{"id":3885,"date":"2020-05-05T02:02:20","date_gmt":"2020-05-05T02:02:20","guid":{"rendered":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/?page_id=3885"},"modified":"2020-05-05T02:02:20","modified_gmt":"2020-05-05T02:02:20","slug":"school-reference-application-form","status":"publish","type":"page","link":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/?page_id=3885","title":{"rendered":"School Reference Application Form"},"content":{"rendered":"<form method=\"post\" enctype=\"multipart\/form-data\" id=\"vfbp-form-34\" class=\"vfbp-form\"><div style=\"display:none;\"><label for=\"vfbp-EMAIL-AN8fuQyoDLXem\">If you are human, leave this field blank.<\/label><input size=\"25\" autocomplete=\"off\" type=\"text\" name=\"vfbp-EMAIL-AN8fuQyoDLXem\" value=\"\" id=\"\"><\/div><input type=\"hidden\" name=\"_vfb-timestamp-34\" value=\"1777848545\" id=\"\"><input type=\"hidden\" name=\"_vfb-form-id\" value=\"34\" id=\"\"><input type=\"hidden\" name=\"_vfb-token-34\" value=\"MTc3Nzg0ODU0NWh4b2JITE1DTXI0Nmp0OHlpZzJIQ3JielFQbE03aGNF\" id=\"\"><div class=\"vfb-form-group vfb-col-12\"><div><div class=\"\">School Reference Application Form<\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-heading\" id=\"vfbField920\"><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-name\" id=\"vfbField921\"><div class=\"vfb-form-group\"><label for=\"vfb-field-921\" class=\"vfb-control-label\">Name <span class=\"vfb-required-asterisk\">*<\/span><\/label><div class=\"vfb-name-block\"><div class=\"vfb-form-group\"><div class=\"vfb-col-6\"><input id=\"vfb-field-921-first\" class=\"vfb-form-control vfb-namepart-first\" placeholder=\"First\" required=\"required\" type=\"text\" name=\"vfb-field-921[first]\"><\/div><\/div><div class=\"vfb-form-group\"><div class=\"vfb-col-6\"><input id=\"vfb-field-921-last\" class=\"vfb-form-control vfb-namepart-last\" placeholder=\"Last\" required=\"required\" type=\"text\" name=\"vfb-field-921[last]\"><\/div><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-8 vfb-fieldType-radio\" id=\"vfbField922\"><label for=\"vfb-field-922\" class=\"vfb-control-label\">Year <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"7\">7<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"8\">8<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"9\">9<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"10\">10<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"11\">11<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-922-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-922\" value=\"12\">12<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-col-4 vfb-fieldType-date\" id=\"vfbField923\"><div class=\"vfb-form-group\"><label for=\"vfb-field-923\" class=\"vfb-control-label\">Date reference is required<\/label><div><input id=\"vfb-field-923\" class=\"vfb-form-control\" placeholder=\"\" data-provide=\"datepicker\" data-date-format=\"dd\/mm\/yyyy\" type=\"text\" name=\"vfb-field-923\" value=\"\"><span class=\"vfb-help-block\">Allow two weeks for processing<\/span><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-4 vfb-fieldType-number\" id=\"vfbField1331\"><div class=\"vfb-form-group\"><label for=\"vfb-field-1331\" class=\"vfb-control-label\">In what year did you commence at RSHS? (e.g. 2022)<\/label><div><input id=\"vfb-field-1331\" class=\"vfb-form-control\" placeholder=\"\" type=\"number\" name=\"vfb-field-1331\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-8 vfb-fieldType-radio\" id=\"vfbField1333\"><label for=\"vfb-field-1333\" class=\"vfb-control-label\">In what grade did you commence at RSHS?  <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><div class=\"vfb-inline-group\"><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-0\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"7\">7<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-1\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"8\">8<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-2\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"9\">9<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-3\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"10\">10<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-4\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"11\">11<\/label><\/div><div class=\"vfb-radio\"><label><input id=\"vfb-field-1333-5\" class=\"\" placeholder=\"\" required=\"required\" type=\"radio\" name=\"vfb-field-1333\" value=\"12\">12<\/label><\/div><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-email\" id=\"vfbField934\"><div class=\"vfb-form-group\"><label for=\"vfb-field-934\" class=\"vfb-control-label\">Email <span class=\"vfb-required-asterisk\">*<\/span><\/label><div><input