ATTACH PASSPORT SIZE PHOTO HAMILTON BOYS’ HIGH SCHOOL Argyle House Enrolment Form Hamilton Boys’ High School, Private Bag 3201, Waikato Mail Centre, Hamilton 3240 Ph. +64 7 853 0437 [email protected]www.hbhs.school.nz SCHOOL USE ONLY APPLICATION CONFIRMED APPLICATION LETTER NOTES: SURNAME FIRST NAME DATE OF BIRTH CURRENT SCHOOL PLEASE INDICATE THE ACADEMIC AND CALENDAR YEAR OF ENTRY YOU ARE PROPOSING LEVEL OF ENTRY (Please circle) 9 10 11 12 13 Y 2 0 Y YEAR OF ENTRY YOUR SON’S DETAILS ADDRESS ADDRESS AREA CODE D D M M Y Y Y Y PARENT CONTACT FOR THIS APPLICATION MIDDLE NAME(S) POSTCODE PARENT CONTACT PHONE NUMBER
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HAMILTON BOYS’ HIGH SCHOOL Argyle House Enrolment Form
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ATTACH PASSPORT SIZE PHOTO
HAMILTON BOYS’ HIGH SCHOOL
Argyle HouseEnrolment Form
Hamilton Boys’ High School, Private Bag 3201, Waikato Mail Centre, Hamilton 3240 Ph. +64 7 853 0437 [email protected] www.hbhs.school.nz
SCHOOL USE ONLY APPLICATIONCONFIRMED
APPLICATIONLETTER
NOTES:
SURNAMEFIRST NAME
DATE OF BIRTH CURRENT SCHOOL
PLEASE INDICATE THE ACADEMIC AND CALENDAR YEAR OF ENTRY YOU ARE PROPOSING
LEVEL OF ENTRY(Please circle) 9 10 11 12 13 Y2 0 YYEAR OF ENTRY
YOUR SON’S DETAILS
ADDRESS
ADDRESS
AREA CODE
D D M M Y Y Y Y
PARENT CONTACT FOR THIS APPLICATION
MIDDLE NAME(S)
POSTCODE
PARENT CONTACT PHONE NUMBER
Hamilton Boys’ High School Argyle House Enrolment Form
FAMILY DETAILSMOTHER
SURNAME
GIVEN NAMES
OCCUPATION
HOME ADDRESS
PHONE (HM)
PHONE (BUS)
MOBILE
EMAIL
AREA CODE
AREA CODE
POSTCODE
WORKPLACE
FATHER
SURNAME
GIVEN NAMES
OCCUPATION
HOME ADDRESS
PHONE (HM)
PHONE (BUS)
MOBILE
EMAIL
AREA CODE
AREA CODE
POSTCODE
WORKPLACE
Mrs Ms Miss (please circle)
Please print clearlyPlease print clearly
(Primary Caregiver)(Primary Caregiver)
SECONDARY CAREGIVER
(STATE RELATIONSHIP)
MOBILE
HOME ADDRESS
PHONE (HM)AREA CODE
PHONE (BUS)
AREA CODE
OCCUPATION
WORKPLACE
EMAILPlease print clearly
(If applicable)
SECONDARY CAREGIVER
(STATE RELATIONSHIP)
MOBILE
HOME ADDRESS
PHONE (HM)AREA CODE
PHONE (BUS)
AREA CODE
OCCUPATION
WORKPLACE
EMAILPlease print clearly
(If applicable)
NAME NAMESURNAME SURNAME
“Sapiens fortunam fingit sibi” - A wise man carves his own fortune
New Zealand/Australian Birth Certificate New Zealand Student Visa
Parents Work Visa Expiry Date
Expiry Date
NZ RESIDENCY STATUS(Please indicate the category which applies to this applicant)
International Fee Payer
To which ethnic groups does your son belong:
ETHNICITIES
1. 2. 3. 4.
