Mill Park SC Enrolment Handbook 2021

Camps, Sports and Excursions Fund (CSEF) Application Form Parent/legal guardian details Surname First name Address Town/suburb State Postcode Contact number Centrelink pensioner concession OR Health care card number (CRN) – – – OR Foster parent* OR Veterans affairs pensioner (Gold Card)** *Foster Parents must provide a copy of the temporary care order letter from the Department of Health and Human Services (DHHS). **Applicants must provide a copy of the Veteran Affairs Gold card I authorise the Department of Education and Training (DET) to use Centrelink Confirmation eServices to perform an enquiry of my Centrelink customer details and concession card status in order to enable the business to determine if I qualify for a concession, rebate or service. I also authorise the Australian Government Department of Human Services (DHS) to provide the results of that enquiry to DET. I understand that: • DHS will use information I have provided to DET to confirm my eligibility for the Camps, Sports and Excursions Fund and will disclose to DET personal information including my name, address, payment and concession card type and status. • this consent, once signed, remains valid while my child is enrolled at a registered Victorian school unless I withdraw it by contacting the school. • I can obtain proof of my circumstances/details from DHS and provide it to DET so that my eligibility for the Camps, Sports and Excursions Fund can be determined. • if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the Camps, Sports and Excursions Fund provided by DET. • Information regarding my eligibility for the Camps, Sports and Excursions Fund may be disclosed to the Victorian Department of Health and Human Services and /or State Schools Relief for the purpose of evaluating concession card services or confirming eligibility for assistance. You are able to request access to the personal information that we hold about you, and to request that any errors be corrected, by contacting your child’s school. Signature of applicant Date / / Student details Student’s surname Student’s first name Student ID D.O.B. (dd/mm/yyyy) Year level School Name MILL PARK SECONDARY School REF ID 8775 Fees MILL PARK SECONDARY COLLEGE • 2021 HANDBOOK 16