id=\"vfb-field-934\" class=\"vfb-form-control\" placeholder=\"\" required=\"required\" type=\"email\" name=\"vfb-field-934\" value=\"\"><\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-checkbox\" id=\"vfbField1329\"><label for=\"vfb-field-1329\" class=\"vfb-control-label\">Have you been enrolled in any RHSH specialist programs (please check those that apply)<\/label><div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1329-0\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1329\" type=\"checkbox\" name=\"vfb-field-1329[0]\" value=\"1\">Specialist Classical Music Program<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1329-1\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1329\" type=\"checkbox\" name=\"vfb-field-1329[1]\" value=\"1\">Specialist Math Program<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1329-2\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1329\" type=\"checkbox\" name=\"vfb-field-1329[2]\" value=\"1\">Specialist Volleyball Program<\/label><\/div><div class=\"vfb-checkbox\"><label><input id=\"vfb-field-1329-3\" class=\"\" placeholder=\"\" data-vfb-multiple=\"vfb-field-1329\" type=\"checkbox\" name=\"vfb-field-1329[3]\" value=\"1\">GATE - Languages<\/label><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField924\"><div class=\"vfb-form-group\"><label for=\"vfb-field-924\" class=\"vfb-control-label\">If Community Service involvement is required, please submit a summary of your service and proof by way of documentation (upload below) or contact phone number and name of referee.<\/label><div><textarea id=\"vfb-field-924\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-924\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-6 vfb-fieldType-file-upload\" id=\"vfbField925\"><div class=\"vfb-form-group\"><label for=\"vfb-field-925\" class=\"vfb-control-label\">File Upload<\/label><div><input id=\"vfb-field-925\" class=\"vfb-form-control vfb-file-input\" placeholder=\"\" type=\"file\" name=\"vfb-field-925\"><\/div><\/div><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField926\"><div class=\"vfb-form-group\"><label for=\"vfb-field-926\" class=\"vfb-control-label\">ACADEMIC RECORD: Summary of school certificates and\/or awards year 10-12 (title and year of award)<\/label><div><textarea id=\"vfb-field-926\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-926\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField927\"><div class=\"vfb-form-group\"><label for=\"vfb-field-927\" class=\"vfb-control-label\">CONTRIBUTIONS TO SCHOOL (For Example-Music, Volleyball, Bushrangers, Sporting teams, Debating etc.)<\/label><div><textarea id=\"vfb-field-927\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-927\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField928\"><div class=\"vfb-form-group\"><label for=\"vfb-field-928\" class=\"vfb-control-label\">PERSONAL AND LEADERSHIP DEVELOPMENT:  List any camps\/programs attended or leadership positions held (such as form rep\u2019, peer support, student councillor). remember to include the year: <\/label><div><textarea id=\"vfb-field-928\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-928\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField929\"><div class=\"vfb-form-group\"><label for=\"vfb-field-929\" class=\"vfb-control-label\">SCHOOL COMMUNITY SERVICE: list any groups (such as rosstainability, bush rangers, peer support) or activities (such as athletics, maths tutoring, being in the school musical) to which you have contributed. Remember to include the year: <\/label><div><textarea id=\"vfb-field-929\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-929\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-textarea\" id=\"vfbField930\"><div class=\"vfb-form-group\"><label for=\"vfb-field-930\" class=\"vfb-control-label\">Other community involvement\/achievements: list out-of-school community achievements in sports, music etc. <\/label><div><textarea id=\"vfb-field-930\" class=\"vfb-form-control\" placeholder=\"\" rows=\"6\" name=\"vfb-field-930\" cols=\"50\"><\/textarea><\/div><\/div><\/div><div class=\"vfb-clearfix\"><\/div><div class=\"vfb-col-12 vfb-fieldType-submit\" id=\"vfbField932\"><button id=\"vfb-field-932\" class=\" btn btn-primary\" placeholder=\"\" type=\"submit\" name=\"_vfb-submit\">Submit<\/button><\/div><div class=\"vfb-clearfix\"><\/div><\/form>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/pages\/3885"}],"collection":[{"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3885"}],"version-history":[{"count":3,"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/pages\/3885\/revisions"}],"predecessor-version":[{"id":3888,"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=\/wp\/v2\/pages\/3885\/revisions\/3888"}],"wp:attachment":[{"href":"https:\/\/www.rossmoyneshs.wa.edu.au\/forms\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}