To Love and Serve the Lord

ST EDMUND'S CATHOLIC ACADEMY

PROGRESSION/APPLICATION TO ENTER THE SIXTH FORM IN SEPTEMBER 2017

TUTOR GROUP: (if applicable) Please complete all of the details on this form as accurately and as clearly as you can, and then return it to Mrs Downing in Student Support Reception at school by Friday 6th January 2017.

FORENAMES (IN FULL): SURNAME: SEX: (MALE/FEMALE) DATE OF BIRTH:

ADDRESS: PARENT/GUARDIAN DETAILS: ______FATHER’S NAME: ______MOTHER'S NAME: POSTCODE: ______HOME TEL. NO: ______DAYTIME TEL NO. (WORK): STUDENT MOBILE NO: ______PARENT EMAIL ADDRESS: EMAIL ADDRESS: ______

PRESENT COURSE OF STUDY SUBJECT PREDICTED SUBJECT PREDICTED GRADE GRADE A.ENGLISH LANGUAGE G. B.MATHEMATICS H. C. I. D. J. E. K. F. L.

PLANS AFTER SIXTH FORM (IF KNOWN) A. UNIVERSITY TO STUDY…. B. COLLEGE TO STUDY…. C. EMPLOYMENT AREA ….

INTERESTS, HOBBIES, MEMBERSHIP OF CLUBS, ORGANISATIONS, CURRENT RESPONSIBILITIES, WORK EXPERIENCE ETC. Please use this space to write a letter of application, indicating your reasons for wanting to progress to the Sixth Form at St. Edmund's Catholic Academy.

IF YOU DO NOT CURRENTLY ATTEND ST EDMUND'S CATHOLIC ACADEMY PLEASE PROVIDE FURTHER INFORMATION. CURRENT SCHOOL ______CURRENT HEAD OF YEAR ______LAST TWO SCHOOL REPORTS (please enclose) UPN number ~ please ask at your school office ______

YOUR CHOICE OF SUBJECTS

Please indicate over the page which subjects you would like to study, making sure you first of all read very carefully through the course details in the prospectus. PROVISIONAL YEAR 12 OPTION GRID FOR 2017-2018

Entry requirements: Please see specific requirements in subject information booklet

OPTION Tick OPTION Tick OPTION Tick OPTION Tick OPTION Tick A B C D E ENGLISH DESIGN BUSINESS COMPUTER LANGUAGE & BIOLOGY TECHNO STUDIES SCIENCE LITERATURE

ENGLISH LAW FILM STUDIES CHEMISTRY ECONOMICS LITERATURE

BTEC HEALTH MATHEMATICS SOCIOLOGY GEOGRAPHY HISTORY & SOCIAL CARE

RE PE PSYCHOLOGY

PHYSICS

We recommend that you choose 3 subjects. These subjects must be from different option blocks. My preferred choice of subject is: A B C D E

Please indicate below subject(s) which you will not be able to study on the provisional blocking structure.

If you are interested in courses not listed above, please state the course below and we shall endeavour to source the course for you. For example, Government & Politics, Media, Latin, Art.

Applicant’s Signature…………………………………………….. Date……………………………