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Your selected centre(s)

KU Killara Park Preschool, KILLARA NSW 2071

Please complete the following form

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[Hidden field] List of cc email address from each centre user applied. Warning: removing this field will break the form

CHILD DETAILS
PARENT/CARER DETAILS
Parent/Carer 1

Please provide your home/mobile number

Parent/Carer 2
ENROLMENT PREFERENCES
Preferred days of enrolment *
ADDITIONAL INFORMATION
(This information is collected to determine priority of access according to Government Legislation and operational policy)

If you have an NDIS plan/number, please provide.

NAB – additional information to assist in determining priority of access
For employees of NAB ONLY
Parent/Carer 1 Details

Please provide a screen shot of your NAB intranet directory page as proof of your employment status, noting your ‘workforce type’ (this is to ensure your eligibility to use the facility). Maximum 3, with each under 2MB.

Parent/Carer 2 Details

Please provide a screen shot of your NAB intranet directory page as proof of your employment status, noting your ‘workforce type’ (this is to ensure your eligibility to use the facility). Maximum 3, with each under 2MB.

Please provide a screen shot of your NAB intranet directory page as proof of your employment status, noting your ‘workforce type’ (this is to ensure your eligibility to use the facility).

Access to care will be assessed according to the NAB and Commonwealth Government’s Child Care Subsidy (CCS) access guidelines:

  1. NAB employee
  2. Length of time on waiting list
  3. Return to work from parental leave
Westpac Group – additional information to assist in determining priority of access
For employees of Westpac Group ONLY (KU Kogarah Children’s Centre)
Which of the following applies to you?

Please specify your end of term date if you are under a fixed term employment arrangement.

For community applicants
Commonwealth Bank – additional information to assist in determining priority of access
For Employees of the Commonwealth Bank Group ONLY

If you are an employee of the Commonwealth bank Group, please complete section ‘for employees of the Commonwealth Bank Group’ below.

If answered ‘none of the above’, what is the current employment status of Parent/Carer No.1?

Which of the following applies to you?

Please tick all that apply

KU ANSTO Children’s Centre – additional information to assist in determining priority of access

Please specify your end of term date if you are under a fixed term employment arrangement.

Which of the following applies to you?

Please tick all that apply

For Community Applicants
Which of the following applies to you?

Please specify the grandparent's name if the child’s grandparent is an ANSTO ongoing or fixed term employee

Sydney University – additional information to assist in determining priority of access
KU Carillon Avenue Children’s Centre and KU Union Children’s Centre ONLY
Which of the following applies to you?

Please tick all that apply

The Treehouse – additional information to assist in determining priority of access
pleaseTickAllThatApplyStockland

Please tick all that apply

Please note

Access to care at the centre will be assessed according to Treehouse Priority of Access and the Federal Government’s Child Care Subsidy (CCS) Access Guidelines:

  1. Stockland employees
  2. Length of time on Wait List
  3. Community
The Joey Club – additional information to assist in determining priority of access
Shift Work (The Joey Club Melbourne and The Joey Club Brisbane ONLY)

If you are a shift worker, then please estimate how frequently you might need care for your child/ren, should care not be required on a regular weekly basis. Please specify the following:

The number of days above. Is that per week, per fortnight, or something else?

Waiting list forms may also be allocated priority for:

  • A Qantas employee’s Return to Work date following parental leave.
  • Family circumstances, e.g. child or family with additional needs, multiple children, i.e. twins or triplets, or another child under 6 years, one parent family etc.

In order for KU Children’s Services to assess your waiting list form for a place at The Joey Club, please complete the details below.

Employment Details

PARENT/CARER NO.1

Employment arrangement

Please specify if you choose "Other" in your employment arrangement

Return to work date following parental leave or Return to work date following parental leave or envisaged date

By inserting your name here, you confirm that the information provided is true and accurate.

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PARENT/CARER NO.2
Employment arrangement

Please specify if you choose "Other" in your employment arrangement

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Outside School Hours Care – additional information
Alfred Child Care Centre – additional information
Are you an employee of The Alfred Hospital?
University of Newcastle – additional information
Which of the following applies to you?

Please tick all that apply