Is there another language spoken at home? Yes No

Languages Spoken _____________________________________________

Please complete the EAL/D form

3. Does your child have a verified disability? Yes No ASD VI ID SLI HI PI

4. Is your child receiving assistance through Learning Support? Yes No Type of Support

Teacher Aide Assistance Intervention Programs to improve numeracy Intervention Programs to improve literacy

5. Do you have the QParents App?

Yes No

Instructions for registering are included in your Parent Information Book.

6. If no, would you like to book a session to complete QParents registration?

Yes No

ENROLMENT AGREEMENT

This enrolment agreement sets out the responsibilities of the student, parents or carers and the school staff about the education of students enrolled at Deception Bay State High School.

Responsibility of students:

• At all times display our school values of belonging, integrity, persistence and aspiration and show respect towards students and staff

• Follow our Positive Behaviour for Learning rules

UNIFORM

Agree to wear the school uniform as per the uniform policy

ATTENDANCE

Arrive at school on time (no later than 8.20am)

Arrive at my classes on time

Be ready to learn

Follow the school processes for signing in and signing out during the school day

INTERNET

Use it only for educational purposes

Not look for anything that is illegal, dangerous or offensive and report any concerns to the teacher

Not reveal home addresses or phone numbers - mine or anyone else’s

Not use the internet or social media to annoy or offend anyone else

MOBILE PHONES & OTHER DEVICES

Mobile phones are to be turned off and kept in school bags at the front of the room during instruction time

If I misuse my phone, I understand that the phone may be confiscated until 2.30 pm

I will not bring portable speakers or other devices (e.g. gaming devices) to school

My headphones will be kept in my bag during instruction time

I am responsible for my mobile phone while it is at school

Signature of Student: ________________________________________ Date: __________________

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Responsibility of parents: I accept the rules and regulations of DBSHS policies. As a member of DBSHS community, I will:

Be respectful in all my interactions Be a positive role model for the young people in our community Support school staff in their efforts to educate and empower my child to thrive Ensure my child does not bring dangerous or inappropriate items to school

UNIFORM I agree to ensure my child is in school uniform on all school days as per the DBSHS uniform policy ATTENDANCE Send my child to school every day unless he/she is unwell Make sure my child arrives at school on time (no later than 8.20am)

Make sure my child arrives at school ready to learn Phone the school before 9am to notify the school if my student will be absent INTERNET

I accept that, while teachers will always exercise their duty of care, protection against exposure to harmful information should depend finally upon responsible use by students I give my permission for him/her to access the internet according to school rules

I understand that students breaking these rules will be subject to appropriate action by the school. This may

include loss of internet access for some time

I also understand that students are to only save school work on the home drive and are responsible for their data

LEARNING I will ensure my child completes homework and assessment as per the school’s policies I wish to participate in the Student Resource Scheme for the duration of my child’s enrolment or I do not wish to participate in the SRS and will supply my child with all textbooks, equipment and resources that are required as stated by the school I understand that my child will leave school at 12.50pm on Fridays unless I am advised that they are to remain for compulsory Recharge or My child will be required to attend voluntary Recharge until 2.30pm every Friday.

Signature of Parent/Guardian/Carer: _________________________________

Date: __________________

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Responsibility of school staff to:

- develop each individual students’ talent as fully as possible

- inform parents and carers regularly about how their children are progressing

- inform students, parents and carers about what the teachers aim to teach the students each term

- teach effectively and set the highest standards in work and behaviour

- take reasonable steps to ensure the safety, wellbeing and self-confidence of all students

- be open and welcoming at all reasonable times and offer opportunities for parents and carers to become

involved in the school community

- clearly articulate the expectations regarding school policies

- contact parents and/or carers as soon as possible if the school is concerned about the child’s school work,

behaviour, attendance or punctuality

- deal with complaints in an open, fair and transparent manner

- consult parents on any major issues affecting students

- treat students and parents with respect and tolerance

Signature of School Representative: ____________________________ Date: ___________________

2022

Introduction to the State School Consent Form (attached) for Deception Bay State High School This letter is to inform you about how we will use your child’s personal information and student materials. It outlines: • what information we record • how we will use student materials created during your child’s enrolment.

