Gloucester Academy Sixth Form

Gloucester Academy Sixth Form Application Form 2018/19

PLEASE NOTE: If not completed in full, this may be returned to you. If you need help completing this form please come in to the Academy. PLEASE COMPLETE ALL SECTIONS OF THE FORM IN BLOCK CAPITALS.

APPLICANT PERSONAL DETAILS Mr/Miss/Ms etc: Applicants NOT born in the Surname: United Kingdom please complete this section: Forename(s): Country of birth: Date of birth: Your nationality: Address: Country of domicile:

Date of last entry to UK: Postcode: Emergency contact: Telephone: Mobile: Name: Email address: Telephone:

COURSE DETAILS What would you like to study?

Please choose up to three options in TOTAL from Option Blocks A, B, C and D by circling your choices. You may also choose one or both of the Additional Options as these sit outside the main timetabled option blocks. Both of the Additional Options are qualifications equivalent to an AS qualification (half an A-Level).

Option Block A Option Block B Option Block C Option Block D Additional Options

A-Level English Extended Project A-Level Biology A-Level Chemistry A-Level Art Literature Qualification

A-Level Drama & A-Level Mathematics in A-Level History A-Level French Theatre Mathematics Context (L3 Core)

A-Level A-Level Politics A-Level Geography A-Level Sociology Photography

A-Level Product A-Level BTEC Level 3 A-Level Physics Design Psychology Music Performance

BTEC Level 3 BTEC Level 3 A-Level Spanish BTEC Level 3 ICT Business Studies Sport WJEC Level 3 Food BTEC Level 3 CTC Level 3 Health Science and Applied Science & Social Care Nutrition Please use the space provided here to identify any courses you are interested in studying that we are not currently offering.

Foundation Year – the option of a foundation year including Maths and English GCSE resits can be discussed at interview based on predicted grades. Your place on this will only be confirmed after Results Day in August. Note: all courses are subject to change based on student numbers and availability. Gloucester Academy Sixth Form Application Form

PLEASE NOTE: If not completed in full, this may be returned to you. If you need help completing this form please come in to the Academy. PLEASE COMPLETE ALL SECTIONS OF THE FORM IN BLOCK CAPITALS.

MOST RECENT SCHOOL/COLLEGE EDUCATION Give details of exams taken or pending Date Type Results e.g. achieved School/College Subject GCSE / (if Predicted Actual BTEC applicable)

EMPLOYMENT Please enter previous and present employment in date order (you may include details of voluntary work or work experience) Employer’s name and address Nature of work From (date) To (date)

Do you have a sibling or sibling(s) currently at Gloucester Academy? EDUCATIONAL REFERENCE DECLARATION Please give the name and address of your school or previous tutor. I confirm that to the best of my knowledge the information given on this form is correct. Name: Signature of applicant: Address: Date: Signature of parent/guardian (if you are under 18):

PLEASE RETURN THIS FORM TO: SU MULLINS, GLOUCESTER ACADEMY SIXTH FORM ADMISSIONS GLOUCESTER ACADEMY, PAINSWICK ROAD, GLOUCESTER, GL4 6RN EMAIL: [email protected]

HOW DID YOU HEAR ABOUT GLOUCESTER ACADEMY SIXTH FORM? www.gloucesteracademy.com Visit to your school GA Facebook page School careers advisor Twitter Friend/relative Google Previous/current student UCAS Progress Internal Marketing within the Academy (e.g. Y11 Assembly) Other website (please specify)