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G:\Coredata\Office\- Enrolment Officer\Enrolments\Enrolment Forms | Enrolment Checklist V1.0 1

Dear Parent /Carer, The following documents are required to enrol your child at Pine Rivers State High School in 2020:

Pine Rivers State High School Enrolment Agreement;

Application for Student Enrolment form;

Media Consent form;

PRSHS Consent forms;

Subject Selection form;

Student Resource Scheme agreement form;

Documents specific to Scholarship and/or IGNITE Enrolment (Scholarship/IGNITE applicants only)

All documents need to be completed and returned to the High School along with: Student’s Birth Certificate

Student’s latest report card and NAPLAN report (if applicable)

Verification documentation (if your child has been verified as having a disability)

Current Court Order (parenting/custody)

A Visa and or current passport if students were not born in Australia

Any medical information e.g. if your child has been diagnosed with a condition affecting their mental health or wellbeing you provide evidence of this e.g. documentation from GP, Psychologist, Counsellor. This also includes asthma, diabetes and anaphylaxis action plans. An Enrolment Management Plan governs Pine Rivers State High School. If you wish to enrol your student here at the school, you will need to provide three (3) forms of identification for proof of residency. The following documentation is acceptable proof. Current rates notice, lease agreement or contract of sale

Notice from Service Provider (eg electricity/telephone bill)

Government correspondence (eg letter from ATO or Centrelink)

Parent/Carer photo identification (eg driver’s license or passport) Please note: Student enrolment will only be accepted when the Application is completed in full. All applicants will require an interview, where you will be required to provide the ORIGINAL and one PHOTOCOPY of each document. DO NOT SEND ORIGINAL DOCUMENTS WITH THIS EXPRESSION OF INTEREST APPLICATION.

Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Page 1 of 3

STUDENT NAME: Please indicate as required your acknowledgement and understanding of the policies, statements and agreements included in the enrolment package and outlined below:

APPLICATION FORMS ADMIN ONLY

N/A Y/N

ENROLMENT AGREEMENT I have read the Enrolment Agreement and agree to abide by this policy

APPLICATION FOR STUDENT ENROLMENT I have read the Enrolment Agreement and agree to abide by this policy

STATE SCHOOL CONSENT TO USE COPYRIGHT MATERIAL, IMAGE, RECORDING OR NAME (MEDIA CONSENT) I have completed the State School consent form and will notify the Principal in writing if I wish to revoke this consent.

PRSHS CONSENT FORMS ADMIN ONLY

N/A Y/N

THIRD PARTY WEBSITE POLICY I have read the Internet Use Agreement and accept the conditions of the agreement. I understand the breaches of this policy may result in disciplinary action.

MEDICAL AUTHORISATION I have completed the Medical Authorisation form (Section 1 or Section 2) and for students with (Diabetes, Anaphylaxis, Asthma, Epilepsy) provided a current copy of the students Individual Health Plan and Emergency Action Plan.

SUPPORT SERVICES I have requested Support Services. Verified disability. II HI PI ASD VI

ACCEPTABLE USE POLICY I have read Appendix 1 of the Responsible Behaviour Plan for Students and accept the conditions of this agreement.

BRING YOUR OWN DEVICE (BYOD) USER AGREEMENT I acknowledge the BYOD program

INSURANCE COVER POLICY I have read and acknowledge the Insurance Cover Policy and accept the conditions of the agreement.

PRSHS SCHOOL POLICIES ADMIN ONLY

N/A Y/N

RESPONSIBLE BEHAVIOUR PLAN FOR STUDENTS I have read the Responsible Behaviour Plan for Students and agree to abide by this policy.

ASSESSMENT POLICY I have read the Assessment Policy and agree to abide by this policy

STUDENT DRESS CODE I have read the Student Dress Code and agree to abide by this policy

HOMEWORK & WORK COMPLETION POLICY I have read the Homework and Work Completion policy and agree to abide by this policy

SUSPENSIONS AND EXCLUSIONS I have notified the school of previous suspensions/exclusions from other educational institution.

VOLUNTARY PARTICIPATION IN CHAPLAINCY PROGRAM Without Religious, Spiritual and/or Ethical Content With Religious, Spiritual and/or Ethical Content

SCHOOL REPRESENTATION POLICY I acknowledge the school representation policy and abide by this policy

MOBILE PHONE POLICY I acknowledge the school mobile phone policy and abide by this policy

CUSTODY ORDERS Are there any child custody orders pertaining to the child? Please provide supporting documentation.

ESFP – STUDENT IN CARE OF Department Of Child Safety? Please provide supporting documentation

Pine Rivers State High School Enrolment Agreement

http://ppr.det.qld.gov.au/


OTHER ADMIN ONLY

N/A Y/N

ASBENTEE SMS MOBILE I wish to be contacted by SMS text message for school matters and any student absences from school.

RESOURCE HIRE SCHEME I understand the terms and conditions of the Pine Rivers State High School Resources Hire Scheme and agree to participate. In agreeing to participate, I undertake to finalise contributions to the scheme by the advised deadlines.

SUBJECT SELECTION FORM Subject to availability

TRANSFER AND/OR DEPARTURE I understand that upon transfer or departure of the student from the school, a minimum of 2 days’ notice will be given to the school and a signed ‘Intention to Leave’ form completed. All school resources will be returned and outstanding financial commitments finalised to the school. A transfer form will then be issued. I acknowledge that information about the school’s current programs and services has been explained to me.

Signed: (Student):

Date: …….…/………/…..….

Signed : (Parent/Caregiver)

Date: ………/………/…..….

Signed : (PRSHS Staff)

Date: .….…/………/…..….

Contact 1 - Name Relationship Phone Number

Contact 2 - Name Relationship Phone Number



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

Pine Rivers State High School is a dynamic educational community with high expectations for all. The future focused curriculum is designed to promote independent and adaptable learners and confident communicators. The school values the contributions of students, parents, staff, and partnerships with the local and business community in the delivery of a contemporary and dynamic curriculum and a learning environment that maximizes opportunities for all students to ensure they work towards creating bright futures.

Responsibility of student to: attend school on every school day for the educational program in which they are enrolled, on time, ready to learn

and take part in school activities

act at all times with respect and show tolerance towards other students and staff

work hard and comply with requests or directions from the teacher and principal

abide by school rules as outlined in the school’s Responsible Behaviour Plan for Students, including not bringing

items to school which could be considered as weapons (e.g. dangerous items such as knives)

meet homework requirements and wear the school’s uniform as stated.

respect the school property.

Responsibility of parents to: ensure your child attends school on every school day for the educational program in which they are enrolled

attend open meetings for parents

let the school know if there are any problems that may affect your child’s ability to learn

ensure your child completes homework regularly in keeping with the school’s homework policy

inform school of student absences and reasons for absences in a timely manner

treat school staff with respect

support the authority of school staff thereby supporting their efforts to educate your child and assist your child to achieve maturity, self-discipline and self-control

not allow your child to bring dangerous or inappropriate items to school

abide by school’s instructions regarding access to school grounds before, during and after school hours

advise Principal if your student is in the care of the State

keep school informed of any changes to student’s details, such as student’s home address and phone number.

Responsibility of school staff to: design and implement engaging and flexible learning experiences for individuals and groups

inform parents and carers regularly about how their children are progressing

design and implement intellectually challenging learning experiences which develop language, literacy and numeracy

create and maintain safe and supportive learning environments

support personal development and participation in society

foster positive and productive relationships with families and the community

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

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

clearly articulate the school’s expectations regarding the Responsible Behaviour Plan for Students and the School’s Dress Code policy

ensure that parents and carers are aware of the school’s insurance arrangements and accident cover for students

advise parents and carers of extra-curricular activities operating at the school in which their child may become involved (for example Program of Chaplaincy Services, sports programs)

set, mark and monitor homework regularly in keeping with the school’s homework policy

contact parents and carers as soon as is 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 in accordance with departmental procedure, Complaints Management – State Schools

treat students and parents with respect.

