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Liston College Indemnity Document for Students living with a Designated Caregiver

Liston College PRINCIPAL: C. S. Rooney MEdMgt (Hons), GradDipBus, BA

Liston College Indemnity Document for Students living with a Designated Caregiver

I/We designate................................................................................................. (insert name of designated caregiver) to provide accommodation for my/our son to attend Liston College as an International Student.

I/We designate................................................................................................. (insert name of designated caregiver) to provide accommodation for my/our son to attend Liston College as an International Student.

Student’s Name: (as it appears on the Student’s passport)

Student’s Name: (as it appears on the Student’s passport)

.........................................................................................................................

.........................................................................................................................

Print Designated Caregiver’s Name: ............................................................

In Christ We Live

Print Designated Caregiver’s Name: ............................................................

Relationship to Student: (Uncle/Aunt/Grandparent/close family friend)

Relationship to Student: (Uncle/Aunt/Grandparent/close family friend)

.........................................................................................................................

.........................................................................................................................

Address:...........................................................................................................

Address:...........................................................................................................

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................

.........................................................................................................................

Phone: ........................................ Mobile:. .....................................................

Phone: ........................................ Mobile:. .....................................................

Email: ..............................................................................................................

Email: ..............................................................................................................

Execution and Declaration

Execution and Declaration

• I /we have read and understood the terms as set out in this Agreement (contained in the following 1 page) and agree to them (this agreement consists of 2 pages).

• I /we have read and understood the terms as set out in this Agreement (contained in the following 1 page) and agree to them (this agreement consists of 2 pages).

• I/we confirm that the person/s nominated as the designated caregiver/s is/are a ‘bona fide’ relative or close family friend (proof of this relationship may be

• I/we confirm that the person/s nominated as the designated caregiver/s is/are a ‘bona fide’ relative or close family friend (proof of this relationship may be

required).

Liston College PRINCIPAL: C. S. Rooney MEdMgt (Hons), GradDipBus, BA

In Christ We Live

required).

Full Name: ___________________________________________________

Full Name: ___________________________________________________

(Must be signed by student’s Father, Mother or Legal Guardian only)

(Must be signed by student’s Father, Mother or Legal Guardian only)

Signed: ______________________________________________________

Signed: ______________________________________________________

Date: _____________________

Date: _____________________

Remove this page and scan / email or fax to Liston College along with other relevant information and forms.

69 Rathgar Road Henderson Auckland 0610 New Zealand

69 Rathgar Road Henderson Auckland 0610 New Zealand

telephone 00-64-9 838 9350 facsimile 00-64-9 838 9809 email international@liston.school.nz website www.liston.school.nz

telephone 00-64-9 838 9350 facsimile 00-64-9 838 9809 email international@liston.school.nz website www.liston.school.nz

Remove this page and scan / email or fax to Liston College along with other relevant information and forms.


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I / We understand that Liston College will: • Visit the home of the Designated Caregiver prior to enrolment to determine that the living conditions are of an acceptable standard. • Assess whether the Designated Caregiver will provide a safe physical and emotional environment for the Student. • Determine that the accommodation is not a boarding establishment (i.e. does not have 5 or more International Students staying in the home). • Follow the provisions relating to boarding establishments as set out in the Code of Practice, if the accommodation designated by the parents is a boarding establishment. • Meet with the Designated Caregiver/s and establish communication with the caregiver. • Meet the Student at least quarterly to ensure the accommodation is suitable. • Require a Police vet to be undertaken if the education provider considers it appropriate.

I / We understand that Liston College will: • Visit the home of the Designated Caregiver prior to enrolment to determine that the living conditions are of an acceptable standard. • Assess whether the Designated Caregiver will provide a safe physical and emotional environment for the Student. • Determine that the accommodation is not a boarding establishment (i.e. does not have 5 or more International Students staying in the home). • Follow the provisions relating to boarding establishments as set out in the Code of Practice, if the accommodation designated by the parents is a boarding establishment. • Meet with the Designated Caregiver/s and establish communication with the caregiver. • Meet the Student at least quarterly to ensure the accommodation is suitable. • Require a Police vet to be undertaken if the education provider considers it appropriate.

Important Points:

Important Points:

I / we understand that Liston College will make every endeavour to ensure the safety and welfare of my / our child while studying at their school.

I / we understand that Liston College will make every endeavour to ensure the safety and welfare of my / our child while studying at their school.

Should there be a concern about the welfare of the student, the school will consult the Pastoral Care staff within the school and will discuss the concerns with the Designated Caregivers and Parents of the Student. Further, I / we understand that should Liston College have any concerns regarding the welfare of my / our child, the School may relocate the Student into another approved school homestay. If necessary, the School will also refer the matter to the relevant welfare authorities or any other appropriate outside agencies.

Should there be a concern about the welfare of the student, the school will consult the Pastoral Care staff within the school and will discuss the concerns with the Designated Caregivers and Parents of the Student. Further, I / we understand that should Liston College have any concerns regarding the welfare of my / our child, the School may relocate the Student into another approved school homestay. If necessary, the School will also refer the matter to the relevant welfare authorities or any other appropriate outside agencies.

Liston College has agreed to observe and be bound by the Code of Practice for the Pastoral Care of International Students published by the Minister of Education. Copies of the Code are available on request from this institution or from the New Zealand Ministry of Education website at http://www.minedu.govt.nz/goto/international

Liston College has agreed to observe and be bound by the Code of Practice for the Pastoral Care of International Students published by the Minister of Education. Copies of the Code are available on request from this institution or from the New Zealand Ministry of Education website at http://www.minedu.govt.nz/goto/international

Should this arrangement change I / we undertake to inform Liston College immediately.

Should this arrangement change I / we undertake to inform Liston College immediately.

/prospectus-indemnity-for-students-living  

http://www.liston.school.nz/downloads/prospectus/prospectus-indemnity-for-students-living.pdf

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