INSTRUCTIONS
Complete this form if you are applying to amend registration by amalgamating two or more existing schools
for the 2015 school year.
This document is an electronic form. You can fill it out and save it as with any Microsoft Word document.
Some text in the document is locked and cannot be altered. Areas shaded in grey indicate where you can
enter text or select a check box. You can practise using the examples below.
Free text field
Tick box
5 Step Application Process
Step 1: Prepare the application form
Read the Guide to the minimum standards and other requirements for school registration and use it as a
reference when completing this application form. Please limit documentation to only the information
requested in the application form. Submissions must be made in hard copy (one copy) by mail and an
electronic copy on CD, or USB or send by email.
Step 2: Submit completed application
School Registration Application 2014
Victorian Registration and Qualifications Authority
GPO Box 2317
Melbourne VIC 3001
Email: vrqa.schools@edumail.vic.gov.au
Please ensure that the application form and the supporting documentation are well organised. A table
detailing where each piece of evidence is located should accompany the application.
Step 3: Pay the application fee when invoiced
The VRQA will acknowledge your application via an electronic invoice for the amount payable. This must be
paid in full before your application will be assessed. The application fee includes a lodgement fee and an
assessment fee. The lodgement fee is non-refundable. The fees can be paid online by credit card
(Mastercard or Visa), BPAY or by Postbillpay. To pay the fees online, follow the instructions found on your
invoice.
Step 4: Your application will be assessed
Following receipt of payment the VRQA will arrange a formal interview to discuss the assessment of your
application and further requirements for compliance with the minimum standards for registration.
Step 5: Decision made on application
Applicants will receive formal advice regarding their registration. A decision on the registration will be made
by the VRQA authorised delegate. If registration is granted, a certificate of registration will be issued.
About this application
There are six sections to this application:
Part A
School information including applicant details
Part B
Governance information including details on the proprietor of the school
Part C
SECTION 1
Information to be forwarded by all applicants as evidence that the schools
meet the minimum standards
SECTION 2
Information to be forwarded by schools offering a senior secondary
qualification, eg the VCE, VCAL or the IB Diploma.
Part D
SECTION 1
Declarations
To be signed by all schools
SECTION 2
Declarations
To be signed by schools offering a senior secondary
qualification
Appendix 1
Declaration of good character
Appendix 2
Attestation of school’s not-for-profit status
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Closing dates
The application must be received by the VRQA no later than close of business on the following dates:
31 March 2014
30 June 2014
29 August 2014
Notes
1
If the school also seeks Senior Secondary registration, this application must be received by the
VRQA no later than 30 June 2014.
2
Applicants are required to inform the VRQA of any change to the particulars or information (including
accompanying documentation) provided in the application for registration within 14 days of the
relevant change.
3
An application for registration will not be assessed if there are outstanding compliance issues.
4
The VRQA works in cooperation with the Victorian Curriculum and Assessment Authority (VCAA)
when assessing applications for registration to deliver the VCE and/or VCAL.
Multiple registrations
Schools seeking registration as a registered training organisation (RTO) and/or to deliver courses to full feepaying overseas students in addition to school registration need to seek further advice from the VRQA’s
Quality Assurance Schools Unit.
Commencement of operation
Under the Education and Training Reform Act 2006 a new campus must not commence operation unless it
has been registered by the VRQA.
PRIVACY DISCLAIMER
All information collected in this application is required by State or Commonwealth legislation and associated
regulatory frameworks. Some information will be made available on the State Register. The Victorian
Registration and Qualifications Authority may share information about this application and your organisation
with other relevant agencies in accordance with the provisions of the Education and Training Reform Act
2006. All other information will be kept secure and confidential.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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PART A – SCHOOL INFORMATION
A.1 Current school details Please complete
Name of school 1
Street address, including any campuses
Postcode
Postal address
(if different from
above)
Postcode
Phone
Mobile
Fax
Email
Name of school 2
Street address, including any campuses
Postcode
Postal address
(if different from
above)
Postcode
Phone
Mobile
Fax
Email
Continued on next page
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Name of school 3
Street address, including any campuses
Postcode
Postal address
(if different from
above)
Postcode
Phone
Mobile
Fax
Email
A.2 Amalgamated school details
Note: The name provided below will be the registered name of the amalgamated school. Please ensure that
the name is accurate.
