Mansfield Application Enrolment
Mansfield Application Enrolment
Mansfield Application Enrolment
PLEASE NOTE: failure to submit all of the above forms can result
in the enrolment application not being accepted
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at https://ppr.qld.gov.au/pp/enrolment-in-
state-primary-secondary-and-special-schools-procedure to ensure you have the most current version of this document.
I understand that if my student has enrolled at this school on the understanding that he/she will be a member of one of the
Programs of Excellence (French Immersion, Technology Integrated Curriculum, Classroom Music or Instrumental Music), he/she
must remain an active participant in the program(s) for its duration, unless otherwise approved by the Principal.
I accept the rules and regulations of Mansfield State High School as stated in the school policies that have been provided to me,
including:
I acknowledge that information about the school’s current programs, policies and services has been explained to me.
I am aware that my student’s previous school(s) will usually be contacted to provide a profile of the student.
Introduction to the State School Consent Form (attached) for Mansfield State High School
This letter is to inform you about how we will use your child’s personal information and student
materials. It outlines:
what information we record
how we will use student materials created during your child’s enrolment.
Examples of personal information which may be used and disclosed (subject to consent) include part
of a person’s name, image/photograph, voice/video recording or year level.
Your child’s student materials:
are created by your child whether as an individual or part of a team
may identify each person who contributed to the creation
may represent Indigenous knowledge or culture.
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 1 of 4
Voluntary
There will not be any negative repercussions for not completing the State School Consent Form or
for giving limited consent. All students will continue to receive their education regardless of whether
consent is given or not.
Following is a list of online and social media websites and traditional media sources where the
school may publish your child’s personal information or student materials subject to your consent.
School website: www.mansfieldshs.eq.edu.au
Facebook: Mansfield State High School
YouTube: event recording for the purpose of a private live stream to parents for events where
seats inside the venue are limited eg; Graduation Ceremony, Award Ceremonies.
Instagram: n/a
Twitter: n/a
LinkedIn: n/a
Other: n/a
Local newspaper
School newsletter
Traditional and online media, printed materials, digital platforms’ promotional materials,
presentations and displays.
The State School Consent Form does not extend to P&C run social media accounts or activities, or
external organisations.
Duration
The consent applies for the period of enrolment or another period as stated in the State School
Consent Form, or until you decide to limit or withdraw your consent.
During the school year there may be circumstances where the school or Department of Education
may seek additional consent.
Who to contact
To return a consent, express a limited consent or withdraw consent please contact
[email protected].
School Marketing Officer, Sonia Radel should be contacted if you have any questions regarding
consent.
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 2 of 4
State School Consent Form
IDENTIFY THE PERSON TO WHOM THE CONSENT RELATES
Parent/carer to complete
Mature/independent students may complete on their own behalf (if under 18 a witness is required).
(a) Full name of individual: ..........................................................................................................................
(b) Date of birth: ........................................................
(c) Name of school: …………………………………………………………………..
(d) Name to be used in association with the person’s personal information and materials* (please select):
Full Name First Name No Name Other Name ............................................................
* Please note, if no selection is made, only the Individual’s first name will be used by the school. However, the school may choose not to
use a student’s name at its discretion.
** For school photos Full Name will be used unless a limitation is given in Section 5 below.
PERSONAL INFORMATION AND MATERIALS COVERED BY THIS CONSENT FORM
(a) Personal information that may identify the person in section 1:
Name (as indicated in section 1) Image/photograph School name
Recording (voices and/or video) Year level
(b) Materials created by the person in section 1:
Sound recording Artistic work Written work Video or image
Software Music score Dramatic work
APPROVED PURPOSE
If consent is given in section 6 of the form:
The personal information and materials (as detailed in section 2) may be recorded, used and/or disclosed
(published) by the school, the Department of Education (DoE) and the Queensland Government for the
following purposes:
- Any activities engaged in during the ordinary course of the provision of education (including assessment),
or other purposes associated with the operation and management of the school or DoE including to publicly
celebrate success, advertising, public relations, marketing, promotional materials, presentations,
competitions and displays.
- Promoting the success of the person in section 1, including their academic, sporting or cultural
achievements.
- Any other activities identified in section 4(b) below.
The personal information and materials (as detailed in section 2) may be disclosed (published) for the above
purposes in the following:
- the school’s newsletter and/or website;
- social media accounts, other internet sites, traditional media and other sources identified in the ‘Media
Sources’ section of the explanatory letter (attached);
- year books/annuals and school photographs;
- promotional/advertising materials; and
- presentations and displays.
TIMEFRAME FOR CONSENT
School representative to complete.
(a) Timeframe of consent: duration of enrolment.
(b) Further identified activities not listed in the form and letter for the above timeframe: celebration of
results/achievements of students who have completed Year 12 in the year following graduation.
LIMITATION OF CONSENT
The Individual and/or parent wishes to limit consent in the following way:
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 3 of 4
CONSENT AND AGREEMENT
CONSENTER – I am (tick the applicable box):
parent/carer of the identified person in section 1
the identified person in section 1 (if a mature/independent student or employee including volunteers)
recognised representative for the Indigenous knowledge or culture expressed by the materials
I have read the explanatory letter, or it has been read to me. I have had the opportunity to ask questions about it and
any questions that I have asked have been answered to my satisfaction. By signing below, I consent to the school
recording, using and/or disclosing (publishing) the personal information and materials identified in section 2 for the
purposes detailed in section 3.
By signing below, I also agree that this State School Consent form is binding. For the benefit of having the materials
(detailed in section 2) promoted as DoE may determine, I grant a licence for such materials for this purpose. I
acknowledge I remain responsible to promptly notify the school of any third party intellectual property incorporated into
the licensed materials. I accept that attribution of the identified person in section 1 as an author or performer of the
licensed materials may not occur. I accept that the materials licensed may be blended with other materials and the
licensed materials may not be reproduced in their entirety.
SPECIAL CIRCUMSTANCES
If the form is required to be read out (whether in English or in an alternative language or dialect) to a parent/carer or
Individual student; or when the consenter is an independent student and under 18 the section below must be
completed.
WITNESS – for consent from an independent student or where the explanatory letter and State
School Consent Form were read
I have witnessed the signature of an independent student, or the accurate reading of the explanatory letter and the State School
Consent Form was completed in accordance with the instruction of the potential consenter. The individual has had the
opportunity to ask questions. I confirm that the individual has given consent freely and I understand the person understood the
implications.
Print name of witness .........................................................................................................................................
Signature of witness ............................................................................................................................................
Date ..........................................................
Statement by the person taking consent – when it is read
I have accurately read out the explanatory letter and State School Consent Form to the potential consenter, and to the best of my
ability made sure that the person understands that the following will be done:
1. the identified materials will be used in accordance with the State School Consent Form
2. reference to the identified person will be in the manner consented
3. in accordance with procedures DoE will cease using the identified materials from the date DoE receives a written withdrawal of
consent.
I confirm that the person was given an opportunity to ask questions about the explanatory letter and State School Consent Form,
and all the questions asked by the consenter have been answered correctly and to the best of my ability. I confirm that the
individual has not been coerced into giving consent, and the consent has been given freely and voluntarily.
A copy of the explanatory letter has been provided to the consenter.
Print name and role of person taking the consent .............................................................................................
Signature of person taking the consent .............................................................................................................
Date ..........................................................
Privacy Notice
The Department of Education (DoE) is collecting your personal information on this form in order to obtain consent for the use and disclosure of the
student’s personal information. The information will be used and disclosed by authorised school employees for the purposes outlined on the form.
Student personal information collected on this form may also be used or disclosed to third parties where authorised or required by law. This
information will be stored securely. If you wish to access or correct any of the personal student information on this form or discuss how it has been
dealt with, please contact your student’s school in the first instance.
Uncontrolled copy. Refer to the Department of Education Policy and Procedure Register at
https://ppr.qed.qld.gov.au/pp/obtaining-and-managing-student-and-individual-consent-procedure
to ensure you have the most current version of this document. Page 4 of 4
Mansfield State High School
Enrolment Application Pack for Year 7 2024
Student’s Name:
Please note: Prior to acceptance of your enrolment at Mansfield State High School, parents/caregivers are to
complete the following acknowledgement in relation to subject fees. Unless otherwise notified, this authority will
remain in force for the duration of enrolment of the student.
I acknowledge that I:
have been informed that Mansfield State High School charges subject fees for each of the subjects
undertaken by my child
will support the school to provide learning resources for my child by paying these subject fees
have been informed that the values of the subject fees are available for perusal on the school’s website
have been informed that I am able to discuss any financial matters with the school’s Business Manager.
Parents/carers are advised to contact our Accounts Department at the commencement of the school
year if they wish to establish a payment plan for the payment of subject fees. Please note that all
parents/carers paying fees by instalments are required to complete and submit a Payment Plan
Authority.
I wish to have the Queensland Government Resource and Textbook Allowance credited against my
account at the start of each school year. This means that the value of outstanding subject fees will be
reduced.
No, I do not wish to participate in the Mansfield State High School State Education Fees Scheme. I have
read and understand the Terms and Conditions (see reverse). I understand I must provide my child with
all items that would be otherwise provided to my child by the State Education Fees Scheme as detailed
on the information provided by the school. I understand that if my child is eligible for the Queensland
Government Resource and Textbook Allowance the school will contact me. I understand that I can
choose to join the State Education Fees Scheme in future years by completing a new Acknowledgement
of Subject Fees form.
Parents/carers, please sign to acknowledge that you have been provided with the information outlined above.
