Shutterstock 147462899

Cheshire School
Enrolment Questionnaire
Enrolment Questionnaire
Please fill out the questionnaire below to the best of your ability. All information provided is kept confidential and is used to help us make informed enrolment decisions and plan for the best outcomes for all students at Cheshire School.
Your Information
Student Information
Is the student currently enrolled at your school?
Currently attending
Disabilities / Learning Difficulties
Is the student funded under PSD and or NCCD?
Please provide a detailed description of any individual adjustments made to meet the student’s needs and support their engagement at school (e.g., modified tasks, flexible workspace, adjusted timetable, visual supports, etc.)
Please provide a detailed description of any current or past mental health issues known to the school.
Current behaviours of concern
e.g., work refusal, absconding, physical aggression, verbal abuse, withdrawal, difficulty concentrating, organisational challenges, self-injurious behaviours, impulsivity, etc.
Describe any other issues external to school that are currently impacting the student’s engagement. e.g. drugs and/or alcohol issues, involvement with police/justice system, involvement with DHHS Child Protection, residing in out-of-home care, history of trauma, etc.
Describe the student’s current ability to manage emotions and stress. List any current strategies in place to assist with this if relevant
Please describe the student’s level of social and communication skills.
Describe the student’s strengths and areas of interest at school.
Please use this as extra space to record any additional information (e.g. other current barriers to engagement at school, history impacting on engagement at school, etc.)
Supporting documents
Are there copies of relevant reports that could be provided to the school if appropriate permission were provided?