Enrolment Agreement


Education (General Provisions) Act 2006 Section 155(1) Approved from SEF – 1 V7. Page 1 of 10

APPLICATION FOR STUDENT ENROLMENT

APPLICANT NAME: Date of Birth:

Current School: Gender: Male / Female (please circle)

Entering Year Level: 7 8 9 10 11 12 (please circle)

Commencing in: 2021 / 2022 (please circle)

ENROLMENT CATEGORY(IES) UNDER WHICH YOU WISH TO APPLY: (ABLE TO APPLY FOR MULTIPLE CATEGORIES)

Local Catchment

Sibling

Other

EXCELLENCE PROGRAMS

IGNITE Year 7

IGNITE Music 7

IGNITE HASS (YR8&9)

IGNITE STEM (YR8&9)

SCHOLARSHIPS PROGRAMS (YEAR 7 ONLY)

Academic Scholarship

Sporting Scholarship

Cultural Scholarship Dance/Vocal

Cultural Scholarship Instrumental Music

Cultural Scholarship Visual Art

Application for student enrolment form INSTRUCTIONS Please refer to the Application to enrol in a Queensland State School information sheet at the end of this form when completing this application. Failure or refusal to complete those sections of the form marked with an (*) or to provide required documentation may result in a refusal to process your application. Sections of the form not marked (*) are optional. However, failure to complete these sections may result in the school not being eligible for important Federal and State Government funding reliant on such information. Parents of all students in Australia have been asked to provide information on their family background as part of a national initiative towards providing an education system that is fair to all students, regardless of their background. The required information includes the Indigenous status and language background of the student, and the education, occupation and language background of the parents. If you have any questions about the enrolment form or process, or require assistance completing this form, including translation services, please contact the school in the first instance.

PRIVACY STATEMENT

The Department of Education and Training (DET) is collecting the information on this form for the purposes outlined in the Education (General Provisions) Act 2006 (EGPA 2006), and in particular for: i. assessing whether your application for enrolment should be

approved ii. meeting reporting obligations required by law or under Federal – State Government funding arrangements iii. administering and planning for providing appropriate education, training and support services to student’s iv.assisting departmental staff to maintain the good order and management of schools, and to fulfil their duty of care to all students and staff communicating with students and parents. This collection is authorised by ss. 155 and 428 of the EGPA 2006. DET will disclose personal information from this form to the Queensland Curriculum and Assessment Authority when opening student accounts, in compliance with Part 3 of the Education (Queensland Curriculum and Assessment Authority) Act 2014 (Qld). Personal Information from this form will also be supplied to Centrelink in compliance with ss.194 and 195 of the Social Security (Administration) Act 1999 (Cth). De-identified information concerning parents’ school and non-school education, occupation group and main language other than English and students’ country of birth, main language other than English, sex and Indigenous status, is supplied to the Australian Government Department of Education in compliance with Federal – State Government funding agreements. Personal information collected on this form may also be disclosed to third parties where authorised or required by law. Your information will be stored securely. If you wish to access or correct any of the personal information on this form or discuss how it has been dealt with, please contact the school in the first instance. If you have a concern or complaint about the way your personal information has been collected, used, stored or disclosed, please also contact the school in the first instance.

ENTITLEMENT TO ENROLMENT

Under the EGPA 2006, an applicant for enrolment at a state school must be enrolled if they are entitled to enrolment. While not exhaustive, the following matters may affect an applicant’s entitlement to enrolment at a state school:

failure to adequately complete this enrolment form if the school has an Enrolment Management Plan or an Enrolment Eligibility Plan (enrolment is subject to eligibility under the plan) the applicant is a prospective mature age student (the applicant can only apply for enrolment at a mature age state school and will be subject to a satisfactory criminal history check, or as a student in a program of distance education. All prospective mature age students

must have a remaining allocation of state education.) the applicant is not of correct age for enrolment (relates to Preparatory Year and Years 1 to 6) the applicant has been excluded or cancelled from enrolment or is subject to suspension from a state school at the time of the application the school is a state special school and the applicant does not meet the criteria for enrolment in a special school the school principal reasonably believes that the applicant presents an unacceptable risk to the safety or wellbeing of members of the

school community (application is referred to Director-General) the proposed enrolment requires approval as part of a flexible arrangement under s.183 of the EGPA 2006, and the arrangement has not

yet been approved the prospective student is not an Australian resident or citizen or the child of an Australian permanent resident or citizen (visa restrictions

may apply, fees may be charged, in some cases legislation requires that the applicant must obtain approval from the Chief Executive via Education Queensland International (EQI) to enrol).


OFFICE USE ONLY Date Enrolled ___/___/___ Year Level EQ ID:

Independent Student Yes No Roll Class

Birth certificate/passport sighted, copied and DOB confirmed.

Yes No

Birth certificate number

Is the prospective student over 18 years at time of enrolment? Yes No If yes, is the prospective student exempt from the mature age student process? Yes No If no, has the prospective mature age applicant consented to a criminal history check? Yes No

School House EAL/D Support

Yes No To be determined

FTE Associated Unit

Visa and associated documents sighted

Yes No

EQI Category SV – Student Visa / TV – Temporary Visa / DS – Dependant – Parent on Student Visa / EX – Exchange Student / DE – Distance Education

APPROVED: YES NO SIGNATURE DATE: / /

PROSPECTIVE STUDENT DEMOGRAPHIC DETAILS

Legal family name*: (as per birth certificate)

Legal given names*: (as per birth certificate)

Preferred family name:

Preferred given name:

Sex*: Male Female Date of birth*: ____/____/____

Copy of birth certificate available to show school staff*:

Yes No

Enrolment will not be approved without enrolling staff sighting the prospective student’s birth certificate. An alternative to birth certificate will be considered where it is not possible to obtain a birth certificate (e.g. prospective student born in country without birth registration system. Passport or visa documents will suffice). This does not include failure to register a birth or reluctance to order a birth certificate. For international students approved for enrolment by EQI, a passport or visa will be acceptable.

For prospective mature age students, proof of identity supplied and copied*: Yes No

Prospective mature age applicants must provide photographic identification which proves their identity: • Current driver licence; or • Adult proof of age card; or • Current passport

APPLICATION DETAILS

Has the prospective student ever attended a Queensland state school?

Yes No If yes, provide name of school and approximate date of enrolment. ____________________________________________________

What year level is the prospective student seeking to enrol in?

Please provide the appropriate year level.

Proposed start date ____/____/____ Please provide the proposed starting date for the prospective student at this school.

Does the prospective student have a sibling attending this school or any other Queensland school?

Yes No

If yes, provide name of sibling, year level, date of birth, and school.

Name

Year Level

Date of Birth

____/____/____

School

Date of Birth

____/____/____

Name

Date of Birth

____/____/____


PROSPECTIVE STUDENT ADDRESS DETAILS*

Principal place of residence address

Address Line 1

Address Line 2

Suburb/Town State Postcode

Mailing Address (if it is the same as principal place of residence, write ‘AS ABOVE’).

Address Line 1

Address Line 2

Suburb/Town State Postcode

Email

FAMILY DETAILS

Parents/Carers Parent/Carer 1 Parent/Carer 2

Family Name*

Given Names*

Title Mr Mrs Ms Miss Dr

Mr Mrs Ms Miss Dr

Sex Male Female Male Female

Relationship to prospective student*

Is the parent/carer an emergency contact? Yes No Yes No

1st Phone contact number* Work / Home / Mobile (please circle)

Work / Home / Mobile (please circle)

2nd Phone contact number* Work / Home / Mobile (please circle)


3rd Phone contact number* Work / Home / Mobile (please circle)


Email Employer name Employer address Line 1

Employer address Line 2 Occupation What is the occupation group of the parent/carer? (Refer to Page 8 for details)

(Please select the parental occupation group from the list provided at the end of this form. If you are not currently in paid work but have had a job in the last 12 months or have retired in the last 12 months, please use your last occupation. If you have not been in paid work in the last 12 months, enter ‘8’.)

