app.edsmart.com
Open in
urlscan Pro
172.66.40.194
Public Scan
URL:
https://app.edsmart.com/r/I0PIx50TwAwENJNNK77P
Submission: On February 27 via manual from AU — Scanned from AU
Submission: On February 27 via manual from AU — Scanned from AU
Form analysis 2 forms found in the DOM
Name: Form1 — POST
<form id="Form1" name="Form1" method="post" class="form-horizontal" role="form" novalidate="novalidate">
<input type="hidden" name="objectId" id="objectId" value="90920326">
<input type="hidden" name="slipResponseCode" id="slipResponseCode" value="I0PIx50TwAwENJNNK77P">
<input type="hidden" name="enableTwoFactor" id="enableTwoFactor" value="0">
<input type="hidden" name="tryBookingRequired" id="tryBookingRequired" value="">
<input type="hidden" name="humanitixRequired" id="humanitixRequired" value="">
<input type="hidden" name="zenithRequired" id="zenithRequired" value="">
<input type="hidden" name="waitListed" id="waitListed" value="0">
<input type="hidden" name="selectedSessionIds" id="selectedSessionIds" value="">
<div class="row view-form hideStudentDetails">
<div class="col-md-4">Student name</div>
<div class="col-md-8" id="participantFullName">Maka Mutyiri</div>
</div>
<div class="row view-form slipDueDateRow hideStudentDetails" style="display: block;">
<div class="col-md-4">Slip due date</div>
<div class="col-md-8" id="slipDueDate">6 Mar 2023</div>
</div>
<div class="row view-form calendarEntryDateTimeToCompleteRow hidden">
<div class="col-md-4">Date(s)</div>
<div class="col-md-8 calendarEntryDateTimeToComplete"></div>
</div>
<div class="row view-form view-addToMyCalendar hidden">
<div class="col-md-4">Add to my calendar</div>
<div class="col-md-8 addToMyCalendar"></div>
</div>
<div class="row view-form hideStudentDetails">
<div class="col-md-12">
<div class="alert alert-info alert-info-contact">Please complete as required and click the blue Submit Response button. <b>NOTE:</b> All information on this form will be visible to <b>all parent contacts</b> for this Student unless otherwise
marked.</div>
</div>
</div>
<div id="formInterviewFields" class="hidden">
<div class="pp-detail-tabs interview-tabs" style="margin-top:10px;">
<ul class="nav nav-tabs" role="tablist">
<li class="active" role="presentation"><a href="#autoInterviewsTab" data-toggle="tab" id="aAutoInterviews" role="tab" tabindex="0" aria-selected="true" aria-controls="autoInterviewsTab">Automatic Bookings</a></li>
<li role="presentation"><a href="#manualInterviewsTab" data-toggle="tab" id="aManualInterviews" role="tab" tabindex="-1" aria-selected="false" aria-controls="manualInterviewsTab">Manual Selection</a></li>
</ul>
<div class="tab-content">
<div class="fade in tab-pane active" id="autoInterviewsTab" style="padding:10px;" role="tabpanel" tabindex="0" aria-hidden="false" aria-labelledby="aAutoInterviews">
<div id="alert"> </div>
<div class="form-group">
<label for="startTime" class="col-md-4 control-label fieldRequiredIcon">Earliest you can arrive </label>
<div class="col-md-6">
<select class="form-control interviews-criteria" id="startTime" name="startTime" tabindex="1">
</select>
</div>
</div>
<div class="form-group">
<label for="endTime" class="col-md-4 control-label fieldRequiredIcon">Latest you can stay </label>
<div class="col-md-6">
<select class="form-control interviews-criteria" id="endTime" name="endTime" tabindex="2">
</select>
</div>
</div>
<div class="form-group">
<label for="teacherGroup" class="col-md-4 control-label fieldRequiredIcon">Staff you require to meet </label>
<div class="col-md-8" id="teacherGroup"> </div>
</div>
<div class="form-group">
<div class="col-lg-12" style="text-align:center;margin-top:20px;">
<button type="button" data-loading-text="Saving..." class="btn btn-primary" id="btnSuggestInterviewSchedule" tabindex="10">Suggest Schedule</button>
</div>
</div>
<table class="table" id="solution-table">
</table>
</div>
<div class="fade in tab-pane" id="manualInterviewsTab" role="tabpanel" tabindex="-1" aria-hidden="true" aria-labelledby="aManualInterviews"> </div>
</div>
</div>
</div>
<div id="formFieldsSection1" class="formFields">
<div class="row objectTypeId0 row-fieldId242-fieldValueTextArea11 ">
<div class="col-md-12" style="margin-bottom:10px;">
<p><span style="font-size: 12pt;">Please review the following information and <span style="text-decoration: underline;">update if required</span>. If a record is blank but displays a <span style="color: #ff0000;">red asterisk *</span> you
will be required to provide details.</span></p>
</div>
</div>
</div>
<div id="formFieldsSection2" class="formFields">
<div class="form-group objectTypeId0 row-fieldId252-fieldValueTextArea21 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt;"><strong><span style="color: #000000; background-color: #ffff99;">Student Details</span></strong></span></p>
</div>
</div>
<div class="form-group objectTypeId7"><label for="fieldId352221-attribute_nvarchar" class="col-md-4 control-label">Surname</label>
<div class="col-md-8 linkify-me">Mutyiri</div>
</div>
<div class="form-group objectTypeId7"><label for="fieldId352529-attribute_nvarchar" class="col-md-4 control-label">First Name</label>
<div class="col-md-8 linkify-me">Makanaka</div>
</div>
<div class="form-group objectTypeId7"><label for="fieldId353424-attribute_nvarchar" class="col-md-4 control-label">Preferred Name</label>
<div class="col-md-8 linkify-me">Maka</div>
</div>
<div class="form-group objectTypeId7 row-fieldId354092-attribute_nvarchar "><label for="fieldId354092-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Student Country of Birth </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked fieldRequired" id="fieldId354092-attribute_nvarchar" name="fieldId354092-attribute_nvarchar" placeholder="Student Country of Birth" value="" maxlength="500" title="">
</div>
</div>
<div class="form-group objectTypeId7 row-fieldId354094-attribute_nvarchar "><label for="fieldId354094-attribute_nvarchar" class="col-md-4 control-label ">Student Religion </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId354094-attribute_nvarchar" name="fieldId354094-attribute_nvarchar" placeholder="Student Religion" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId354091-attribute_nvarchar "><label for="fieldId354091-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Student Nationality 1 </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked fieldRequired" id="fieldId354091-attribute_nvarchar" name="fieldId354091-attribute_nvarchar" placeholder="Student Nationality 1" value="" maxlength="500" title="">
</div>
</div>
<div class="form-group objectTypeId7 row-fieldId354095-attribute_nvarchar "><label for="fieldId354095-attribute_nvarchar" class="col-md-4 control-label ">Student Nationality 2 </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId354095-attribute_nvarchar" name="fieldId354095-attribute_nvarchar" placeholder="Student Nationality 2" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId354093-attribute_nvarchar "><label for="fieldId354093-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Main Language spoken at Home </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked fieldRequired" id="fieldId354093-attribute_nvarchar" name="fieldId354093-attribute_nvarchar" placeholder="Main Language spoken at Home" value="English"
maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352979-attribute_selectlist "><label for="fieldId352979-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Is the student of Aboriginal or Torres Strait Islander
origin? </label>
<div class="col-md-6"><select name="fieldId352979-attribute_selectlist" id="fieldId352979-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129859" selected="">No</option>
<option value="129860">Yes</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352979-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352979-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId302-fieldValueTextArea35 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt; background-color: #ffff99;"><strong>Student Photo Permission</strong></span></p>
<p style="text-align: left;"><span style="font-size: 12pt; background-color: #ffffff;">Photography and/or <span class=""><span class="">video of the student may be used for</span></span></span></p>
</div>
</div>
<div class="form-group objectTypeId7 row-fieldId352981-attribute_selectlist "><label for="fieldId352981-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Website and Social Media </label>
<div class="col-md-6"><select name="fieldId352981-attribute_selectlist" id="fieldId352981-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129863">No</option>
<option value="129864" selected="">Yes</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352981-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352981-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352983-attribute_selectlist "><label for="fieldId352983-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">School Publications and Newsletters </label>
<div class="col-md-6"><select name="fieldId352983-attribute_selectlist" id="fieldId352983-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129867">No</option>
<option value="129868" selected="">Yes</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352983-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352983-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352982-attribute_selectlist "><label for="fieldId352982-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Promotion and Advertising </label>
<div class="col-md-6"><select name="fieldId352982-attribute_selectlist" id="fieldId352982-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129865">No</option>
<option value="129866" selected="">Yes</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352982-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352982-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId303-fieldValueTextArea36 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt;"><strong><span style="background-color: #ffff99;">Emergency Contacts</span></strong></span></p>
<p style="text-align: left;"><span style="font-size: 12pt; background-color: #ffffff;">Please provide emergency contact <span class=""><span class=""><span class=""><span class=""><span class=""><span class=""><span class=""><span
class="">details</span></span></span></span></span></span></span></span> for use <span style="text-decoration: underline;"><strong>when </strong></span><span class=""><span style="text-decoration: underline;"><strong><span
class=""><span class=""><span class="">parents</span></span></span>/carers are not contactable</strong></span>. You must provide at least one emergency contact.</span></span></p>
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId304-fieldValueTextArea37 ">
<div class="col-md-12">
<p><span style="font-size: 12pt; background-color: #ffff99;"><strong>Emergency Contact 1</strong></span></p>
</div>
</div>
<div class="form-group objectTypeId7 row-fieldId352542-attribute_nvarchar "><label for="fieldId352542-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Contact Name </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked fieldRequired" id="fieldId352542-attribute_nvarchar" name="fieldId352542-attribute_nvarchar" placeholder="Contact Name" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352968-attribute_selectlist "><label for="fieldId352968-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Relationship to Student </label>
<div class="col-md-6"><select name="fieldId352968-attribute_selectlist" id="fieldId352968-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129780" selected=""></option>
<option value="129781">Aunt</option>
<option value="129782">Brother</option>
<option value="129783">Cousin</option>
<option value="129784">Daughter</option>
<option value="129785">Family Friend</option>
<option value="129786">Father</option>
<option value="129787">Father-In-Law</option>
<option value="129789">Foster Father</option>
<option value="129790">Foster Mother</option>
<option value="129788">Friend</option>
<option value="129791">God Mother</option>
<option value="129792">Grandfather</option>
<option value="129793">Grandmother</option>
<option value="129794">Grandparent</option>
<option value="129795">Great Grand Mother</option>
<option value="129796">Great Grand Parent</option>
<option value="129797">Guardian</option>
<option value="129798">Host Parent</option>
<option value="129799">Mother</option>
<option value="129800">Parent</option>
<option value="129801">Sister</option>
<option value="129802">Sister-in-Law</option>
<option value="129803">Step Brother</option>
<option value="129805">Step Father</option>
<option value="129806">Step Mother</option>
<option value="129804">Step Sister</option>
<option value="129807">Uncle</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352968-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352968-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352544-attribute_nvarchar "><label for="fieldId352544-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Phone Number </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked fieldRequired" id="fieldId352544-attribute_nvarchar" name="fieldId352544-attribute_nvarchar" placeholder="Phone Number" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352545-attribute_nvarchar "><label for="fieldId352545-attribute_nvarchar" class="col-md-4 control-label ">Alternative Phone Number </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352545-attribute_nvarchar" name="fieldId352545-attribute_nvarchar" placeholder="Alternative Phone Number" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352543-attribute_nvarchar "><label for="fieldId352543-attribute_nvarchar" class="col-md-4 control-label ">Contact Addresss </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352543-attribute_nvarchar" name="fieldId352543-attribute_nvarchar" placeholder="Contact Addresss" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId305-fieldValueTextArea38 ">
<div class="col-md-12">
<p><span style="font-size: 12pt;"><strong><span style="background-color: #ffff99;">Emergency Contact 2</span></strong></span></p>
</div>
</div>
<div class="form-group objectTypeId7 row-fieldId352547-attribute_nvarchar "><label for="fieldId352547-attribute_nvarchar" class="col-md-4 control-label ">Contact Name </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352547-attribute_nvarchar" name="fieldId352547-attribute_nvarchar" placeholder="Contact Name" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352969-attribute_selectlist "><label for="fieldId352969-attribute_selectlist" class="col-md-4 control-label ">Relationship to Student </label>
