UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2019 ARE YOU AN INTERNAL OR EXTERNAL APPLICANT? INTERNAL / EXTERNAL STUDENT DETAILS Full name DOB Gender Male / Female Home Your contact Email Present school/college Start date Date of leaving Country of birth (as stated by parent/guardian and/or on passport) Ethnicity Nationality (as stated by parent/guardian and/or on passport) Religion Language spoken at home Mother tongue (the language you were exposed to from birth to age 5) Knowledge of any other language(s) Do you have siblings at UHS? Yes / No Do you receive free school meals? UCI (Please obtain from previous school/college) Yes / No UPN (Please obtain from previous school/college) FAMILY CONTACT DETAILS Mother s full name Contact Home (if different from student) Email DOB National insurance Father s full name Contact Home (if different from student) Email DOB National insurance
MEDICAL INFORMATION Doctor s surgery name and Surgery contact Do you suffer from any illness the school should be aware of, such as asthma; diabetes; epilepsy etc.? If yes, please give details. Do you have any allergies at all such as penicillin; nuts; other medicines; food; animals; insect stings etc.? If yes, please give details Are you taking any medication at the present time? If yes, please give details SPECIAL EDUCATION NEEDS INFORMATION Do you have any Special Education Needs? Please provide us with any further details that may assist us in supporting you at school Yes / No OTHER INFORMATION How would you travel to school? (please circle) Bicycle / Train / Car / Walk / Taxi / Public Bus / London Underground Other: Please circle if any status relates to you Refugee / Asylum Seeker / Child from Services family / Looked after immediately before adoption ABOUT YOUR EDUCATION MOCK EXAM RESULTS / PREDICTED GRADES SUBJECT GRADE SUBJECT GRADE English language English literature Mathematics
SUBJECTS WHAT WE OFFER Note: All A Level subjects are run subject to demand. A LEVELS (Please only select up to four courses from the A-Level, level 3 and IFS certificate options) A Level Art A Level Economics A Level Government & A Level Physics Politics A Level Biology A Level English Language A Level History A Level Psychology A Level Business A Level English Literature A Level Maths A Level Religious Education A Level Chemistry A Level Geography A Level Modern foreign languages A Level Sociology A Level Design Technology Note about A Level subjects: Students who have not achieved a grade 5 or above in English or Maths will be required to retake these GCSE subjects. LEVEL 3 VOCATIONAL COURSES (one or two years, equivalent to one or two A Levels) Business Studies Health and Social Care ICT Digital Music Production Performing Arts Sport IFS CERTIFICATES Finance Level 2 (one year) Finance Level 3 (two years) LEVEL 2 VOCATIONAL COURSES These are stand-alone pathways, which means they cannot be chosen in conjunction with any other BTEC or A Level course above. Both courses are for the duration of one year. SUBJECT BTEC Business Studies BTEC Health and Social Care TICK Resit English GCSE Resit Maths GCSE
FURTHER INFORMATION WHY DO YOU WANT TO STUDY AT UXBRIDGE HIGH SCHOOL S SIXTH FORM? DO YOU HAVE AN IDEA OF WHAT CAREER YOU ASPIRE TO BE IN? DO YOU HAVE ANY EXTRA CURRICULAR INTERESTS OR HOBBIES? WHAT ARE WE LOOKING FOR? The academic entry requirements are dependent on the course you wish to study. Please see overleaf for more information on this. If you meet the course entry requirements then we accept a student on a Sixth Form study programme providing that: you have a genuine desire to continue with your educational studies you choose a realistic and relevant course for which you are qualified and wish to pursue At your previous educational establishment you will be expect to have demonstrated and able to sustain the following: consistently high punctuality and attendance commitment to your studies adherence to dress code good record of behaviour willingness to take part in the school community motivation and responsibility of the organisation of your personal study time
ENTRY REQUIREMENTS A level courses: Entry requirements for all A level subjects is 5 GCSE grades 9-5, including English and maths (at least grade 5), with either a grade 6 or 7 (or higher) for specific subjects you wish to study. A minimum of three A levels or their equivalent must be studied but students can opt for 4 A levels. Vocational courses: These subjects can be studied as complete courses worth two A levels or as a half, worth one A level. Entry Requirements for all BTEC level 3 and diploma subjects is 5 GCSE grades 9-5, including English and maths (at least grade 5). Performance studies: Part 1 drama can be taken as a stand-alone course without Part 2 music & dance. However, if you wish to complete Part 2 music & dance, then you have to first complete Part 1 drama. BTEC level 2 courses: These are standalone pathways which are designed for students who have not achieved the entry requirements for level 3 courses, such as A levels and other equivalents. Students who choose these courses will be required to re-sit their GCSE English and maths, if they have not achieved a standard pass of a grade 4. HOW CAN I APPLY? Please complete this form in full and return to Uxbridge High School, The Greenway, Uxbridge, Middlesex, UB8 2PR. Be prepared, if your application is successful, to attend an interview. Please bring with you to your interview your Year 11 report and GCSE results. Important dates to remember: Application deadline Wednesday 9 th January 2019 GCSE results day Thursday 22 nd August 2019 External interviews W/c 14 th January 2019 Sixth form enrolment (internal) Thursday 22 nd August 2019 Internal interviews W/c 21 st January 2019 Sixth form enrolment (external) Friday 23 rd August 2019 WHERE CAN I FIND OUT MORE? You can call to speak to a member of the sixth form team on 01895 234 060. Alternatively, you can email our main office on office@uhs.org.uk or view the sixth form section of our website www.uhs.org.uk. @uxbridgehighsch For Official Use Only: Agreed course(s): 1 2 3 4 No. of D G at GCSE: Agreed by staff member Signed: Date: Name:
UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2019