Minors Pre-Approval Form


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Minors Pre-Approval Form (A) This form must be completed by parents or legal custodians for ALL students UNDER 18 YEARS of age at time of enrolment. Student’s ECC ID:_______________________ Student’s Family Name: ___________________________ Student’s First Name: _______________________________ Student’s Date of Birth: _____________________ Please indicate your intentions with respect to long term accommodation arrangements on arrival in Perth: Living in Homestay You can apply for homestay accommodation with either of the following:  

Australian Homestay Network (AHN): http://www.homestaynetwork.org/supervisors/page/86-WA-Homestay-Network-The-WAHN-Team Perth Student Accommodation (PSA): http://www.perthstudentaccommodation.com/

Living with parent(s) or legal custodian Living with a relative who is over 21 years of age, as nominated by the student’s parents -

Defined as sibling, spouse, de factor partner, grandparent, aunt or uncle, niece or nephew, step-sibling, step-grandparent, step uncle or uncle, step-niece or nephew. Evidence of relationship is required. This relative must have a visa to remain in Australia for the duration of your student visa or until you turn 18

Living with a local carer who is over 21 years, as nominated by student’s parents, to be approved by ECC -

A National Police Check is required for the local carer, and can be applied for at https://www.afp.gov.au/what-we-do/services/criminalrecords/national-police-checks. The local carer must complete ECC’s Local Carer Duty Statement, which will be provided by ECC Admissions to the Local Carer directly

Relative’s or Local Carer’s details: Relationship to student or student’s family: ______________________________________________________________ Family Name: ___________________________________________ First Name: _______________________________ Address: _________________________________________________________________________________________ Home Phone: _________________ Work Phone: __________________ Mobile Phone:__________________________ Email: ______________________________________ Parent’s Details: Family Name: ___________________________________________ First Name: _______________________________ Address: _________________________________________________________________________________________ Home Phone: _________________ Work Phone: __________________ Mobile Phone:__________________________ Email: ______________________________________ Parent Approval I/We as parent/s or legal custodian/s approve the above arrangements for accommodation for our son/daughter. Signed: ______________________________________________________________

Date: ___/___/_____

Student Agreement I agree to inform ECC if I have any intentions of changing my accommodation arrangements and I agree that I will not change my accommodation arrangements without the prior consent of ECC. Signed: ______________________________________________________________

Date: ___/___/_____

Office Use Only: Check completed by: _____________________________________________________ Police Clearance confirmed (if required)? Yes

No

N/A

Date: ___/___/_____

Notes on Check: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ QMKFO014 H:\Forms\Minors Pre-Approval Form (A).doc

Last updated 30/10/2018 Page 1 of 1