Personal Statement s3

SIXTH FORM APPLICATION FORM

For office use only Application received: Late application:

Equal Opps received: Interview attended: Reference received:

Please use UCAS Progress if possible and only this application if you are unable to access UCAS Progress.

Please read through the whole of this form, complete it and then either e-mail it as an attachment to [email protected] or post to Mr T Charlett, Head of Sixth Form, Colmers School & Sixth Form College, Bristol Road South, Birmingham, B45 9NY

PERSONAL DETAILS

Family Name: Date of Birth:

Forenames: Gender:

Home Address: Home Telephone Number:

Student Mobile Number:

Postcode:

Nationality: Student Email:

PARENT DETAILS

Mother/ Father/ Carer Name:

Home Address: Home Telephone Number:

Work Telephone Number:

Mobile Telephone Number:

Post Code: Email:

Will you be living at your current address in September? Yes No (If no, please provide new address and contact details in the box below.) SIXTH FORM APPLICATION FORM

Education Details

Please give details of your current secondary school/ college:

School/ College: ………. ……………………………………………………………………………………………………………………………………………………………

Full Address: …………………………………………………………………………………………………………………………………………………………………….. ……………………………………………………………………………………………………………………………………………………………………..

Attended from ……………………………………………………………………………… To ………………………………………………………

List the GCSEs, BTECs or other qualifications you already have or are taking this year:

Subject Exam Type (GCSE, BTEC, Predicted Grade Grade Achieved Diploma, Other) (where applicable) (where applicable)

Only fill in the grade achieved if you already have the qualification. SIXTH FORM APPLICATION FORM

Courses for which you wish to apply

Enter your choices below. For the Academic Pathway please choose 3 A-levels. For the professional pathway please choose 1 BTEC and 1 A level. You cannot choose more than one subject from each block.

Block A Block B Block C Block D Biology Art Maths Biology English Lit History Psychology History Psychology English Lit Sociology Religious Studies Physics Chemistry Film Studies Geography Sport BTEC

Choice 1 Choice 2 Choice 3

Current Career Aspirations

Is Colmers Sixth Form your first choice (your answer here does not prejudice your application but simply helps us plan our provision next year)? Yes No

How did you find out about Colmers’ Sixth Form? Already a Colmers’ student Prospectus Website Open Evening Recommendation Other (please specify) …………………………………………………………………………

What research have you completed which demonstrates your course combination/ choices are appropriate?

………………………………………………………………………………………………………………………………………………………………………………

Future Career Aspirations

What do you hope to do when you have completed your courses at Colmers?

Apply for University Courses Course details if known ……………………………………………………………………………………………………………………….

Employment Employment aspirations if known ……………………………………………………………………………………………………….

Unsure Information/ comments …………………………………………………………………………………………………………………….. SIXTH FORM APPLICATION FORM

Please include a Personal Statement to support your application to Colmers’ Sixth Form.

There is space for this below.

In no more than one side of A4, you should address the following:

 Why you have chosen Colmers’ Sixth Form

 Why you have chosen your subjects

 Your strengths

 Some thoughts on how you feel you have been working through Year 11

 Any career plans

 Any other relevant or useful information

Personal Statement

This section is a really good chance to tell people a bit more about yourself. You could include your career aspirations, achievements, skills, hobbies and interests. Think about what the person reading your statement would like to know about you, talk to people you trust for their thoughts and advice about your personal statement. Think about your spelling, grammar and use of English.

Your personal statement should not exceed 4000 characters. SIXTH FORM APPLICATION FORM

Reference

You will need a reference to support your application. This should be someone who knows you in a professional/ academic capacity (not a family member or friend): a teacher or tutor would be best placed to comment on your suitability for post-16 studies.

Name of referee…………………………………………………… Relationship to you ……………………………………………………………

Referee email (if the referee is not Colmers teacher)

Student Declaration

I have notified my referee that I have included them on this form.

I certify that all the information given is correct.

Signed ………………………………………………………………………………………… Date ……………………………………………………..

Parent/ Carer Declaration

I endorse this application Signed ……………………………………………………………………. Date …………………………..

Relationship to Applicant ………………………………………………………………………………………………………………………………………. SIXTH FORM APPLICATION FORM

What is your ethnic group (this section of the form is optional)?

White English/Welsh/Scottish/Northern Irish/British

Gypsy or Irish Traveller

Any other White Background

Mixed/Multiple Ethnic Group White & Black Caribbean

White & Black African

White & Asian

Any other mixed/multiple ethnic background

Asian/Asian British Indian

Pakistani

Bangladeshi

Chinese

Any Other Asian Background

Black/African/Caribbean/Black British African

Caribbean

Any other Black African/Caribbean background

Other Ethnic group Arab

Any other ethnic group

Not provided

Have you been a resident in the UK/EU for three or Yes/No more years?

Please indicate the country you have mainly lived in for the last three years

Please indicate your nationality

Do you consider yourself to have a disability Yes/No/I would prefer to be contacted regarding this question

Do you consider yourself to have a learning difficulty? Yes/No/I would prefer to be contacted regarding this question

Do you feel that you need any additional support if Yes/No you were invited to an interview or appointment?