Country of birth Country of residence

Does Parent/Carer 1 or Parent/Carer 2 speak a language other than English at home? (If more than one language, indicate the one that is spoken most often)

No, English only Yes, other – please specify ______________________________________ Needs interpreter? Yes No

No, English only Yes, other – please specify _____________________________________ Needs interpreter? Yes No

Is the parent/carer an Australian citizen? Yes No Yes No

Is the parent/carer a permanent resident of Australia? Yes No Yes No


FAMILY DETAILS (continued)

Address Line 1

Address Line 2

Suburb/Town

State Postcode Postcode

Mailing Address (if it is the same as principal place of residence, write ‘AS ABOVE’)

Address Line 1

Address Line 2

Suburb/Town

State Postcode Postcode

Parent/Carer school education What is the highest year of primary or secondary

school Parent/Carer 1 has completed? (For people who have never attended school, mark ‘Year 9 or equivalent or below’)

What is the highest year of primary or secondary school Parent/Carer 2 has completed? (For people who have never attended school,

mark ‘Year 9 or equivalent or below’) Year 9 or equivalent or below Year 10 or equivalent Year 11 or equivalent Year 12 or equivalent

Parent/Carer non-school education What is the level of the highest qualification Parent/Carer 1 has completed?

What is the level of the highest qualification Parent/Carer 2 has completed?

Certificate I to IV (including Trade Certificate) Advanced Diploma/ Diploma Bachelor degree or above

No non-school qualification

PROSPECTIVE STUDENT ORIGIN DETAILS

Origin Queensland / interstate / overseas (please circle)

Origin type Childcare centre or Kindergarten/Prep/Primary / Secondary / VET / other (please circle)

Previous school/other location

Previously employed Yes No Full-Time Part-Time

INDIGENOUS STATUS

Is the prospective student of Aboriginal or Torres Strait Islander origin?

No Aboriginal Torres Strait Islander Both Aboriginal and Torres Strait Islander

RELIGION – RELIGIOUS INSTRUCTION*

From Year 1, the prospective student may participate in religious instruction if it is available. If you tick ‘No’ or if the nominated religion is not represented within the school’s religious instruction program, the prospective student will receive other instruction in a separate location during the period arranged for religious instruction. Parents/carers may change these arrangements at any time by notifying the principal in writing.

Do you want the prospective student to participate in religious instruction?

Yes No

If ‘Yes’, please nominate the religion:


COUNTRY OF BIRTH*

In which country was the prospective student born?

Australia Other (please specify country) ________________________ Lived in another country ______________ Length of residency_______________ Date of arrival in Australia: ____/____/____

Is the prospective student an Australian citizen? Yes No (If no, evidence of prospective student’s immigration status to be completed)

PROSPECTIVE STUDENT LANGUAGE DETAILS

Does the prospective student speak a language other than English at home?

No, English only Yes, other – please specify __________________ Percentage English spoken at home________

EVIDENCE OF PROSPECTIVE STUDENT’S IMMIGRATION STATUS (to be completed if student is NOT an Australian

citizen)*

Permanent resident Complete passport and visa details section below

Student Visa holder Date of arrival:

____/____/____ Date enrolment approved to: ____/____/____

EQI receipt number:

Temporary Visa holder Complete passport and visa details section below

Other, please specify Temporary visa holders must obtain an ‘Approval to enrol in a state school’ from EQI

Passport and visa details (to be completed for a prospective student who is NOT an Australian citizen NOTE: A permanent resident will have a passport with a permanent residency visa inside worded ‘Holder(s) permitted to remain in Australia indefinitely’.

For prospective students arriving in Australia as refugee or humanitarian entrants, either PLO 56 Immigration issued card or ‘Document to travel to Australia’ with ‘stay indefinite’ recorded must be sighted by the school.

Passport number Passport expiry date ____/____/____

Visa number Visa expiry date (if applicable) ____/____/____

Visa sub class

EMERGENCY CONTACT DETAILS (Other emergency contact details if parents/carers listed previously are not emergency contacts or cannot be contacted)*

Emergency contact Emergency contact

Name

Address Line 1

Address Line 2

Relationship (e.g. aunt)

1st phone contact number Work Home Mobile: Work Home Mobile:

2nd phone contact number Work Home Mobile: Work Home Mobile:

3rd phone contact number Work Home Mobile: Work Home Mobile:


PROSPECTIVE STUDENT MEDICAL INFORMATION (including allergies)*

Privacy Statement

The Department of Education and Training (DET) is collecting this medical information in order to address the medical needs of

students during school hours as well as during school excursions, school camps, sports and other school activities. DET will not use

this information to make a decision about a prospective student’s eligibility for enrolment.

The information will only be used by authorised employees of the department and DET will only record, use and disclose the medical

information in accordance with the confidentiality provisions at Section 426 of the Education (General Provisions) Act 2006.

It is essential that you advise the school before the prospective student’s first day of attendance if the prospective student has any medical conditions. You must also inform the school administration staff as soon as you are aware of any new medical conditions or a change to medical conditions.

Should the prospective student need to take medication during school hours, an individual Health Plan, including

Emergency Health Plan if relevant and an Authority to Administer Medication Form will need to be completed each year and retained at the school office.

*Please note the Authority to Administer Medication Form/s and example of Individual Health, Emergency and Action plan is available on the PRSHS website. (Please ensure the

Medical Authorisation form is signed and attached with the application) www.pineriversshs.eq.edu.au

PROSPECTIVE STUDENT MEDICAL INFORMATION (including allergies)* continued

No known medical conditions

Medical condition (including allergies/ sensitivities), symptoms and management (please refer to the list of Medical Condition categories provided)



Does the prospective student require any medical aids or devices

(such as glasses, contact lenses, prosthetics or orthotics)? (This is for the purpose of informing planning for school activities such as sport and school excursions)

No Yes – please specify ______________________________________________________

Name of prospective student’s medical practitioner (optional)

Contact number of medical practitioner

I authorise school staff to contact the prospective student’s medical practitioner for the purposes of seeking advice in cases where an immediate but non-life threatening response is required (for instance, when the prospective student may be on an excursion or sporting event)? (answer only if medical practitioner details have been

provided above)

Yes No

Medicare card number (optional) Position number

Cardholder name (if not in name of

prospective student)

Private health insurance company name (if covered) (optional)

Private health insurance membership number (leave blank if

company name is not provided)


COURT ORDERS*

Out-of-Home Care Arrangements

Under the Child Protection Act 1999 when a Child Protection Order is approved by the Children’s Court, the child is placed in out-

ofhome care (OOHCC).Out-of-home care includes short or long term placement with an approved kinship or foster carer; in a supported independent living arrangement; in a safe house; and in residential care.

Is the prospective student identified as residing in out-of-home care? Yes No

If yes, what are the dates of the court order? Please provide a copy of the current court order and/or the Authority to Care.

Commencement date ___/___/_____

End date ___/___/_____

Contact details of the Child Safety Officer (if known) Name Phone number

Family Court Orders*

Are there any current Family Court orders made pursuant to the Family Law Act 1975 concerning the welfare, safety or parenting arrangements of the prospective student? Yes No

If yes, what are the dates of the court order? Please provide a copy of the current court order.


End date ___/___/_____

Other Court Orders*

Are there any other current court orders, such as domestic violence order, concerning the welfare, safety or parenting arrangements of the prospective student? Yes No

If yes, what are the dates of the court order? Please provide a copy of the current court order.


End date ___/___/_____

TRAVEL DETAILS

Mode of transport to school

Walk Car Bus Bicycle Train

Other ________________

APPLICATION TO ENROL*

I hereby apply to enrol my child or myself at Pine Rivers State High School. I understand that supplying false or incorrect information on this form may lead to the reversal of a decision to approve enrolment. I believe that the information I have supplied on this form is true and correct in every particular, to the best of my knowledge.

Parent/Carer 1 Parent/Carer 2 Prospective Student

Signature

Date

____/____/____

____/____/____

____/____/____

ORIGINAL DOCUMENTS PLUS ONE (1) PHOTOCOPY REQUIRED FOR ALL APPLICATIONS

We must sight the following ORIGINAL documents PLUS ONE (1) PHOTOCOPY OF EACH DOCUMENT (certified copies will not be accepted).

CHILD’S ORIGINAL BIRTH CERTIFICATE (An official translation is necessary if not in English)

Most recent NAPLAN results.