Name of school (main campus)
Street address
Postcode
Postal address (if
different from above)
Postcode
Phone
Mobile
Fax
Email
Year level/s at this campus
Email address for
invoices
Legal Entity Name1
Legal entity type
1
Incorporated association
Company limited by guarantee
Co-operative
Other
Unincorporated association
Company limited by shares
Please note that invoices will be addressed to this name
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Name of campus 2
Street address
Postcode
Postal address (if
different from above)
Postcode
Phone
Mobile
Fax
Email
Year level/s at this campus
Name of campus 3
Street address
Postcode
Postal address (if
different from above)
Postcode
Phone
Mobile
Fax
Email
Year level/s at this campus
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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A.3 Principal details
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Full name of principal
Postal address
Postcode
Phone
Mobile
Fax
Email
A.4 Details of the contact person for this application
Full name of contact person
Postal address
Postcode
Phone
Mobile
Fax
Email
A.5 Affiliation of the school
Religious or other affiliation (please specify)
A.6 Type of amalgamated school (tick as appropriate)
Primary
Secondary
Co-educational
Single sex
Boys
Girls
Specific purpose*
Specialist*
*Refer to the Guide page 3 for definitions.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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A.7 Proposed date of commencement
A.8 Year levels to be offered (e.g. P–6)
Year/s
A.9 The age range and number of students to be enrolled in the school at
the year levels for which the school is seeking registration.
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Year level
Age range
No. of students
eg Year 7
eg age 11 – 13.5 years
eg 17 students
Total no. students:
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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A.10 Senior Secondary: Units of Study at Year 10
If applying to add Year 10 in 2015, are you proposing to offer any Units of Study/Subjects at Senior
Secondary level, i.e. VCE, VCAL?
Yes
No
N/A
Tick as appropriate.
It is my intention to offer only a limited number of Senior Secondary Units of Study/Subjects at Year 10 in
2015 and not to amend my registration to offer Year 11 in 2016 and Year 12 in 2017 to deliver a full Senior
Secondary Qualification.
Please indicate the number of Units of Study/Subjects to be delivered in 2015:
It is my intention to amend my registration to deliver a full Senior Secondary Qualification at Year 11 and
Year 12 in 2016 and 2017.
Please indicate the number of Units of Study/Subjects to be delivered in 2015:
A.11 Existing registrations held by the applicant with the VRQA
RTO (TOId
)
Yes
No
Yes
No
Senior Secondary Provider – VCE
Yes
No
Senior Secondary Provider – VCAL
Yes
No
Senior Secondary Provider– IB Diploma
Yes
No
CRICOS Provider (No
)
A.12 Other registrations the applicant is currently seeking with the VRQA
RTO
Yes
No
CRICOS Provider
Yes
No
Senior Secondary Provider
Yes
No
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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A.13 Premises
The premises are:
Owned
Rented
Length of lease
Name of landlord
Is there a relationship
between the school and
the landlord (other than
the lease agreement)?
No
Yes (please specify)
Office use only:
RTO: VRQA regulated
Yes
No
Checked
RTO: ASQA regulated
Yes
No
Checked
CRICOS Provider
Yes
No
Checked
Senior Secondary Provider
Yes
No
Checked
Office sign-off:
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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PART B – GOVERNANCE INFORMATION
B.1 Legal Entity (Proprietor) details for amalgamated school
Full name of Legal Entity (Proprietor)
Legal Entity Type
Company limited by guarantee
Company
Incorporated Association
Unincorporated Entity
Other (please specify)
Postal address
Postcode
Phone
Mobile
Fax
Email
ACN
(if the proprietor is
an incorporated body)
ABN
B.2 Chair of the governing body
Full name of the chair of governing body
Chair of governing body’s title
Postal address
Postcode
Phone
Mobile
Fax
Email
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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PART C – INFORMATION TO BE FORWARDED WITH APPLICATION
Schools are required to forward documentation that provides evidence that they meet the minimum
standards for school registration.
Schools are advised to read the Guide to the minimum standards and other requirements for school
registration. This Guide is designed to provide advice on the documentation that is required with this
application to meet the standards and requirements for registration. Listed below are the items and evidence
to be forwarded with the application.
PART C is in two sections
SECTION 1
Information to be forwarded by all applicants
SECTION 2
Information to be forwarded by schools offering a senior secondary qualification, eg the VCE,
VCAL or the IB Diploma
SECTION 1 – Information to be forwarded by all applicants
School governance
Democratic principles
The school must support and promote the principles and practice of Australian democracy in programs and
teaching.
 Please attach:
•
a statement affirming the school’s adherence to the principles
•
an explanation of how the school will communicate such a statement to staff, students,
parents and guardians and the school community.
Structure
The school governance structure must enable the school to develop its strategic direction, manage its
finances and fulfil its legal obligations.
