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Main Road, Welbourn, Lincoln, LN5 0PA
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Sixth Form
Sixth Form Application 2020
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Sixth Form Application Form
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Sixth Form Application Form
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Thank you for applying to the Sixth Form. We will respond to you shortly.
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Thank you for applying to Sir William Robertson Academy Sixth Form.
Please do not use the Back or Refresh buttons on your internet browser or this web form will reset and your data will be lost, thank you.
SIXTH FORM APPLICATION FORM 2020
PERSONAL DETAILS - Please complete this form in full USING BLOCK CAPITALS
Internal Candidate
External Candidate
SURNAME
FIRST NAME
MIDDLE NAME
DOB
ADDRESS
GENDER
MALE
FEMALE
PREFER NOT TO SAY
HOME PHONE
MOBILE PHONE
EMAIL
PARENTS MOBILE PHONE
PARENTS EMAIL
QUALIFICATION - SELECT ROUTE
A Levels/ Combined Pathway
BTEC Extended
A LEVEL COURSE DETAILS - * Students can only select
THREE
A Level subjects from
DIFFERENT
option blocks
* Students can only select
THREE
A Level subjects from
DIFFERENT
option blocks
OPTION BLOCK A
--- Select Subject ---
Biology
Computer Science*
History
OPTION BLOCK B
--- Select Subject ---
3D Design
Chemistry
Drama
English Literature
Media
OPTION BLOCK C
--- Select Subject ---
Business*
Geography
Physics
Psychology
OPTION BLOCK D
--- Select Subject ---
Art
Health & Social Care
Maths
Music*
OPTION BLOCK E
--- Select Subject ---
English Language
French
Further Maths
Sport*
SEN REQUIREMENTS
Do you need any extra support within lessons?
SUBJECTS
If your subject choices aren't possible i.e. the option blocks, please write your preference of subjects here.
BTEC COURSE DETAILS - * Students can only select
ONE
BTEC Level 3 Extended Diploma subject which is a full-time course
* Students can only select
ONE
BTEC Level 3 Extended Diploma
BTEC Level 3 Extended Diploma
Sport
SEN REQUIREMENTS
Do you need any extra support within lessons?
EXAMINATION DETAILS
Subjects currently being studied
Type of qualification
Year of exam
Predicted or achieved grades
SCHOOL DETAILS (to be completed by external candidates only)
NAME, ADDRESS AND TELEPHONE NUMBER OF YOUR CURRENT SCHOOL
SCHOOL:
NAME OF TEACHER SUPPLYING REFERENCE:
POSITION:
CONTACT NUMBER:
ETHNIC MONITORING - How would you describe you ethnic origin?
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Asian / Asian British Bangladeshi
Asian / Asian British Indian
Asian / Asian British Pakistani
Asian / Other
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Black / African
Black / Caribbean
Black / Other
Chinese
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Mixed White and Asian
Mixed White and Black African
Other
Any other mixed background
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White
White Irish
Any other White background
Not known/nor provided
PUBLICITY MATERIAL - How did you find out about Sir William Robertson Academy
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Current Pupil
Newspaper advertisement
Website address direct
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Telephone directory
Friend / relative
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Careers Office / Connexions
Public Library
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Any Other
PERSONAL STATEMENT TO BE COMPLETED BY ALL APPLICANTS
Please comment on achievements and interests in and out of school, what you can offer Sir William Robertson Sixth Form and reasons for your choice of subjects/course, together with any long term career plans.
SIGNATURES
Print name of student
Date
Print name of parent
PLEASE ENSURE ALL RELEVANT SECTIONS HAVE BEEN COMPLETED BEFORE SUBMITTING FORM.
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