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MCEETYA Form

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MCEETYA Form

Information required for assessment and reporting purposes.

First name of student

Last name of student

Date of birth of student

Year level for 2021

Address

Gender

Male
Female

Is the student of Aboriginal or Torres Strait Islander origin?

No
Yes-Aboriginal
Yes-Torres Strait Islander
Yes-Both Aboriginal and Torres Strait Islander

Does the student or their mother/guardian or father/guardian speak a language other than English at home? (If more than one language, indicate the one that is spoken most often.) Student

No-English only
Yes-Arabic
Yes-Cantonese
Yes-Vietnamese
Yes-Greek
Yes-Italian
Yes-Tagalog
Yes-Hindi
Yes-Spanish

Student other language (Please specify)

Does the student or their mother/guardian or father/guardian speak a language other than English at home? (If more than one language, indicate the one that is spoken most often.) Mother/Parent 1

No-English only
Yes-Arabic
Yes-Cantonese
Yes-Vietnamese
Yes-Greek
Yes-Italian
Yes-Tagalog
Yes-Hindi
Yes-Spanish

Mother/Parent 1 other language (Please specify)

Does the student or their mother/guardian or father/guardian speak a language other than English at home? (If more than one language, indicate the one that is spoken most often.) Father/Parent 2

No-English only
Yes-Arabic
Yes-Cantonese
Yes-Vietnamese
Yes-Greek
Yes-Italian
Yes-Tagalog
Yes-Hindi
Yes-Spanish

Father/Parent 2 other language (Please specify)

What is the highest year of primary or secondary school the parents/guardians have completed? (For persons who have never attended school, mark 'Year 9 or equivalent or below'.) Mark one box only for each parent. Mother/Parent 1

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below

Father/Parent 2

Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below

What is the level of the highest qualification the parents/guardians have completed? Mark one box only for each parent. Mother/Parent 1

Bachelor degree or above
Advanced diploma/Diploma
Certificate I to IV (including trade certificate)
No non-school qualification

What is the level of the highest qualification the parents/guardians have completed? Mark one box only for each parent. Father/Parent 2

Bachelor degree or above
Advanced diploma/Diploma
Certificate I to IV (including trade certificate)
No non-school qualification

What is the occupation group of the mother/parent 1?

What is the occupation group of the father/parent 2?

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