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ST. MARK’S CATHOLIC SCHOOL

S T. M ARK’S C ATHOLIC S CHOOL APPLICATION FOR THE SIXTH FORM EXTERNAL CANDIDATES Please

APPLICATION FOR THE SIXTH FORM EXTERNAL CANDIDATES

Please complete in block capitals. Obtain Parent/Guardian’s signature at the end. Please note your present school will be contacted for a prediction of your GCSE grades.

_____________________________________________________________________________________________________

A. PERSONAL DETAILS

Surname ______________________________

Forename ___________________________________

Gender (Please tick)

 

Female

 
Gender (Please tick) Female Male ____________________________________

Male

____________________________________

Date

of

           

Age on 1 st Sept

 

Birth

2018

 

Day

Month

Year

 

Are you a UK

Yes/ No

 

resident

Home Address

 

Post Code

_________________________________________________________________________ _________________________________________________________________________ Telephone Number ___________________________

_______________________

Email address:

 

Mobile number: ______________________

____________________________________________________________________________________________ CURRENT SCHOOL

____________________________________________________________________________________________

Dates Attended ___________________________________________________________________________ ___________________________________________________________________________________________ EXAMINATIONS TO BE TAKEN IN YEAR 11 Please specify whether the science qualification examined is Core Science, Additional Science, or Separate Sciences (Biology, Chemistry, Physics)

Subject Level 2 (GCSE/BTEC/OCR AS modules) Date exam will be taken Month /year Predicted grade
Subject
Level 2
(GCSE/BTEC/OCR
AS modules)
Date exam
will be taken
Month /year
Predicted
grade

If you have achieved any complete GCSEs please state which subject and grade achieved (do not include here any units of GCSEs not yet completed)

Subject

Grade achieved

Date taken

 
 

OTHER EXAMINATIONS OR QUALIFICATIONS (eg. Music grades, Dance grades, Duke of Edinburgh)

PROPOSED COURSE OF STUDY

Preferred choice of subjects (please rank in preference order)

A Levels

1.

2.

3.

Reserve:

_____________________________________________________________________________________________________

INTERESTS

Sport:

Have you represented your school in any Sport in Years 10 or 11?

Yes / No

Details:_______________________________________________________________________

_________________________________________________________________________

Music:

Do you play a musical instrument or sing?

Yes / No

Have you participated in Orchestra or Choir in Year 10/11?

Yes / No

Details:_______________________________________________________________________ Other interests: _________________________________________________________________________

_________________________________________________________________________

PERSONAL STATEMENT (Use this space to write about your achievements, interests and why you want to join St Mark’s Sixth Form.)

____________________________________________________________________________________________

If admitted to the Sixth Form I agree to abide by the Sixth Form regulations.

Signature of applicant:

Date: ______________

__________________________________________ ____________________________________________________________________________________________ COMMENTS BY PARENT/GUARDIAN (Please indicate whether or not you support this application)

Signature of Parent / Guardian:

______________________________________

Date: ______________

COMPLETED FORMS MUST BE RETURNED BY FRIDAY 17 TH NOVEMBER 2017.