IKB Academy: Year 12 Application Form
Please complete all sections of the form below.
Section 1: Personal details
Forename *
Your answer
Surname *
Your answer
Gender *
Date of birth (dd,mm,yyyy) *
Your answer
Address line one *
Your answer
Address line two *
Your answer
Address line three
Your answer
Postcode *
Your answer
Home telephone number *
Your answer
Student mobile number *
Your answer
Student email address *
Your answer
Name of present school *
Your answer
Section 2: Course details
Preferred pathway within the IKB Academy (if known) *
The Post-16 Curriculum
The Prospectus details the courses which are being offered at IKB Studio School. As IKB Studio School is a STEM school all students will follow a Maths course.
Option 1: Maths *
Option 2 *
Option 3 *
Option 4 *
Additional course
By working collaboratively with Wellsway School, Sir Bernard Lovell Academy and Oldfield School, additional courses are available and can be selected to support your main subject choices if appropriate.
Additional course
(Please enter any other additional courses you are interested in taking)
Your answer
Section 3: About you:
Please enter your predicted grades and the name of the subjects studied at GCSE level and equivalent.
English Language *
Your answer
Maths *
Your answer
Science *
Your answer
Subject 4
Your answer
Subject 5
Your answer
Subject 6
Your answer
Subject 7
Your answer
Subject 8
Your answer
Subject 9
Your answer
Subject 10
Your answer
What are your longer-term plans for education and employment?
Your answer
Please provide information about your interests, hobbies, voluntary activities, part-time work and any other responsibilities.
Your answer
Section 4: Additional information
Primary Contact

Please list the person we would need to contact in an emergency or regarding your course, e.g. parent/carer.

Title *
Required
Name *
Your answer
Home telephone number (including area code) *
Your answer
Work/mobile number *
Your answer
Email *
Your answer
Does the child have an EHCP? *
Does the child have additional needs?
Does the child have a sibling at IKB?
Is the child in the care of a local authority or a looked after child?
Data Protection Act 1998:
The information you supply will be held in a computer database, which will be used by The IKB Studio School, The Wellsway Multi-Academy Trust and the Local Authority. The information will be used for the sole purpose of fulfilling the requirements of administrating admissions and associated matters
Declaration *
Required
How did you hear about IKB Academy? *
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