Form 1 - Student Transfer Note Page 2
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1
2Has there been an application for additional semesters?:
Yes
(attach application [ASE-1 or ASE-2] and notification [ASE-7b, ASE-9b or ASE-15b])
No
If the student is transferring from a non-state school, indicate the number of semesters completed at this school?_________
School Attendance
During the previous term, the student has been absent _______ day/s without reasonable excuse.
Date of last attendance at this school: ______/______/_________
N/A
.
Educational Performance
Student performance data:
•
Year 2 Diagnostic Net (prior to 2013): Yes
No
N/A
•
Year 3 NAPLAN Test:
Yes
No
N/A
•
Year 5 NAPLAN Test:
Yes
No
N/A
•
Year 7 NAPLAN Test:
Yes
No
N/A
•
Year 9 NAPLAN Test:
Yes
No
N/A
Latest report card available?
Yes
(attach copy)
No
Education Adjustment Program (EAP) Documents
•
EAP Verification Forms:
Yes
(attach copy)
No
N/A
•
EAP Profile (signed and dated by Principal):
Yes
(attach copy)
No
N/A
•
Adjustment Information Management System (AIMS)
current Student Details Report:
Yes
(attach copy)
No
N/A
Educational Support
Personalised plans:
•
Individual Student Plan (or equivalent):
Yes
(attach copy)
No
•
Senior Education and Training Plan (or equivalent):
Yes
(attach copy)
No
•
Other:
Behavioural Issues
Has the student has been prevented from attending school in the last 12 months as a consequence of serious behaviour issues?
Yes
No
•
Verbal or Non-verbal Misconduct involving Adults:
_______
N/A
•
Verbal or Non-verbal Misconduct involving Students:
_______
N/A
•
Physical Misconduct involving Adults not involving an object:
_______
N/A
•
Physical Misconduct involving Adults involving an object:
_______
N/A
•
Physical Misconduct involving Students not involving an object:
_______
N/A
•
Physical Misconduct involving Students involving an object:
_______
N/A
•
Substance Misconduct involving illicit substance:
_______
N/A
Has the student has received a Behaviour Improvement Condition for serious behaviour issues in the last 12 months
(state schools only)?
Yes
No
Date of Issue: ______/______/__________
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