Fakenham Sixth Form- Application to Study 2020
Please contact Chris Howard on 01328 857012 or email choward@fakenhamacademy.org if you require assistance in completing this form.

By completing this form, you are applying for the courses indicated and acknowledge that Fakenham Sixth Form reserves the right to alter or withdraw any course as deemed necessary.

Every Applicant will have an interview with a member of the Sixth Form Management to answer any questions that may arise from the completion of this form and establish the most appropriate course to study.

As a general guide:

If you are estimated to achieve fewer than five GCSEs at grade '4' (or above) you should apply for a Level 2 course (taken in one year)

If you are estimated to achieve five GCSEs (or equivalent) at grade '4' and above (including English or Mathematics) you should apply for a Level 3 courses (2 year 'Advanced' Level study).
Email address *
Surname *
Forename *
Date of birth *
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Present School/Tutor Group *
Home Address *
Post Code *
Home telephone number
Mobile number *
Estimated/Achieved Grades- Please list each subject, level, estimated/achieved grade and year taken.
What are your present career plans? (if undecided, say so)?
Please state whether you have any learning needs, disabilities or medical conditions for which you require additional support. *
Please state whether you receive additional support in the classroom or for examinations. *
Level 2 Option- Fakenham Sixth Form offers students who do not achieve five GCSEs at grade 4 or above the opportunity to enrol on a one year course to resit English and Maths GCSEs, complete qualifications in workskills and gain valuable work experience. Please tick this option if interested.
Level 3 Options (Advanced Level)
The courses offered below constitute the Sixth Forms proposed curriculum for 2020. However, the Sixth Form reserves the right to alter the offer is necessary.

You should choose a total of FOUR subjects- but only one from from each Option Block
Option Block A
Option Block B
Option Block C
Option Block D
Option Block E
Do you have a criminal record? If No, please enter 'N/A'. If Yes, please state what the conviction was for and the date: *
A copy of your responses will be emailed to the address you provided.
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