CHELSEA ACADEMY SIXTH FORM APPLICATION FORM FOR ENTRY 2020
Please complete the form yourself.

The closing date for applications is Friday 31st January 2020. Any applications we receive after this date will go onto a waiting list. We recommend that you apply early as the Chelsea Academy Sixth Form is heavily over-subscribed. Current Chelsea Academy Year 11 students who meet our academic requirements will receive priority for conditional offers.

Privacy notice

We collect and process this data in order to perform a task in the public interest - to administer our sixth form admissions By submitting this form you consent to Chelsea Academy collecting and processing your personal data for the purpose of administering our admission policy. We will retain the data you provide for as long as you are applying for a place at Chelsea Academy, after which it will be deleted.
You can find our full privacy policies at http://www.chelsea-academy.org/privacy-policy/
Email address *
First name *
Your answer
Surname *
Your answer
Gender
Date of Birth *
dd/mm/yyyy
MM
/
DD
/
YYYY
Home Address *
This should be a permanent address where you live most of the time. We may ask for proof of your address.
Your answer
Email Address (this is how we will contact you so please ensure it is accurate) *
Your answer
Enter your Email Address again (this is how we will contact you so please ensure it is accurate) *
Your answer
Your mobile telephone number *
Your answer
Name of parent / carer *
Your answer
Parent/ carer's telephone number *
Your answer
Current school *
Your answer
What is your Unique Pupil Number (UPN)? You should be able to get this from your school, it may be printed on any examination results or examination timetables *
Your answer
Are you currently or have you previously been a 'Looked After Child' *
Do you have a current Education and Health Care Plan (EHCP) or Statement of Special Educational Needs? *
How did you hear about Chelsea Academy Sixth Form? *
Please enter the name of your school referee. *
This should be someone who can confirm your predicted GCSE grades
Your answer
Please enter the email address of your referee - please check with your school if there is a specific person or email address you should use for references *
We will send them an email to verify your application
Your answer
Please enter the email address of your referee again *
This is to ensure you have typed it correctly
Your answer
Please type your name below to confirm that the information given on this form is correct. *
Your answer
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