CHILD’S ORIGINAL SCHOOL REPORT

AND/OR IF REQUIRED

AUSTRALIAN CITIZENSHIP CERTIFICATE (of student OR parent), or

AUSTRALIAN OR NEW ZEALAND PASSPORT (of student NOT parent), or

APPROPRIATE VISA OF BOTH PARENT AND STUDENT (e.g. TR, PR) and ARRIVAL STAMP.

PARENTAL OCCUPATION GROUPS FOR USE WITH PARENT / GUARDIAN DETAILS


Group 1: Senior management in large business organisation, government administration and defence, and qualified professionals Senior executive/manager/department head in industry, commerce, media or other large organisation. Public service manager (Section head or above), regional director, health/education/police/fire services administrator Other administrator [school principal, faculty head/dean, library/museum/gallery director, research facility director] Defence Forces Commissioned Officer Professionals generally have degree or higher qualifications and experience in applying this knowledge to design,

develop or operate complex systems; identify, treat and advise on problems; and teach others. Health, Education, Law, Social Welfare, Engineering, Science, Computing professional Business [management consultant, business analyst, accountant, auditor, policy analyst, actuary, valuer] Air/sea

transport [aircraft/ship’s captain/officer/pilot, flight officer, flying instructor, air traffic controller]

Group 2: Other business managers, arts/media/sportspersons and associate professionals Owner/manager of farm, construction, import/export, wholesale, manufacturing, transport, real estate business Specialist manager [finance/engineering/production/personnel/industrial relations/sales/marketing] Financial services manager [bank branch manager, finance/investment/insurance broker, credit/loans officer] Retail sales/services manager [shop, petrol station, restaurant, club, hotel/motel, cinema, theatre, agency] Arts/media/sports [musician, actor, dancer, painter, potter, sculptor, journalist, author, media presenter, photographer, designer, illustrator, proof reader, sportsman/woman, coach, trainer, sports official] Associate professionals generally have diploma/technical qualifications and support managers and professionals. Health, Education, Law, Social Welfare, Engineering, Science, Computing technician/associate professional Business/administration [recruitment/employment/industrial relations/training officer, marketing/advertising specialist, market research analyst, technical sales representative, retail buyer, office/project manager] Defence Forces senior Non-Commissioned Officer

Group 3: Tradespeople, clerks and skilled office, sales and service staff Tradespeople generally have completed a 4 year Trade Certificate, usually by apprenticeship. All tradespeople are included in this group. Clerks [bookkeeper, bank/PO clerk, statistical/actuarial clerk, accounting/claims/audit clerk, payroll clerk, recording/registry/filing clerk, betting clerk, stores/inventory clerk, purchasing/order clerk, freight/transport/shipping clerk, bond clerk, customs agent, customer services clerk, admissions clerk] Skilled office, sales and service staff. Office [secretary, personal assistant, desktop publishing operator, switchboard operator] Sales [company sales representative, auctioneer, insurance agent/assessor/loss adjuster, market researcher] Service [aged/disabled/refuge/child care worker, nanny, meter reader, parking inspector, postal worker, courier, travel agent, tour guide, flight attendant, fitness instructor, casino dealer/supervisor] Group 4: Machine operators, hospitality staff, assistants, labourers and related workers Drivers, mobile plant, production/processing machinery and other machinery operators. Hospitality staff [hotel service supervisor, receptionist, waiter, bar attendant, kitchenhand, porter, housekeeper] Office assistants, sales assistants and other assistants. Office [typist, word processing/data entry/business machine operator, receptionist, office assistant] Sales [sales assistant, motor vehicle/caravan/parts salesperson, checkout operator, cashier, bus/train conductor, ticket seller, service station attendant, car rental desk staff, street vendor, telemarketer, shelf stacker] Assistant/aide [trades’ assistant, school/teacher's aide, dental assistant, veterinary nurse, nursing assistant, museum/gallery attendant, usher, home helper, salon assistant, animal attendant] Labourers and related workers Defence Forces ranks below senior NCO not included above Agriculture, horticulture, forestry, fishing, mining worker [farm overseer, shearer, wool/hide classer, farm hand, horse trainer, nurseryman, greenkeeper, gardener, tree surgeon, forestry/logging worker, miner, seafarer/fishing hand] Other worker [labourer, factory hand, storeman, guard, cleaner, caretaker, laundry worker, trolley collector, car park attendant, crossing supervisor] Group 8: Have not been in paid work in the last 12 months


Education Queensland Standardised Medical Condition Category List

Acquired brain injury

Allergies /Sensitivities

Anaphylaxis

Airway/lung/breathing - Oxygen required (continuously/periodically)

Airway/lung/breathing - Suctioning

Airway/lung/breathing -Tracheostomy

Airway/lung/breathing -Other

Artificial feeding - Gastrostomy device (tube or button)

Artificial feeding - Nasogastric tube

Artificial feeding - Jejunostomy tube

Artificial feeding - Other

Asthma

Attention-deficit /Hyperactivity disorder (ADHD)

Autism Spectrum Disorder (ASD)

Bladder and bowel - Urinary wetting, incontinence

Bladder and bowel - Faecal soiling, constipation, incontinence

Bladder and bowel - Catheterisation (continuous, clean intermittent)

Bladder and bowel - Stoma site, urostomy, Mitrofanoff, MACE, Chair

Bladder and bowel - Other

Blood disorders - Haemophilia

Blood disorders - Thalassaemia

Blood disorders - Other

Cancer / oncology

Coeliac disease

Cystic Fibrosis

Diabetes - type one

Diabetes - type two

Ear/hearing disorders - Otitis Media (middle ear infection)

Ear/hearing disorders - Hearing loss

Ear/hearing disorders - Other

Epilepsy - Seizure

Eye/vision disorders

Endocrine disorder - Adrenal hypoplasia, pituitary, thyroid

Heart/cardiac conditions - Heart valve disorders

Heart/cardiac conditions - Heart genetic malformations

Heart/cardiac conditions - other

Mental Health - Depression

Mental Health - Anxiety

Mental Health - Oppositional defiant disorder

Mental Health - Other

Muscle/bone / musculoskeletal disorders - spasticity (Baclofen Pump)

Muscle/bone / musculoskeletal disorders - Other

Skin Disorders - eczema

Skin Disorders - psoriasis

Swallowing/dysphagia - requiring modified foods


Education Queensland Standardised Medical Condition Category List (continued)

Swallowing/dysphagia - requiring artificial feeding

Transfer & positioning difficulties

Travel / motion sickness

Other

January 2021

Introduction to the State School Consent Form (attached) for Pine Rivers 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: www.pineriversshs.eq.edu.au

Facebook: https://www.facebook.com/PineRiversStateHighSchool/

YouTube: Applicable

Instagram: Applicable

Twitter: Applicable

Other: Mathletics, Compass School Manager, Microsoft Academy, Turnitin, OneNote, ePublisher, Clickview, Oliver Library Management System

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 Enrolments (07) 3881 4700 or email [email protected].

The Administration 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.

https://www.facebook.com/PineRiversStateHighSchool/

http://ppr.qed.qld.gov.au/

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: duration of enrolment.

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.

G:\Coredata\Office\- Enrolment Officer\Enrolments\Enrolment Forms | Consent Forms Enrolments.V1.6 1

Pine Rivers State High School CONSENT FORMS 2021 PROSPECTIVE STUDENT DETAILS Student Name:

Date of Birth:

Current School:

Gender: Male / Female (please circle)

ENROLMENT CATEGORY(IES) UNDER WHICH YOU WISH TO APPLY: (ABLE TO APPLY FOR MULTIPLE

CATEGORIES)

EXCELLENCE PROGRAMS

IGNITE Year 7

IGNITE Music Year 7

IGNITE HASS (YR8&9)

IGNITE STEM (YR8&9)

SCHOLARSHIPS PROGRAMS YEAR 7 ONLY

Academic Scholarship

Sporting Scholarship

Cultural Scholarship Dance/Vocal

Cultural Scholarship Instrumental Music

Cultural Scholarship Visual Art

Other

Local Catchment

Sibling

Please read and complete all forms in this package and return at time of your interview


Third Party Website Consent – Website Risk Review Register

Privacy Notice

The Department of Education is collecting your personal information on this form in order to obtain consent for disclosure of a student’s personal information to

facilitate registration and use of third party web based software identified on the school website. The information will be used and disclosed by authorised school

employees for the purposes outlined on the form.

