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APPLICATION FOR ENTRY INTO

ARMTHORPE ACADEMY
SIXTH FORM
2015 - 2016

We dare .
We share .
We care ....

A unique Sixth Form experience


PERSONAL DETAILS
Parent/Carers Details:

Students Name:
Address:

Home
Telephone No:
Student
Mobile No:

ULN (if known)


Email Address:
Date of Birth:

Age:

Current or Last School:

Sex:

Date of Leaving:

COURSES AND QUALIFICATIONS YOU WOULD LIKE TO TAKE AT ARMTHORPE ACADEMY SIXTH FORM
Course

Level

COURSES BEING STUDIED


Course

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Exam Board

Level

Estimated Grade

RESULTS FROM ANY EXAMINATIONS TAKEN


Course

Level

Year Taken

Exam Board

Result

OTHER DETAILS
Personal Achievements:

Work Experience:

Responsibilities or Roles in School:

Future Destinations: (Outline your plans for a Career or Higher Education)

Student Signature: _________________________ Parent/Carer Signature: __________________________

REFERENCE: Students applying from other schools or college please could you supply the name and
details of a reference from your current or previous school.
Name:

Position:

Address:

PLEASE RETURN TO: MRS L BISBY, POST-16 LEARNING LEADER,


ARMTHORPE ACADEMY,
MERE LANE, ARMTHORPE, DONCASTER, SOUTH YORKSHIRE. DN3 2DA.

CLOSING DATE FOR APPLICATIONS: IN FIRST INSTANCE

27th March 2015


N.B Applications will be considered following the closing date.

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