<div class="col-md-6"><select name="fieldId352969-attribute_selectlist" id="fieldId352969-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="129808" selected=""></option>
<option value="129811">Associate</option>
<option value="129809">Aunt</option>
<option value="129810">Aunt and Uncle</option>
<option value="129812">Brother</option>
<option value="129813">Cousin</option>
<option value="129814">Daughter</option>
<option value="129837">Day Care Worker</option>
<option value="129818">Family Friend</option>
<option value="129815">Father</option>
<option value="129816">Foster Father</option>
<option value="129817">Foster Mother</option>
<option value="129819">Friend</option>
<option value="129820">God Mother</option>
<option value="129821">Grandfather</option>
<option value="129822">Grandmother</option>
<option value="129823">Great Aunt</option>
<option value="129825">Great Grand Child</option>
<option value="129824">Great Uncle</option>
<option value="129826">Guardian</option>
<option value="129827">Host Parent</option>
<option value="129828">Mother</option>
<option value="129832">Parent</option>
<option value="129831">Partner</option>
<option value="129829">Sister</option>
<option value="129830">Sister-in-Law</option>
<option value="129833">Step Brother</option>
<option value="129835">Step Father</option>
<option value="129836">Step Mother</option>
<option value="129834">Step Sister</option>
<option value="129838">Uncle</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId352969-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId352969-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352550-attribute_nvarchar "><label for="fieldId352550-attribute_nvarchar" class="col-md-4 control-label ">Phone Number </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352550-attribute_nvarchar" name="fieldId352550-attribute_nvarchar" placeholder="Phone Number" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352564-attribute_nvarchar "><label for="fieldId352564-attribute_nvarchar" class="col-md-4 control-label ">Alternative Phone Number </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352564-attribute_nvarchar" name="fieldId352564-attribute_nvarchar" placeholder="Alternative Phone Number" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId7 row-fieldId352548-attribute_nvarchar "><label for="fieldId352548-attribute_nvarchar" class="col-md-4 control-label ">Contact Address </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked " id="fieldId352548-attribute_nvarchar" name="fieldId352548-attribute_nvarchar" placeholder="Contact Address" value="" maxlength="500" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId253-fieldValueTextArea22 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt;"><strong><span style="background-color: #ffff99;">Your Contact Details</span></strong></span></p>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354141-attribute_nvarchar "><label for="fieldId354141-attribute_nvarchar" class="col-md-4 control-label ">Surname </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354141-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354141-attribute_nvarchar" name="fieldId354141-attribute_nvarchar" placeholder="Surname" value="Mutyiri" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354142-attribute_nvarchar "><label for="fieldId354142-attribute_nvarchar" class="col-md-4 control-label ">First Name </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354142-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354142-attribute_nvarchar" name="fieldId354142-attribute_nvarchar" placeholder="First Name" value="Lilian" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354133-attribute_nvarchar "><label for="fieldId354133-attribute_nvarchar" class="col-md-4 control-label ">Relationship to Student </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354133-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354133-attribute_nvarchar" name="fieldId354133-attribute_nvarchar" placeholder="Relationship to Student" value="Mother" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354163-attribute_nvarchar "><label for="fieldId354163-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Main language spoken at home </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354163-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked fieldRequired" id="fieldId354163-attribute_nvarchar" name="fieldId354163-attribute_nvarchar" placeholder="Main language spoken at home" value="English" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354122-attribute_nvarchar "><label for="fieldId354122-attribute_nvarchar" class="col-md-4 control-label ">Home Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354122-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354122-attribute_nvarchar" name="fieldId354122-attribute_nvarchar" placeholder="Home Phone" value="02 6372 1507" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354123-attribute_nvarchar "><label for="fieldId354123-attribute_nvarchar" class="col-md-4 control-label ">Mobile Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354123-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354123-attribute_nvarchar" name="fieldId354123-attribute_nvarchar" placeholder="Mobile Phone" value="0448 607 680" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354145-attribute_nvarchar "><label for="fieldId354145-attribute_nvarchar" class="col-md-4 control-label ">Business/Work Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354145-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354145-attribute_nvarchar" name="fieldId354145-attribute_nvarchar" placeholder="Business/Work Phone" value="" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354121-attribute_nvarchar "><label for="fieldId354121-attribute_nvarchar" class="col-md-4 control-label ">Email </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354121-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354121-attribute_nvarchar" name="fieldId354121-attribute_nvarchar" placeholder="Email" value="lmutyiri@yahoo.co.uk" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354127-attribute_nvarchar "><label for="fieldId354127-attribute_nvarchar" class="col-md-4 control-label ">Residential Address </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354127-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354127-attribute_nvarchar" name="fieldId354127-attribute_nvarchar" placeholder="Residential Address" value="21 Shepherds Lane, GULGONG NSW 2852" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354128-attribute_nvarchar "><label for="fieldId354128-attribute_nvarchar" class="col-md-4 control-label ">Postal Address </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354128-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354128-attribute_nvarchar" name="fieldId354128-attribute_nvarchar" placeholder="Postal Address" value="21 Shepherds Lane, GULGONG NSW 2852" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354140-attribute_nvarchar "><label for="fieldId354140-attribute_nvarchar" class="col-md-4 control-label ">Employer Name </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354140-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354140-attribute_nvarchar" name="fieldId354140-attribute_nvarchar" placeholder="Employer Name" value="Mid Western Regional Council" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354139-attribute_nvarchar "><label for="fieldId354139-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Profession or Occupation Title </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354139-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked fieldRequired" id="fieldId354139-attribute_nvarchar" name="fieldId354139-attribute_nvarchar" placeholder="Profession or Occupation Title" value="Property Officer" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354169-attribute_selectlist "><label for="fieldId354169-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Occupation Position Group </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354169-attribute_selectlist "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><select
