Alcester Grammar School Sixth Form
Student Application for September 2016
E
Subject Choices
Entry requirements for September 2016
Students require a minimum of 4 GCSEs at a grade B and (or including) at least a grade C
in Maths and English Language.
There are also subject specific grade requirements (detailed in the prospectus).
Before completing this form you should read the guidelines for choice in our
prospectus.
Deadline for applications is 4pm on Friday 12th February 2016.
Student Details
SURNAME:
FORENAMES:
(legal)
(in full)
MALE
FEMALE
☐
☐
HOME ADDRESS:
DATE OF BIRTH:
Please number your choices 1 – 4 in subject preference order. A reserve choice ( R ) must be
added in the event of not achieving the required grades or a subject not being available.
Whilst it is not recommended to study 5 A Levels, please contact the Head of Sixth Form if you wish to.
Listed below are the AS level options (all of which lead to full A level).
You must choose four AS levels (or three if choosing Further Maths) plus 1 reserve choice (R).
Art
Biology
Further Maths
(Double A Level)
Design Technology
Philosophy
Economics
Photography
English Language
Physical Education
English Literature
Physics
French
Psychology
Geography
Religious Studies
German
Spanish
History
Statistics *
Food, Nutrition and Health (Home Economics)
Theatre Studies
* Please note that you cannot do any of the 3 Maths options
Extend
EMAIL ADDRESS:
Maths Mechanics
Music
CURRENT SCHOOL ATTENDED:
MOBILE PHONE NUMBER:
Choose only one
Chemistry
Information and Communication Technology
STUDENT:
Mathematics *
Business Studies
POSTCODE:
HOME TELEPHONE NUMBER:
Maths Statistics
WITH Statistics.
THIS IS FOR INFORMATION ONLY AT THIS STAGE – DO NOT APPLY NOW – THIS WILL HAPPEN IN AUGUST.
All year 12 students have the opportunity to choose one Extend option (listed below) to add breadth to
their studies from the following choices which they can apply for in August 2016. Please note that there
may be a fee payable for these courses.
 Arts Leadership Award
 Community Sport Leadership Award
 General Studies AS Level
 Extended Project Qualification
Parent with whom student is living. Primary contact:
Ethnic Origin: (please
PARENT / GUARDIAN
NAME:
White: British
RELATIONSHIP TO
STUDENT:
Mixed:
Mixed: White/Asian
White/Black African
EMAIL ADDRESS:
Asian or Asian
British: Pakistani
Asian or Asian British:
Bangladeshi
Black or Black
British: Caribbean
Black or Black British:
Any other Black
background
Mobile
Work
Home
PHONE NUMBERS:
tick one only)
White: Irish
White: Any other
Background
Mixed: White/Black
Caribbean
White: Any other mixed
background
Asian or Asian British:
Any other Asian
Background
Asian or Asian
British: Indian
Any Other Ethnic Groups:
Chinese
Any Other Ethnic
Groups not stated:
Black or Black
British: African
Home Language: (if not English)
Parent with whom student is living. Secondary contact (if applicable):
PARENT / GUARDIAN
NAME:
Please send your completed form to:
RELATIONSHIP TO
STUDENT:
EMAIL ADDRESS:
PHONE NUMBERS:
Mobile
Work
Home
Parent at a different address (if applicable):
By hand, post or email (sixthform@alcestergs.com) as soon as possible and to arrive no
later than 4:00 pm on Friday 12thth February 2016.
PARENT / GUARDIAN
NAME:
RELATIONSHIP TO
STUDENT
Applications will be acknowledged by email as soon as possible after receipt.
If you do not receive an acknowledgement, please contact us on 01789 762 494 option 3.
EMAIL ADDRESS:
PHONE NUMBERS:
HOME ADDRESS:
Admissions
Sixth Form Office
Alcester Grammar School
Birmingham Road
Alcester
B49 5ED
Mobile
Work
Home