Gladstone State High School eNewsletter

Student Intention to leave form

The Queensland Government's Department of Education (DOE) commission a survey each year to gather statistical information regarding the "earning or learning" initiative for all young people. To help our school gather information and statistics on where our young people go when they leave, we request that you fill this form out on your son/daughter's exit from school.

Student Name *

Year/Form *

REASON FOR LEAVING

Transfer to School Name and State: *

Working:

Fulltime/Part time

Casual

Seeking Work

Please state type of work, organisation and location

Further Education - Please attach evidence ie: TAFE/UNI Acceptance letter, Apprenticeship identure forms, letter from the Company confirming work status

Type and location

Further Education

Alternative Study Program

Course Studied and Institution Name

All textbooks and library books must be returned to the school prior to the student leaving school

Temporary Hire of school owned device returned? (If applicable)

A refund may not be made to me or be made in full or in part, having regard to the associated expenses already incurred by the school, and the school's refund guidelines provided to me (by bulk mail out each year or in enrolment package). Details are kept confidential and will not be used for any other purpose.

BANK ACCOUNT DETAILS

Account Name *

BSB *

Bank *

Account Number *

Parent/Guardian Confirmation

I wish to advise that my son/daughter will cease attending Gladstone State High School from: *

Parent/Guardian Signature *

Undo

Clear

Write your signature above the line

Parent/Guardian Name *