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© 2023 Glory City Academy. All Rights Reserved.
Glory City Church | Katherine Ruonala

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Absence Form

Absence Form

First Name

Last Name

Email

Away for multiple days?

Yes

Start Date

End Date

Reason for Absense

Vacation

Unwell

Family Emergency

Other

Specify Reason

Extension Application Form

Extension Application

First Name

Last Name

Email address(optional)

What is the name of the assessment/assignment/book report for which you are applying for an extension?

Why have you not been able to honour the due date for this work?

What length of extension are you applying for?

1 week from the due date

2 weeks from the due date

Other

Other

Accommodation Request Form

Student Accommodation Form

First Name

Last Name

Email address

Have you ever lived with others (excluding family) before?

Yes

No

For how long?

Less than 1 year

2-3 years

4-5 years

5 years+

Provide us with the email and phone number of one person who has lived with you in the past 5 years (not family) for a reference check.

Email

Phone/Mobile

Please provide us with the email and phone number of a character reference.

Email

Phone/Mobile

How would you describe your experience of living with others?

While living with others, did any issues arise that required a direct conversation?

Yes

No

Other

How would you describe your approach to that conversation?

Other

What type of accommodation are you looking for?

Transition accommodation (temporary accommodation while you search for another place to stay)

All year accommodation (the entire Academy year, from February to first week of December)

Do you have any specific preferences? e.g living with a family, singles, ages, pets, internet access.

Will you have a car?

Yes

No

Other

Do you have your own bed, desk, other furniture?

Would you like meals included or not included?

Included

Not included

Do you smoke?

Yes

No

Pastoral/Feedback Form

Pastoral/Feedback Form

Your First Name

Last Name

Email address

Does this situation have the potential to impact more than just this student?

Yes

No

Please explain

Description of situation, event or concern.

Did you reach a solution? Please explain the outcome.

Do you need to refer to any other ministry in the church?

Yes

No

I don't know

Have you made the referral if one is needed?

Yes

No

Is follow up required by you, or the pastoral care director?

Yes by me

No

Pastoral Care Director

Would you like a debrief session?

Yes by me

No

Date of Meeting