Student personal information collected on this 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.

Dear Parent/Guardian,

The use of web based educational resources has risen steadily over the last decade and are increasingly being used by teachers

across Queensland to improve student-learning outcomes.

Our school and teachers make decisions about the best technology to meet the needs of our students. Sometimes it is beneficial

for students to utilise services provided by third party web based providers.

Pine Rivers State High School wishes to utilise the third party web based service provider/s listed below to aid students learning.

For your student to use the service the teacher will need to register them as a user. Registering with these providers requires

student personal information to be disclosed to the provider of the service. In the case of the services outlined below, they are

private companies that are hosted onshore in Australia/and/or/outside of Australia. Outside of Australia means that data that is

entered to register for these sites will be stored on servers that are not based in Australia and therefore are not bound by

Queensland’s privacy laws. Registration may include disclosing the following information about your student:

Student Name

Student ID

Age

Year Level

Class Teacher

Student Email

We need your permission for the registration and use of these sites by your student.

Note: It is not compulsory for you to provide this consent – If you decide not to provide consent; this will not adversely affect

academic achievement, or any relationships with teachers or the school.

Before you complete this consent form it is important that you understand the reasons that these websites collect this information,

what will be done with it, who else may have access to it and where the data is stored. This information can be found on the school

website under the Website Risk Review Register page -

https://pineriversshs.eq.edu.au/Supportandresources/Formsanddocuments/Documents/Information%20Technology/PRSHS%20We

bsite%20Risk%20Review%20Register.pdf

Each website has hyperlinks that redirect to each website’s terms and conditions and/or privacy policy.

Please read these and ensure that you understand the implications of using this service before giving your consent. If you have any

queries around the storage of student’s information, please feel free to contact Mark Fahey – Head of Department Digital

Technologies on (07) 3881 4700

As a parent or guardian of this student, I have read the terms of use and privacy policy of each of the websites listed. I understand

that my student’s personal information will be provided to these third party software providers for the purpose of my student’s

registration and use of the software programs and that this information may be stored outside of Australia.

Student’s Name:

Year: ID No:

Student signature:

Date: …….…/………/…..….

Parent’s/Caregivers’ Name:

Date: ………/………/…..….

Parent’s/Caregiver’s Signature:

Date: .….…/………/…..….

https://pineriversshs.eq.edu.au/Supportandresources/Formsanddocuments/Documents/Information%20Technology/PRSHS%20Website%20Risk%20Review%20Register.pdf

https://pineriversshs.eq.edu.au/Supportandresources/Formsanddocuments/Documents/Information%20Technology/PRSHS%20Website%20Risk%20Review%20Register.pdf


Medical Authorisation

As set out in the Department of Education and Training policies, Pine Rivers State High School requires your consent to provide medication, as prescribed by your child/children’s treating medical practitioner, for your son/daughter. Information obtained by the school’s office will be maintained in confidence and stored securely. However, client information held in confidence may be disclosed without your consent where authorised or required by law. This may include disclosure to a doctor or ambulance officer. 1. Administering medication at school If your child requires staff to administer medication to your child at school, please contact the school office in the first instance to discuss your child’s requirements. Please note, school staff will only administer meditation that:

has been prescribed by a qualified health practitioner (e.g. doctor, dentist);

is in its original container; and

has an attached pharmacy label, stating your child’s name, the name of the medication and the dosage required;

notify the school in writing when a change of dosage is required. This instruction must be accompanied by a letter from a medical practitioner

advise the school in writing and collect the medication when it is no longer required at school Office staff will ask you to complete and sign Section 1 of the Administration of medication at school record sheet (routine/short-term medication). Please refer to attached link www.ppr.det.qld.gov.au/education/management/Pages/Administration-of-Medications-in-Schools.aspx N.B. If your child requires more than one medication, you will need to complete a form for each medication 2. Requirements for students at risk of anaphylaxis If your child is at risk of anaphylaxis, it is important for you to provide the school with your child’s emergency medication and their ASCIA Anaphylaxis Action Plan, completed by your doctor. This Anaphylaxis Action Plan provides the instructions for the school to administer your child’s medication in an emergency, which is specific to respond to their health condition.

Office staff will ask you to complete and sign Section 2 of the Administration of medication at school record sheet (emergency medication). Please refer to attached link www.ppr.det.qld.gov.au/education/management/Pages/Administration-of-Medications-in-Schools.aspx 3. Requirements for students at risk of asthma If your child has asthma and requires assistance to administer their medication, it is important for you to provide the school with your child’s emergency medication and their Asthma Action Plan, completed by your doctor. An Asthma Action Plan provides specific instructions for the school to administer your child’s medication.

Office staff will ask you to complete and sign Section 2 of the Administration of medication at school record sheet (emergency medication). Please refer to attached link www.ppr.det.qld.gov.au/education/management/Pages/Administration-of-Medications-in-Schools.aspx

We recognise that some students are capable of managing their asthma without adult assistance. If you are confident that your child can confidently, competently and safely self-administer their asthma medication, let the school administration know. The school will record your decision and will not require your child’s Asthma Action Plan. Please note that if your child requires assistance in an asthma emergency, staff will provide Asthma First Aid.

http://www.ppr.det.qld.gov.au/education/management/Pages/Administration-of-Medications-in-Schools.aspx




Medical Authorisation cont.…

4. Requirements for students at risk of diabetes To provide specific support to a student with diabetes, it is essential for the school to have both a ‘Diabetes Management Plan’ (Individual Health Plan) and a ‘Diabetes School Action Plan (Emergency Health Plan) completed by your doctor. The Individual Health Plan provides the guideline for the management of a student’s diabetes and may contain instructions concerning the routine medication regimen. The Emergency Health Plan provides step-by-step instructions of how to safely manage a medical emergency specific to diabetes.

In addition Office staff will ask you to complete and sign Section 2 of the Administration of medication at school record sheet (emergency medication). Please refer to attached link www.ppr.det.qld.gov.au/education/management/Pages/Administration-of-Medications-in-Schools.aspx 5. Providing medication to the school

Before you provide the school with your child’s medication, check the expiry date to ensure it is in-date and there is enough for the agreed time period. It is also a good idea to take a note of the expiry date so that you can replace the medication before it expires.

Please note, school staff will not administer medication that you can buy over-the-counter at chemists and supermarkets (e.g. paracetamol, eye drops, cough syrup) unless it has been prescribed by your child’s qualified health practitioner. For example, the school would administer paracetamol to a student only if it has been prescribed by their dentist to be taken for a short time after dental treatment.

School staff are bound by these regulations and we hope that all parents will acknowledge and cooperate with these rules.

It is safer for all students if you can provide medication to the school in person (rather than send medication with the student). If you can’t provide the medication in person, contact the school to determine the easiest and safest approach for the school to receive the medication.

Thank you for your assisting the school in keeping our students safe and healthy.

Yours sincerely

Principal



Support Services Pine Rivers State High School has a Special Education Unit and a Support Teacher – Literacy and Numeracy to cater for students with ascertained disabilities and learning difficulties. If you believe that your child may qualify for support, please complete this form. If you are uncertain, please ask to speak to the teacher. EDUCATIONAL HISTORY Primary/Previous School: ……………………………………………………………………………………………………………………………………….. School contact person/s and position: ……………………………………………………………………………………………………………………………………….. AVT/other Support personnel (names): …………………………………………………………………………………………………………………………………………

Identified as Gifted and Talented (Subject/Area): _________________________________________________

Speaks English as a Second Language

Guidance File attached

Support File attached including:

Details of EAP or Special Consideration

Results of any formal tests and/or Report Cards

Other

Student’s Name:

Year: ID No:

Student signature:

Date: …….…/………/…..….


Date: ………/………/…..….


Date: .….…/………/…..….