name="fieldId354169-attribute_selectlist" id="fieldId354169-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="131267" selected="">1 = Senior management in large business organisation, government administration and defence, and qualified professionals</option>
<option value="131268">2 = Other business managers, arts/media/sports persons and associate professionals</option>
<option value="131269">3 = Tradespeople, clerks and skilled office, sales and service staff</option>
<option value="131270">4 = Machine operators, hospitality staff, assistants, labourers and related workers</option>
<option value="131271">8 = Not in paid work in last 12 months</option>
<option value="131272">9 = Not stated or unknown</option>
</select>
</div>
</div>
</div>
<div class="form-group hidden row-fieldId354169-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId354169-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId4 row-fieldId354167-attribute_selectlist "><label for="fieldId354167-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Highest Qualification Level </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354167-attribute_selectlist "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><select
name="fieldId354167-attribute_selectlist" id="fieldId354167-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="131249">Year 9 or equivalent or below</option>
<option value="131250">Year 10 or equivalent</option>
<option value="131251">Year 11 or equivalent</option>
<option value="131252">Year 12 or equivalent</option>
<option value="131253">Certificate I to IV (including trade certificate)</option>
<option value="131254">Advanced diploma/Diploma</option>
<option value="131255" selected="">Bachelor degree or above</option>
<option value="131256">No non-school qualification</option>
<option value="131257">Not Stated/Unknown</option>
</select>
</div>
</div>
</div>
<div class="form-group hidden row-fieldId354167-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId354167-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId254-fieldValueTextArea23 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt; background-color: #ffff99;"><strong>Spouse Contact Details</strong></span></p>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354126-attribute_nvarchar hidden no-validation "><label for="fieldId354126-attribute_nvarchar" class="col-md-4 control-label hidden no-validation ">schoolParentSpouseUniqueId </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354126-attribute_nvarchar hidden no-validation "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div>
<input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId354126-attribute_nvarchar" name="fieldId354126-attribute_nvarchar" placeholder="schoolParentSpouseUniqueId" value="131979" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354152-attribute_nvarchar "><label for="fieldId354152-attribute_nvarchar" class="col-md-4 control-label ">Spouse Last Name </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354152-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354152-attribute_nvarchar" name="fieldId354152-attribute_nvarchar" placeholder="Spouse Last Name" value="Mutyiri" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354124-attribute_nvarchar "><label for="fieldId354124-attribute_nvarchar" class="col-md-4 control-label ">Spouse First Name </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354124-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354124-attribute_nvarchar" name="fieldId354124-attribute_nvarchar" placeholder="Spouse First Name" value="Tinos" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354118-attribute_nvarchar "><label for="fieldId354118-attribute_nvarchar" class="col-md-4 control-label ">Spouse Relationship to Student </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354118-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354118-attribute_nvarchar" name="fieldId354118-attribute_nvarchar" placeholder="Spouse Relationship to Student" value="Father" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354166-attribute_nvarchar "><label for="fieldId354166-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Spouse main language spoken at home </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354166-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked fieldRequired" id="fieldId354166-attribute_nvarchar" name="fieldId354166-attribute_nvarchar" placeholder="Spouse main language spoken at home" value="English" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354149-attribute_nvarchar "><label for="fieldId354149-attribute_nvarchar" class="col-md-4 control-label ">Spouse Home Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354149-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354149-attribute_nvarchar" name="fieldId354149-attribute_nvarchar" placeholder="Spouse Home Phone" value="02 6372 1507" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354150-attribute_nvarchar "><label for="fieldId354150-attribute_nvarchar" class="col-md-4 control-label ">Spouse Mobile Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354150-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354150-attribute_nvarchar" name="fieldId354150-attribute_nvarchar" placeholder="Spouse Mobile Phone" value="0448 603 213" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354136-attribute_nvarchar "><label for="fieldId354136-attribute_nvarchar" class="col-md-4 control-label ">Spouse Business/Work Phone </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354136-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354136-attribute_nvarchar" name="fieldId354136-attribute_nvarchar" placeholder="Spouse Business/Work Phone" value="" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354151-attribute_nvarchar "><label for="fieldId354151-attribute_nvarchar" class="col-md-4 control-label ">Spouse Email </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354151-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354151-attribute_nvarchar" name="fieldId354151-attribute_nvarchar" placeholder="Spouse Email" value="mutyirit@yahoo.com.au" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354143-attribute_nvarchar "><label