Service Provider Request to be on the School Site

Our schools are committed to providing quality education to all students in a safe, inclusive, and caring learning environment. We value working in partnership with parents and families to develop educational goals and options for input into student’s learning outcomes.

Important information about the request:

Additional information relating to this request may be required from parents or the provider, and it will be the parents’ responsibility to ensure that such information is provided.

Consideration of this request will be at the discretion of the school and will include the school’s duty of care to staff and students, the student’s educational and wellbeing needs, the ability of the student to access the service outside school hours or through existing Department programs, and the provider’s use of school facilities and resources.

Student Details

Parent/Carer Details

Important Information

Please provide the following information outlining the support your child needs access to, at school and during school hours. Note: Please complete another form if request includes more than one provider or a different type of support.

Provider details

Department Requirements

Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.