Examples of personal information which may be used and disclosed (subject to consent) include part of a person’s name, image/photograph, voice/video recording or year level. Your child’s student materials:

• are created by your child whether as an individual or part of a team • may identify each person who contributed to the creation • may represent Indigenous knowledge or culture.

Purpose of the consent It is the school’s usual practice to take photographs or record images of students and occasionally to publish limited personal information and student materials for the purpose of celebrating student achievement and promoting the school and more broadly celebrating Queensland education.

To achieve this, the school may use newsletters, its website, traditional media, social media or other new media as listed in the ‘Media Sources’ section below.

The State School Consent Form may, at your discretion, provide consent for personal information and a licence for the student materials to be published online or in other public forums. It also allows your child’s personal information and student materials to be presented in part or alongside other students’ achievements.

The school needs to receive consent in writing before it uses or discloses your child’s personal information or student materials in a public forum. The attached form is a record of the consent provided.

It should be noted that in some instances the school may be required by the Education (General Provisions) Act 2006 (Qld) or by law to record, use or disclose the student’s personal information or materials without consent (e.g. assessment of student materials does not require further consent).

Voluntary There will not be any negative repercussions for not completing the State School Consent Form or for giving limited consent. All students will continue to receive their education regardless of whether consent is given or not.

Consent may be limited or withdrawn Consent may be limited or withdrawn at any time by you.

If you wish to limit or withdraw consent please notify the school in writing (by email or letter). The school will confirm the receipt of your request via email if you provide an email address.

If in doubt, the school may treat a notice to limit consent as a comprehensive withdrawal of consent until the limit is clarified to the school’s satisfaction.

Due to the nature of the internet and social media (which distributes and copies information), it may not be possible for all copies of information (including images of student materials) once published by consent, to be deleted or restricted from use.

The school may take down content that is under its direct control, however, published information and materials cannot be deleted and the school is under no obligation to communicate changes to consent with other entities/ third parties.

Media sources used

Following is a list of online and social media websites and traditional media sources where the school may publish your child’s personal information or student materials subject to your consent. • School website: https://deceptionbayshs.eq.edu.au/ • Facebook: https://www.facebook.com/DeceptionBaySHS/ • YouTube: • Instagram: • Twitter: • Other: • Local newspaper • School newsletter • Traditional and online media, printed materials, digital platforms’ promotional materials,

presentations and displays. The State School Consent Form does not extend to P&C run social media accounts or activities, or external organisations.

Duration The consent applies for the period of enrolment or another period as stated in the State School Consent Form, or until you decide to limit or withdraw your consent. During the school year there may be circumstances where the school or Department of Education may seek additional consent.

Who to contact To return a consent, express a limited consent or withdraw consent please contact Deception Bay State High School, Phone 07 38972222, Email info@deceptionbayshs.eq.edu.au .

The Office should be contacted if you have any questions regarding consent.

Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at http://ppr.qed.qld.gov.au/ to ensure you have the most current version of this document.

State School Consent Form

IDENTIFY THE PERSON TO WHOM THE CONSENT RELATES • Parent/carer to complete • Mature/independent students may complete on their own behalf (if under 18 a witness is required).

(a) Full name of individual: ..........................................................................................................................

(b) Date of birth: ........................................................

(c) Name of school: …………………………………………………………………..

(d) Name to be used in association with the person’s personal information and materials* (please select):

Full Name First Name No Name Other Name ............................................................ *Please note, if no selection is made, only the Individual’s first name will be used by the school. However, the school may choose not to use a student’s name at its discretion.

