St Thomas More Sixth Form Application Form

For 2018 Entry

PERSONAL DETAILS
Surname
Forename(s)
Address
(including postcode)
Student’s Home telephone number
Student’s Mobile telephone number
Student’s Email address
Date of birth
Gender (please circle) / Male Female
PARENT(S) / CARER(S) DETAILS
Name(s)
Address
(including postcode)
Relationship
Parent’s contact numbers
Parent’s Email address
SECONDARY SCHOOL HISTORY
Name of School attended
Number of days off school since starting GCSE courses
(Since Year 10)
Please outline any issues that may have affected your attendance in School
Requirements for Support
St Thomas More Sixth Form College is committed to supporting students’ learning needs. Please provide us with any information regarding Special Education Needs or special exam considerations e.g. extra time, separate room, scribe etc.
EDUCATION INFORMATION
List all subjects taken or to be taken. State the results if known.
Subject / Level
e.g. GCSE / Result (if known) / Target Grade / Predicted
Grade
AS LEVEL COURSE CHOICES
Please indicate your preferred course choices and any reserve subjects that you are currently undecided about. (these can be changed at a later date)
SUBJECT CHOICES / RESERVE SUBJECT CHOICES
1st / 1st
2nd / 2nd
3rd / 3rd
4th / 4th
Additional course information
Please mark with an X if any of these courses would appeal to you
Subject -
1. L3 BTEC Travel & Tourism /
2. L3 BTEC Sport
Is St Thomas More Sixth Form College your first choice?(please tick) / Yes / No
If you answered ‘no’, please indicate where else you have applied in rank order:
1. / 3.
2. / 4.
Work Experience or Employment
Give details of any employment including name of employer and nature of work
Personal Statement
Please provide details of interests, activities, positions of responsibility or any other achievements
Career Plans
Please provide details of your career plans including whether you are intending to go to university and details of courses you intend to pursue (if known)
Data Protection Act
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
Signature(s)
Signature of student / Date
Signature of parent/carer / Date
Ethnicity
St Thomas More Sixth Form College is committed to an Equal Opportunities Policy. Please tick one of the following which bestdescribes you
Asian or Asian British – Bangladeshi / White – British
Asian or Asian British – Indian / Black or Black British – Caribbean
Mixed – White and Asian / White – Irish
Asian or Asian British – Pakistan / Black or Black British – other Black background
Asian or Asian British – other Asian background / White – other White background
Mixed – White and Black African / Chinese
Mixed – White and Black Caribbean / Not Known / provided
Mixed – other Mixed background / Any other - please give details:
Black or Black British – African
What to do now
This completed form should be returned to :
St Thomas More Sixth Form College
Greenmoor Road
Nuneaton
Warwickshire
E-mailed to:
Once we have received your application form we will email to acknowledge receipt of this and to inform you of your interview details should you be successful in your application
In the meantime if you require any further information about the St Thomas More College visit the college website , refer to the Sixth Form prospectus or email your enquiry to