HSC CoWorks Enrolment - HSC 2019 Enrolment form for Year 11 2018 Our Mosman Campus is now full. Places are still available in the Bondi Junction and Chatswood campuses or you may join the Mosman Waitlist here. Question Title * 1. Preferred Campus Bondi Junction Chatswood Question Title * 2. Parent Details First Name / Last Name * Address * Address 2 Suburb * Postcode * Email Address * Phone Number * Question Title * 3. Student Details First Name / Last Name Email Address Phone Number Question Title * 4. Student's Date of Birth D.O.B Date Question Title * 5. Student school Question Title * 6. If you were referred by a friend or family member, who referred you to us? Question Title * 7. Do you now, or have you ever had, another child on the HSC CoWorks Programme? Note name below. Question Title * 8. Would you say that your child is near the bottom, middle or the top of their year? At the top Above average Middle Below average Bottom At the top Above average Middle Below average Bottom Other (please specify) Question Title * 9. What subjects is your child studying in Year 11? If unknown, leave blank. Advanced English Standard English Extension English 1 Extension English 2 Economics Business Studies Mathematics(2 Unit) General Maths(2 Unit) Extension Maths 1(3 Unit) Extension Maths 2 (4 Unit) Modern History Ancient History Extension History Biology Chemistry Physics Senior Sciences French German Japanese PDHPE Geography Legal Studies Visual Arts Drama Textiles & Design Society & Culture Community & Family Studies Design & Technology Studies of Religion 1 Studies of Religion 2 Software Design & Development Music 1 Music 2 Chinese Italian Latin Other (please specify) Question Title * 10. What subject or subjects does your child need the most support with at the moment? Question Title * 11. What commitments does your child have outside of the HSC? Eg. Sporting commitments, elite athlete, part time job. Question Title * 12. Please provide details of your preferred weekday session 1st Preference 2nd Preference 3rd Preference Bondi Junction // Monday 4-6pm Bondi Junction // Monday 4-6pm 1st Preference Bondi Junction // Monday 4-6pm 2nd Preference Bondi Junction // Monday 4-6pm 3rd Preference Chatswood // Monday 6:15pm-8:15pm Chatswood // Monday 6:15pm-8:15pm 1st Preference Chatswood // Monday 6:15pm-8:15pm 2nd Preference Chatswood // Monday 6:15pm-8:15pm 3rd Preference Chatswood // Wednesday 4-6pm Chatswood // Wednesday 4-6pm 1st Preference Chatswood // Wednesday 4-6pm 2nd Preference Chatswood // Wednesday 4-6pm 3rd Preference Question Title * 13. Do you currently receive tutoring outside of HSC CoWorks? If so, please provide details below. Question Title * 14. What are the areas that you think HSC CoWorks can help your child with? Accountability Becoming an independent learner Essay Writing Exam Performance Concepts & Theories Easily Distracted Filling Knowledge Gaps Goal Setting Motivation Study Skills Time Management Other (please specify) Question Title * 15. Does your child have any specific learning difficulties that you think we should be aware of? Question Title * 16. Does your child have any medical conditions we need to be aware of? If yes, please describe the condition and attach a Medical Action Plan (in Q15) as prescribed by the doctor (if applicable). Please note that for health and safety reasons, HSC CoWorks reserves its rights to decline your child’s enrolment if we are of the view that our staff members are unable to administer your child’s Medical Action Plan. Yes No Comments Question Title * 17. Please attach Medical Action Plan If required as per Q14 DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File If required as per Q14 Question Title * 18. Please indicate acceptance of all HSC CoWorks Terms & Conditions as outlined in the HSC CoWorks Client Agreement. I accept all terms and conditions as outlined in the HSC CoWorks Client Agreement Question Title * 19. If you have any other questions or comments at this point please use the box below. Done