 Please attach:
•
an outline of the governing body’s structure and membership, including details of the experience
and expertise of the members of the Board, and the name and registered type of the legal entity
(where applicable)
•
the company or association's constitution or rules of association which outline the structure and
legal obligations of the Board of the company or association
•
the most recent financial statement for the company or association which must be audited
•
the school’s governance charter, outlining the key functions and responsibilities of the
school board
•
policies relating to the operation, professional development, review and induction of the
governing body and its members.
 Please attach the school’s strategic plan, and the school’s business plan which is certified by a
qualified accountant, ensuring that it includes:
•
enrolment estimates and assumptions
•
the estimated socio-economic status of students and assumptions underpinning this
status
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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•
estimated State and Commonwealth grant funding
•
five year forecast financial statements
•
a description of any service agreements between the school and third parties.
Probity
The proprietor, members of the school’s governing body and any principal of a non-government school must
be of good character and be able to carry out their responsibilities in relation to the operation of the school.
This clause also excludes some persons from undertaking these roles (refer to the Guide for advice).
 Please attach:
•
the Declaration of good character contained in Appendix 1 for each proprietor, member of
the governing body and principal
•
a summary of the qualifications and experience of each person
•
a list of each person and his or her role, e.g. James Black, Chair of Governing Body.
Philosophy
The school must have a clear statement of its philosophy.
 Please attach:
•
a copy of the school’s philosophy which includes the vision, mission, values and objectives of
the school
•
an explanation of how the school’s philosophy is enacted.
Not-for-profit status
The school must be a not-for-profit school.
 Please attach a copy of:
•
the school’s constitution
•
the constitution of the legal entity or proprietor
•
the Attestation of the school’s not-for-profit status (see Appendix 2).
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Enrolment
Student enrolment numbers
A school must have a minimum enrolment of 20 students and, in addition, a secondary school must have an
average enrolment of 10 for each year level for which the school is registered. (Refer to the Guide page 7 for
exceptions to this.)
Only students of compulsory school age are counted. Compulsory school age is from the ages of six to
seventeen. For the purposes of registration, five year old students turning six in the calendar year will be
counted in the minimum enrolment numbers.
There must be evidence in the form of the planned number of enrolments, as declared in the Application to
amend registration: amalgamation, Part A.9.
 Please provide:
•
the confirmed numbers (including names and date of birth for each student) to the VRQA as
soon as they become available.
Note: If this information is not available at the time of the application, details must be provided by the
applicant when they are known or before the school commences operation at the latest.
Enrolment policy
The school must have a clearly defined enrolment policy that complies with all applicable State and
Commonwealth law.
 Please attach a copy of the school’s enrolment policy which is consistent with all legal
requirements and details of how it will be implemented.
Note: A school established by a particular religious denomination or by a group of religious
denominations may have an enrolment policy that gives preference to adherents of that religious
denomination or denominations or their children.
Register of enrolments
A register of enrolments must be maintained that contains, for each student:
•
their name, age and address
•
the name and contact details of any parent or guardian
•
the date of enrolment
•
where applicable, the date the student ceased to be enrolled.
The register a school maintains may be paper-based or electronic.
 Please provide:
•
a description and/or a proforma of the form that the proposed enrolment register will take
•
the processes and procedures to ensure the register is up-to-date.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Curriculum and student learning
Curriculum framework (Do not complete if proposing to offer a senior secondary qualification only.)
A curriculum framework must be in place for the organisation, implementation and review of the school’s
curriculum and teaching practices and to ensure that the learning areas are substantially addressed. (Refer
to the Guide page 8.)
 Please attach documentation which must include:
•
an explanation of how appropriate time will be allocated across the eight learning areas
•
an explanation of how and when curriculum and teaching practice will be reviewed
•
an outline of how the school will deliver its curriculum, whether through the Australian
Curriculum, AusVELS or other approved curriculum programs, integrated programs or online
learning
•
a whole-school curriculum plan showing how the curriculum will be organised.
 Other evidence may include:
•
yearly curriculum program plans for each cohort of students
•
an indication of how the eight learning areas will be addressed across the years of schooling.
Student learning outcomes
The school must have processes in place that enable it to plan for, and achieve improvement in, student
learning outcomes.
 Please attach:
•
the school’s documented strategy to improve student learning outcomes. Such a strategy must
include statements of:
•
what data (such as National Assessment Program – Literacy and Numeracy (NAPLAN)
testing, senior secondary and On Track data) the school will collect to monitor outcomes
•
how the school will analyse and use data to set goals and targets for outcomes,
including for students at risk
•
how the data will be analysed, used and reported. (Refer to page 9 of the Guide for further
details).