for="fieldId354143-attribute_nvarchar" class="col-md-4 control-label ">Spouse Residential Address </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354143-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354143-attribute_nvarchar" name="fieldId354143-attribute_nvarchar" placeholder="Spouse Residential Address" value="21 Shepherds Lane, GULGONG NSW 2852" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354144-attribute_nvarchar "><label for="fieldId354144-attribute_nvarchar" class="col-md-4 control-label ">Spouse Postal Address </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354144-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354144-attribute_nvarchar" name="fieldId354144-attribute_nvarchar" placeholder="Spouse Postal Address" value="21 Shepherds Lane, GULGONG NSW 2852" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354120-attribute_nvarchar "><label for="fieldId354120-attribute_nvarchar" class="col-md-4 control-label ">Spouse Employer Name </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354120-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked " id="fieldId354120-attribute_nvarchar" name="fieldId354120-attribute_nvarchar" placeholder="Spouse Employer Name" value="Glencore-Ulan West" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354125-attribute_nvarchar "><label for="fieldId354125-attribute_nvarchar" class="col-md-4 control-label fieldRequiredIcon">Spouse Profession or Occupation Title </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354125-attribute_nvarchar "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><input type="text"
class="form-control fieldNotLocked fieldRequired" id="fieldId354125-attribute_nvarchar" name="fieldId354125-attribute_nvarchar" placeholder="Spouse Profession or Occupation Title" value="Mine Surveyor" maxlength="500" title="">
</div>
</div>
</div>
<div class="form-group objectTypeId4 row-fieldId354170-attribute_selectlist "><label for="fieldId354170-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Spouse Occupation Position Group </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354170-attribute_selectlist "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><select
name="fieldId354170-attribute_selectlist" id="fieldId354170-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="131273" selected="">1 = Senior management in large business organisation, government administration and defence, and qualified professionals</option>
<option value="131274">2 = Other business managers, arts/media/sports persons and associate professionals</option>
<option value="131275">3 = Tradespeople, clerks and skilled office, sales and service staff</option>
<option value="131276">4 = Machine operators, hospitality staff, assistants, labourers and related workers</option>
<option value="131277">8 = Not in paid work in last 12 months</option>
<option value="131278">9 = Not stated or unknown</option>
</select>
</div>
</div>
</div>
<div class="form-group hidden row-fieldId354170-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId354170-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId4 row-fieldId354168-attribute_selectlist "><label for="fieldId354168-attribute_selectlist" class="col-md-4 control-label fieldRequiredIcon">Spouse Highest Qualification Level </label>
<div class="col-md-6">
<div class="input-group">
<div class="input-group-addon input-group-addon-permission fieldId354168-attribute_selectlist "><span class="glyphicon glyphicon-lock symbol" title="" data-original-title="Only you can see this information"></span></div><select
name="fieldId354168-attribute_selectlist" id="fieldId354168-attribute_selectlist" class="form-control fieldNotLocked ">
<option value="">-- Please select --</option>
<option value="131258">Advanced diploma/Diploma</option>
<option value="131259" selected="">Bachelor degree or above</option>
<option value="131260">Certificate I to IV (including trade certificate)</option>
<option value="131261">No non-school qualification</option>
<option value="131262">Not Stated/Unknown</option>
<option value="131263">Year 10 or equivalent</option>
<option value="131264">Year 11 or equivalent</option>
<option value="131265">Year 12 or equivalent</option>
<option value="131266">Year 9 or equivalent or below</option>
</select>
</div>
</div>
</div>
<div class="form-group hidden row-fieldId354168-attribute_selectlist-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId354168-attribute_selectlist-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId255-fieldValueTextArea24 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt; background-color: #ffff99;"><strong>Living Arrangements</strong></span></p>
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId76-multiSelect7 "><input type="hidden" class="ignore" name="fieldId76-multiSelect7" value=""><label for="fieldId76-multiSelect7" class="col-md-4 control-label ">The Student Lives With </label>
<div class="col-md-8 fieldNotLocked"><input id="fieldId76-multiSelect7180" name="fieldId76-multiSelect7" class="input-md fieldId76-multiSelect7 " type="checkbox" value="180"> Mother<br><input id="fieldId76-multiSelect7181"
name="fieldId76-multiSelect7" class="input-md fieldId76-multiSelect7 " type="checkbox" value="181"> Father<br><input id="fieldId76-multiSelect7183" name="fieldId76-multiSelect7" class="input-md fieldId76-multiSelect7 " type="checkbox"
value="183"> Other - Please specify below as Other Contact<br></div>
</div>
<div class="form-group hidden row-fieldId76-multiSelect7-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId76-multiSelect7-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId299-fieldValueTextArea32 hidden no-validation ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt;"><strong><span style="background-color: #ffff99;">Other Contact Details</span></strong></span></p>
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId77-multiSelect8 hidden no-validation "><input type="hidden" class="ignore" name="fieldId77-multiSelect8" value=""><label for="fieldId77-multiSelect8"
class="col-md-4 control-label hidden no-validation ">Other Contact Details </label>
<div class="col-md-8 fieldNotLocked"><input id="fieldId77-multiSelect8183" name="fieldId77-multiSelect8" class="input-md fieldId77-multiSelect8 hidden no-validation " type="checkbox" value="183"> Contact Details as above<br><input
id="fieldId77-multiSelect8184" name="fieldId77-multiSelect8" class="input-md fieldId77-multiSelect8 hidden no-validation " type="checkbox" value="184"> I will enter a new contact<br></div>
</div>
<div class="form-group hidden row-fieldId77-multiSelect8-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId77-multiSelect8-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId5-fieldValueNvarchar3 hidden no-validation "><label for="fieldId5-fieldValueNvarchar3" class="col-md-4 control-label hidden no-validation ">Other Contact Surname </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId5-fieldValueNvarchar3" name="fieldId5-fieldValueNvarchar3" placeholder="Other Contact Surname" value="" maxlength="250" title="">
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId6-fieldValueNvarchar4 hidden no-validation "><label for="fieldId6-fieldValueNvarchar4" class="col-md-4 control-label hidden no-validation ">Other Contact First Name </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId6-fieldValueNvarchar4" name="fieldId6-fieldValueNvarchar4" placeholder="Other Contact First Name" value="" maxlength="250" title="">
