OUT OF ZONE ENROLMENT Ballot Application Form 2017

If you are living outside of a school’s zone it is only possible to secure a place at the school if there is a vacancy. Enrolment schemes exist to ensure that class sizes do not exceed the Ministry of Education property resources at the school.

Children living outside of the zone may apply for a place through the ballot system, which will be used if there are vacancies to fill. Please complete the form below and return it as soon as possible. We will contact you within three days of the ballot to let you know whether we can offer a position at Southbridge School, or not.

CHILD’S NAME: DATE OF BIRTH:

I WOULD LIKE MY CHILD TO START:  TERM 2  TERM 3  TERM 4  DURING 2016

CHILD’S YEAR LEVEL WHEN STARTING AT SOUTHBRIDGE:  NE  Y1  Y2  Y3  Y4  Y5  Y6

MOTHER’S NAME: FATHER’S NAME:

HOME ADDRESS: HOME ADDRESS:

HOME PHONE: HOME PHONE:

MOBILE PHONE: MOBILE PHONE:

EMAIL: EMAIL:

A priority will be applied to the drawing of names from the ballot in the following order:

1. Children who have a sibling currently attending the school

2. Children who have a sibling who previously attended the school

3. Children who have a parent who previously attended the school

4. Children of Board employees and children of Board members

5. All other applicants

Circle the appropriate priority above and, if Priority 1 – 4, complete the section below.

PRIORITY 1 NAME OF SIBLING CURRENTLY ATTENDING:

PRIORITY 2 NAME & DATES OF SIBLING WHO PREVIOUSLY ATTENDED:

PRIORITY 3 NAME & DATES OF PARENT WHO PREVIOUSLY ATTENDED:

PRIORITY 4 NAME OF EMPLOYEE / BOARD MEMBER: Signed: ______Date: ______

Application deadline Term Advertisement Date Ballot Date 4pm on: For children who wish to Wednesday Friday 14 Wednesday enrol in Terms 1-4, 2017 7 September 2016 October 2016 19 October 2016 Feb 1 – Dec 19 For children who wish to enrol in Terms 2-4, 2017 Wednesday Wednesday Friday May 1 – Dec 19 1 February 2017 1 March 2017 03 March, 2017 For children who wish to enrol in Terms 3-4, 2017 Wednesday Wednesday Friday July 24 – Dec 19 12 April 2017 17 May 2017 19 May 2017 For children who wish to enrol in Term 4, 2017 Wednesday Wednesday. Friday Oct 16 – Dec 19 05 July 2017 09 August 2017 11 August 2017 For children who wish to Wednesday Wednesday Friday enrol in 2018 30 August 2017 27 September 2017 29 September 2017 Jan 29 – Dec 20

OFFICE USE ONLY:

BALLOT DATE:  ACCEPTED  DECLINED