UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2018 ARE YOU AN INTERNAL OR EXTERNAL APPLICANT? INTERNAL / EXTERNAL STUDENT DETAILS Full Name DOB Gender Male / Female Home Your Contact Number 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 Number (Please obtain from previous school/college) Yes / No UPN Number (Please obtain from previous school/college) FAMILY CONTACT DETAILS Mother s Full Name Contact Numbers Home (if different from student) Email DOB National Insurance Number Father s Full Name Contact Numbers Home (if different from student) Email DOB National Insurance Number
MEDICAL INFORMATION Doctor s Surgery Name & Contact Number 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? Yes / No Please provide us with any further details that may assist us in supporting you at school 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 LEVEL Block A Block B Block C Block D A Level Maths A Level Psychology A Level Business A Level Biology A Level Geography A Level Physics A Level Chemistry A Level Design Tech A Level RE A Level Sociology A Level History Further Maths A Level English A Level Spanish A Level Economics A Level Sociology Literature A Level Art A Level French BTEC Sport Level 3 A Level Psychology A Level Government and Politics Performance Studies Level 3 (Part 1 Drama) English GCSE Resit Maths GCSE Resit Diploma in Computer Science Level 3 Diploma in Finance Level 3 Business Level 3 Diploma (Part 2) Business Level 3 Diploma (Part 1) Performance Studies Level 3 (Part 2 Music & Dance) 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 subjects in Block A. This will mean that you are unable to take any other subject in Block A. OTHER COURSES These are stand-alone pathways, which means they cannot be chosen in conjunction with any other BTEC or A Level course. SUBJECT Retail Business Level 2 BTEC, 1 year duration (equivalent of 4 GCSEs) TICK Resit English GCSE Resit Maths GCSE ENRICHMENT COURSES Each student must choose one of these courses. Only one may be selected and it must only be selected in addition to at least three A Levels or one vocational course. Business Studies Young Enterprise Sport/Fitness Programme Duke of Edinburgh Silver Award Reading Mentor Photography German
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 want to study (please see separate subject pages). A minimum of three A Levels or their equivalent must be studied. Other Courses: These subjects can be studied as complete courses worth two A Levels or as a half worth one A Level. If you only wish to study the half then you must tick Part 1 and pick your other subjects accordingly. 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 firstly 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. Entry requirements for a Level 2 course are 4 GCSE grades 9 4. Students who choose these courses will be required to resit their GCSE English and Maths if they have not achieved a pass grade. 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: Application Deadline 26 th January 2018 External Interviews 7 th / 8 th March 2018 Internal Interviews W/C 26 th February 2018 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: Date:
UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2018