KEEP Application Form

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Email Address:

Password:

There is no way to resend or recover your password, please write it down.

Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response.

Part A - Student Information

This section captures essential details about the student, including their current education status and any relevant health or medical concerns.

Part B - Parent / Guardian Information

This section gathers key contact details and important information about the student's parent or guardian.

Relationship to student*

Full Name*

Preferred Name*

Gender*

MaleFemaleOther

Date of Birth*

Do you recognise as:*

Language Group

Skin Name

Place of Birth

Country of Birth

Language/s spoken at home:

Mobile Number*

Phone Number

Email*

Are you employed?*

YesNo

Employer*

Employment Status*

Marital Status*

Part C - Supporting Documents

A copy of my child birth certificate*

Max File Size: 20.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

A copy of my child’s most recent school report*

Max File Size: 20.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Copy of all your child’s most recent NAPLAN results*