PERSONAL INFORMATION AND MATERIALS COVERED BY THIS CONSENT FORM (a) Personal information that may identify the person in section 1:

Name (as indicated in section 1) Image/photograph School name Recording (voices and/or video) Year level

(b) Materials created by the person in section 1: Sound recording Artistic work Written work Video or image Software Music score Dramatic work

APPROVED PURPOSE If consent is given in section 6 of the form: • The personal information and materials (as detailed in section 2) may be recorded, used and/or disclosed

(published) by the school, the Department of Education (DoE) and the Queensland Government for the following purposes: - Any activities engaged in during the ordinary course of the provision of education (including assessment),

or other purposes associated with the operation and management of the school or DoE including to publicly celebrate success, advertising, public relations, marketing, promotional materials, presentations, competitions and displays.

- Promoting the success of the person in section 1, including their academic, sporting or cultural achievements.

- Any other activities identified in section 4(b) below. • The personal information and materials (as detailed in section 2) may be disclosed (published) for the above

purposes in the following: - the school’s newsletter and/or website; - social media accounts, other internet sites, traditional media and other sources identified in the ‘Media

Sources’ section of the explanatory letter (attached); - year books/annuals; - promotional/advertising materials; and - presentations and displays.

TIMEFRAME FOR CONSENT School representative to complete. (a) Timeframe of consent: duration of enrolment. (b) Further identified activities not listed in the form and letter for the above timeframe: Deputy Principal or Year

Level Leader at Deception Bay State High School. LIMITATION OF CONSENT

The Individual and/or parent wishes to limit consent in the following way:

CONSENT AND AGREEMENT CONSENTER – I am (tick the applicable box): parent/carer of the identified person in section 1 the identified person in section 1 (if a mature/independent student or employee including volunteers) recognised representative for the Indigenous knowledge or culture expressed by the materials

I have read the explanatory letter, or it has been read to me. I have had the opportunity to ask questions about it and any questions that I have asked have been answered to my satisfaction. By signing below, I consent to the school recording, using and/or disclosing (publishing) the personal information and materials identified in section 2 for the purposes detailed in section 3. By signing below, I also agree that this State School Consent form is binding. For the benefit of having the materials (detailed in section 2) promoted as DoE may determine, I grant a licence for such materials for this purpose. I acknowledge I remain responsible to promptly notify the school of any third party intellectual property incorporated into the licensed materials. I accept that attribution of the identified person in section 1 as an author or performer of the licensed materials may not occur. I accept that the materials licensed may be blended with other materials and the licensed materials may not be reproduced in their entirety.

Print name of student ............................................................................................................................ Print name of consenter ........................................................................................................................... Signature or mark of consenter ................................................................................................................ Date ................................................... Signature or mark of student (if applicable) .............................................................................................. Date ...................................................

SPECIAL CIRCUMSTANCES If the form is required to be read out (whether in English or in an alternative language or dialect) to a parent/carer or Individual student; or when the consenter is an independent student and under 18 the section below must be completed.

WITNESS – for consent from an independent student or where the explanatory letter and State School Consent Form were read

I have witnessed the signature of an independent student, or the accurate reading of the explanatory letter and the State School Consent Form was completed in accordance with the instruction of the potential consenter. The individual has had the opportunity to ask questions. I confirm that the individual has given consent freely and I understand the person understood the implications.

Print name of witness .........................................................................................................................................

Signature of witness ............................................................................................................................................

Date ..........................................................

Statement by the person taking consent – when it is read I have accurately read out the explanatory letter and State School Consent Form to the potential consenter, and to the best of my ability made sure that the person understands that the following will be done: 1. the identified materials will be used in accordance with the State School Consent Form 2. reference to the identified person will be in the manner consented 3. in accordance with procedures DoE will cease using the identified materials from the date DoE receives a written withdrawal of consent. I confirm that the person was given an opportunity to ask questions about the explanatory letter and State School Consent Form, and all the questions asked by the consenter have been answered correctly and to the best of my ability. I confirm that the individual has not been coerced into giving consent, and the consent has been given freely and voluntarily. A copy of the explanatory letter has been provided to the consenter.

Print name and role of person taking the consent ..............................................................................................

Signature of person taking the consent .............................................................................................................

