ON-SITE ATTENDANCE - Application Form Term 4
Families are required to complete this form if they are seeking permission for their child(ren) to attend on-site for any part of Remote Learning during Term 4.

The Victorian Government has stated that all students who CAN learn from home MUST learn from home.

Please note the school may contact your employer to verify work hours or if you are working from home, to ensure that Victorian Government guidelines are being followed.

Please complete one form for each child in your family per week. Students must be in full school uniform and bring lunch, etc as there will be no canteen facilities.

A new form must be completed for each week required.

All requests must be in by the Thursday of the week before (except for Week 1).

Sign in to Google to save your progress. Learn more
I request that my child/ren attend on-site as: *
Name of student (First name and surname e.g. John Smith) *
Year Level of Student *
I am requesting that my child attend school on the days listed as I am working and cannot work from home. (We will need to know requirements for mornings and afternoons to ensure adequate staffing on-site). *
Not required
AM only
PM only
All Day
Monday
Tuesday
Wednesday
Thursday
Friday
Parent/Guardian Name *
Parent/Guardian Email address *
Parent/Guardian Mobile Phone Number *
Parent A - Occupation and Employer (to be verified against information we already hold). *
Parent B - Occupation and Employer (to be verified against information we already hold). If a single parent family please write NA in the space below. *
Emergency Contact Name (must be different from parent/guardian) *
Emergency Contact Number (must be different from parent/guardian). *
Terms of Care
By submitting this form, I declare that all the information provided is correct. I will only send my child to school if they are well and I will collect my child immediately upon the request of the school if my child becomes unwell.

I declare that my child/ren is/are well and I will collect my child/ren as soon as is practicable upon the request of the school if my child becomes unwell.

* In rare circumstances an employee does not need a worker permit. This includes law enforcement, emergency services workers or healthcare workers who carry employer-issued photographic identification, which clearly identifies the employer.

**Children experiencing ‘vulnerability’ include:
• in out-of-home care
• deemed vulnerable by a government agency, funded family or family violence service, and assessed as requiring education and care outside the family home
• identified by a school or early childhood service as vulnerable, (including via referral from a government agency, or funded family or family violence service, homeless or youth justice service or mental health or other health service)
• Where a parent/carer indicates that a student with a disability is vulnerable because they cannot learn from home, and/or informs the school the student is vulnerable due to family stress, the school must provide on-site supervision for that student. This may apply to students enrolled in specialist schools and students with a disability enrolled in mainstream schools. In rare circumstances an employee does not need a worker permit. This includes law enforcement, emergency services workers or healthcare workers who carry employer-issued photographic identification, which clearly identifies the employer.
Do  you agree to the above Terms of Care. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brauer College. Report Abuse
Google Forms