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId7-fieldValueNvarchar5 hidden no-validation "><label for="fieldId7-fieldValueNvarchar5" class="col-md-4 control-label hidden no-validation ">Other Contact Relationship to Student </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId7-fieldValueNvarchar5" name="fieldId7-fieldValueNvarchar5" placeholder="Other Contact Relationship to Student" value=""
maxlength="250" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId48-fieldValueNvarchar30 hidden no-validation "><label for="fieldId48-fieldValueNvarchar30" class="col-md-4 control-label hidden no-validation fieldRequiredIcon">Other contact main language spoken
at home </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation fieldRequired" id="fieldId48-fieldValueNvarchar30" name="fieldId48-fieldValueNvarchar30"
placeholder="Other contact main language spoken at home" value="" maxlength="250" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId8-fieldValueNvarchar6 hidden no-validation "><label for="fieldId8-fieldValueNvarchar6" class="col-md-4 control-label hidden no-validation ">Other Contact Home phone </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId8-fieldValueNvarchar6" name="fieldId8-fieldValueNvarchar6" placeholder="Other Contact Home phone" value="" maxlength="250" title="">
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId19-fieldValueNvarchar7 hidden no-validation "><label for="fieldId19-fieldValueNvarchar7" class="col-md-4 control-label hidden no-validation ">Other Contact Mobile Phone </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId19-fieldValueNvarchar7" name="fieldId19-fieldValueNvarchar7" placeholder="Other Contact Mobile Phone" value="" maxlength="250"
title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId45-fieldValueNvarchar27 hidden no-validation "><label for="fieldId45-fieldValueNvarchar27" class="col-md-4 control-label hidden no-validation ">Other Contact Email </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId45-fieldValueNvarchar27" name="fieldId45-fieldValueNvarchar27" placeholder="Other Contact Email" value="" maxlength="250" title="">
</div>
</div>
<div class="form-group objectTypeId0 row-fieldId21-fieldValueNvarchar8 hidden no-validation "><label for="fieldId21-fieldValueNvarchar8" class="col-md-4 control-label hidden no-validation ">Other Contact Residential Address </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId21-fieldValueNvarchar8" name="fieldId21-fieldValueNvarchar8" placeholder="Other Contact Residential Address" value=""
maxlength="250" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId44-fieldValueNvarchar26 hidden no-validation "><label for="fieldId44-fieldValueNvarchar26" class="col-md-4 control-label hidden no-validation ">Other Contact Postal Address </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId44-fieldValueNvarchar26" name="fieldId44-fieldValueNvarchar26" placeholder="Other Contact Postal Address" value="" maxlength="250"
title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId47-fieldValueNvarchar29 hidden no-validation "><label for="fieldId47-fieldValueNvarchar29" class="col-md-4 control-label hidden no-validation ">Other Contact Employer Name </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation " id="fieldId47-fieldValueNvarchar29" name="fieldId47-fieldValueNvarchar29" placeholder="Other Contact Employer Name" value="" maxlength="250"
title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId46-fieldValueNvarchar28 hidden no-validation "><label for="fieldId46-fieldValueNvarchar28" class="col-md-4 control-label hidden no-validation fieldRequiredIcon">Other Contact Profession or
Occupation Title </label>
<div class="col-md-6"><input type="text" class="form-control fieldNotLocked hidden no-validation fieldRequired" id="fieldId46-fieldValueNvarchar28" name="fieldId46-fieldValueNvarchar28"
placeholder="Other Contact Profession or Occupation Title" value="" maxlength="250" title=""></div>
</div>
<div class="form-group objectTypeId0 row-fieldId62-fieldValueInt9 hidden no-validation "><label for="fieldId62-fieldValueInt9" class="col-md-4 control-label hidden no-validation fieldRequiredIcon">Other Contact Occupation Group </label>
<div class="col-md-6"><select name="fieldId62-fieldValueInt9" id="fieldId62-fieldValueInt9" class="form-control fieldNotLocked hidden no-validation ">
<option value="" selected="">-- Please select --</option>
<option value="123">1 = Senior management in large business organisation, government administration and defence, and qualified professionals</option>
<option value="124">2 = Other business managers, arts/media/sportspersons and associate professionals</option>
<option value="125">3 = Tradespeople, clerks and skilled office, sales and service staff</option>
<option value="126">4 = Machine operators, hospitality staff, assistants, labourers and related workers</option>
<option value="128">8 = Not in paid work in last 12 Months</option>
<option value="129">9 = Not stated or unknown</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId62-fieldValueInt9-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId62-fieldValueInt9-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId61-fieldValueInt8 hidden no-validation "><label for="fieldId61-fieldValueInt8" class="col-md-4 control-label hidden no-validation fieldRequiredIcon">Other Contact Highest Qualification
Level </label>
<div class="col-md-6"><select name="fieldId61-fieldValueInt8" id="fieldId61-fieldValueInt8" class="form-control fieldNotLocked hidden no-validation ">
<option value="" selected="">-- Please select --</option>
<option value="121">Year 9 or equivalent or below</option>
<option value="122">Year 10 or equivalent</option>
<option value="123">Year 11 or equivalent</option>
<option value="124">Year 12 or equivalent</option>
<option value="125">Certificate I to IV (including trade certificate)</option>
<option value="126">Advanced diploma/Diploma</option>
<option value="127">Bachelor degree or above</option>
<option value="128">No non-school qualification</option>
<option value="129">Not stated/Unknown</option>
</select></div>
</div>
<div class="form-group hidden row-fieldId61-fieldValueInt8-other-row"><label class="col-md-4 control-label"> </label>
<div class="col-md-6 field-other" id="fieldId61-fieldValueInt8-other"></div>
</div>
<div class="form-group objectTypeId0 row-fieldId300-fieldValueTextArea33 ">
<div class="col-md-12">
<p style="text-align: center;"><span style="font-size: 14pt;"><strong><span style="background-color: #ffff99;">Special Circumstances</span></strong></span></p>
<p><span style="font-size: 12pt;">Please list any recent special circumstances of which the school should be aware, such as separation of parents, court order, parenting order, etc. Please forward copies of these orders to the Office of the
Principal at: <a href="mailto:principal@kws.nsw.edu.au">principal@kws.nsw.edu.au</a></span></p>
</div>
</div>
<div class="form-group tinyMCE-row-fieldId3-fieldValueTextArea2 "><label for="fieldId3-fieldValueTextArea2" class="col-md-4 control-label ">Special Circumstances </label>