Acceptable Use Policy for Users of Information & Communication Technology Pine Rivers State High School (PRSHS) provides computer resources including access to Local Area Networks (LAN) and Internet resources only to support its primary objective, which is to enhance teaching and learning in a supportive school environment. The use of such facilities is subject to the following provisions:

A Respect other’s rights to freedom from harassment and intimidation

1 Abusive, threatening, or clearly unwarranted behaviour are offensive and will not be tolerated.

2 Allow others to work uninterrupted. 3 Clearly and correctly identify yourself in all communications

using Information Technology. B Use on-line resources for purposes that are legal and

generally acceptable for public school education 1 Advertising, selling, or purchasing any illegal items using

Information Technology is strictly prohibited 2 Soliciting, responding to or discussing any illegal actions

with Information Technology is strictly prohibited. 3 Creating/sending/accessing inappropriate/offensive

files/emails/websites is strictly prohibited. 4 Retrieval, viewing or sharing of any sexually or violently

explicit, offensive or obscene material via any means is strictly prohibited.

5 Understand that local systems administrators and staff at your outside service provider can find out what information you have accessed from the Internet and sent/received via email.

6 Subscribe only to authorised and approved discussion lists, chat or news groups.

7 Use only email facilities provided by PRSHS and not personal web based email.

8 Do not download and/or install files (programs, audio/video files, plug ins or other software) without direct authorisation.

C Respect and adhere to the laws concerning copyright and other intellectual property rights

1 Get permission before copying files from another user. Copying files or passwords belonging to another user without their express permission may constitute plagiarism and/or theft.

2 Understand copying of software, information, graphics, or other data files may violate copyright laws without warning and be subject to prosecution from agencies to enforce such copyrights.

D Follow security restrictions for all systems and information

1 Always keep your passwords secret. It is a good idea to change your password frequently.

2 Understand that if you share your password and someone else uses your account, even without your permission, you will be held responsible for their actions.

3 Respect all security provisions on the system. 4 Reasonably protect computers and software from viruses,

both on disk and through the internet.

E Use and share computer resources courteously and efficiently

1 Understand and accept that there are restrictions on computing resources including storage space, printing and internet access as per the Resource Hire Scheme.

2 Use the computer facilities in such a way that you do not disrupt the use of the facilities for other users, for example, annoying other users with electronic messages, tampering with either hardware or software settings.

3 Use computer facilities without purposefully damaging, altering or disabling them and report any problems/damage to your teacher or Head of Department (Learning Technology).

F Respect the privacy and integrity of electronic documents

1 Do not reveal home telephone numbers or addresses through on-line communication or send anonymous or falsely addressed email.

2 Understand that electronic communication is not guaranteed to be private. All email should be considered a public document. System Administrators do have access to all mail sent and received. Messages relating to or in support of inappropriate activities may be reported to the authorities.

3 Understand that network managers may need to view, delete or recover the contents of files and directories to diagnose or correct problems, or investigate breaches of this policy. Your class teachers also have access to read files created by you.

Pine Rivers SHS reserves the right to monitor any and/or all use of school computer resources, including use of school provided email from outside of school Pine Rivers State High School (PRSHS) provides computer resources including access to Local Area Networks (LAN) and Internet resources only to support its primary objective, which is to enhance teaching and learning in a supportive school environment. The use of such facilities is subject to the following provisions: The concept that files residing on a system is the property of the organisation that owns the system has been supported in recent legal cases. All electronic files are therefore presumed to be the property of Pine Rivers SHS and email users should presume they will be held accountable for every message issued from their accounts. Pine Rivers SHS provides all students with a limited capacity of internet access and printing as part of the Resource Hire Scheme. Students are responsible for the cost of these facilities above what is provided. Violations of this Acceptable Use Policy may result in immediate suspension of your ICT privileges and may result in further disciplinary actions being taken by Pine Rivers State High School, Education Queensland, State or Federal authorities. These actions may result in enrolment changes out of computer based classes. Any questions or allegations about this Acceptable Use Policy should be brought to the attention of the Head of Department (Learning Technology).


Acceptable Use Policy For Users Of Information & Communication Technology

The Acceptable Use Policy is printed on the other side of this document. Alternatively it can be viewed at the school in paper format, on the school’s intranet or on the internet at www.pineriversshs.eq.edu.au. The Acceptable Use Policy relates to what constitutes appropriate use of both the internet and the schools’ computer facilities. Before agreeing to the Acceptable Use Policy, read and understand the benefits and risks associated with on-line access. Benefits of on-line access include

Access to up to date and relevant information on a wide variety of topics

The ability to communicate with peers and experts both domestically and internationally

Teachers and students can use the Internet collaborative learning projects to provide an audience for creative work and as a platform for learning information access skills

Risks of on-line access include

Unlike a good encyclopaedia, the information on the Internet is not well selected, nor well organised. The information may sometimes be illegal, dangerous or offensive materials. Issues of sexual harassment and copyright can arise from the use of material available on the Internet without appropriate warnings.

Wasting time with fruitless searches.

Privacy is not assured, email can be intercepted and read by complete strangers. Other users of your computer, your local system administrator and staff at our outside service provider can all find out what information you have accessed from the World Wide Web.

Delivery of email cannot be guaranteed; a proportion is delayed, misdelivered or destroyed.

A strong potential for viruses to be received exists. Strategies to deal with these risks include:

Up to date virus protection software installed on machines

Internet filters provided by Education Queensland to restrict access to illegal, dangerous or offensive materials

Unique usernames and passwords given to prevent students from logging on as someone else Education of students to understand what constitutes illegal, dangerous or offensive materials and what they should do

when they appear on screen

Student ………………………………………………………………………… Student Name (please print) I understand that my access to the school Local Area Networks and the Internet is a revocable privilege, not a right. I have read and understand both the benefits and risks, as well as the Acceptable Use Policy and agree to adhere to all of the provisions. I further understand that any violations of this contract may result in the immediate suspension of my electronic communication privileges and/or Local Area Network access during ALL CLASSES and OUT OF CLASS ACCESS TIMES, and that as a result of such violations, subject changes out of computer based classes and further disciplinary measures may be taken. I understand that this contract remains in force for the period of my enrolment. ………………………………………………………………………………… Signature of Student ………/…………/…………… Date

Parent/Guardian I am the parent/guardian of the above named student and understand that the benefits and risks of on-line access. I also understand that it gives access to information on computers around the world; that the school cannot control what is on those computers; and that a very small part of that information can be illegal, dangerous or offensive. 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 am satisfied that my son/daughter understands this responsibility, and I hereby give my permission for him/her to use both the Internet & computer facilities in accordance with the Acceptable Use Policy. I understand that students breaking these rules will be subject to appropriate consequences, according to school policies and possibly state and federal laws. I understand that this contract remains in force for the period of enrolment. ……………………………………………………………………. Signature of Parent/Guardian ………/…………/…………… Date

OFFICE USE: Please enter this students’ EQ ID Number below:- ………………………………………………………………………

If you are a newly enrolled/enrolling student please indicate your date of birth

_____/_____/______ Day Month Year


Bring your Own Device (BYOD) User Agreement

Pine Rivers State High School’s goal is to ensure the safe and responsible use of facilities, services and resources

available to students through the provision of clear guidelines.

Responsibilities of stakeholders involved in the BYOD program:

School

BYOD program induction — including information on (but not responsible for) connection, care of device at

school, workplace health and safety, appropriate digital citizenship and cyber safety

network connection at school

internet filtering (when connected via the school’s computer network)

some technical support (please consult Technical support table below)

some school-supplied software e.g. Adobe, Microsoft Office 365 …

printing facilities

school representative signing of BYOD Charter Agreement.

Student

participation in BYOD program induction

acknowledgement that core purpose of device at school is for educational purposes

care of device

appropriate digital citizenship and online safety (for more details, see ACMA Cyber Smart)

security and password protection — password must be difficult enough so as not to be guessed by other

users and is to be kept private by the student and not divulged to other individuals (e.g. a student should not

share their username and password with fellow students)


maintaining a current back-up of data

charging of device

abiding by intellectual property and copyright laws (including software/media piracy)

internet filtering (when not connected to the school’s network)

ensuring personal login account will not be shared with another student, and device will not be shared with

another student for any reason

understanding and signing the BYOD Charter Agreement.

