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Sixth Form Application Form (Internal) 2023

This form should be completed and emailed to Dr Kevin by Wednesday 18 January 2023. Options blocks will be
determined based upon applicants choices.

Applicant Personal Details


Forename(s): Surname: Date of birth:

Nickname:

Academic Details
Current School: St. Stephen’s International School Khao Yai

Curriculum followed: Eg. English / American: English - IGCSEs

Have IGCSE examinations been taken or are due to be taken in the current academic year: Yes / No

If yes, then please provide evidence of external exam results or mock examination grades and/or predicted grades.
(A grade B at IGCSE is preferred for entry onto an AS / A Level subject course)

Subject IGCSE Grade Mock Examination Predicted Grade Subject Teacher


(If sat already) Grade Signature
English as a First
Language
English as a Second
Language
World Literature
Mathematics
Thai
Biology
Chemistry
Physics

Please choose the core AS Level subjects that you would like to study from the choices below:

 Art and Design  Design Technology (AS Level  Mandarin (AS Level only)
only)
 Biology  English Literature  Mathematics
 Business Studies  Geography  Physics
 Chemistry  ICT  Psychology

Please indicate whether you would like to study AS Level Global Perspectives in Year 12 as part of the after school
activities programme:  Yes  No
Usually students will study four AS Levels in Year 12 and three or four A Levels in Year 13.

Choices in order of preference:

1. Reserve(s):

2.

3.

4.

5.

Please indicate your preference for studying at St. Stephen’s Sixth Form from August 2023:

 First Choice  Reserve Choice  Definitely not returning

Please give details of careers that you are currently considering:

Please give details of degree courses that you might be interested in:

What is your country of preference to study a degree in after you complete your A Levels:

Student signature:
Parent signature: Print Name:

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