SIXTH FORM APPLICATION FORM 2015
Please complete all sections of the form in BLOCK CAPITALS and return it to Charter Academy. If you have any
difficulties completing the form then please call 023 9282 4204 and ask for Ms Owoh.
Section 1: Student information
Forename
Surname
Date of Birth
Current School
Section 2: Contact information
Address line 1
Address line 2
Address line 3
Address line 4
Postcode
Telephone (Home)
Student mobile
Student email
Parent mobile
Parent email
Section 3: Key Stage 4 predicted/actual grades
Subject
Qualification
‘Work Hard, Be Nice, No Excuses’
School Predicted grade
SIXTH FORM APPLICATION FORM 2015
Additional qualifications, if applicable (e.g. AS Levels):
Subject
Qualification
School Predicted grade
Section 4: Choice of pathway
Based on the GCSE predicted grades you have entered above, you need to select one of the two pathways below
(please circle the pathway that applies to you):
Guided choice
GCSE predicted grades
Pathway 1
Pathway 2
Choose 4 AS levels
Choose 3 AS levels
Mostly B and better
Distinction in L2 BTEC
Mostly B and C
Distinction in L2 BTEC
Section 5: Choice of courses
Please see our website for entry requirements for individual AS level subjects and detailed descriptions of all our
sixth form courses (www.charteracademy.org.uk).
Core A level subjects
‘Work Hard, Be Nice, No Excuses’
SIXTH FORM APPLICATION FORM 2015
The core subjects are those that Russell Group universities have identified as being the best preparation for studying
at degree level in good universities. Studying these subjects will help to keep your options as wide as possible.
Pathway 1: choose 4 AS levels
Students on Pathway 1 usually study three core AS levels and one broadening AS level or four core AS Levels. In
some circumstances students may choose to study two core subjects and two broadening subjects.
Pathway 2: choose 3 AS levels
Students on Pathway 2 usually study two core AS levels and one broadening AS level or three core AS Levels. In some
circumstances students may choose to study one core subject and two broadening subjects.
Core subjects
Broadening subjects
Biology
Chemistry
English Literature
Geography
History
Mathematics
Physics
Spanish
Mathematics (Further)
Drama and Theatre Studies
Art and Design
Sport
Religious Studies
Music
Economics
Business Studies
Please enter your choices in the boxes below:
Pathway:
Course choice 1:
Course choice 2:
Course choice 3:
Course choice 4:
Section 6: Additional information
How will studying these courses help you achieve your future academic or career goals?
‘Work Hard, Be Nice, No Excuses’
SIXTH FORM APPLICATION FORM 2015
What unique contribution will you make to Charter Academy Sixth Form?
Which extra-curricular activities are you currently involved in at school?
‘Work Hard, Be Nice, No Excuses’
SIXTH FORM APPLICATION FORM 2015
Briefly talk below about your hobbies/interest outside of school:
If you are planning to apply for sixth form elsewhere please enter the names of the schools/colleges in the space
below:
6. Declaration
I confirm that the information on this form is correct.
Signed:
Date:
‘Work Hard, Be Nice, No Excuses’