Sixth Form (Level 3) 2018/19 Application Form

Transcription

1 Please do not complete this form directly from your web browser but instead, download and save it as a form. Please note: If you are statemented, or have an EHCP, please apply directly through your local authority. Your application will be subject to the following criteria: 1. Meeting the academic entry requirements, as advertised on our website. 2. The Academy being consulted formally by the local authority, that we are able to meet the student s needs. Surname: First name(s): Current school: Date of Birth (01/09/2001)-31/08/2002) UPN: ULN: UCI No: Gender Female Male Your UPN, ULN and UCI can be obtained from your school's Examinations Officer. If you attend an independent school, you should be able to at least obtain your UCI number. Please your completed application form to admissions@uclacademy.co.uk, ensuring you include Level 3 Application Form in the subject field. Sixth Form (Level 3) 2018/19 Application Form Co-Principal: Robin Street/ Simon McBride The UCL Academy, Adelaide Road, London, NW3 3AQ T: E: admissions@uclacademy.co.uk W: 11

2 Section 1: Student s personal details First Names: Surname: Date of Birth: Gender: Address: Postcode: Student s Mobile No: Home Telephone Number: Student s 12

3 Section 2: Parent / Guardian s contact details Title: Ms/ Miss/ Mr Parent/Guardian Forename: Parent/Guardian Surname: Relationship to student: Address: Post Code: Home Telephone No Mobile No: 13

4 Section 3: Choice of Courses Please indicate your four preferred choices of courses below. Refer to the Academy website and discuss your choice with your teachers and parents/guardians. Check with your school or careers advisors whether your prospective career/higher Education route requires specific entry qualifications. Please ensure your choices are made with reference to the course synopses which can be found at the following link and see the entry requirements below. Biology Geography Physics Chemistry German Psychology Computer Science Government & Politics Sociology Design Technology History Spanish Drama Mandarin Economics Mathematics English Literature Music Fine Art Further Mathematics Philosophy Physical Education Minimum Entry Requirements You must be able to offer at least six GCSE at Grades 5-9, including English and Mathematics with an overall average score of no less than 5.5, with a minimum of a grade 6 in the subjects you previously studied and wish to continue in the Academy. Please note the additional minimum entry requirements for the following subjects: Biology / Chemistry / Physics 6 in the subject you wish to study. If you have not previously studied these subjects, you must achieve a 7 or above in Double Science / Core and Additional Science. You must also achieve a 7 in GCSE Mathematics if you wish to study Physics Computer Science Grade 6 at GCSE in Mathematics Drama - Grade 6 in GCSE English Literature. Please note, a preference will be given to those who also achieve a grade 6 in GCSE Drama Engineering - Grade 6 in both Core and Additional Science (equivalent to two GCSEs). Please note, a preference will be given to those who also achieve a grade 6 in GCSE Design and Technology English Literature Grade 6 in GCSE English Literature Fine Art - Grade 6 in GCSE Art and Design Further Mathematics Grade 8 or 9 in GCSE Mathematics Geography - Grade 6 in GCSE Geography History Grade 6 in GCSE in History Mandarin Grade B in GCSE Mathematics Grade 7 in GCSE Mathematics Music Grade 6 in GCSE Music or Grade 5 Theory and Grade 5 or above in your main instrument Sociology Grade 6 in any Humanities subject Spanish Grade 6 in GCSE Spanish

5 Section 4: External Examination Record Subject/Course (Indicate Higher, Intermediate, Foundation, etc if relevant) GCSE (Double, single or short) Date (Month/Year) Estimated grade if not taken (E.g. mocks ) Final result if taken Date of final result if taken (Month/Year) 15

6 Section 5: Please list any other relevant current qualifications and grades obtained if applicable. Please note this does not include SATS results. Subject/Course (Indicate Higher, Intermediate, Foundation, etc if relevant) Qualification Date (Month/Year) 16

7 Section 6: Present School Details What is the name of your current school? Are you currently in Year 11? Does your current school have a Sixth Form? Yes Yes No No If you have left school, please give the name of the school and the date of leaving If you have left school, please give the reasons for leaving your last school and explain what you have been doing since you have left Do you have a sibling currently at the UCL Academy? Yes No Name of sibling Year sibling currently enrolled in 17

