Personal Details
Name
Address
(including postcode)
Home telephone number
Email address
Date of birth
Gender (please circle) / Male Female
Date of application
Reference Details
Name of School
Staff Contact Name / Position Held
School Address
(including postcode)
School Telephone Number
Referee Email Address
External applicants must bring a form of identification (birth certificate/passport) along with them to the interview. We will send for a written reference from your school. The interview will not take place until we have received a written reference.
Subject / Baseline Grade / Award / Results / Expected Grade
English (Language)
Mathematics
Science (2 grades)
If pupils study the separate sciences, please list the expected grades in the order of Biology / Chemistry / Physics.
English (Literature)
Option:
Option:
Option:
Option:
Other:
Other:
Personal Statement
Please include information about the following:
1. Interests / Hobbies: What makes you stand out from the crowd?
2. School and Personal Achievements – Include responsibilities in school you have had (e.g. Prefect, Open Evenings etc.)
3. Why you want to study at Etone College Sixth Form?
Please attach a separate sheet if necessary
Your Future
Please give us an indication of what you intend to do when you leave Sixth Form. This will help us guide you towards choosing the right courses, apprenticeships or employment route. Give as many details as you can (e.g. I want to study Psychology at a local University, possibly Warwick).
Look carefully at the subjects below. The table shows all the courses we are offering in the Sixth Form. You can select up to four, but this is not required. All A-levels count as 1 option. Some BTECs are ‘double’ or ‘triple’ and count as 2 or 3 and are the equivalent of 2 or 3 A-levels.
Please note that if a course is undersubscribed it will not run.
Final decision on course viability lies with the Headteacher
BLOCK A / BLOCK B / BLOCK C / BLOCK D / BLOCK E
A-Levels / Physics / Chemistry / Mathematics / Biology / EPQ
Psychology / Sociology / Psychology / Politics / ECDL L3
History / English Literature / Applied Business / German / Languages
French / Spanish / Geography / Music / Duke of Edinburgh Award
BTECs / Health & Social Care / Sport
Single – Block C
Double – Blocks C & D
Triple – Blocks B, C & D / Sports Leadership
Law / Art & Design / Media Production
Single – Block D
Double – Blocks C & D / Creative Writing Diploma
IT / Performing Arts / Applied Science

We can also offer, dependent on interest, BTEC Marketing, BTEC Computer Science, BTEC Performing Arts, and BTEC Engineering

PATHWAYS

1.  3 A Levels from Blocks A – D and the EPQ

2.  3 A Levels or BTEC subjects and an option from Block E

3.  3 A Levels or BTEC qualifications (maximum 1 A Level) and an option from Block E

List the courses you’re interested in and briefly give reasons why.
Choose 4 options. Study hall can only be chosen once.
Block A / Block B / Block C / Block D / Block E
1st Choice / Subject / Subject / Subject / Subject / Subject
Reason / Reason / Reason / Reason / Reason
2nd Choice / Subject / Subject / Subject / Subject / Subject
Reason / Reason / Reason / Reason / Reason

Leadership will complete this page in the interview

Interview
Interviewer
Date / Time
Parent/Carer present? / Yes No
Is Etone first choice / Yes No
If not, where?
Course selection
Block A / Block B / Block C / Block D / Block E
Disclaimer
I understand that some course combinations may not be possible and if a course is undersubscribed it may not run.
The Data Protection Act 1998 requires your consent before we can hold or process information about you. This approval is required also to offer you a place on the course.
Student signature / Date
Parent/Carer signature / Date
Staff signature / Date
External applicant check
Passport / Birth Certificate (take a copy) / Yes No
Written Reference / Yes No