APPLICATION FOR ADMISSION TO THE SIXTH FORM 2016 Please complete in BLOCK CAPITALS 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? Name of Current School Yes / No Form Group if currently at Wembley High Technology College UPN (Unique Pupil No.) If not at Wembley High Technology College UCI Exam Number If not at Wembley High Technology College Other schools attended since age 11: ____________________________________________________________________________________________________________________________ Name of Parent/Carer(s) you will live with whilst attending Wembley High Technology College: Name Relationship Mobile / Work No. OFFICE USE ONLY Date Application Received: Sixth Form Application Form 2016 Entry Late Application? Email Address Yes / No Examinations already taken – please list in alphabetical order any academic qualifications you have been awarded. Do not include module results. Subject Exam Board Level (GCSE, AS, etc.) Date taken (month/year) Grade Examinations to be taken – please list in alphabetical order any academic qualifications you will sit examinations for in 2015-16. Do not include modules. Subject Exam Board Level (GCSE, AS, etc.) 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) How many times have you taken the following exams? GCSE English Language _______ 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 Do you have any brothers or sisters attending Wembley High Technology College? Yes / No If YES, please give details Name of sibling Tutor Group 1 2 3 Are you applying for any other School 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. Please list the Sixth Form enrichment activities and opportunities you are most interested in at present 1. 2. 3. 4. 5. What are your career plans? Sixth Form Application Form 2016 Entry 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 Attitudes for Learning Suitability for chosen courses Comment: Name & Position of Person Providing Reference: Signature & Date: I would like to apply for a place in the Sixth Form at Wembley High Technology College. I am aware that I am expected to attend Enrolment and the Induction Day. I have read and understood the Prospectus and agree to abide by the ethos for the Sixth Form. 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 School Stamp If not at Wembley High Technology College PLANNED OPTIONS & ENTRY REQUIREMENTS - LEVEL 3 COURSES Academic entry requirements - Year 12 - Level 3 courses – AS Level The AS courses are one-year courses with exams taken in the summer series. Most Sixth Form students study 4 subjects at AS level. Normally, applicants must have at least a grade B in the specific subjects they wish to study (or in related subjects if the A level subject is new) and grades B in English and mathematics. Specific subject entry requirements for AS courses are listed below. These requirements will vary and will be in addition to the following minimum requirements. The 4 AS Level programme: 6 GCSE passes at grades A*-B, including English and Maths. The 3 AS Level programme: 5 GCSE passes at grades A*-C, including English and Maths. SUBJECT ENTRY CRITERIA Art Art/Graphics GCSE grade A*- B and/or BTEC Art & Design at Distinction Level Biology Double Award Science and Maths GCSEs grade A*-B, or Science BTEC at Distinction Level and Maths GCSE grade A*-B, plus a pass in a written entrance exam A keen interest in Business Business Chemistry Economics Double Award Science and Maths GCSEs grade A*-B, or Science BTEC at Distinction Level and Maths GCSE grade A*-B, plus a pass in a written entrance exam A minimum of 4 B grades in GCSE subjects English Literature An enjoyment of reading and GCSE A*-B in English French French GCSE grade A*-B is required Geography Geography GCSE grade A*-C is preferred History History GCSE grade A*-C is preferred Mathematics Maths GCSE grade A*-A Further Mathematics Maths GCSE grade A* Religious Studies Religious Studies and English GCSE grades A*-B are preferred Physics Psychology Double Award Science and Maths GCSEs grade A*-B, or Science BTEC at Distinction Level and Maths GCSE grade A*-B, plus a pass in a written entrance exam Science GCSE grade A*-C is preferred Sociology A keen interest in people and current affairs Spanish Spanish GCSE grade A*-B is required Other (please state) Sixth Form Application Form 2016 Entry TICK 3-5 OPTIONS