Short Course Enrolment Form

Please note : Only 10 places per course per term. Allocated on a first come first serve basis. The remaining will be reserved for the following term.

Student Details

First name *

Last name *

Date of birth *

Email *

Middle name

Preferred Name

Gender *

Male

Female

Other

Mobile *

Home Address

House number *

Street name *

Suburb *

Post code *

Are you a current member of Telugu Association? *

Yes

Would you like to receive communication from STA?

Yes

Short Term Course

Select Short Term Course *

Telugu Language Fluency

Speaking *

Listening *

Reading *

Writing *

Parent Details if age is under 18 years

Parent’s / Guardian’s Name

Parent / Gardian's Email

Parent / Gardian's Mobile Number

Please nominate people over the age of 18 years who may be contacted in the event of an emergency if the community language school is unable to contact the parents listed. Please ensure that you have discussed with these people their willingness to be emergency contacts

Alternate contact Name

Alternate contact Mobile Number

Alternate contact Email *

Declaration & Consents

Consent to use student’s personal information

I understand that Telugu Association Inc., Sydney uses the Student Details on NSW Community Languages Schools Program (CLSP) Funding Application for the purpose of applying for and monitoring funding under the CLSP.
It will be used by the NSW Department of Education and Communities (DEC) for assessment of eligibility and monitoring of program implementation.
I have been advised that DEC will be granted access to the information, that provision of this information is voluntary and that it will be stored securely.
I am aware that if I do not provide all or any of this information my child will not be funded.

Yes, I give consent to use student’s personal information *

Consent to publish student’s work or photographs

If you sign the consent below it means that you agree to the following
I understand that Telugu Association Inc., Sydney may publish student’s photographs, videos, recordings and work done during class activities in their own publications such as School Newsletter, Vahini Magazine, Website, Special Souvenirs or Telugu Vani Radio. If published, third parties would be able to view them or access.
Telugu Badi of Telugu Association Inc., Sydney is able to photograph and publish photographs/work of the student as many times as it requires in the ways mentioned above.
Student’s photograph/work may be reproduced either in colour or in black and white.
Student’s photograph/work will not be used for any purpose other than for general promotion of languages education in Community Language School i.e., Telugu Badi.
Any photographs will be kept for no longer than is necessary for the above mentioned purposes and will be stored and disposed of securely.
While every effort will be made to protect the identity of the student, the Community Language School i.e. Telugu Badi, cannot guarantee that the student will not be able to be identified from the photograph/work.
If you agree to permit the Community Language School to take photographs of the student, and to publish the photographs/work of the student, in the manner detailed above, please complete the section below and sign.
This consent, if signed, will remain effective until such time as you advise the Community Language School i.e. Telugu Badi otherwise.
Any information provided to the Department of Education and will be used, disclosed and stored consistent with the NSW privacy laws.

Yes, I give consent to use student’s personal information *

General information

Check on www.sydneytelugu.org / www.sydneytelugubadi.org for course details & timings.
There are basic rules all students must follow in the classroom. Visit STA website for Classroom Rules.
The email ID(s) given on this form will be added to the School’s email Group and the Mobile No(s) to the School’s WhatsApp Group for communication purposes.
For further details contact Telugu Badi on email: school@sydneytelugu.org or ec@sydneytelugu.org
Postal address for Telugu Badi communication: 15 College Street, Gladesville, NSW 2111
Information may be disclosed to STA, NSW State and Commonwealth government agencies and other organisations for the purposes of grant funding and as authorised or required by law.

Course Fee

AUD 50, to be paid via bank transfer to:
Account Name: Telugu Association Incorporated,
Bank Name: Commonwealth Bank of Australia
Branch-BSB: 062 320 Account Number: 1158 4980
Face to Face students AUD $50
Online students AUD $100

Payment Receipt

Receipt Number *

Print your full name here *

Please sign here

E-Signature (You will need to sign on a physical form at the time of admission) *

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Date signed *

Please tick box below *