APPLICATION FOR ADMISSION TO THE
SIXTH FORM 2016
Please complete in BLOCK CAPITALS and return to sixthform@kaa.org.uk by Tuesday, 1st December 2016
First Name
Family Name
Gender
Male / Female
Current Address
Postcode
Home Tel. No.
Date of Birth
D/M/Y
Mobile No.
/
Place of Birth
Nationality
Home Language
Religion
/
Ethnic Origin
Are you recognised as a stateless person or refugee?
Yes / No
Name of Current School
UPN (Unique Pupil No.)
UCI Exam Number
Other schools attended since age 11:
____________________________________________________________________________________________________________________________
Name of Parent/Carer(s) you will live with whilst attending Kensington Aldridge Academy
Name
Relationship
Mobile / Work No.
OFFICE USE ONLY
Date Application Received:
Late Application?
Email Address
Yes / No
Sixth Form Application Form 2016 Entry – KAA
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Examinations already taken – please list in alphabetical order. Do not include module results.
Subject
Exam Board
Level (GCSE, AS, etc.)
Date taken (month/year)
Grade
Date to be taken
(month/year)
Predicted Grade (to be
completed by the person writing
the reference if applicant is not a
students at WHTC)
Examinations to be taken – please list in alphabetical order. Do not include modules.
Subject
Exam Board
Level (GCSE, AS, etc.)
How many times have you taken the following exams?
GCSE English
_______
GCSE Maths
Doctor’s Name: ________________________________________________
_______
Tel No: _____________________________________________________
Please list any medical information you think the school should know about
Sixth Form Application Form 2016 Entry – KAA
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Do you have any brothers or sisters attending Kensington Aldridge Academy?
Yes / No
If YES, please give details
Name of sibling
Form Group
1
2
3
Are you applying for any other Sixth Form or College?
Yes / No
If YES, please list all the schools/colleges you are applying to
1.
2.
3.
Please list interests or extra-curricular activities you take part in at school (e.g. Clubs, Sports, Positions of Responsibility, etc.)
1.
2.
3.
4.
5.
What are your career plans?
Sixth Form Application Form 2016 Entry – KAA
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Confidential:
Do you have any Special Educational Needs: If yes, detail below:
Do you receive any special exam arrangements: If yes, detail below:
Are you a student in care?
Yes / No
Are you entitled to free school meals?
Yes / No
Reference: To be completed by your Year Leader / Head of Year / Form Tutor or a Senior Teacher
Very Good
Good
Average
Poor
Cause for Concern
Attendance
Punctuality
Reliability
Academic Ability
Behaviour
Suitability for chosen courses
Comment:
Name & Position of Person Providing Reference:
School Stamp
Signature & Date:
I would like to apply for a place in the Sixth Form at Kensington Aldridge Academy. I am aware that I am expected to attend an interview at KAA, a transition event as
well as an admission test in the Spring Term.
Student’s Signature:
Date:
Parent/Carers Signature:
Date:
OFFICE USE ONLY
Application Meeting Date:
Application Meeting Time:
Additional Notes:
Sixth Form Application Form 2016 Entry – KAA
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OPTIONS & ENTRY REQUIREMENTS - LEVEL 3 COURSES
Academic entry requirements - Year 12 - Level 3 courses – AS Level
The following AS & A-Level courses are available from Sept 2016. This list is provisional and may change slightly. Entry requirements will
be 5 A*-C including English & Maths, with at least a B in the subject you wish to study at AS / A-Level. The AS courses are one-year
courses with exams taken in the summer series. The vast majority of KAA Sixth Formers will study 4 AS Levels in Y12 and 3 A-Levels in
Y13.
Please note that starred subjects will be delivered by Godolphin & Latymer, and students will have to travel between KAA and
Godolphin for these lessons (just three tube stops – a 20 minute journey which will be built into their timetables).
Please indicate which subject you would like to study according to the grading system below:
1- I am definitely interested in this subject
2- I would consider this subject if I don’t get the grade required for my first choices
3- I would consider this subject as a last option
4- I would definitely not consider this subject
SUBJECT
Ancient History*
Art Textiles
Biology
Chemistry
Classical Civilisation*
Computer Science
Dance
Drama
Economics*
English Literature
Fine Art
French
Further Mathematics
Geography
German
Government & Politics*
History
History of Art*
Italian*
Latin*
Mandarin*
ENTRY CRITERIA
GRADING
SCALE 1-4
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
Sixth Form Application Form 2016 Entry – KAA
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Mathematics
PE
Physics
Product Design
Psychology
Religious Education
Russian*
Spanish*
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
5 GCSE passes at grades A*-C including English and Maths, with at least a B or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
7 GCSE passes at grades A*-B including English and Maths, with at least an A or above in this
subject (or closest equivalent)
APPLIED / VOCATIONAL COURSES
In addition to AS & A-Levels, KAA offers a select number of applied and vocational courses which are listed below. All are high-value
courses which have proven progression routes into industry.
Please indicate which subject you would like to study according to the grading system below:
1- I am definitely interested in this subject
2- I would consider this subject if I don’t get the grade required for my first choices
3- I would consider this subject as a last option
4- I would definitely not consider this subject
SUBJECT
Art & Design
L3 BTEC
Music Technology
L3 BTEC
Theatre Production
L3 BTEC
Sports Leadership
L3 BTEC
Cooking & Nutrition
L3 BTEC
GRADING SCALE 1-4
Sixth Form Application Form 2016 Entry – KAA
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