APPLICATION FORM 2015/2016
(External Applicants)
Completing this Form
You must complete ALL Sections A, B, C and D
SECTION A – Personal Information
(Please complete in BLOCK CAPITALS and BLACK INK)
Last Name:
Date of Birth:
______________________________________________________________________________________
First Name(s):
Male/Female:
______________________________________________________________________________________
Address:
______________________________________________________________________________________
Post Code:
______________________________________________________________________________________
Telephone Number:
Mobile:
______________________________________________________________________________________
Do you consider yourself to have a disability?
Yes/No
If yes, please give details:
______________________________________________________________________________________
SECTION B – Academic Information
Name of Current School:
_____________________________________________________________________________________
School Address:
______________________________________________________________________________________
Post Code:
______________________________________________________________________________________
Telephone Number:
Fax:
______________________________________________________________________________________
Head of Year:
E-Mail Address:
______________________________________________________________________________________
UPN Number:
UCI Number:
______________________________________________________________________________________
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SECTION B – Academic Information (continued)
GCSE Subjects
(Please list your GCSE subjects here and the grades you are predicted):
Subject
Predicted Grade(s)
All other subjects
continued :
Predicted
Grade(s)
English Language
English Literature
Mathematics
Biology
Physics
Chemistry
Triple Science
All other subjects :
Results already obtained
Subject
Grade Achieved
Please tell us about any other interests and hobbies you follow and any qualifications you have, if relevant:
During Year 11 how would you describe your:
Attendance:
Punctuality:
Homework:
External
Excellent
Excellent
Excellent
Good
Good
Good
Fair
Fair
Fair
Poor
Poor
Poor
SECTION C – Choice Form
THE WARREN SCHOOL
SIXTH FORM
INTERIM COURSE CHOICE FORM – 2015/2016
Name:
____________________________________________
Tutor Group: __________
2 Year Courses
Please choose 4(in the first instance) from the list and rank them from 1 to 4:
A Levels
Biology
Business Studies
Chemistry
Computer Science
Drama
Economics
English Literature /Language
Film Studies
French
Further Maths
Geography
History
Law
Mathematics
Media Studies
PE
Philosophy & Ethics
Physics
Psychology
Resistant Materials
Sociology
Spanish
BTECs/Diplomas
Art – Textiles
Art - Photography
Art – Fine Art
Business – Single
Business – Double
Engineering - Double
Engineering - Triple
Health & Social Care - Single
Health & Social Care - Double
ICT – Single
ICT - Double
Science - single
Science - double
Sports & Exercise Science – single
Sports & Exercise Science – double
Reserve Subjects:
1.
2.
A Double BTEC counts as two choices, a Triple as three choices.
All students will do English and/or Mathematics if they have not been awarded a C Grade or
above in the subjects at GCSE
The final subject blocks will be published on our website in June 2015. This will take into account any
favoured subject combinations which arise from applications as we endeavour to provide students with their
chosen subject choices.
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SECTION D – Personal Statement
In this section please tell us why you want to join the Sixth Form at The Warren School, why you have chosen your
subjects and what plans you have for the future:
Continue on a separate sheet if necessary:
Please return the completed form in the envelope provided to:
The Warren School Office
By 3rd March 2015
Signed: Parent/Carer __________________________________________________________
I would/would not(please delete as appropriate) like to be invited to the Sixth Form interview with my child
I am free from (please circle): 3pm
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4pm
5pm