Parent/carer’s signature:
Date:
Mansfield State High School
Enrolment Application Pack for Year 7 2024
This statutory declaration is to be completed for all enrolment applications made under the
local catchment area category of Mansfield State High School.
I, __________________________________________________________________________________________
(Print FULL NAME in BLOCK letters)
1. I am applying for entry to Mansfield State High School under the Local Catchment category on behalf of my
child ____________________________________________________ (Child’s full name)
2. This application is made in accordance with the Mansfield State High School Enrolment Management Plan.
3. All documents enclosed with my application are true and correct photocopies of the originals. If required, I will
present the originals of the documents to the Executive Principal. All statements made within my application
are true and correct.
4. The address cited in the application, namely,
__________________________________________
__________________________________________
falls within the Local Catchment Area as defined in the Mansfield State High School Enrolment Management
Plan and Catchment map.
5. This address is the Principal Place of Residence of my family and me, including my child named above.
This is our permanent family arrangement, and I make this solemn declaration conscientiously believing the
same to be true, and by virtue of the provisions of the Oaths Act 1867.
Signed: ____________________________________
Before me ___________________________________________
(Full name of Qualified Justice of the Peace
or Commissioner for Declarations)
Stamp of Qualified
Justice of the Peace ________________________________________________
or Commissioner for (Signature of Qualified Justice of the Peace
Declarations or Commissioner for Declarations)
Mansfield State High School
Enrolment Application Pack for Year 7 2024
1. Does your student have an advanced learning plan? (working in acceleration above year level)
2. Does your child have a verified disability? If yes, please tick the category below and include any further
information required to make reasonable adjustments for their learning.
4. Does your child receive assistance at primary school to support their learning needs?
5. Is your child on an ICP? (working towards learning goals at another year level eg: Year 4 level)
Student’s Name:
Students in Year 7 will complete the core subjects of English, Mathematics, Science, Humanities, Health and Physical
Education (one semester) and Languages (one semester).
In addition to these core subjects, students are able to select one elective each semester. Electives are offered in the
curriculum areas of Arts and in Technology. To learn more about the available electives, please read the Year 7
Curriculum Overview .
In the boxes below, write a 1 next to your first In the boxes below, write a 1 next to your first
Arts preference subject, and a 2 next to your Technology preference subject, and a 2 next to
second Arts preference subject. your second Technology preference subject.
Preference Preference
Arts Electives Technology Electives
Number Number
Visual Arts Design and Technologies
Drama Digital Technologies
Media Arts Fibre Technologies
Music Food Specialisations
All students are required to make two choices as it may not be possible to get your first choice of subject due to
resource restrictions.
Student’s name:
Primary School:
Instrument/s played:
Background
The co-curricular Instrumental Music Program at Mansfield State High School is one of the most extensive and
successful co-curricular music programs in Queensland.
With over 600 students actively participating, Mansfield's Instrumental Music Program offers all students exceptional
music education through participation in a range of group lessons, instrumental ensembles and choral groups.
All students enrolled at Mansfield State High School are eligible to participate in the Instrumental Music Program if
they currently learn an instrument at their current school and/or with a private teacher.
N.B. No student will be required to pay more than $320, regardless of how many instruments they play.
□ Technology Integrated Curriculum (TIC) (Must place number in box if choosing this program)
NOTE: If you receive an offer for a place in this Program, a non-refundable payment of $250 towards subject costs (above
the normal Year 7 charges) is required by 8 September 2023 as confirmation of your acceptance of the offer.
For further information, please contact Mr Tadhg O’Loingsigh, Head of Program (TIC), on 3452 5333 or email:
[email protected].
□ Classroom Music (Accelerando) (Must place number in box if choosing this program)
This program involves being in a specialised music class in which students will study Classroom Music at a more advanced
level. This program is available for local catchment and out of catchment students.
□ Instrumental Music Excellence (Must place number in box if choosing this program)
This program provides entry for gifted music students from outside the catchment area – includes instrumental and/or voice.
Please attach: a copy of results of any music exams
Sample laptop
Below is a standard specification laptop suitable for all years. Current price through the school, including operating
system and all school required software is approximately $1,550 in 2023.
Intel Core i5
8GB RAM
256GB SSD
14” Touch Screen & Stylus Pen
3yr Warranty & Accidental Damage Cover
Protective Case
Mansfield State High School
Enrolment Application Pack for Year 7 2024
School’s Bank Account Name: Mansfield State High School General A/C
BSB Number: 064 118 (CBA Branch Mount Gravatt)
Account Number: 00090257
Reference/Details: APP 2024 First Name and Last Name of Student in the
reference/details section so that your payment can be recorded
correctly.
Provide a copy of the payment receipt with enrolment application to the Administration Office.
AMOUNT PAID: $250 ACTIVITY/INVOICE NO: Application Fee 2024 DATE: __ ___
CREDIT CARD
NUMBER:
(Please ensure that all sixteen numbers are entered)
EXPIRY DATE: /