Monitoring and reporting on students’ performance
The school must ensure that there is ongoing assessment, monitoring and recording of each student’s
performance and provide each student and parent with access to accurate information about the
performance. Access to information must include at least two written reports to parents per year.
 Please attach the school’s assessment and reporting policies and procedures, including how it will
meet Commonwealth Government student reporting requirements.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Student welfare
Care, safety and welfare of students
A school must ensure that the care, safety and welfare of students is in accordance with any applicable State
and Commonwealth laws.
Staff must be advised of their obligations under these laws.
 Please attach student welfare policies and procedures for:
•
student welfare
•
bullying and harassment, including cyber bullying
•
management of complaints or grievances.
 Please attach student safety policies and procedures for:
•
on-site supervision of students
•
supervision of students when engaged in off-site activities and which includes consideration of
the risk of bushfire in the activity location
•
ensuring the safety and welfare of students learning with an external provider, when the school
contracts with another school or RTO, or an organisation not registered as an education and
training provider (if relevant).
 Please attach student care documentation for:
•
arrangements for ill students
•
policy and procedures for the distribution of medicine
•
anaphylaxis management policy containing matters required by Ministerial Order 706 and the
(associated) Anaphylaxis Guidelines issued by the Department of Education and Early
Childhood Development (DEECD). The website
http://www.education.vic.gov.au/school/teachers/health/Pages/anaphylaxisschl.aspx may assist
applicants to develop this plan.
•
register of staff trained in first aid (a proforma is acceptable)
•
record of student medical conditions and management (a proforma is acceptable).
 Please attach the school’s:
•
mandatory reporting policy and procedures
•
accidents and incidents register
•
first aid policy and procedures
•
internet use policy and procedures
•
critical incident plan
•
emergency management plan which must be reviewed at least annually and immediately after
any significant incident. (This must be site specific and include guidelines on emergency
bushfire management.
 Please attach:
•
evidence of how the school communicates policies and procedures on the care, safety and
welfare of students to staff, students, parents and the school community.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Emergency Bushfire Management
To confirm whether your school should be placed on the Bushfire At-Risk Register, contact
bushfires@edumail.vic.gov.au
For schools that are amalgamating; to confirm if your school is on the Bushfire at Risk Register http://www.education.vic.gov.au/about/programs/health/Pages/bushfirerisk.aspx
For a school not on the Bushfire At-Risk Register
 Please attach evidence in the form of:
•
a schedule for monitoring and removal of materials that may be easily ignited, including
branches overhanging buildings, debris and rubbish around and under buildings, including
gutters, and dry grass and vegetation
•
procedures to ensure safe storage of flammable materials.
Please attach evidence that:
•
building exits will be continuously kept clear of obstructions
•
assembly points are designated and have appropriate access to emergency equipment
•
there is access to facilities and grounds for emergency vehicles.
For a school on the Bushfire-At-Risk Register extra procedures, in addition to the above, apply
 Please attach evidence of the school’s:
•
provision of information on bushfire preparedness policy and procedures to staff (including relief
staff) and parents
•
training of staff with specific roles and responsibilities in preparing for, monitoring and executing
emergency bushfire procedures, including the effective operation of relevant emergency
equipment
•
practice of evacuation procedures and drills at least once per term during the October- March
bushfire season.
 Please attach evidence of:
•
a register of bushfire emergency equipment, in working order, which may include water systems
and equipment; fire hydrants; hose reels and extinguishers; sprinkler systems; alarms; first aid
materials and medical equipment; fire blankets and communication systems.
 Please attach evidence of:
•
notices of bushfire evacuation procedures and bushfire emergency contact numbers located
appropriately around the school
 Please attach evidence that the school will maintain:
•
a record of annual visitation or consultation with relevant local agencies , (the Country Fire
Authority, Metropolitan Fire and Emergency Services Board, local Council) ) on bushfire
preparedness and compliance with local bushfire regulation of buildings, facilities and grounds.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Discipline
The school must provide its behaviour management policy and procedures, including policies in relation to
student engagement and the suspension or expulsion of students, together with an outline of how the school
will communicate these policies and procedures to the school community. These policies must be based on
principles of procedural fairness and must explicitly state that corporal punishment is not permitted.
 Please attach:
•
a policy that explicitly states that corporal punishment is not permitted
•
the school’s behaviour management policy and procedures which includes how the policy and
procedures ensure procedural fairness
•
an outline of how the school communicates these policies and procedures to the school
community (refer to the Guide page 12 for further details).
Such policies and procedures may, but will not necessarily, include:
•
an explanation of the school’s approach to discipline and how it ensures procedural fairness
•
procedures for suspension, expulsion and exclusion
•
procedures for imposing penalties
•
documentation and communication processes.