Parents and caregivers

participation in BYOD program induction

acknowledgement that core purpose of device at school is for educational purposes

internet filtering (when not connected to the school’s network)

encourage and support appropriate digital citizenship and cyber safety with students (for more details, see

ACMA Cyber Smart)


required software for specific subjects, including sufficient anti-virus software

protective backpack or case for the device

adequate warranty and insurance of the device

understanding and signing the BYOD Charter Agreement.

http://www.cybersmart.gov.au/

http://www.cybersmart.gov.au/


Technical support

Connection: Hardware: Software:

Parents and Caregivers

(home-provided internet

connection)

Students

School

school provided internet connection

(meets minimum specifications document

on PRSHS website)

(some school-based

software arrangements)

Device vendor

(see specifics of

warranty on purchase)

The following are examples of responsible use of devices by students:

Use mobile devices for:

engagement in class work and assignments set by teachers developing appropriate 21st Century knowledge, skills and behaviours authoring text, artwork, audio and visual material for publication on the Intranet or Internet for educational

purposes as supervised and approved by school staff conducting general research for school activities and projects communicating or collaborating with other students, teachers, parents, caregivers or experts as part of

assigned school work Accessing online references such as dictionaries, encyclopaedia’s, etc. researching and learning through the school’s eLearning environment ensuring the device is fully charged before bringing it to school to enable continuity of learning.

Be courteous, considerate and respectful of others when using a mobile device.

Switch off and place out of sight the mobile device during classes, where these devices are not being used in a

teacher directed activity to enhance learning.

Use the personal mobile device for private use before or after school, or during recess and lunch breaks.

Seek teacher's approval where they wish to use a mobile device under special circumstances.

The following are examples of irresponsible use of devices by students:

using the device in an unlawful manner

creating, participating in or circulating content that attempts to undermine, hack into and/or bypass the

hardware and/or software security mechanisms that are in place

disabling settings for virus protection, spam and/or internet filtering that have been applied as part of the

school standard

downloading (or using unauthorised software for), distributing or publishing of offensive messages or pictures

using obscene, inflammatory, racist, discriminatory or derogatory language

using language and/or threats of violence that may amount to bullying and/or harassment, or even stalking

insulting, harassing or attacking others or using obscene or abusive language

deliberately wasting printing and Internet resources

intentionally damaging any devices, accessories, peripherals, printers or network equipment

committing plagiarism or violate copyright laws

using unsupervised internet chat

sending chain letters or spam email (junk mail)

accessing private 3G/4G networks during lesson time

knowingly downloading viruses or any other programs capable of breaching the department’s network security

using the mobile device’s camera anywhere a normal camera would be considered inappropriate, such as in

change rooms or toilets


invading someone's privacy by recording personal conversations or daily activities and/or the further

distribution (e.g. forwarding, texting, uploading, Bluetooth use etc.) of such material

using the mobile device (including those with Bluetooth functionality) to cheat during exams or assessments

take into or use mobile devices at exams or during class assessment unless expressly permitted by school

staff.

In addition to this:

Information sent from our school network contributes to the community perception of the school. All students using

our ICT facilities are encouraged to conduct themselves as positive ambassadors for our school.

Students using the system must not at any time attempt to access other computer systems, accounts or unauthorised network drives or files or to access other people’s devices without their permission and without them present.

Students must not record, photograph or film any students or school personnel without the express permission of the individual/s concerned and the supervising teacher.

Students must get permission before copying files from another user. Copying files or passwords belonging to another user without their express permission may constitute plagiarism and/or theft.

Students need to understand copying of software, information, graphics, or other data files may violate copyright laws without warning and be subject to prosecution from agencies to enforce such copyrights.

Parents and caregivers need to be aware that damage to mobile devices owned by other students or staff may result in significant consequences in relation to breaches of expectations and guidelines in the school’s Responsible Behaviour Plan.

The school will educate students on cyber bullying, safe internet and email practices and health and safety regarding the physical use of electronic devices. Students have a responsibility to incorporate these safe practices in their daily behaviour at school.

The school’s BYOD program supports personally owned mobile devices in terms of access to:

printing

internet

file access and storage

support to connect devices to the school network.

However, the school’s BYOD program does not support personally owned mobile devices in regard to:

technical support

charging of devices at school

security, integrity, insurance and maintenance

private network accounts.

Responsible use agreement

The following is to be read and completed by both the STUDENT and PARENT/CAREGIVER:

I have read and understood the Responsible use of BYOD document and the school Responsible Behaviour Plan.

I agree to abide by the guidelines outlined by both documents.

I am aware that non-compliance or irresponsible behaviour, as per the intent of the Responsible use of BYOD document and the Responsible Behaviour Plan, will result in consequences relative to the behaviour.

Student’s Name:

Year: ID No:

Student signature:

Date: …….…/………/…..….


Date: ………/………/…..….


Date: .….…/………/…..….


Insurance Cover Dear Parent/Caregiver

Physical activity and physical education, particularly contact sports, carry inherent risks of injury. Parents are advised that, as well as all High Schools, Pine Rivers State High School acting within the Department of

Education and Training does not have Personal Accident Insurance cover for students.

Activities Risks and Insurance

Please note that the Department of Education does not have personal accident insurance cover for children/students.

If your child is injured as a result of an accident or incident while participating in the activity, all costs associated with

the injury, including medical costs are the responsibility of the parent/carer.

Some incidental medical costs may be covered by Medicare. If you have private health insurance, some costs may also

be covered by your provider. Any other costs must be covered by parents/carers. It is up to all parents/carers to decide

what types and what level of private insurance they wish to arrange to cover their child.

Please take this into consideration in deciding whether or not to allow your child to participate in this activity.

Please complete and sign for our records:

By signing this form, I agree that I have read all of the information contained in this form in relation to activity risks and

insurance and I am aware that the department does not have personal accident insurance cover for students/children

I acknowledge that the Department of Education, Training and Arts does not have Personal Accident Insurance cover for students.

Student’s Name:

Year: ID No:

Student signature:

Date: …….…/………/…..….


Date: ………/………/…..….


Date: .….…/………/…..….

Dear Parents / Guardians STUDENT RESOURCE SCHEME– 2021 Students are provided teacher tuition, administration services, and school facilities as part of their entitlement to a public education. All resource costs for curriculum materials, text books, specialist equipment, excursions, activities, uniforms and stationery are the responsibility of parents.

The Government supports parents with these costs with an allowance of $130 for Years 7 to 10 and $281.00 for Years 11 and 12 which is made through a state government payment direct to the school. This reduces the parent contribution to the resource scheme to $275 per student in 2021.

Pine High School operates a non-profit Student Resource Scheme to ensure resources are purchased, cost effectively, through reduced prices gained from bulk purchasing practices. The scheme is endorsed by the P and C Association but managed by the school and operates within the policies and guidelines of the Department of Education. The Scheme covers the provision of text books, in-class equipment, library resources, sporting equipment, specialist subject equipment and basic resources and technology for daily classroom lessons and follow up homework tasks. The cost for parents to join this scheme is explained on the enclosed documentation or is available on our website.

Parents may choose not to join the scheme but will find the collective cost of texts and contribution charges for use of resources, exceeds being part of the scheme.

Students are required to provide personal stationery for their own use in class. A separate stationery list is available through the school website and all items are available via on-line ordering. Please contact the school on 3881 4700 for any queries. These individual consumable materials are not part of the Resource Scheme.

As advised previously on our website, in our school newsletter and in correspondence to families, students may not be invited to participate in any optional or non-curriculum activities including senior formal, sporting teams, camps and activities where outstanding fees are due.

From 2016 parents were encouraged to purchase a computer for use at school and at home. In 2017 it was expected that all students bring their own devices. Details on specifications can be found on the school website.

Actions for parents: 1. Sign the attached Agreement Form and return it to the school immediately. 2. Invoices will be generated early 2021, you will be able to make payment as per the options on the invoice. 3. Email [email protected] or Phone 38814700 to arrange a payment plan. 4. Textbooks will be issued in the first week of school 2021. 5. ID Card will be issued in class early March, 2021. 6. Ensure students take care of any resources issued, as parents are liable for the replacement cost of lost or

damaged texts and resources.

