Torrensville Community Childcare Centre I Enrolment I Waiting List Application

Child's details*

First name Family name

Date of birth

Or expected birth

Gender*

Female
Male

Proposed Booking Details (Arrive)*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Proposed Booking Details (Depart)*

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

From:

Until:

Number of weeks

Ongoing?*

Yes
No

Name of Parent/Guardian Applying*

Relationship to child*

Contact Priority*

Yes
No

Primary Language*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Access Guidelines

Child at risk of abuse or neglect or family in crisis.
Child of a single parent who satisfies, or of parents who both satisfy, the work/training/study test.
Any other child.

As a child care service which receives Child Care Benefit from the Commonwealth Government, we abide by the priority of access guidelines set by the Department of Family and Community Services. To help us equitably fill vacant places, please tick the appropriate boxes below:

Within the main categories above, priority should also be given to the following:

Children in an Aboriginal or Torres Strait Islander family.
Children in a family which includes a disabled person.
Children in a family which includes individual whose adjusted taxable income does not exceed the lower income threshold, or who or whose partner is on income support.
Children in a family from a non-English speaking background.
Children in a socially isolated family.
Children of a single parent family.

A child care service may require a Priority 3 child to vacate a place to make room for a child with a higher priority. They can only do so if you:

are notified when your child first entered care that your service follows this policy.
are given at least 14 days notice of the need for your child to vacate.

How did you find out about this service?

*

I wish to apply for child care placement as detailed at this service.

*

I understand that I must apply to FAO/Centrelink for Child Care Benefit if I intend to claim such benefit. (CCB application forms are available at the service and FAO).

*

I understand that to maintain this place on the waiting list, I/We need to contact the Director of the service at least every three months to confirm our continuing interest. Not doing so will mean the deletion of this application from the waiting list.

Waiting list application