Attendance monitoring
Policy and procedures must exist to monitor daily attendance, identify absences from school or class, follow
up unexplained absences, and notify any parent or guardian regarding unsatisfactory attendance and record
unsatisfactory attendance information on student files.
 Please attach the school’s documented procedures to:
•
check attendance at least twice per day
•
monitor daily attendance and to identify absences from school or class
•
follow up unexplained absences
•
notify parents of unsatisfactory attendance
•
record unsatisfactory attendance on each student’s file.
Attendance register
The school must maintain an attendance register of students and record in it each student’s attendance at
least twice per day as well as any reason (given or apparent) for a student’s absence.
 Please attach a copy of the school’s attendance register or, if it is in electronic form,
an explanation of how attendance will be recorded on the system.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Staff employment
Teachers’ requirements
All teachers employed to teach at the school must be registered or have permission to teach, and comply
with any conditions or limitations of that registration.
 Please attach:
•
an indication of the number of teaching staff to be employed at the school
•
a statement of intent to maintain a register containing each teacher’s name, academic
qualifications and their Victorian Institute of Teaching (VIT) registration number and VIT
category of registration (provisional registration, full registration, permission to teach) and the
expiry and renewal date of the teacher’s registration.
Note: If the information for the above items is not available at the time of the application, details
must be provided by the applicant when they are known or before the school commences
operation at the latest.
•
the list of all teachers containing each teacher’s name, academic qualifications, their VIT
registration number and VIT category of registration (provisional registration, full registration,
permission to teach) and the expiry and renewal date of the teacher’s registration.
Compliance with the Working with Children Act 2005
The requirements of the Working with Children Act 2005 must be complied with in respect of the employment
of all non-teaching staff at a school.
 Please attach:
•
procedures to ensure that all staff required to do so by the Working with Children Act 2005 have
a current Working with Children Check
•
a register of the Working with Children Check for all non-teaching staff (a proforma is acceptable)
•
procedures for maintaining the register (refer to the Guide page 13 for further details).
School infrastructure
Buildings, facilities and grounds
The school’s buildings, facilities and grounds must comply with any laws that apply to the school including
local laws and building, planning and occupational health and safety laws.
 Please attach a copy of the:
•
permit to operate an education centre on site
•
maintenance schedule for buildings, facilities and grounds
•
occupational health and safety policy and procedures
•
rental or lease arrangements (if applicable).
The items listed below must be provided by the applicant when they are known or before the school
commences operation at the latest:
•
documentation showing that buildings and facilities comply with local planning regulations
and the Building Code of Australia, including a 9B occupancy certificate
•
essential services register.
Educational facilities
The educational facilities of the school must be suitable for the programs offered by the school and the age
levels of the students.
 Please attach relevant documentation. Evidence must include:
•
a plan of the school showing the location of facilities available for each program offered across
the school day.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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SECTION 2 – Information to be forwarded by schools offering a senior
secondary qualification, eg the VCE, VCAL or the IB Diploma
Accredited senior secondary qualification
Indicate which accredited senior secondary qualification you are applying to deliver. Authorisation to deliver
the VCE and VCAL from the Victorian Curriculum and Assessment Authority (VCAA) will be processed as
part of the application process. Approval to deliver the International Baccalaureate Diploma (IB Diploma)
must be obtained by the applicant from the International Baccalaureate (IB).
Victorian Certification of Education (VCE)
Victorian Certificate of Applied Learning (VCAL)
International Baccalaureate Diploma (IB). Please attach IB approval.
Partnership
Will any part of the accredited course be delivered through a partnership arrangement?
No
Yes – please provide the name of the proposed partner organisation/s below.
Proposed partner organisations
Name of proposed partner organisation
Responsibilities of partner organisation – course to be delivered
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Student learning outcomes
A school must ensure that it understands the awarding body’s requirements and course outlines.
 Please attach:
•
current student and staff handbooks and course outlines for the accredited qualification
•
sample student learning sequences or plans for the accredited qualification
•
procedures and documentation to indicate that staff and students have been provided with
current and accurate information about the awarding body’s requirements including course
standards, timelines and qualification requirements
•
a copy of a written agreement between the providers stating how the requirements of the
student learning outcomes standard will be met, if the school shares responsibility for a
senior secondary course with another provider.
Student records and results
A school must ensure that it has policies and procedures for senior secondary assessment, administration of
records and monitoring and analysis of results.
 Please attach a copy of:
•
policies and procedures for senior secondary assessment, administration of records and
monitoring and analysis of results to meet the requirements of the standard
•
if the school shares responsibility for a senior secondary course with another provider, there
must be evidence in the form of a copy of a written agreement between the providers
stating how the requirements of the records and results standard will be met.
