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Email collection form

​To maintain our school records, Cleveland District State High School administration, would like to collect your email address. This data will be shared with no third parties and will remain secure at our school.

The Department of Education and Training through Cleveland District State High School is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to maintain our school records. The information will only be accessed by Department of Education and Training. The information will not be given to any other person or agency unless consent is provided.

  • Email
    Enter the parent email address
  • Surname
    Student's surname
  • First name
    Student's first name
  • Home group
    Student home group