6f application form 2016 external

7/23/2019 6F Application Form 2016 External

http://slidepdf.com/reader/full/6f-application-form-2016-external 1/8

www.paddington-academy.org

SIXTH FORM APPLICATION FORMFor cor!e! !tarting in Septem"er #$%&

App'ication! !(o'd "e !"mitted a! an emai' attac(ment to)!i*t(+orm,paddington-academy.org

Name)

ate o+ "irt()

Crrent !c(oo')

T(e c'o!ing date i! pm on Friday /anary 0t( #$%&

App'ication! wi'' "e con!idered a! !oon a! t(ey are recei1ed.

A'' app'ication! recei1ed e'ectronica''y "e+ore t(e dead'ine wi'' "eac2now'edged3 app'ication! recei1ed 'ate may "e con!idered "t wi'' not "e

ac2now'edged.

o++ice !e on'y

1

ate Recei1ed)

ate re+erencere4e!ted)

ate re+erencerecei1ed)

http://www.paddington-academy.org/

mailto:[email protected]

http://www.paddington-academy.org/

mailto:[email protected]



PLEASE COMPLETE IN BLOCK CAPITALS

2

ForenamesPlease underline the name by which the student is usually known.

Surname

Date of Birth Sex (M/F

Emai!

a""ress#Names of

$rothers /sisters a!rea"%at this s&hoo!Or any other

relatives

Stu"ent's

home

Post&o"e

ome Te! No Stu"ent Mo$i!e

A"u!ts !i)in* at stu"ent's home a""ress

+e!ationshi,

Tit!e

Forenames

Surname

-or. Te! No

Mo$i!e No

-ho shou!" $e the,rimar% &onta&t forthe s&hoo! (,!easeti&. one

Are t(ere any parent! w(o don5t 'i1e at(ome "t do (a1e acce!!6

I+ 78S9 p'ea!e gi1e detai'! "e'ow inot(er contact!

0es/No Loo2ed A+terC(i'd

0es/No

Other &onta&ts(1i)e names2 "a%timete!e,hone num$ers 3

re!ationshi, to stu"ent

e.g. Mother e.g. Father



Name o+!c(oo'yo are

crrent'y

Name o+

re+eree

0our referee shou!" $e%our hea" of %ear2

hea" tea&her or formtutor

8mai'

addre!! o+ re+eree

+eferen&es are

re4uire" for a!!stu"ents an" 5i!! $e

re4ueste" if

a,,!i&ation isshort!iste"

P'ea!e 'i!t any ot(er

!c(oo'! yo(a1e attended

in t(e 'a!t t(reeyear! and t(e

date! yo wereon ro''

:ie !ince Sept #$$;3p'ea!e gi1emont( and year

o+ oinin and

Medica' etai'!

Do&tor's name Te!6 No

A""ress

Existin* me"i&a! &on"itions#

(P!ease note that an% stu"ent 5ho is foun" to ha)e an existin* me"i&a! &on"ition not "is&!ose" attime of a,,!i&ation 5i!! forfeit his/her ,!a&e at the s&hoo!

3



Mot(er Tonge

-hat is %our main home !an*ua*e

8t(nicity

Appro1ed 8*tended Categorie!

+8S 8*tended Code!

Please find appropriate categories and code from ethnic origin sheets provided

Re'igio! A++i'iationState %our re!i*ion (if an%#

Free Sc(oo' Mea'! 7e! = No Accommodation Perm=Temp

Tran!port !ed to

!c(oo'

Tra1e''er 7e! = No

No. in +ami'ynder %&

Re+gee=A!y'mSee2er

7e! = No

Do you have a Statement of Educational Needs? Yes/No

Ha1e yo (ad !pport +or !pecia' need!6 7e!=NoI+ !o9 p'ea!e gi1e detai'!)

o yo 4a'i+y +or !pecia' e*am acce!! arrangement!6 7e!=No

I+ !o9 p'ea!e gi1e detai'!)

S8N Stage i+ 2nown)

Have you been living in the ! for the last three consecutive

years? Yes/No

I+ no9 !tate (ow 'ong yo (a1e "een 'i1ing in t(e >?)

4



@>ALIFICATIONS ALR8A7 COMPL8T8

P'ea!e attac( !can! or p(otocopie! o+ a'' 4a'i+ication!

