Indie Academy Expression of Interest

Student Details

Given Name

Family Name (Surname)

Middle Name

Preferred Name

Date of Birth

Mobile Number

Email Address

Gender

FemaleMaleUnspecified

Pronouns

0 /

Unit / House Numbermore details

0 /

Street Name

PO Box (if applicable)more details

0 /

Town/Suburb

Postcode

Other (Please Specify)

0 / 150

Parent/Guardian Contact Details

Given Name

Family Name

Relationship to Student

Mobile Number

Email Address

Referring Agency / Organisation / School

Name of agency / organisation / school

Contact Name

Address

Contact Number

Education

Are you currently enrolled at School?

YesNo

Name of School

Current Year Level

Previous School's Name

Last full year completed (e.g. 2023)

Year level completed for that year (e.g. Yr 9)

Previous or current enrolment at TAFE or an RTO?

YesNo

Name of TAFE or RTO

Course Name in full

Indie School

Year level requested to undertake

Year 9Year 10Year 11Year 12

Indie School Location

For what year? (e.g. 2026, 2025)more details

0 /

Health and other information

Has the Student received a formal medical diagnosis?

YesNo

Please state the medical diagnosis

0 /

Does the student have any relevant legal documentation ?(e.g. IVOs, Intervention Orders (IOs), Family Court Orders, Probation orders etc)

YesNo

Please specify any relevant legal documentation

0 /

Education and Family History

Please briefly describe the student’s schooling over the past 24 months.

0 /

Required Documentation

Mandatory Identification Documents

Copies must be in colour, with front and back provided.

Please note that enrolment into the school will NOT occur if identification documents are not received. However, if you are unable to upload these documents now, you will be required to provide them at the enrolment interview, along with the other relevant documents listed below.

Birth Certificate

Birth Certificate

Upload

Health Care Card

Health Care Card

Upload

Medicare Card

Medicare Card

Upload

Other relevant documentation

You will be asked to bring the following to the interview if relevant

Other evidence of country and nationality (e.g. passport, driver’s licence etc)
Most recent school reports
Copies of any completed certificates
Legal documentation (IVOs, IOs, Family Court orders, Probation Orders etc)
Medical Reports (e.g. mental health diagnosis etc)
Assessment Reports (formal diagnosis – behaviour, cognitive, physical etc)

First Name

Last Name

Indie Academy Expression of Interest

Student Details

Parent/Guardian Contact Details

Referring Agency / Organisation / School

Education

Health and other information

Education and Family History

Required Documentation

subscribe for our eNewsletter

enquiries@indieschool.edu.au