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Sample
Only
Current School Details
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1. School |
«School» |
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Registration Number
|
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2. Name of
School Governing Authority/Owner |
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3. School
Principal/Leader |
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4. Address and
Contact Details
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Postal Address: |
«Address» |
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Phone:
«Phone» |
Facsimile: |
«Fax» |
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Email: |
«email» |
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6. Type of
School/Year Levels
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Proposed Change
(Please read
Notifiable Changes, below, before completing form)
7. Proposal for
Change
[To be
made to SRB no later than 6 months before intended change]
|
Circle
appropriate
Item/s |
a)
the closure or
amalgamation of a registered school with any other school;
b)
a change in the authority
responsible for the management of a school;
c)
a change in the governance
of a school;
d)
the change of name of a
school;
e)
a decrease in the schools
financial capacity to continue operations;
f)
changes to a schools
operations by way of relocation, opening an additional campus, or
amalgamating campuses;
g)
a change in the year levels
offered
h)
notifiable change, as per
4.4.2 SRB Handbook (See
below, p.3) |
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8. Details of Proposed
Change/s
9. Where the
Proposed Change will have impact on any of the following, please provide
separate details;
·
curriculum,
·
facilities,
·
teacher qualification/registration,
·
kinds of students,
·
enrolment and attendance procedures,
·
financial viability or
·
governance and administration.
Name of Person
Completing Application
Signature:
.
Position Held:
.
Date:
.
Please
forward to: The Registrar
Schools Registration Board
PO Box
473
SANDY
BAY
Tasmania 7006
Telephone: (03) 6233 7104 Facsimile: (03)
6224 0175
email:
janine.romaszko@tqa.tas.gov.au
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