Student welfare
A senior secondary education provider must ensure that it has policies and procedures in place to provide
students with a safe environment and opportunities for students with special needs to access courses.
A senior secondary education provider must ensure that there are appropriate procedures in place for
students where two or more senior secondary education providers share responsibility for providing an
accredited senior secondary course.
•
 Please attach:
an outline of how students with special needs will be provided with opportunities to access
the course
•
policies and procedures to ensure the care, safety and welfare of students who undertake
learning activities with an external provider (where applicable)
•
a written agreement between providers stating how each manages its legal responsibilities for
students who attend the course, travel between providers or go on excursions, if the school
shares responsibility for a senior secondary course with another provider.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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Teaching and learning
A senior secondary provider must ensure that it has competent and qualified staff to teach and assess the
course and to ensure there are suitable teaching resources and physical facilities to provide the course.
 Please attach a copy of:
•
a register of teachers’ qualifications or the principal’s attestation of teachers’ qualifications
•
a plan of the school showing the location of physical facilities to support the course
•
an overview of teaching resources
•
policies and procedures to ensure the consistent application of assessment criteria and
practices and to oversee the conduct of assessments of the course.
If the school shares responsibility for a senior secondary course with another provider, there must be
evidence in the form of a copy of a written agreement between the providers stating how the requirements of
the teaching and learning standard will be met.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
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PART D – DECLARATION FOR NEW SCHOOLS
PART D is in two sections
SECTION 1
Declarations
To be signed by all schools
SECTION 2
Declarations
To be signed by schools offering a senior secondary qualification
Section 1 – To be completed by all schools
Enrolment
The enrolment numbers provided in the Application to amend registration:
amalgamation are a true and accurate record.
Yes
No
The school will maintain a register of enrolments that contains the following information in relation to each
student enrolled at the school:
a) the student’s name, age and address
Yes
No
b) the name and contact details of any parent or guardian of the student
Yes
No
c) the date of enrolment of the student
Yes
No
d) the date that the student ceases to be enrolled at the school (if applicable).
Yes
No
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
23
Other requirements
Information on school’s performance to be available
1 Information concerning the school’s performance will be made available to the
community of the school at least once a year.
Yes
No
2 The information will include:
a) a description and analysis of student learning outcomes achieved by the school’s students
in statewide tests and examinations in which the school participates for
(i)
the current year
Yes
No
(ii)
if the school has been established for more than 2 years,
the previous 2 years
Yes
No
b) a description and analysis of the rates of student attendance for
the year
Yes
No
c) a report of the school’s financial activities
Yes
No
d) copies of any other reports that the school is required to prepare for
the school community under any funding agreements with the State
or the Commonwealth.
Yes
No
The school will comply with the requirements of the Education and Training
Reform Act 2006 and the Education and Training Reform Regulations 2007.
Yes
No
The school will comply with any condition imposed on its registration by or under
the Education and Training Reform Act 2006 or the Education and Training
Regulations 2007.
Yes
No
The school will have policies and procedures in place to enable it to comply with
the prescribed minimum standards for registration that are applicable to the
school.
Yes
No
Yes
No
Changing a school’s particulars
The principal of a registered school must notify the VRQA within 30 days of any
changes to specified details of a school.
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
24
Declaration to be signed by person, or on behalf of the body, proposing to establish or
conduct the school
I declare the information contained in this application is true and correct.
Name
(Please print)
Position
Signature
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
Date
25
SECTION 2 – To be completed only by schools offering senior
secondary qualifications
Governance and probity
A school must ensure that its governing structure manages its responsibilities well in relation to senior
secondary provision The evidence for this standard is addressed in the standard for a registered school
under School governance-Structure on page 9 of the Guide to the minimum standards and other
requirements for school registration. In addition:
The provider will ensure that there are suitable arrangements in place:
a) to enable the provider to respond to and supply any information requested
by the VRQA in regard to the probity of the provider
Yes
No
b) to enable the provider to comply with any relevant guidelines issued
by the VRQA
Yes
No
c) to enable the VRQA to conduct an audit on the operation of the person,
body or school in relation to the minimum standards.
Yes
No
Ensure that, if a senior secondary education provider is not the owner of an
accredited senior course, that the provider is authorised by the owner of the
course to provide the course and complies with the conditions relating to
that authorisation.
Yes
No
The provider will not provide instruction in an accredited senior secondary course
unless the school is registered.
Yes
No
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
26
Declaration to be signed by person, or on behalf of the body, proposing to establish or
conduct a new campus for the school
I declare the information contained in this application is true and correct.