<div class="col-md-7">
<div id="mceu_8" class="mce-tinymce mce-container mce-panel" hidefocus="1" tabindex="-1" role="group" style="visibility: hidden; border-width: 1px;">
<div id="mceu_8-body" class="mce-container-body mce-stack-layout">
<div id="mceu_9" class="mce-container mce-panel mce-stack-layout-item mce-first" hidefocus="1" tabindex="-1" role="group">
<div id="mceu_9-body" class="mce-container-body mce-stack-layout">
<div id="mceu_10" class="mce-container mce-toolbar mce-stack-layout-item mce-first mce-last" role="toolbar">
<div id="mceu_10-body" class="mce-container-body mce-flow-layout">
<div id="mceu_11" class="mce-container mce-flow-layout-item mce-first mce-btn-group" role="group">
<div id="mceu_11-body">
<div id="mceu_0" class="mce-widget mce-btn mce-menubtn mce-fixed-width mce-listbox mce-first mce-btn-has-text" tabindex="-1" aria-labelledby="mceu_0" role="button" aria-label="Font Sizes" aria-haspopup="true"><button
id="mceu_0-open" role="presentation" type="button" tabindex="-1"> <i class="mce-caret"></i><span class="mce-txt">11pt</span></button></div>
<div id="mceu_1" class="mce-widget mce-btn mce-colorbutton mce-last" role="button" tabindex="-1" aria-haspopup="true" aria-label="Text color"><button role="presentation" hidefocus="1" type="button"
tabindex="-1"><i class="mce-ico mce-i-forecolor"></i><span id="mceu_1-preview" class="mce-preview"></span></button><button type="button" class="mce-open" hidefocus="1" tabindex="-1"> <i class="mce-caret"></i></button>
</div>
</div>
</div>
<div id="mceu_12" class="mce-container mce-flow-layout-item mce-btn-group" role="group">
<div id="mceu_12-body">
<div id="mceu_2" class="mce-widget mce-btn mce-first" tabindex="-1" role="button" aria-label="Bold"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-bold"></i></button></div>
<div id="mceu_3" class="mce-widget mce-btn" tabindex="-1" role="button" aria-label="Italic"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-italic"></i></button></div>
<div id="mceu_4" class="mce-widget mce-btn mce-last" tabindex="-1" role="button" aria-label="Underline"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-underline"></i></button></div>
</div>
</div>
<div id="mceu_13" class="mce-container mce-flow-layout-item mce-btn-group" role="group">
<div id="mceu_13-body">
<div id="mceu_5" class="mce-widget mce-btn mce-first" tabindex="-1" role="button" aria-label="Align left"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-alignleft"></i></button></div>
<div id="mceu_6" class="mce-widget mce-btn" tabindex="-1" role="button" aria-label="Align center"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-aligncenter"></i></button></div>
<div id="mceu_7" class="mce-widget mce-btn mce-last" tabindex="-1" role="button" aria-label="Align right"><button role="presentation" type="button" tabindex="-1"><i class="mce-ico mce-i-alignright"></i></button></div>
</div>
</div>
<div id="mceu_14" class="mce-container mce-flow-layout-item mce-last mce-btn-group" role="group">
<div id="mceu_14-body"></div>
</div>
</div>
</div>
</div>
</div>
<div id="mceu_15" class="mce-edit-area mce-container mce-panel mce-stack-layout-item mce-last" hidefocus="1" tabindex="-1" role="group" style="border-width: 1px 0px 0px;"><iframe id="fieldId3-fieldValueTextArea2_ifr" frameborder="0"
allowtransparency="true" title="Rich Text Area. Press ALT-F9 for menu. Press ALT-F10 for toolbar. Press ALT-0 for help" style="width: 100%; height: 200px; display: block;"></iframe></div>
</div>
</div><textarea class="form-control tinymce" id="fieldId3-fieldValueTextArea2" name="fieldId3-fieldValueTextArea2" placeholder="Special Circumstances" title="" rows="10" aria-hidden="true" style="display: none;"></textarea>
</div>
</div>
<div class="form-group"><label for="fieldId10-contactResponseId" class="col-md-4 control-label fieldRequiredIcon fieldRequiredIcon">I confirm that above details are correct and accurate </label>
<div class="col-md-6"><select name="fieldId10-contactResponseId" id="fieldId10-contactResponseId" class="form-control fieldRequired contactResponseId fieldNotLocked">
<option value="">-- Please Select --</option>
<option value="30">I confirm</option>
</select></div>
</div>
</div>
<div id="files-list-container" style="display:none;">
<div class="alert alert-info">The following files are available for download</div>
<div class="row">
<div class="col-md-12">
<table class="table table-striped" role="presentation" id="files-list">
<tbody class="files" data-toggle="modal-gallery" data-target="#modal-gallery">
</tbody>
</table>
</div>
</div>
</div>
<div class="row view-form" id="venueMap" style="display:none;">
<div class="col-md-12 col-sm-12">
<div class="alert alert-info">Location</div>
<div id="map_canvas" class="map_canvas"></div>
<div id="map_canvas2" class="map_canvas"></div>
<div id="map_canvas3" class="map_canvas"></div>
<div id="map_canvas4" class="map_canvas"></div>
<div id="map_canvas5" class="map_canvas"></div>
<div id="map_canvas6" class="map_canvas"></div>
</div>
</div>
<div class="pp-detail-box" id="contact-password" style="background-color:#FAF9FC;display:none;">
<div class="form-group">
<label for="contactPassword" class="col-md-4 control-label">Your password</label>
<div class="col-md-5">
<input type="password" class="form-control password" id="contactPassword" name="contactPassword" value="" autocomplete="off" placeholder="Enter password" maxlength="20" tabindex="2" title="">
</div>
<div class="col-md-2"> <a href="javascript:void(0);" id="link-reset-password">Reset password</a> </div>
</div>
</div>
<div class="form-group">
<div class="col-lg-12" style="text-align:center;margin-top:20px;">
<div class="error-summary" style="color:red;padding-bottom:20px;display:none;">Please check you have completed all the required fields</div>
<div class="alert alert-warning wait-list" style="padding-bottom:20px;display:none;">You will be added to the wait list.</div>
<button type="submit" data-loading-text="Saving..." class="btn btn-primary" id="btnResponse" tabindex="51">Submit Response</button>
<button type="button" data-loading-text="Saving..." class="btn btn-primary hidden" id="btnInterviewSolutionResponse" tabindex="51">Submit Response</button>
<button type="button" data-loading-text="Saving..." class="btn btn-primary hidden" id="btnInterviewManualResponse" tabindex="51">Submit Response</button>
<button type="button" class="btn btn-default hidden" id="btnCycleInterviews" tabindex="52">Start Again</button>
</div>
</div>
</form>Name: base64Form — POST https://app.edsmart.com/export/
<form id="base64Form" name="base64Form" method="post" action="https://app.edsmart.com/export/">
<input type="hidden" id="base64data" name="base64data" value="">
<input type="hidden" id="fileName" name="fileName" value="responses.xls">
<input type="hidden" id="fileId" name="fileId" value="0">
</form>Text Content