Date of entry to New Zealand
First Language If NZ Maori, please state tribal affiliations
Country of birth Citizenship
BOARDER DETAILS
YES NO
Secondary School Bursary(Year 12 or 13)
Are you applying for:
Boarding Allowance
YES NO
YES NO(You must live more than 4.8km from the school bus stop or your son would need to leave home before 7.30am and set down at 5.00pm.)
YES NOMaipihi Pounamu Scholarship (Administered by the Maori Education Foundation)
Name of nearest Secondary School from home:
Distance of nearest Secondary School from home:
If yes, how far is it from your home to catch the bus?
What time would your son leave home to catch the bus?
What time would he arrive home?
If yes, how many?YES NOAre bus changes needed en route?
Is transport to and from Hamilton available on a daily basis?
Is a school bus available to nearest Secondary School?
COMMUNICATIONWhere father and mother have different addresses please indicate the primary parent or guardian responsible for daily care. Father Mother Other Caregiver
Parents whose addresses are different: do you require a separate report?
Do you want to receive general notices
Yes
Yes
No
No
FAMILY ASSOCIATION WITH A BOARDING SCHOOL
YEARS RELATIONSHIP
(Please indicate any family boarding history)
NAME ie. Parents, Brother, Sister, Aunties and Uncles. BOARDING HOUSE
ie. FAMILY OF APPLICANT
LEARNING SUPPORTPlease tick any intervention or formal diagnosis your son has received.
Educational Psychologist
Child Development Centre Referral (CDC) Resource Teacher Learning & Behaviour Referral (RTLB)
Other __________________________________________________________
I/We acknowledge that by signing this application to enrol at Hamilton Boys’ High School we agree that our son is required abide by all school rules and regulations.
I agree to my child taking part in local EOTC events. I acknowledge the need for him to behave responsibly. I understand that there are risks associated with involvement in the school’s EOTC events and that these risks cannot be completely eliminated.
I understand HBHS will identify any foreseeable risks or hazards and implement correct management procedures to eliminate or minimise those risks.Please note: Parents will be required to fill out a separate and more specific consent form for excursions that involve further travel and higher level of risk.
I understand that HBHS does not accept responsibility for loss or damage to personal property (either my child’s property or damage to other’s property caused by my child) and that it is my responsibility to check my own insurance policy. Permission is granted to utilise any photos taken of the student in school publications.
CONDITIONS OF ENROLMENTI/We acknowledge that by signing this application to enrol at Hamilton Boys’ High School we agree that our son is required to wear the school uniform as prescribed and abide by all boarding house rules and regulations.
MOTHER D D M M Y YDATE Y Y
STUDENT D D M M Y YDATE Y YSIGNATURE
FATHER D D M M Y YDATE Y YSIGNATURE
SIGNATURE
Hamilton Boys’ High School, Private Bag 3201, Waikato Mail Centre, Hamilton 3240 Ph. +64 7 853 0437 [email protected] www.hbhs.school.nz
BACKGROUND AND EXPECTATIONS1. Why do you want to come to Hamilton Boys’ High School and Argyle House? (Student to complete in own handwriting)
2. What are your academic strengths, and in which areas do you need support to improve?
3. Outline your involvement in Sports, Music, Arts, Hobbies and other interests (Please specify sports teams, music groups or other activities)
4. How will you as parents contribute to Argyle House and Hamilton Boys’ High School? (Parents to complete)
APPLICATION CHECKLISTPlease tick all necessary boxes to show you have supplied the necessary documentation. All documentation must be supplied. The application will not be processed until it is all complete. Please supply copies unless you do not need the original.
All Applications Documentation required (copies only please)
NZ/Australian Birth Certificate
HBHS Confidential Health Form
Relevant NZ Residency Status Documentation
Most recent school report
Relevant references or achievements
Passport size portrait photo (attach to front of application)
Argyle House Medical Information & Permission Form