8 Section 7: Equlity statement Do you have a disability, medical condition, learning difficulty or learning need which we need to be aware of in order to provide appropriate support? Wheelchair User ADHD Speech Difficulty Hearing Impairment Visual Impairment Mental Health Issues Aspergers Autism/Autistic Spectrum English as an additional language(eal/esol) Dyslexia Dyscalculia Other (Please specify below) Medical condition which significantly affects daily life (Please specify Have you received any SEN support at your current school? Yes No Have you been granted access arrangements for examinations? Yes No If yes, what arrangements do you Scribe Word Processor Extra Time Other please specify Please Note: This information does not count against your application. 18

9 Section 8: Equal Opportunities Monitoring Completion of this section will help us fulfil our general duty under the Race Relations (Amendment) Act 2000 to eliminate unlawful discrimination, to promote equality of opportunity and promote good relations between people of different racial groups. This information is collected on behalf of the Department for Education for their statistical use in the monitoring of equal opportunities. Please indicate by placing a tick in the box next to the description which you feel most closely describes your ethnic origin. Asian or Asian British - Bangladeshi Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Other Asian Black or Black British - African Black or Black British - Caribbean Black or Black British - Other Black Chinese or Chinese British Mixed - White and Asian Mixed - White and Black African Mixed - White and Black Caribbean Mixed - any other White - British White - Irish White - Other White Other ethnic group Prefer not to say What do you consider to be your first language? What is your home language? What is your religion? No religion Prefer not to say Section 9: Funding Eligibility What is your nationality? (as stated on your passport) Do you have a parent who is in the Armed Forces Yes No Are you or have you ever been considered a previously Looked After Child? Yes No Have you been permanently resident in the UK or EU for the past 3 years? Yes No* *Please comment on final page of application if no. Is there any restriction on the time you may stay in the UK? Yes* No *Please comment on final page of application if yes. 19

10 Section 10: Other Schools/Colleges applied to: Many students apply to more than one place their school sixth form, employment, two or more colleges etc. This will not affect whether you are offered a place at The UCL Academy or not, but helps us know your alternative plans so that we have sufficient places in September, for you and for others. Please list all the places applied to, including this Academy, in the order of your preference

11 Section 11: Personal Statement Please indicate your reasons for choosing The UCL Academy and your course or subjects (including careers you have considered or are currently considering):. 111

12 Any other information that you wish to give (including any additional information to Sections 2 or 4 of this form): 112

13 Section 12: Confirmation of application Data Protection Act: The information that you have given in this form will be held on the Academy s files, including computer files and may be used for statistical purposes within the Academy and may be shared with schools, local authorities and funding bodies. In signing this application you are giving your consent to us to use this data and share information on your progress with your parent/guardian. Please confirm the following points below: I confirm I have requested a completed reference request form from a member of staff at my current school. Please note, we will be unable to process any applications until a completed reference request form is received. Yes Please tick I understand that if I am offered a place at the Academy, it is conditional upon receiving the necessary grades: Yes Please tick I understand that if my application is successful, I must provide my valid passport /other official proof of identity, and my original examination results at the time of enrolment: Yes Please tick Signature of Applicant (please type signature)... Date... Support of Parent/Guardian Have you discussed this application and the applicant s proposed courses with your daughter/son/ward? Yes Please tick I support this application and will ensure that the Academy s regulations will be followed: Yes Please tick Signature of Parent/Guardian (please type signature)... Date

14 Important information The Deadline for applications is Friday 26January Please note that the application deadline is subject to extension at The UCL Academy s discretion. References Please ensure that your Head of Year completes a reference form which can be found at the following link Once they have completed it, they will need to save it as an attachment and it directly to admissions@uclacademy.co.uk ensuring that they include Level 3 Application Reference Form in the subject field. Do not wait for your school to complete the reference form. They can send the reference form to us separately but we cannot process your application until the reference arrives. Submission Please your completed application form to admissions@uclacademy.co.uk Conditional Offers All provisional enrolments are conditional on achieving specific grades at GCSE. Conditional offers will be confirmed in writing. Students who do not achieve the required grades should inform the Academy when the results are received. It may not be possible to place you on an alternative course if you do not achieve your target grades. Enrolment. Applicants must provide original documentary evidence of GCSE results and proof of identity during the enrolment process which will take place in August Failure to provide all this information will mean that we are unable to guarantee the confirmation of your offer. How did you hear about Level 3 at The UCL Academy? Current Level 3 Student Name of Student: The UCL Academy Website Social Media Advertisement Word of mouth Other 114