HIGHDOWN SCHOOL AND SIXTH FORM CENTRE SIXTH FORM APPLICATION FORM FOR SEPTEMBER 2016 START

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1 HIGHDOWN SCHOOL AND SIXTH FORM CENTRE SIXTH FORM APPLICATION FORM FOR SEPTEMBER 2016 START Please submit your application form by 18 December 2015 to Mrs. A. Martin, Highdown School and Sixth Form Centre, Surley Row, Emmer Green, Reading, RG4 8LR or an electronic version to Please attach a passport sized photograph here. Please note applications will be dealt with in order of receipt. If you are offered a place your will need to enrol at school in August 2016, following receipt of your results, in order to secure your place. Details of the exact date and time will be sent to you with your offer letter. Date form received: Interview date(s): Interviewer: For office use only Offer sent: Accepted: Mentor: SECTION 1: PERSONAL DETAILS Surname: Date of Birth: First name(s): Age at 1/9/16: yrs mths Middle name(s): Ethnicity: Religion: Sex: [Circle as appropriate] Male / Female Applicant s address [including postcode]: Telephone number: address: Mobile number: Name of parent(s)/carer(s): Address [including postcode] if different from above: Telephone number: address [for communication]: Mobile number: Name of emergency contact 2: Address [including postcode]: Telephone number: Mobile number:

2 SECTION 2: EDUCATION AND QUALIFICATIONS For external applicants only: Name of school attended in Year 11: Address of school [including postcode]: Most recent school/college [if different from above]: Address of school/college [including postcode]: Have you previously been a student at Highdown School and Sixth Form Centre? [Circle as appropriate] Have you previously used Show My Homework? [Circle as appropriate] Unique learner number (ULN): Unique candidate number (UCI number): For all applicants: Subject GCSE examinations taken or to be taken Awarding Predicted Year taken Organisation Mock [PPE] Actual Subject and Level (e.g. L1, L2) Other qualifications taken or to be taken Awarding Predicted Year taken Organisation Mock [PPE] Actual

3 SECTION 3: STUDY PROGRAMME Please use the following guide to identify the courses you would like to study on the following page. Please also refer to our Sixth Form Course Prospectus for subject-specific requirements. STUDY PROGRAMME SP1 SP2 SP3 SP4 SP5 SP6 MINIMUM ATTAINMENT AT KS4 10+ A*/A (including C+ in English and Maths) 8 or more GCSEs at A*-A (including C or above in GCSE English and Maths) 6 GCSEs or more at A*-C (including C or above in English and Maths) 5 GCSEs at grade A*-C (including English and Maths) 5 GCSEs at A*-C (including a C or above in English or Maths) 4 or more GCSEs at s D-E STUDY PROGRAMME QUALIFICATIONS Up to 4 qualifications + EPQ Up to 4 qualifications 4 linear 3 linear, 1 modular or EPQ 2 linear, 2 modular 1 linear, 3 modular Up to 3 reformed A-Levels / Up to 4 qualifications 3 linear 2 linear, 2 modular 1 linear, 3 modular Up to 3 qualifications 3 linear 2 linear, 1 modular 1 linear, 2 modular BTEC Level 3 [1], 2 linear or modular BTEC Level 3 [2], 1 linear or modular Up to 3 qualifications BTEC Level 3 [2], 1 linear BTEC Level 3 [2], 1 modular 1 Level 2 Course 1 Level 2 Diploma [4] Retake GCSE English and/or Maths ECDL ICT Progress to A-Level with Merit or Distinction in Level 2 For BTEC Level 3 qualifications, [ ] represents A-Level equivalence, e.g. [2] means this course is equivalent to two A- Levels. For BTEC Level 2 qualifications, [ ] represents GCSE equivalence.

4 All courses will only be provided subject to student demand and staff availability. Select a maximum of one subject from an option block. Courses in bold are modular/unreformed subjects and will run as AS and A2 qualifications. All other courses are two year linear/reformed A-Level courses. Please number the courses you would like to study in order of preference. Identify a reserve subject with an R. Block A Block B Block C Block D Block E Biology Applied ICT Chemistry Biology Further Maths Business Studies Art Graphics Computing Chemistry Core Maths English Lang and Literature Chinese Mandarin Government and Politics English Lang and Literature Fine Art Economics History English Literature Mathematics French Media Studies Fashion Music* History Philosophy Geography Spanish Music Technology Physics Mathematics Psychology Physics Psychology PE Sociology BTEC Level 3 Health and Social Care BTEC Level 3 Travel and Tourism * Subjects will be offering an AS entry at the end of Year 12. Photography Sociology Theatre Studies* If there is a combination of subjects you would have liked to study, but is not possible with the blocks listed above, please indicate the subject combination in the space below. Whilst we cannot guarantee this will be possible, we will certainly explore its viability. For Level 2 courses, please select one subject by placing a tick by it. If you need to retake English and/or Maths at GCSE, please tick the appropriate subjects. BTEC Level 2 Art BTEC Level 2 Business Studies GCSE English retake GCSE Maths retake Please use the space below to explain why you wish to study the courses you have identified at Highdown School and Sixth Form Centre.

5 SECTION 4: SCHOOL REFERENCE [for external applicants only] To be completed by current tutor (or previous tutor if you have left school). Please complete the following in as much detail as possible including their punctuality, attendance record and attaching any relevant documentation. 1. Please comment on the student s achievements to date and the suitability of the student for the courses chosen and include reference to attendance and attitude to learning. 2. Learning support (a) Does this student have any specific learning needs? If yes, please provide details. (b) Has the student ever received any learning support at school? If yes, please provide details. (c) Has this student had a statement or EHCP? If yes, please provide details. (d) Has the student ever received special consideration in examinations? If yes, please provide details, e.g. additional time, scribe, reader, word processor, etc. (e) Has the student qualified for Pupil Premium/Free School Meals in the last 6 years? Signature on behalf of school: Please print name: Title: Predicted/Actual grades and qualifications verified by current school: Signature on behalf of school: Position in school:

6 SECTION 5: OFFER INTERVIEW [to be completed by Highdown School staff only] Notes from interview: Is the student aware of the entry requirements for their intended Study Programme and courses? Is the student aware that if they fail to attain a C+ in GCSE English or Maths they are required to continue studying these subjects as part of their study programme? Courses forming the conditional offer to Highdown School and Sixth Form Centre: Block A Block B Block C Block D Level 2 course [SP6] GCSE English retake? GCSE Maths retake? EPQ Signature of staff:

7 SECTION 6: ENROLMENT INTERVIEW [to be completed by Highdown School staff only] Copy of KS4 results seen Copy of KS4 results retained Notes from interview: GCSE English Language grade GCSE Mathematics grade Courses forming the final enrolment to Highdown School and Sixth Form Centre: Block A Block B Block C Block D Level 2 course [SP6] GCSE English retake? GCSE Maths retake? EPQ Signature of student: Signature of staff:

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