HPP 
BARKING ABBEY SCHOOL
6TH FORM APPLICATION FORM 2016
(please complete in BLACK INK and in BLOCK CAPITALS)
Personal Details:
Male

Female

School Details: (This must be fully completed)
School:
Surname:
Address:
First name(s):
Town:
Address:
Town:
Postcode:
Head of Year 11:
Postcode:
School Tel No:
Date of Birth:
School Fax No:
Tel No. (Home):
School email address:
Mobile No:
Email:
LIST ALL ACADEMIC SUBJECTS BEING STUDIED - WITH EXPECTED ACHIEVEMENT GRADES
Subject (CORE)
Grade
Subject (List other options) Grade
Mathematics
Science (triple OR Physics)
English Language
English Literature
Science ( core OR Biology)
Science (additional OR
Chemistry)
FUTURE CAREER (if known)
IF YOU ARE APPLYING FOR AN ACADEMY PLEASE TICK:
BASKETBALL

FOOTBALL

NETBALL

JUDO
GOLF

Handicap ………..
GIVE BRIEF DETAILS OF WHY YOU WISH TO ATTEND BARKING ABBEY SCHOOL AND WHAT YOU CAN OFFER TO OUR
SIXTH FORM
COURSE CHOICE (PLEASE COMPLETE FORM OVERLEAF)
Student signature …………………………… Parent signature ……………………… Date…………..
For Office Use
Offer of Place
Date form received …………………….
Interview
Added to spreadsheet………………….
Copy sent to Academy



Yes
Letter sent

No
Date ……………………………
Time ……………………………

Date ………………………..
OPTION BLOCKS Yr 12 2016
YOU MUST ENSURE YOU HAVE ALL THE NECESSARY QUALIFICATIONS FOR EACH SUBJECT YOU HAVE CHOSEN
(FAILURE TO DO THIS COULD JEOPARDISE YOUR PLACE AT BARKING ABBEY SCHOOL)
Tick ONE subject only in each block
BLOCK A
L3 BTEC Diploma Sport and
Exercise Science
L3 BTEC Diploma Business
Minimum GCSE
Grades entry
requirements
5 Cs (inc PE)
TICK
BOX
BLOCK B
L3 BTEC Diploma Business
Minimum GCSE
Grades entry
requirements
5 Cs (inc Eng &
Maths)
5 Cs (inc PE)
English Literature *
5 Cs (inc Eng &
Maths)
BB
Government & Politics
B Eng/Humanities
Maths (Pure & Stats)
High B
L3 BTEC Diploma Sport and
Exercise Science
L3 BTEC Extended Diploma
Science
L3 BTEC Extended Diploma
Dance (3 A Levels)
Art or Graphic Design
Photography
C Art or portfolio
Business Studies
Psychology
B Eng Language
Chemistry*
B English/C
Maths
BB Science
Physical Education
B
Drama
B (+B in English)
Physics *
BB/Science
Further Mathematics*
Sociology
B Eng Language
History*
A/A* (+ Maths
Stats AS)
B (+B in English)
Religious Studies
Sociology
BLOCK C
TICK
BOX
5 Cs
5 Cs
C/Merit
C (B
Humanities)
B Eng Language
BLOCK D
L3 BTEC Diploma Science
5 Cs (inc Science)
L3 BTEC Diploma Sport and
Exercise Science Extended
L3 BTEC Diploma
Performing Arts Dance (2 A
Levels)
Biology
5 Cs (inc PE)
BB Science
L3 BTEC National Extended
Dance Certificate (1 A
Level)
Biology*
Economics
B Maths & English
Chemistry
BB Science
Geography *
B (+B in English)
Computer Science
A/B Maths, A ICT
History
B (+B in English)
Design & Technology
B
ICT
English Literature
BB
Maths (Pure & Stats) *
B English, B ICT,
(inc Maths)
High B
Maths (Pure & Stats)
High B
Maths (Pure & Applied)
High B
Psychology
B Eng Language
Psychology*
B Eng Language
Religious Studies*
C (B Humanities)
Design & Technology
B
5 Cs
L3 BTEC Extended Diploma
Business
L3 BTEC Diploma Science
5 Cs (inc Eng &
Maths)
5 Cs (inc
Science)
5 Cs
BB Science
* These subjects are for all students, but should be chosen by our high performance programme cohort
NOTE FOR BTEC SUBJECTS
Due to proposed changes to the BTEC courses from September 2016, the exact provision of Subsidiary, Diplomas
and Extended Diplomas for each subject is yet to be decided.
SIXTH FORM REFERENCE
To be completed by the Head of Year 11 or suitable alternative
NAME OF STUDENT ………………………………………………………………UPN No……………….
(block capitals)
EDUCATIONAL RECORD AT ………………………………………………………. SCHOOL
A = Excellent B = Good C = Average D = Below Average E = Poor
A
Please tick and comment below where applicable
B
C
D
E
ATTENDANCE (% if possible)
PUNCTUALITY (% if possible)
HEALTH
CONDUCT
KEENNESS AND INDUSTRY
COURTESY AND CONSIDERATION
CO-OPERATION & DEPENDABILITY
SELF MOTIVATION
ABILITY TO COMMUNICATE
COMMON SENSE
Does this student have any special educational needs? Please tick any relevant. Medical Care plan
 SEN Register  LAC  Independent Student 
Learning  Behaviour  Emotional  Physical  Speech/language  Other 
Statemented


Gifted and Talented
PLEASE GIVE GENERAL COMMENTS - Additional comments and information regarding general
abilities, positions of responsibility, special needs requirements if applicable etc.
Do you have reason to doubt student’s honesty?
Has this student ever been given a fixed term exclusion?


Yes
Yes
 No
 No
If Yes, Reason/Dates/ Number of days:
……………………………………………………………………………………………………………………………….
EXAM INFORMATION (Tick if confirming student’s grades on front page, or please complete table
Please give EXPECTED achievement grades (rather than predicted grades)
SUBJECT
LEVEL
GRADE SUBJECT
School stamp
LEVEL

GRADE
Signed ………………………………………………………
Title ………………………………………………………….
Date ………………………