@a'i+ication:eg CS89 BT8C Fir!t

Certi+icate etc

S"<ect rade

@>ALIFICATIONS >8 TO B8 COMPL8T8 B7 A>>ST

#$%&

@a'i+ication:eg CS89 BT8C Fir!t

Certi+icate etc

S"<ect

>CI nm"er)

T(i! !(o'd appear on any re!'t! docment!3 i+ not9 yo can o"tain it +rom yor e*am! o++icer

5



S>B/8CTS 7O> DISH TO ST>7 IN TH8 SIXTH FORM

• P!ease &ir&!e or hi*h!i*ht the su$7e&ts %ou 5ish to ta.e in the sixth form6

• 0ou nee" to &hoose su$7e&ts from four "ifferent $!o&.s6

• 0ou ma% on!% &hoose one su$7e&t in ea&h $!o&.6

• AS Chemistr%2 AS Bio!o*%2 AS En*!ish Literature an" AS Ps%&ho!o*% are a)ai!a$!e in t5o $!o&.s8

stu"ents shou!" se!e&t these su$7e&ts in one of the $!o&.s on!%6

• If %ou are &hoosin* a BTEC Le)e! 9 Di,!oma &ourse %ou must se!e&t one Core A $!o&. an" one

Core B $!o&.8 stu"ents ta.in* a BTEC Le)e! 9 Exten"e" Di,!oma must a!so se!e&t the &ourse inthe o,tion $!o&.6

• If t5o or more of the su$7e&ts %ou 5ish to stu"% are in the same $!o&.2 ,!ease in"i&ate this in the

s,a&e $e!o58 5e 5i!! a&&ommo"ate %our se!e&tion if it is ,ossi$!e6

A B C D E

A-level Maths (M and S)English

LiteratureArt Arabic

A S

Biology Chemistry Film Studies Biology Chemistry

BusinessStudies

istory La! Economics Design

Maths (M) Maths (S) "hysicsEnglish

LiteratureDrama

Music #ech "sychology "sychology S$anish Economics

"hiloso$hy %eogra$hy

Sociology

S$ort

B # E C &

s t

' e a r

ealth SocialCare Core A

ealth SocialCare $tion

ealth Social

Care Core B

Media Core A Media Core B Media $tion

Business Core A Business Core B Business Core A Business $tion Business Core B

A$$lied Science

Core AA$$lied Science

Core BA$$lied Science

$tion

%CSE Maths %CSE Maths %CSE Maths

L e v e l *

%CSE English %CSE English %CSE English

+or, S,ills +or, S,ills +or, S,ills

Su$7e&t &om$inations %ou 5ou!" !i.e to ta.e $ut &an't un"er the existin* $!o&.in*s%stem (,!ease *i)e as mu&h information as ,ossi$!e#

6



P'ea!e e*p'ain w(y yo wi!( to app'y +or t(e cor!e! yo (a1e

!e'ected)

P'ea!e e*p'ain w(y yo wi!( to <oin Paddington Academy Si*t(Form)

P'ea!e indicate (ow yo +ee' yo can contri"te to PaddingtonAcademy Si*t( Form)

7



ATA PROT8CTION ACT

The information %ou ,ro)i"e" 5i!! $e use" $% %our &hi!"'s tea&her an" $% the E"u&ationAuthorit%6 Some of the information 5i!! $e su,,!ie" as *enera! statisti&a! "ata to theLo&ation E"u&ation Authorit% an" the De,artment of e"u&ation an" s.i!!6 A!! information*i)en 5i!! $e treate" &onfi"entia!!% an" .e,t se&ure!%6 A!! &om,uterise" "ata he!" on,u,i!s is &o)ere" $% Data Prote&tion A&t6

I *i)e &onsent for m% son/"au*hter to ,ro)i"e $iometri& information in or"er to,ur&hase foo" in the s&hoo! &anteen

%es no

I *i)e &onsent for m% son/"au*hter's ima*e to $e use" in ,hoto*ra,hs aroun" s&hoo!2

on the s&hoo! 5e$site an" in other ,romotiona! materia!s

%es no

I *i)e &onsent for m% son/"au*hter to $e ta.en off:site "urin* the s&hoo! "a% fore"u&ationa! )isits

%es no

A si*nature is not re4uire" on e!e&troni& a,,!i&ations6

8

I "e&!are the information on this form to $e &orre&t to the $est of m%.no5!e"*e

SignedE.......................................................:Parent = Carer

ateE............................

SignedE.......................................................:Stdent

ateE............................

6f application form 2016 external

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