YOU HAVE INCOMPLETE SLIPS STUDENT AND CONTACT DETAILS Student name Maka Mutyiri Slip due date 6 Mar 2023 Date(s) Add to my calendar Please complete as required and click the blue Submit Response button. NOTE: All information on this form will be visible to all parent contacts for this Student unless otherwise marked. * Automatic Bookings * Manual Selection Earliest you can arrive Latest you can stay Staff you require to meet Suggest Schedule Please review the following information and update if required. If a record is blank but displays a red asterisk * you will be required to provide details. Student Details Surname Mutyiri First Name Makanaka Preferred Name Maka Student Country of Birth Student Religion Student Nationality 1 Student Nationality 2 Main Language spoken at Home Is the student of Aboriginal or Torres Strait Islander origin? -- Please select --NoYes Student Photo Permission Photography and/or video of the student may be used for Website and Social Media -- Please select --NoYes School Publications and Newsletters -- Please select --NoYes Promotion and Advertising -- Please select --NoYes Emergency Contacts Please provide emergency contact details for use when parents/carers are not contactable. You must provide at least one emergency contact. Emergency Contact 1 Contact Name Relationship to Student -- Please select --AuntBrotherCousinDaughterFamily FriendFatherFather-In-LawFoster FatherFoster MotherFriendGod MotherGrandfatherGrandmotherGrandparentGreat Grand MotherGreat Grand ParentGuardianHost ParentMotherParentSisterSister-in-LawStep BrotherStep FatherStep MotherStep SisterUncle Phone Number Alternative Phone Number Contact Addresss Emergency Contact 2 Contact Name Relationship to Student -- Please select --AssociateAuntAunt and UncleBrotherCousinDaughterDay Care WorkerFamily FriendFatherFoster FatherFoster MotherFriendGod MotherGrandfatherGrandmotherGreat AuntGreat Grand ChildGreat UncleGuardianHost ParentMotherParentPartnerSisterSister-in-LawStep BrotherStep FatherStep MotherStep SisterUncle Phone Number Alternative Phone Number Contact Address Your Contact Details Surname First Name Relationship to Student Main language spoken at home Home Phone Mobile Phone Business/Work Phone Email Residential Address Postal Address Employer Name Profession or Occupation Title Occupation Position Group -- Please select --1 = Senior management in large business organisation, government administration and defence, and qualified professionals2 = Other business managers, arts/media/sports persons and associate professionals3 = Tradespeople, clerks and skilled office, sales and service staff4 = Machine operators, hospitality staff, assistants, labourers and related workers8 = Not in paid work in last 12 months9 = Not stated or unknown Highest Qualification Level -- Please select --Year 9 or equivalent or belowYear 10 or equivalentYear 11 or equivalentYear 12 or equivalentCertificate I to IV (including trade certificate)Advanced diploma/DiplomaBachelor degree or aboveNo non-school qualificationNot Stated/Unknown Spouse Contact Details schoolParentSpouseUniqueId Spouse Last Name Spouse First Name Spouse Relationship to Student Spouse main language spoken at home Spouse Home Phone Spouse Mobile Phone Spouse Business/Work Phone Spouse Email Spouse Residential Address Spouse Postal Address Spouse Employer Name Spouse Profession or Occupation Title Spouse Occupation Position Group -- Please select --1 = Senior management in large business organisation, government administration and defence, and qualified professionals2 = Other business managers, arts/media/sports persons and associate professionals3 = Tradespeople, clerks and skilled office, sales and service staff4 = Machine operators, hospitality staff, assistants, labourers and related workers8 = Not in paid work in last 12 months9 = Not stated or unknown Spouse Highest Qualification Level -- Please select --Advanced diploma/DiplomaBachelor degree or aboveCertificate I to IV (including trade certificate)No non-school qualificationNot Stated/UnknownYear 10 or equivalentYear 11 or equivalentYear 12 or equivalentYear 9 or equivalent or below Living Arrangements The Student Lives With Mother Father Other - Please specify below as Other Contact Other Contact Details Other Contact Details Contact Details as above I will enter a new contact Other Contact Surname Other Contact First Name Other Contact Relationship to Student Other contact main language spoken at home Other Contact Home phone Other Contact Mobile Phone Other Contact Email Other Contact Residential Address Other Contact Postal Address Other Contact Employer Name Other Contact Profession or Occupation Title Other Contact Occupation Group -- Please select --1 = Senior management in large business organisation, government administration and defence, and qualified professionals2 = Other business managers, arts/media/sportspersons and associate professionals3 = Tradespeople, clerks and skilled office, sales and service staff4 = Machine operators, hospitality staff, assistants, labourers and related workers8 = Not in paid work in last 12 Months9 = Not stated or unknown Other Contact Highest Qualification Level -- Please select --Year 9 or equivalent or belowYear 10 or equivalentYear 11 or equivalentYear 12 or equivalentCertificate I to IV (including trade certificate)Advanced diploma/DiplomaBachelor degree or aboveNo non-school qualificationNot stated/Unknown Special Circumstances Please list any recent special circumstances of which the school should be aware, such as separation of parents, court order, parenting order, etc. Please forward copies of these orders to the Office of the Principal at: principal@kws.nsw.edu.au Special Circumstances 11pt I confirm that above details are correct and accurate -- Please Select --I confirm The following files are available for download Location Your password Reset password Please check you have completed all the required fields You will be added to the wait list. Submit Response Submit Response Submit Response Start Again Print A response has been submitted. PLEASE NOTE: If you need to update or amend this information please contact your school. PLEASE NOTE: This form has not yet been completed.. Student name Slip due date Date(s) Add to my calendar Response Response date Completed by The following files are available for download Location The following files are available for download Student name Slip due date To respond to this Slip you must create a password, using a number code we send to your mobile phone Unfortunately we do not have a record of your mobile phone number. Please contact the school and ask them to update your contacts, then click the link in your email again to come back to this page. Online forms for schools, students and parents powered by EdSmart SORRY! OK WARNING! Cancel OK SORRY! OK CONFIRM DELETION Please confirm you wish to delete this record. This action cannot be undone! Cancel Delete × RESET PASSWORD If you have lost your password you can do a password reset. You must have your mobile phone with you as we will send you a confirmation code by text message. If you wish to proceed please click the Reset Password button. Close Reset Password CANNOT SAVE SLIP Your Response cannot be saved. This usually means that another Parent has just submitted a Response for your Student while you were completing the Slip. Click OK to see the Slip. OK PLEASE SUBMIT THE FORM Thank you for the payment, please ensure you now complete and submit the form. OK Session Timeout Your session is about to expire. Log Out NowStay Connected