SIXTH FORM Appication Form Roding Vaey HigH ScH oo This form shoud be competed in BLOCK CAPITALS. STudenT InFORMaTIOn Surname: Date of Birth: Forename: Gender: Mae Femae Current Schoo: Home Address: Home Phone No: Mobie Phone No: Emai Address: Postcode: Parent/Carer Name: Reationship: Contact Phone No: Emai Address: Parent/Carer Name: Reationship: Contact Phone No: Emai Address: emergency contact detais aspiration Respect endeavour 01
courses OF STudy In Year 12 you MUST seect 4 Subjects. Pease refer to the Subject Prospectus for subjects on offer. It is recommended that you incude a 5th and 6th choice in case your preferred options are not avaiabe. A Leve / AS Leve Pease note that course choices may change depending on student interest. Order Subject 1 2 3 4 5 6 02 Roding Vaey High Schoo SIXTH FORM Appication Form
This appication form MUST be submitted to the Sixth Form Office by the date pubished. Receipt of appications wi ony be acknowedged if a stamped address enveope is incuded with the appication. Pease submit your competed appication form to the address beow. Head of Sixth Form Roding Vaey High Schoo Aderton Hi Loughton IG10 3JA aspiration Respect endeavour 03
course SeecTIOn In the box beow, pease expain why you woud ike to study the subjects you have indicated and why you think they are appropriate for you. What do you intend to do after Sixth Form? What are your future career pans? 04 Roding Vaey High Schoo SIXTH FORM Appication Form
PeRSOna STaTeMenT Pease te us about yoursef. Incude detais of your interests, achievements, responsibiities and activities inside and outside of schoo. aspiration Respect endeavour 05
What was the ast book you read? 06 Roding Vaey High Schoo SIXTH FORM Appication Form
ScHOO ReFeRence SecTIOn To the Referee: Thank you for competing this reference. Pease fee free to attach a copy of your standard schoo reference & SIMS attendance printout. Pease can you review and sign the estimated grades on page 5 of the appication form, amending them as necessary. Key Information Pease tick the appropriate boxes: Exceent Good Satisfactory Unsatisfactory Poor Attendance Punctuaity Sef Discipine Motivation to Study Reationship with Aduts Reationship with Peers Behaviour Has this pupi had any unauthorised absences? Yes No Do you think A-Leves in genera and the subject choices chosen are appropriate for the student s abiity? If no, pease give detais beow: Yes No aspiration Respect endeavour 07
additiona ReFeRee comments Pease fee free to write any further information about the appicant. Name of Referee: ReFeRee decaration Job Tite: Schoo / Coege: Signed: Date: 08 Roding Vaey High Schoo SIXTH FORM Appication Form
gcse grades Pease enter detais of any GCSE resuts you have aready achieved in the box beow: Subject Actua Grade Subject Actua Grade expected gcse grades Pease enter detais of your current GCSE subjects and your Expected Grades in the box beow: Subject Actua Grade Subject Actua Grade Signature of Referee to confirm grades: aspiration Respect endeavour 09
FuRTHeR InFORMaTIOn Have you appied to any other Sixth Forms / Coeges? Yes No If yes, pease give detais: Is Roding Vaey High Schoo your 1st choice? Yes No If no, pease give detais: What extra-curricuum activities woud you ike to join? e.g. Sports, DofE, Mentoring (To be competed by Externa Appicants ony) Did you attend our Sixth Form Open Evening? Have you had a tour of Roding Vaey High Schoo? Woud you ike a tour of Roding Vaey High Schoo? Where did you hear about Roding Vaey High Schoo s Sixth Form? 10 Roding Vaey High Schoo SIXTH FORM Appication Form
decarations Pupi Decaration I decare that a the information given on this form is correct. I am fuy supportive of the ethos of Roding Vaey High Schoo and the Sixth Form as described in their prospectus. I unconditionay agree to work hard and compy with the Sixth Form rues and requirements. I want to be heped to achieve my best and want to be hed to account for my performance and conduct. Pupi Signature: Date: Parent / Guardian Decaration I support my chid s appication for a pace in the Sixth Form at Roding Vaey High Schoo. Parent / Guardian Signature: Date: When you have competed this section of the form, pease pass the form to the person in your schoo who is responsibe for writing your reference. aspiration Respect endeavour 11
This page is for Roding Vaey High Schoo Sixth Form Staff Interviewer: Date: 12 Roding Vaey High Schoo SIXTH FORM Appication Form