I would encourage all parents to make this payment, or establish a payment plan, promptly so that students have all their necessary equipment, texts and resources from the start of the school year.

Yours sincerely

Doug Watson

Principal

mailto:[email protected]

Student Resource SchemeParticipation Agreement Form

Version 1.1

For Secondary School Curriculum

Participation

Student Details

Student name:_______________________________ Year level:_________

Parent name :_______________________________

Parent signature:____________________________ Date:________________

o I am experiencing financial hardship and wish to meet with the

school to discuss my options (see clauses 10-14 overleaf)

I agree to the above made selection, until such point as I inform the school otherwise

Please contact Business Manager to arrange:

I do not wish to participate in the above-named Student

Resource Scheme. I have read and understand the Terms and

Conditions (see reverse).

I understand I must provide my child with all items that would

otherwise be provided to my child by the SRS as detailed on

the information provided by the school.

I understand that if my child is eligible for the Textbook and

Resource Allowance (TRA) the school will contact me. For

more details regarding the TRA and eligibility criteria enter

"Textbook and Resource Allowance" into the search tool on the

Department's Policy and Procedure Register at

http://ppr.det.qld.gov.au

I understand that I can choose to join the SRS in future years

by completing a new Participation Agreement Form.

I wish to participate in the above-named Student Resource

Scheme for the duration of my child’s enrolment at the school. I

have read and understand the Terms and Conditions (see

reverse) and agree to abide by them and to pay the annual

participation fee. I understand that the school will publish

information about the SRS costs and inclusions each year.

I understand that I can opt out of SRS participation in any year by

completing a new Participation Agreement Form before the

invoice due date.

I wish to make payment each year by:

o A single payment for the full year’s fee

o Term instalments (paid over the first 3 terms)

o An instalment plan as negotiated with the school

(e.g. via direct debit, centrepay or other payment method)

o Yes o No

The Student Resource Scheme (SRS) provides parents with a convenient and cost-effective way to access educational resources

their children need for school. These resources supplement the school’s resources and enhance students’ learning experience at

school.

Please indicate your intention to participate or not by selecting "yes" or "no" and completing the information in the

relevant box below:

The School has developed a Student Resource Scheme SRS for all year levels.

• require the return of items provided by the SRS

School use only:

Negotiated instalments:______________________________________ Approved by:____________________

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

http://ppr.det.qld.gov.au/corp/finance/accounts/Pages/Debt-Management.aspx

Terms and Conditions of the Student Resource Scheme

Privacy Statement

The Department of Education collects this information in accordance with

section 51 of the Education (General Provisions) Act 2006 ("the Act") in order

to administer the Student Resource Scheme (SRS). The information will only

be accessed by school employees administering the SRS. However, if

required, some of this information may be shared with departmental

employees for the purpose of debt recovery.

Definitions

1. Reference to a “parent” is in accordance with the definition in the Act and refers equally to an independent student.

The Student Resource Scheme (SRS)

2. The cost of providing instruction, administration and facilities for the education of students enrolled at state schools is met by the State.

3. The school is not responsible for providing textbooks, in-class consumables and personal resources for students.

4. The SRS enables parents to access certain resources, as detailed by the school, for an annual fee.

5. Participation in the SRS is optional: parents are under no obligation to participate.

Textbook and Resource Allowance (TRA)

6. The State provides the TRA annually to parents of eligible secondary students to assist with the costs of education.

7. The TRA is paid to the school based on enrolment data and will reduce the cost of particpating in the SRS.

8. Parents who choose NOT to participate in the SRS and whose childrenare eligible for the TRA have the option to receive the TRA as a credit to their child’s school account or directly from the school.

Parents and Citizens’ (P&C) Association support of the SRS

9. All parents are invited to participate in the annual meeting of the P&CAssociation at which the income and expenditure report is presented and the proposed SRS inclusions and fees are tabled for approval.

Parents experiencing financial hardship

10. Principals may vary payment options and/or waive all or part of theparticipation fee for parents experiencing financial hardship.

11. Parents experiencing financial hardship who wish to participate in the SRS should contact the Principal to discuss options.

12. The onus of proof of financial hardship is on the parent.

13. The school may require annual proof of continuing financial hardship.

14. All discussions will be held in the strictest confidence.

Parents participating in the SRS

15. Parents indicate whether or not they wish to participate in the SRS by completing this Participation Agreement Form.

16. [An] invoice/s for the amount of the annual participation fee will be issued to the parent providing consent to participate in the SRS.

17. This agreement is for the duration of the student’s enrolment at the school, unless a new Participation Agreement Form is completed.

18. Parents must notify the school before the invoice due date if they intend to cease their participation in the SRS in any year.

19. Where a parent chooses to participate, they are agreeing to pay the annual participation fee, in accordance with the payment frequency option selected on the form. There is no provision for part- participation.

20. All SRS resources provided for the student’s temporary use remain the property of the school and must be returned when requested by the school or if the student leaves the school.

21. Parents are responsible for ensuring that any SRS resources provided for the student’s temporary use are kept in useable condition. Where an issued item is lost, not returned, or negligently damaged, parents will be responsible for payment to the school of the value of the item or its repair.

22. Parents must inform the school if items on the list of resources are not received.

23. Non-payment of the participation fee by designated payment date(s) may result in debt recovery action in accordance with the Department’s Debt Management procedure. In such cases, the Principal may:

• withdraw the student’s participation in the SRS

• require the return of items provided by the SRS

• withhold the provision of any further items under the SRS

• refuse participation in the SRS where participation fees are overdue from the previous year(s), and/or

• exclude the student from optional, non-curricular activities and/or

• initiate debt recovery action.

Parents NOT participating in the SRS

24. Parents indicate whether or not they wish to participate in the SRS by completing this Participation Agreement Form.

25. This agreement is for the duration of the student’s enrolment at the school, unless a new Participation Agreement Form is completed.

26. Where a parent has previously indicated that they will participate in the SRS, but wishes not to participate in any year(s), the parent must notify the school prior to the invoice due date of their intention to cease participation.

27. Parents who choose not to participate in the SRS are responsiblefor providing their child with all items that would otherwise beprovided by the SRS. School-produced resources (e.g. Student Diary) will be available for separate purchase from the school for non-participants.

Operating the SRS

28. Schools will provide all parents with a list of resources provided by the SRS to enable parents to assess the cost effectiveness of participation.

29. Schools will also provide non-participating parents with detailed lists of resources to supply for their child.

30. All items included in the SRS must be able to be independently sourced by parents who choose not to participate in the SRS, either from a third party supplier or by purchasing a school-specific resource (such as a diary or workbook) from the school.

31. Schools may distribute information and invoices to parents in the year preceding the SRS but invoices must not be due before the end of the first week of term 1 of the SRS year. All invoices must have a minimum

of 30 days for payment.

32. Parents must be given the option annually to choose not participate in the SRS.

33. In return for payment of the participation fee, the SRS will provide participating students with the resources and materials as outlined in the school SRS documents.

34. SRS moneys received are to be expended only on student resources outlined in the school’s SRS and must not be expended on other items or used to raise funds for other purposes.

35. As the SRS operates for the benefit of participating parents and is funded primarily from participation fees, the school retains control of the resources and determines the rules around their availability to non-participants.

36. A student entering the school during the school year is entitled to pay a pro-rata fee to participate.

37. Where participation fees have been paid and a student leaves the school during the year, schools must determine if parents will be eligible for a pro-rata refund. This calculation will also take into account any pro-rata allocation of the TRA (if eligible) and any outstanding SRS debts (including any debts from damaged or non-returned items). Where the cost of outstanding debts is higher than the calculated refund, parents will be liable to pay this balance of funds.

38. The replacement cost of any resource will be up to the maximum value (subject to depreciation where appropriate) of the acquisition cost to the school, as detailed on the annual SRS information provided to parents.

39. Schools may initiate debt recovery action in accordance with the debt management procedure where a parent has an outstanding debt

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

http://ppr.det.qld.gov.au/corp/finance/accounts/Pages/Debt-Management.aspx

NOTES / QUESTIONS: