GPO Box 169, Hobart, Tasmania, Australia 7001

Office of the Education Registrar

GPO Box 169, Hobart, Tasmania, Australia 7001

18 Wentworth Street, Bellerive, Tasmania, Australia 7018

49-51 Elizabeth Street, Launceston, Tasmania, Australia 7250

Web www.oer.tas.gov.au Email Phone 6165 6135

Home Education aPPLICATION FORM
Parent/s applying for home education registration (on-going registrations and new applicants)
Parent/s include a parent/guardian or other person having the care of a child. If only one parent will deliver the Home Education Program, then only this parent is required to register.
PARENT/S APPLYING FOR HOME EDUCATION REGISTRATION
Parent/Guardian 1 / Parent/Guardian 2
Full name:
Residential Address:
Postal Address:
Relationship to child:
Home/Work Number:
Mobile number:
Email address:
Signature:
(must be provided)
When do you intend to start home educating (month and year)?
If you do not intend commencing home education until next year, please do not submit your application before October.
CHILD’S DETAILS
Full Name: / Male/Female:
DOB: / Country of birth: / Ongoing ☐ New ☐
If new application, please note previous schools if applicable:
CHILD’S DETAILS
Full Name: / Male/Female:
DOB: / Country of birth: / Ongoing ☐ New ☐
If new application, please note previous schools if applicable:
CHILD’S DETAILS
Full Name: / Male/Female:
DOB: / Country of birth: / Ongoing ☐ New ☐
If new application, please note previous schools if applicable:
If seeking registration for home education more than three children please attach details.
Until provisional registration has been granted, your child must remain enrolled at and attend an educational institution.
You will be notified once your provisional registration is approved.

PLEASE COMPLETE THE FOLLOWING QUESTIONS

Have you previously been, or are you currently registered to home educate in Tasmania? Yes ☐ No ☐
Are there any relevant current Family Court Orders in effect? (eg. concerning guardianship, residence, contact or education). If yes, please provide a copy with your application. Yes ☐ No ☐
Are there any medical health issues of the child/ren that impacts on their education? Yes ☐ No ☐
If yes, please provide a copy of relevant reports or assessments.
Consent of both parents to home educate the abovenamed child/ren
(Consent of both biological parents MUST be provided)
Mother’s Name
Signature: / Date:
Father’s Name:
Signature: / Date:
If the consent of one parent cannot be obtained, please briefly explain here why not.
Name: Signature:

Personal Information Protection Statement: Personal information is collected from you for the purpose of registering you as a home educator of your child/ren. The Office of the Education Registration complies with the Personal Information Protection Act 2004 which regulates the disclosure of personal information.

The Department of Education will be provided withbasic personal information including name, residential address, postal address, date of birth, gender of an individual and school history when a registration is granted, completed, revoked, or withdrawn.

If you cease home educating or your child returns to school,

please advise the Office of the Education Registrar in writing as soon as possible.

PLEASE ENSURE THAT YOU HAVE ATTACHED ALL DOCUMENTATION AS OUTLINED IN THE DOCUMENT CALLED HOW TO APPLY TO BECOME A HOME EDUCATOR

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