Coalition Membership Application Form
School Name:
  
 
Membership Type:
  
School Sector:
  
School Type:
  
 
If 'Other' please state here:
  
School Details
 
Principal's Title
  
First Name:
  
Last Name:
  
Postal Address:
  
Postcode
  
State:
  
Phone Number:
  
 
Fax Number:
  
Email
  
School's Email:
  
The provision of your 2009 baseline data will allow aggregated tracking of member schools over successive of the project, 2009-2012
FOR ALL SCHOOLS What was the total number of all students in your school in 2009?
  
How many of these in 2009 were Indigenous students?
  
For schools with Students in Years 3, 5, 7 or 9: Please complete the relevant sections below:
Total No of Year 3 students who sat NAPLAN test
Year 3 Writing 2009
               
Year 3 Reading 2009
  
No of Indigenous students who sat NAPLAN test
Year 3 Writing 2009
               
Year 3 Reading 2009
  
No of Indigenous students who were at or above Benchmark
Year 3 Writing 2009
               
Year 3 Reading 2009
  
Total No of Year 5 students who sat NAPLAN test
Year 5 Writing 2009
               
Year 5 Reading 2009
  
No of Indigneous students who sat NAPLAN test
Year 5 Writing 2009
               
Year 5 Reading 2009
  
No of Indigenous students who were at or above Benchmark
Year 5 Writing 2009
               
Year 5 Reading 2009
  
Total No of Year 7 students who sat NAPLAN test
Year 7 Writing 2009
               
Year 7 Reading 2009
  
No of Indigneous students who sat NAPLAN test
Year 7 Writing 2009
               
Year 7 Writing 2009
  
No of Indigenous students who were at or above Benchmark
Year 7 Writing 2009
               
Year 7 Reading 2009
  
Total No of Year 9 students who sat NAPLAN test
Year 9 Writing 2009
               
Year 9 Reading 2009
  
No of Indigneous students who sat NAPLAN test
Year 9 Writing 2009
               
Year 9 Reading 2009
  
No of Indigenous students who were at or above Benchmark
Year 9 Writing 2009
               
Year 9 Reading 2009
  
For schools with Students in Year 12: Please complete the section below the provision of your 2009 baseline data will allow aggregated tracking of member schools over successive years of the project, 2009-2012
What was the number of Year 12 Indigenous students who were enrolled?
2009?
  
How many Year 12 Indigenous students left during 2009 to either enter the workforce, started an apprenticeship or traineeship or commenced other studies?
  
How many Year 12 Indigenous students left during 2009 and did not have a defined pathway to work, apprenticeship/traineeship or other studies?
  
How many Indigenous students were issued with a Certificate at the end of the 2009 academic year? (see State/Territory criteria below*)
  



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