Date .......................................................... Privacy Notice The Department of Education (DoE) is collecting your personal information on this form in order to obtain consent for the use and disclosure of the student’s personal information. The information will be used and disclosed by authorised school employees for the purposes outlined on the form. Student personal information collected on this form may also be used or disclosed to third parties where authorised or required by law. This information will be stored securely. If you wish to access or correct any of the personal student information on this form or discuss how it has been dealt with, please contact your student’s school in the first instance.

Deception Bay SHS Medical Consent Form: This medical information is confidential and will be used to help the First Aide Officers to respond to any injury or medical condition that may arise. The completion of all sections is very important. The information you provide will not be used for any purpose other than necessary medical assistance/treatment and to update school records. It will not be disclosed to persons other than school staff and volunteers except for the purposes stated above or as required or authorised by law. If you have any questions or concerns about the collection, storage, use or disclosure of the information, please contact the school First Aide Officer via email info@deceptionbayshs.com.au or phone 3897 2222.

Student Details:

Student’s Name

Date of Birth

Medicare Number

Email

Emergency Contact (1)

Telephone:

Emergency Contact (2)

Telephone:

Family Doctor details:

Name of Doctor

Telephone:

Medical Specialist details

Name of Doctor

Telephone:

formation and Authorisationergency

Deception Bay SHS Medical Consent Form: Do any of the following conditions apply to your child? Please tick relevant box and provide details (eg. severity, medication, date of operation) Conditions No Yes If yes, give details Please specify any other disabilities or conditions requiring special care:

Conditions No Yes (if yes give details)

Asthma

Other Respiratory problems

Drug Allergies

Other Allergies

Diabetes

Anaphylaxis

Epilepsy

Travel sickness

Heart/Lung problems

High blood pressure

Recent operations/injuries/illness

Dizzy spells

Disabilities

Mobility aides or assistance

Visual or hearing impairment

Communication limitations or aides

Migraines

Sleep walking

Kidney/bowel problems

Previous Surgery

Psychiatric

Special dietary requirements

Eating/drinking difficulties

Lupus Please specify any other disabilities or conditions requiring special care:

Please provide full details of medical or physical conditions, which would limit your child’s full participation in any activity. If it is a severe medical condition, please attach an Emergency Action Plan from your Physician. YES / NO

Deception Bay SHS Medical Consent Form: In the event that your child requires medical treatment, please state any forms of treatment that you would prefer not to be applied: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Immunisation current for: Last anti-tetanus injection was in last 12 months? YES / NO Has your child been immunised against Hepatitis B? YES / NO Medication: Please give details of any prescribed medication being taken by your child – include dosage, frequency and any doctor’s instructions _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ If it is necessary for the student to carry his/her own medication, eg. asthma inhaler, it must be with the knowledge and consent of both the parents. A Medical Authorisation Form must be filled out and signed by Parent/Carer to be able to administer any medication to students including over the counter medication e.g. panadol. All medication must be labelled: with student name that the medication is being prescribed to, prescribing doctor and dosage required. All medication is securely stored at all times. Authorisation for medical treatment and acceptance of liability for medical costs In the event that my child is unable to give consent to medical treatment I hereby authorise the First Aide Officer to obtain, on his/her behalf, such medical assistance my child may require in the event of an accident or illness. The foregoing medical information about my child includes all relevant information about any medical limitations he/she may have. I accept liability for all costs incurred in obtaining such medical treatment and undertake to reimburse the State of Queensland (via the Department of Education and Training) the full amount of any costs incurred on my child’s behalf. Signature of Parent/Guardian: ______________________________ Full Name Printed of Parent/Guardian: ______________________________ Date: _______________

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EAL/D Student Extra Details Form for Enrolment Interview

Student’s Name: __________________________________________________________

Country of Birth: ______________________ Date of arrival in Australia: _____________________

Languages spoken at home: ______________________ ______________________ _______________________

Percentage of time spoken: ..………. % of the time ..………. % of the time ..………. % of the time

