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Student Details

Date of Birth
Day
Month
Year
Does the student identify as Aboriginal or Torres Strait Islander?
Nationality
Country of Birth
Australian Citizen
Number of children in family?

(Centerlink Reference Number)

Anticipated commencement at CCM? Stage/Age
Are there any siblings entering CCM in the future?
Does the enrolling student have any specific needs or needs that may impact their ability to fully participate in the curricular or co-curricular programs provided by CCM or any special talents which CCM may need to accommodate?

These must be disclosed to ensure CCM can meet your child's educational needs.

In the past three years, has your child received, or is he currently receiving any of the following professional services?

These must be disclosed to ensure CCM can meet your child's educational needs.

Privacy Disclaimer

We acknowledge and respect the privacy of our clients.

By completing this form, you have consented to this information being collected. You have the right to access and alter personal information concerning yourself or your child in accordance with the Privacy Act 1998 and our Privacy Policy.


Non-Discrimination Policy

We value diversity among our students. We do not discriminate in our enrollment policies on the basis of race, color, gender, religion, sexual orientation, national or ethnic origin.

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