Greater Shepparton Secondary College Intake and Enquiry FormIntake form First Name(Required) Last Name(Required) Your Date of Birth(Required) MM slash DD slash YYYY You can just add the year if you do not want to put the month and dayGenderFemaleMaleSelf Described: If self-described, you can specify in the next boxIf Gender is self-described, you can specify here Address(Required) Street Address City State / Province / Region Do you identify as Aboriginal and/or Torres Strait Islander?(Required) No Yes, Aboriginal Yes, Torres Strait Islander Yes, Aboriginal and Torres Strait Islander Are you Culturally and/or Linguistically diverse (CALD)? Yes No What is your Country of Birth?(Required) Why are you contacting us?How can we contact you?What is the best way to contact you? (You can choose more than one)(Required) Phone Email Text (SMS) Social Media (such as Messenger/WhatsApp) Other If other contact method is best, please describe here: E.g., face-to-face etc.PhoneEmail Do you have carer or support person?(Required) Yes No Consent(Required) I agree to be contacted by RIAC and file created in my nameThis information will not be shared to any third parties as per terms set out in our Privacy policy at www.riac.org.au/privacy-confidentiality/