Residence status: EQI Category: Visa Subclass: _________

None (born in Australia) Temporary Resident

Australian Citizen Dependent – parent on student visa

Permanent Visa holder Exempt/fee waived

Temporary Visa holder – Sub Class: _______ Primary Schooling program – student visa

Education Experience

Experience 1 Experience 2 Experience 3

Country

Age at commencement

of schooling

Year level

Years of schooling Years: Months: Years: Months Years: Months

English as language of

instruction

Yes/No Yes/No Yes/No

Scripts (written

characters used)

English/Other __________ English/Other __________ English/Other __________

Details of interruptions

Date of departure

Reason for departure

Home/School Communication:

Require support with translation Yes No

For enrolment officer use:

Student EAL/D Flag

Parents NESB Flag

Previous Educational Details

Recharge Program

Dear Parents/Carers, Recharge is a Friday afternoon program at Deception Bay State High School. School will finish at 12:50 p.m. on Friday unless students are required or choose to stay at school until 2:30 p.m. to engage in extra support programs. Aim of Recharge We believe that all students should have the opportunity to reach their potential. The aim of the Recharge program is to allow students who require extra support with their studies to remain behind and work with key staff while allowing teachers to meet together to engage in professional learning time. This time for teachers will ensure Deception Bay SHS can continue to build on its strong academic culture empowering all learners to thrive. Who will attend Recharge? Students who have been identified as at risk of failing in a subject, students who are on a VET catch up plan, students who have missed key concepts due to absence, or students who have not met assessment deadlines will be supervised as part of Recharge in a compulsory capacity. Students who wish to complete private study, participate in tutorials or are unable to get home before 2:30 p.m. will form the voluntary Recharge group. At 12:50 p.m. on Friday when the bell for second lunch goes, only students who are required for Recharge need to remain at school, all other students may leave. As this is still school time, students required to stay will remain until 2:30 p.m. For compulsory Recharge students, attendance is compulsory. Failure to attend without a valid reason will result in students receiving consequences the following week. This time will also be utilised by Support Staff to run key programs catering to the social and emotional needs of students. As always, attendance is a priority at DBSHS. Parents are encouraged to make outside appointments for students on Friday afternoons where possible to avoid taking students away from learning during the week. School Buses Kangaroo Bus Lines has changed the school bus timetable to accommodate the early finish on Friday. The school bus leaves from the front of the school at 1:10 p.m. each Friday. Parents are encouraged to check the Kangaroo Bus Lines website to check school bus routes and timetables, especially if students will be remaining behind at school for Recharge. Parent Permission Attached to this letter is a parent permission section. If you require your student to remain at school until 2:30 p.m. on Fridays on a voluntary basis, this permission section needs to be completed and returned to the school office. If your student is required to attend Recharge in a compulsory capacity, you will be notified by the class teacher by Wednesday each week and a note will be sent home with your student during that week as a final reminder. Yours sincerely

Kyrra Mickelborough Principal

Recharge Program – Request for student to remain at school for voluntary Recharge program

Complete this form if you would like your child to participate in the voluntary Recharge program on offer at Deception Bay State High School each week. Note - Students who are placed in the compulsory program do not need to complete a form, it is an expectation that they will be in attendance. -----------------------------------------------------------------------------------------------------------------------------------------------

PLEASE COMPLETE AND RETURN TO THE OFFICE As parent /carer of _____________________________________________________ in class ___________, I require him / her to

participate in Recharge in a voluntary capacity from 12:50 p.m. – 2:30 p.m. each Friday afternoon.

I understand that my student will complete private study or homework or participate in tutorials/activities when

scheduled.

I understand that students in attendance during this time must adhere to the normal school procedures and any

breaches of school rules will be handled as per school policy.

Signed: _____________________________________________________ Date: __________________

(Parent / Carer)

Parent / Carer Phone Number: _____________________________________________________

This arrangement is due to: Student unsupervised at home until 2:30 p.m. Transport concerns Other _____________________________________________