Writhlington Sixth Application Form 2018/19

Please complete all details on this page.

Section 1 – Personal Details

First Name: / Middle Name(s):
Surname:
Date of Birth: / Male:  Female: 
Address:
Home Phone:
Student Email Address: / Student Mobile Phone:
Parent/Carer Name: / Title: / Mr/ Mrs / Ms / Miss / Dr
Parent/Carer Email Address: / Parent/Carer Mobile:

Section 2 – Education Details

Current School:
Please list the subjects you are or have recently studied / GCSE/BTEC / Predicted Grade
Section 3 - References
Name:
Address:
Email: / Phone:
Relationship to Student:

Section 4 – Additional Interests / Responsibilities

Section 5 – Medical Conditions

Section 6 – Educational Support(please tick all that apply during your studies in Years 10 and 11)

Extra classes /  / Case/Personal Support Worker /  / Help in class from a Teaching Assistant / 
Extra time in exams /  / Reader or scribe for exams /  / Use of word processor in exams / 
Separate room for exams /  / Other (please provide details) / 
Section 7 - Writhlington Sixth Option Blocks 2018
Please select your choice of 3 or 4 subjects from Option Blocks A, B, C, D (tick only one subject per option block)
OR
select 1 option only from Option Block E (these subjects are equivalent to a full time Sixth Form course).
Note: Please note that subjects in the grey box are Mendip Studio School’s specialist subjects.
Typically a student with the required GCSE qualifications will chose three full two-year A levels or their equivalent. Students that perform particularly well at GCSE will be able to take four full two-year courses.
Subjects
Option Block A /  Business Btec Double
 Business Btec
 Chemistry A Level
 Geography A Level
 Health and Social Care Btec
 ICT Btec
 Music Performance Btec
 PE A Level
 Government and Politics A Level
 Applied Science Extended Certificate
Option Block B /  Business Btec Double
 Art A Level
 Business A Level
 Biology A Level
 German A Level
 History A Level
 Maths A Level
 Media StudiesBtec
 Psychology A Level
 Sociology A Level /  Core Maths Level 3
 Design Engineering A Level
 Further Maths A Level
Option Block C /  Business Btec
 English Language A Level
 Economics A Level
 Maths A Level
 Media TechnologyBtec
 Photography A Level
 Sport Btec /  Applied Science Extended Certificate
Option Block D /  Business A level
 Biology A Level
 English Literature A Level
 Food Science and Nutrition Level 3
 Geography A Level
 French A Level
 Psychology A Level
 Performing Arts Btec
 Philosophy, Ethics and Buddhism A Level
 Physics A Level
 Psychology A Level
Option Block E /  CACHE Level 3 Childcare
 Level 3 Sport

Section 8 – Career Aspirations

If you plan to go to University, have either parent attended university in the UK or abroad? Yes  No 

Section 9 – Personal Statement

(Please provide a personal statement of approximately 200 words saying why you would like to join Writhlington Sixth, please continue on a separate sheet if needed.)

Signed: / Date:

Closing date for applications to Writhlington Sixth is Monday 11 December 2017.

Priority will be given to applications received before the closing date although late applications will also be considered.

Forms should be returned to: Admissions, Writhlington Sixth, Knobsbury Lane, Writhlington, Radstock, BA3 3NQ  Phone: 01761 433581  Email:

W SIXTH FORM APPLICATION 2018/19-2