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