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Last updated: 27-Jan-05
page 3
version 1.1
ADULT B DETAILS:
Sex (tick):
Male
Female
Title: (Ms, Mrs, Mr, Dr etc)
Surname: 
First Name: 
What is Adult B’s occupation?
Who is Adult B’s employer?
In which country was Adult B born?
Australia
Other (please specify):
Does Adult B speak a language other than English at home? (tick)
No, English only
Yes* (please specify): 
* If more than one language is spoken at home, indicate the one that is spoken most often
Please indicate any
additional languages
spoken by Adult B:
Is an interpreter required?
(tick)
Yes
No
What is the highest year of primary or secondary school Adult B has completed? (tick one) (For persons who
have never attended school, mark ‘Year 9 or equivalent or below’.)
Year 12 or equivalent
Year 11 or equivalent
Year 10 or equivalent
Year 9 or equivalent or below
What is the highest qualification level Adult B has completed? (tick one)
Bachelor Degree or above
Advanced Diploma / Diploma
Certificate 1 to IV (including trade certificate)
No non-school qualification
What is the occupation group of Adult B? (Please enter the letter of the appropriate group from
the attached list. If the person is not currently in paid work but has had a job in the last 12 months, or has retired in
the last 12 months, please use their last occupation to select from the attached occupation group list. If the person
has not been in paid work for the last 12 months, enter ‘N’.)
Would Adult B be interested in helping out the school with School Council, excursions
or similar activities? (tick)
Yes
No
OTHER PRIMARY FAMILY DETAILS:
Main language spoken at home:
Preferred language of notices: 
These questions are asked as a requirement of the Commonwealth Government. All schools across Australia
will be required to collect the same information 
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