Name
(Please print)
Position
Signature
APPLICATION TO AMEND REGISTRATION: AMALGAMATION MARCH 2014
Date
27
APPENDIX 1: DECLARATION OF GOOD CHARACTER
To be completed by the proprietor, all governing body members and the school principal. A principal means
a person appointed to the position as principal of a registered school or a person in charge of a registered
school (the Act section 1.1.3).
Answer ALL the following questions by crossing the correct box. Then date and
sign the declaration.
Have you been found guilty of an offence which involved theft, dishonesty
or fraud?
Yes
No
Have you been found guilty of an indictable offence which is, or which would
if committed in Victoria be, an indictable offence?
Yes
No
Have you obtained education qualifications through dishonesty or assisted others
to obtain education qualifications through dishonesty?
Yes
No
Are you, or have you been subject to an order or a law disqualifying you from
being employed by or involved in managing a school?
Yes
No
Are you the subject of current disciplinary action in any professional
or occupational capacity?
Yes
No
Have you been the subject of disciplinary action in any professional
or occupational capacity that involved a finding of guilt?
Yes
No
(i) when not registered as a teacher as required under the laws
of the relevant country?
Yes
No
(ii) if registered as a teacher, contravened a condition, limitation
or restriction on which your registration was granted?
Yes
No
Yes
No
Have you ever engaged in teaching:
or
Are you or have you ever been bankrupt or have you taken the benefit of any law
for the relief of bankrupt debtors, or compounded with your creditors or made an
assignment of your property for your benefit?
 If you answered ‘yes’ to any question, please provide further details on a separate sheet of paper
and attach it to this declaration.
DECLARED on the
day of
20
(Day, month and year)
by
(Name of person signing)
the
(Title of person signing)
with the authority of and for
and on behalf of
(Name of school)
X
(Signature of person
making the declaration)
APPENDIX 1 MARCH 2014
28
APPENDIX 2: ATTESTATION OF SCHOOL’S NOT-FOR-PROFIT STATUS
About this attestation
Under the Education and Training Reform Regulations 2007 (Regulations 2 and 7), a school must not be
established or conducted for the purpose of profit or gain if it:
•
was registered on or after 1 July 2007
•
was registered before 1 July 2007 and, on or after 1 July 2007, the registration of the school is
amended by the VRQA to include an additional campus or year level.
How to use this attestation
Complete this attestation if the school is applying to:
•
register for the first time
•
amend its registration by amalgamating with another school, opening a new campus
or adding a year level.
For further information, contact the VRQA on 03 9651 3288.
Definitions
The following definitions are used in this attestation.
‘Proprietor’ (in relation to a school) includes the governing body of the school.
‘Conduct’ of a school includes:
•
fund-raising activities conducted solely for the school
•
the provision of goods and services and other matters or things to students attending the school
•
the provision of other educational or similar services.
‘Entity’ includes a trust.
‘Prohibited agreement or arrangement’ means an agreement or arrangement that is made with an entity that
carries on business for profit or gain where:
•
the purpose of the agreement or arrangement is to pay or divert any profit or gain made in the
conduct of the school to that entity or any other entity (other than a payment made in good faith
for goods provided or services rendered to the school); or
•
the agreement or arrangement:
–
involves a payment by the school or the proprietor of the school for a purpose where
the payment is excessive compared to the charges, fees, rates or costs for the time being
prevailing in the community for payment for that purpose (other than a payment made in
good faith for that purpose); or
–
involves a gift, loan or similar payment by the school or the proprietor of the school
(other than deposits made to a bank in connection with the conduct of the school); or
–
involves a payment by the school or the proprietor of the school that is not a payment
made in good faith for goods provided or services rendered to the school.
APPENDIX 2 MARCH 2014
29
ABOUT THE SCHOOL’S NOT-FOR-PROFIT STATUS
Answer ALL the following questions by crossing the correct box.
1 Is the school established for the purpose of profit or gain?
Yes
No
Yes
No
Yes
No
Answer ‘No’ if the school is not established for the purpose of profit or gain as that
concept is explained in this application form and the Regulations. The constitution
or governing documents of the school must specify that its assets and income be
applied solely toward the conduct of the school.
2 Does the proprietor of the school conduct the school for the purposes of
profit or gain?
Answer ‘No’ if proprietor of the school does not conduct the school for the
purpose of profit or gain.
A proprietor of a school is not to be taken to conduct the school for the purpose of
profit or gain if the proprietor makes a financial surplus in the course of the proper
administration of the school.
3 Is any part of the profit or gain made in the conduct of the school
distributed to any entity?
