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Contact
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08 8223 2240
257 Halifax Street, Adelaide, South Australia.
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Halifax Street Children’s Centre and Preschool. All Rights Reserved.
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Halifax St Children's Centre and Preschool
CHILD CARE WAITING LIST APPLICATION
"
*
" indicates required fields
CHILD'S DETAILS
Name
*
First Name
Family Name
Date of birth
DD slash MM slash YYYY
or expected birth:
DD slash MM slash YYYY
Gender
Male
Female
PROPOSED BOOKING DETAILS
Weekly Schedule
Mon
Tue
Wed
Thu
Fri
Arrive:
Depart:
From
MM slash DD slash YYYY
For weeks
Or Until
MM slash DD slash YYYY
Or Ongoing
or Ongoing.
ACCESS GUIDELINES
As a child care service which receives CCS payments from the Commonwealth Government, we abide by the priority of access guidelines set by the Department of Family and Community Services. To help us equitably fill vacant places, please tick the appropriate priority boxes below:
guidelines 1
Child at risk of abuse or neglect OR family in crisis.
Child of a single parent who satisfies, or of parents who both satisfy, the work/ training/study test.
Any other child.
Within the main categories above, priority should also be given to the following:
Children in an Aboriginal or Torres Strait Islander family.
Children in a family which includes a disabled person.
Children in a family which includes an individual whose adjusted taxable income does not exceed the lower income threshold, or who or whose partner is on income support.
Children in a family from a non-English speaking background.
Children in a socially isolated family.
Children of a single parent family.
A child care service may require a Priority 3 child to vacate a place to make room for a child with a higher priority. They can only do so if you:
are notified when your child first entered care that your service follows this policy.
are given at least 14 days notice of the need for your child to vacate.
PARENT/GUARDIAN APPLYING
Parent Name
*
Relationship to child:
*
Phone
*
Contact Priority
Please tick
Primary Language
Email
*
Address
Street Address
City
ZIP / Postal Code
APPLICATION
placement as detailed at this service.
*
I wish to apply for child care placement as detailed at this service.
*
FAO/Centrelink for Child Care Benefit i
*
I wish to apply for child care placement as detailed at this service.
*
maintain this place on the waiting list
*
I understand that to maintain this place on the waiting list, I / We need to contact the Director of the service at least every three months to confirm our continuing interest. Not doing so will mean the deletion of this application from the waiting list.
*
How did you find out about this service?
