Apply For Sixth Form

Before completing this form, you may wish to consider your answers for the Personal Statement section and/or prepare a word document to answer the questions in this section.

If you have any issues with this form, please contact our Head of Sixth Form, Mr. Taafe.

First Name* Surname* Date of Birth*

Gender:*MaleFemaleOther

Current School:* Home Address (including postcode): Telephone Number (Home): Student Email Address:* Name of Parent/Guardian/Next of Kin:* Parent/ Guardian Mobile Telephone Number:* Parent Email Address:* Address (Including postcode - if different from above): Ethnicity Religion Have you lived at the same address for the last 3 years? If not, please give your previous address(es) Do you have a statement of special educational needs? Are there any health issues we need to be aware of? Do you consider yourself to have a disability?

Choosing Your Subjects

Please rank up to five qualifications in order of preference. Students generally will end up studying a combination of three A Levels (or equivalent).

What is your first choice?* What is your second choice?* What is your third choice?* What is your fourth choice?* What is your fifth choice?*

Examinations

Please list examinations you will be taking in the summer term, including the following information: Subject, Level (GCSE/BTEC) etc. & your Predicted Grade.

1. Subject, Level & Predicted Grade 2. Subject, Level & Predicted Grade 3. Subject, Level & Predicted Grade 4. Subject, Level & Predicted Grade 5. Subject, Level & Predicted Grade 6. Subject, Level & Predicted Grade 7. Subject, Level & Predicted Grade 8. Subject, Level & Predicted Grade 9. Subject, Level & Predicted Grade 10. Subject, Level & Predicted Grade Please list any qualifications you have already achieved, information: Subject, Level (GCSE/BTEC) etc & Achieved Grade.

Personal Statement

Please provide an answer for all questions in this section. For this part of the application you may wish to answer the below questions on a separate word document and upload using the button at the end of this section.

Describe your personality, qualities, interests and the career you would like to follow in the future. Please give examples of how you give to others. This can be at school, home or the community. Please explain how you think you will be able to contribute to The Bourne Academy community: Please list any additional Awards/Qualifications achieved including outside of school, e.g. music, sport etc: Or upload a Word Doc here:

References

Please supply two referees, one of these must be from your current/last school.

Please include the following information for both: Name, Position, Address, Telephone and Email Address.

Reference 1* Reference 2*