Application for Registration

This form will take approximately 10-15 minutes to complete.

Each application requires a $100 application fee. You will be emailed an invoice to pay this fee with a confirmation letter as receipt of your application. The application will be registered once the fee has been paid. (No fee applies for families of current siblings or old scholars)

  • Applicant Details 1 of 14
    Date of Birth (DD/MM/YYYY)
    Gender
    Is the student of Aboriginal or Torres Straight Islander origin?
  • Admission Details 2 of 14
    Commencement Date

    First Preference (DD/MM/YYYY)

    Second Preference (DD/MM/YYYY)

    Year Level Entry

    First Preference

    Second Preference

    Early Learning Centre (Number of days)
  • Father/Guardian Details 3 of 14

    NOTE: If Guardian - please provide written confirmation of your legal status

  • Mother/Guardian Details 4 of 14

    NOTE: If Guardian - please provide written confirmation of your legal status

  • Family Matters 5 of 14
    Do the applicant's parents reside together?

    In the case of 'No' we will usually continue to communicate with both parties if a current address is supplied for both parties.

    Are there any current court-sanctioned residency, parental responsibility or contact orders relating to this student?
    Please attach a copy of the order/s for the School's record

    Allowed file types: doc, docx, rtf, pdf, or txt.

    We request this information to ensure appropiate communication to all parties.

  • Old Scholar 6 of 14
    Is the applicant's father an old scholar?
    Is the applicant's mother an old scholar?
  • Attendance of Applicant's Siblings at Pulteney 7 of 14
    Does the applicant have sibling/s who have previously attended, or are currently attending Pulteney?
  • Correspondence 8 of 14 1. Preferred Correspondence
    2. Emergency Correspondence
  • Citizenship of Applicant 9 of 14
    Is the applicant an Australian Citizen?
    Is the applicant a Permanent Resident of Australia?
    Does the Applicant hold a Visa for entry into Australia?
    Expiry Date (DD/MM/YYYY)
    Expiry Date (DD/MM/YYYY)
  • Emergency Contact 10 of 14

    Two emergency contacts are required and cannot be parents/guardians.

  • Additional Details 11 of 14
    Does the applicant suffer from any chronic illnesses such as Asthma, Diabetes or Epilepsy?
    Does the applicant have any other medical conditions of which we should be aware?
    Does the applicant have any special needs which may affect his/her learning?

    If you have answered 'Yes' to any of the above three questions, you will need to download this document, fill in the additional information and post it to us, at: Pulteney Grammar School, Reply Paid 68752, Adelaide, SA, 5000.

  • Tours and Open Mornings 12 of 14
    Date (DD/MM/YYYY)
    Date (DD/MM/YYYY)
  • Decision for Application 13 of 14

    What factors influenced your decision to apply for admission to Pulteney?
    Please rank first three in order of importance

  • Terms and Conditions 14 of 14
    1. Upon receipt of the completed form, the applicant's name will be added to the waiting list of applicants seeking entry to the School in the year and at the level designated.
    2. Places of admission are offered in the order in which applications are received, subject to the following:
      • first preference is given to applicants connected with the School through the attendance of siblings (past and present) or children of permanent members of staff.
      • second preference is given to applicants connected with the School because one of the parents is an Old Scholar; and
      • special circumstances
      • remaining applicants will normally be offered places in order of application date.
      An application for a place of admission will not necessarily result in an offer being made.
    3. To those whom places are ultimately offered will be asked to complete an Enrolment Agreement and to return it with non-refundable enrolment fee of $750.
    4. Prior to accepting an offer; applicants may elect to change the point of entry to another year level. Changes need to be notified in writing to the Registrar. Applicants will then be added to the waiting list for that year level according to the date of their original application. A change made after a formal offer has been made does not guarantee a place in a later year level, although every reasonable attempt will be made to facilitate this.
    5. It is the responsibility of Parents/Guardians to advise the School of changes to address and/or telephone numbers. Failure to do so may preclude an applicant from offers of enrolment.
    6. School correspondence in the case of parents not residing together:
      • Please be advised that the School will normally forward copies of all notices, reports, newsletters etc., to both parties, irrespective of whether both parties have signed either the Application Form or Enrolment Agreement unless a court order affects this or unless a parent erquests that documentation not be sent.
      • However, if a parent requests on their own behalf, that they do not wish to receive such correspondence or we are in receipt of court documentation advising that they should not receive correspondence, then the School will not forward the said correspondence.
    7. International students will be required to sit for the AEAS Test and/or other tests as prescribed by the School and the results of the testing will be considered prior to an offer of Admission being made.
    8. The following will be required for your application:

      Pre-school applicants
      Copy of Birth Certificate/Passport
      Psychologist or Specialist Reports
      $100 Application Fee

      School age applicants
      Copy of Birth Certificate/Passport
      Most recent School Report
      Psychologist or Specialist Reports
      $100 Application Fee

      International applicants
      Photocopy of Passport/Visa
      Most recent School Report
      Results of Public Examination
      School Testimonial
      Psychologist or Specialist Reports
      $100 Application Fee