Answer ‘No’ if no part of the profit or gain made in the conduct of the school is or
may be distributed to any entity.
A proprietor of a school is not to be taken to conduct the school for the purposes
of profit or gain if the proprietor makes a financial surplus in the course of the
proper administration of the school.
Continued on next page
APPENDIX 2 MARCH 2014
30
4 Is any money and property received by the school or the proprietor of the
school for the conduct of the school NOT applied solely towards the
conduct of the school?
Yes
No
Yes
No
Yes
No
Yes
No
Answer ‘No’ if all money and property received by the school or the proprietor of
the school for the conduct of the school is applied solely towards the conduct of
the school.
5 Is the proprietor of the school a party to a prohibited agreement or
arrangement?
Answer ‘No’ if the school’s proprietor is not a party to a prohibited agreement or
arrangement.
6 If the school is a non-government school, on the closure of the school
are any surplus assets of the school remaining after payment of the
school’s liabilities NOT required by the constitution or rules governing the
school to be:
•
used by the proprietor of the school for providing education
services to school-age children or for other not-for-profit
purposes
•
given to a not-for-profit entity operating within Australia that
provides education services to school children or that has
similar purposes to the proprietor?
or
Answer ‘No’ if the school is a non-government school, and on the closure of the
school, any surplus assets of the school remaining after payment of the school’s
liabilities are required by the constitution or rules governing the school to be:
•
used by the proprietor of the school for providing education
services to school-age children or for other not-for-profit purposes
•
given to a not-for-profit entity operating within Australia that
provides education services to school children or that has similar
purposes to the proprietor.
or
7 Did you answer ‘No’ to questions 1-6?
By answering ‘Yes’ to this question, you are confirming that the school for which
you are completing this attestation complies with the not-for-profit requirements of
the Regulations. If you answer ‘No’, it means your school does not comply with
the not-for-profit requirements.
Please complete the declaration on the next page.
APPENDIX 2 MARCH 2014
31
School’s not-for-profit status attestation statutory declaration
See information below regarding the Evidence (Miscellaneous Provisions) Act 1958
Date and sign the following statutory declaration.
I,
(Full name of declarant)
of
(Address of declarant)
do solemnly and sincerely declare that I acknowledge that the contents of this document are true and
correct and I make it in the belief that a person making a false declaration is liable to penalties of perjury.
Declared at
(Location of signing)
in the State of Victoria
This
day of
20
(Day, month and year)
I hereby confirm that the contents of this document are true and correct in every particular.
X
(Signature of declarant)
before me X
(Signature and authority
of authorised witness)
I hereby confirm that the board / committee / trustee of the school authorises the declarant to make this
statutory declaration and attach a copy of that authority.
X
(Signature of person
authorised by the school’s
board / committee / trustee)
(Authorised person’s office)
APPENDIX 2 MARCH 2014
32
Authorised persons
Under the Evidence (Miscellaneous Provisions) Act 1958, this statutory declaration can be signed by
any one of:
•
a justice of the peace or a bail justice
•
a public notary
•
an Australian lawyer (within the meaning of the Legal Profession Act 2004)
•
a clerk to an Australian lawyer
•
the prothonotary or a deputy prothonotary of the Supreme Court, the registrar or a deputy registrar of
the County Court, the principal registrar of the Magistrates’ Court or a registrar or deputy registrar of
the Magistrates’ Court
•
the registrar of probates or an assistant registrar of probates
•
the associate to a judge of the Supreme Court of the County Court
•
the associate of an Associate Judge of the Supreme Court or an associate judge of the County Court
•
a person registered as a patent attorney under Chapter 20 of the Patents Act 1990 of the
Commonwealth
•
a member of the police force
•
the sheriff or a deputy sheriff
•
a member or former member of either House of the Parliament of Victoria
•
a member or former member of either House of the Parliament of the Commonwealth
•
a councillor of a municipality
•
a senior officer of a Council as defined in the Local Government Act 1989
•
a medical practitioner registered under the Health Professions Registration Act 2005
•
a dentist registered under the Health Professions Registration Act 2005
•
a veterinary practitioner
•
a pharmacist
•
a principal in the teaching service
•
the manager of an authorised deposit-taking institution
•
a member of the Institute of Chartered Accountants in Australia or the Australian Society of
Accountants or the National Institute of Accountants
•
the secretary of a building society
•
a minister of religion authorised to celebrate marriages
•
a person employed under Part 3 of the Public Administration Act 2004 with a classification that
is prescribed as a classification to which this section applies or who holds office in a statutory authority
with such a classification
•
a fellow of the Institute of Legal Executives (Victoria).
APPENDIX 2 MARCH 2014
33