Registration Form 2014/15
Personal Details
Name
Date of Birth
Address
Telephone number
Mobile Number
Email address
If YES please specify (extra time, reader etc)
Special Educational
Needs
YES/NO
Parent/Carer details
Name
Mobile number
Address
Telephone number
Email address
Name
Mobile number
Address
Telephone number
Email address
Previous school/tutor
group
For external students only
UCI number
(as printed on statement of results)
Proof of identity
YES/NO
checked
Birth Certificate
Passport
Other
Staff code
GCSE / Level 2 Results
Subject
1
2
Qualification type
Grade
e.g.
GCSE/BTEC/Diploma
English
Mathematics
3
4
5
6
7
8
9
10
11
12
A LEVEL ENTRY CRITERIA
Applied Science – C+ in Maths, C+ or equivalent in two science subjects/double science
Art – C+ in Art
Science – C+ in Maths for Biology & Chemistry, B+ in Maths for Physics, B+ in 2 science subjects
Business Studies – C+ in Mathematics
Economics – C+ in Mathematics
English Literature – C+ in English Literature
French – B+ in French
General Studies – C+ in Mathematics
Geography – C+ in Mathematics, C+ in Geography
German – B+ in German
Government and Politics – No additional requirements
History – C+ in History or other essay based subject if not taken at GCSE
Home Economics – No additional requirements
ICT – C+ in Mathematics, B+/Merit in ICT
Mathematics – B+ in Mathematics
Further Mathematics – A/A* in Mathematics
Media Studies – No additional requirements
Music – Level 2 qualification preferred, must play instrument/sing
PE – C+ in Mathematics & 2 science subjects at C+; PE at GCSE preferred
Product Design – C+ in Mathematics preferred & C+ in a Design Technology subject
Psychology – C+ Mathematics, C+ in science preferred
RS – C+ in RS preferred if taken at GCSE, C+ in English Literature/History accepted otherwise
Sociology – should have C+ in essay based subject such as English Literature or History if not taken at GCSE
Textiles – Good practical skill essential
Theatre Studies – C+ in English Literature
Travel and Tourism – No additional requirements
World Development – No additional requirements
Chosen course of study (timetabled choices based on Sixth Form application)
Subject 1 ...............................................................
Subject 2 ...............................................................
Subject 3 ...............................................................
Subject 4 ...............................................................
GCSE resit Maths
Your timetable is issued on the basis of your Sixth Form application and subject choices
discussed at interview.
Request to change course of study
If you wish to change your subject choices following publication of your GCSE results,
please note those changes below and we will do our best to timetable them.
I would like to make the following changes:
From (original subject request):
To (new subject):
From:
To:
From:
To:
Reasons for changes
Check list for registrar:

C+ in English achieved

Subject specific entry criteria met
Signed: …………………………………………………………… Registrar
Signed: …………………………………………………………… Student
The above student has been accepted onto a course of study at The
Polesworth School Sixth Form @Tomlinson Hall.
Signed: …………………………………………………………… Director of Post-16
Dated: ……………………………………………………………
For Office use only:
Notes: