Applicants are required to complete all sections of this form. Part A Applicant Information – 1. Provide the full name(s) and contact details of person(s) who will be home schooling, referred to as the applicant(s) Applicant One Applicant Two (correspondence will be (if applicable) directed to this applicant) 1.1 Applicant Title (Mr/Mrs/etc.) details Family name Given name(s) 1.2 Contact Telephone details Email 1.3 Residential Street address Address Suburb/town Postcode Postcode 1.4 Postal Street address Address Suburb/town Postcode Postcode (N/A if same as above) Part B Child Information – 2. Provide the following information for each child to be home schooled. Use a separate application form for details of additional children. The VRQA collects and uses this information for the primary purpose of fulfilling its functions, including to: assess your application review your registration contact you about your registration child’s or for a secondary purpose related to one of the primary purposes. In accordance with the Education and Training Reform Act 2006 (ETR Act), details of students registered for home schooling are not made available to the public. However, in accordance with the ETR Act, the VRQA may disclose information collected to various prescribed persons and bodies. The information may also be disclosed where otherwise authorised or required by law. Without this information we are unable to assess your application for registration for home schooling. You are able to request access to the personal information we hold about you, and request that it be corrected. Child 1 Child 2 Child 3 2.1 Legal family name 2.2 Legal given name(s) 2.3 Date of birth (DD/MM/YYY) 2.4 Evidence of date of birth Attached Attached Attached
Applicants are required to complete all sections of this form. The VRQA collects and uses this information for the primary purpose of fulfilling its functions, including to: assess your application review your registration contact you about your child’s registration or for a secondary purpose related to one of the primary purposes. In accordance with the Education and Training Reform Act 2006 (ETR Act), details of students registered for home schooling are not made available to the public. However, in accordance with the ETR Act, the VRQA may disclose information collected to various prescribed persons and bodies. The information may also be disclosed where otherwise authorised or required by law. Without this information we are unable to assess your application for registration for home schooling. You are able to request access to the personal information we hold about you, and request that it be corrected. Part A – Applicant Information 1. Provide the full name(s) and contact details of person(s) who will be home schooling, referred to as the applicant(s) Applicant One (correspondence will be directed to this applicant) Applicant Two (if applicable) 1.1 Applicant details Title (Mr/Mrs/etc.) Family name Given name(s) 1.2 Contact details Telephone Email 1.3 Residential Address Street address Suburb/town Postcode Postcode 1.4 Postal Address (N/A if same as above) Street address Suburb/town Postcode Postcode Part B – Child Information 2. Provide the following information for each child to be home schooled. Use a separate application form for details of additional children. Child 1 Child 2 Child 3 2.1 Legal family name 2.2 Legal given name(s) 2.3 Date of birth (DD/MM/YYY) 2.4 Evidence of date of birth Attached Attached Attached