Whitby School Sixth Form Application Form
Please complete this form in as much detail as you can to help us process your application. We will be in touch to offer you a place or to ask for further information to help us offer you the best option. By completing this form you agree to the data being held for the purposes of application to the Sixth Form and any contact that is required. 
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Proposed Year of Entry: *
Full Name: *
Home Address *
Postcode *
Mobile No: *
Personal Email: *
Date of Birth: *
MM
/
DD
/
YYYY
Gender: *
Present School: *
Educational Background:
Current GCSEs – Please state all the GCSE subjects you are studying below.Please also indicate your predicted/target grade and the grade you are currently working at.
Subject with Predicted/Current Grade:
9
8
7
6
5
4
3
2
1
English Language
English Literature
Maths
Science (Combined)
Biology
Physics
Chemistry
History
Geography
Dance
Engineering - Design
Engineering
Art
Drama
Hosp & Catering
GCSE PE
BTEC Sport
RS
Business
Health and Social Care
Music
Other
Clear selection
Other Qualifications
Please state any other subjects you are currently working towards below, with your predicted/current grade.
Proposed study programme:
Please indicate which courses you would like to study with us. Choose up to four. Normal expectation is for three. 
Subjects
What are your interests?
Student support details:
Do you have any special educational needs? If so, please give details below:
Do you consider yourself to be a person with a disability (ie someone who has a physical or mental impairment, which has a substantial and long term adverse effect on your ability to carry out normal day to day activities?
Clear selection
If yes, please give details:
Do you currently receive help or support with examinations at your present school?
Clear selection
Do you have any health issues or allergies that we need to be aware of?
Do you currently receive Free School Meals?
Clear selection
Have you ever received Free School Meals in the last 6 years?
Clear selection
Are you in Local Authority Care?
Clear selection
Are you a young carer?
Clear selection
Is Whitby School Sixth Form your first choice for further education?
Clear selection
If no, which institution do you consider to be your first choice?
Next Steps:
What do you plan to do after post-16 education/training? 
Clear selection
Have either of your parents/carers or older siblings studied at university?
Clear selection
What are your career intentions?
We are keen to keep you updates about life here at Whitby School Sixth Form.
Clear selection
By completing this application form, you consent to Whitby School Sixth Form adding your details onto a database which will be used for the purpose of enrolment.
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