Cheadle Hulme Sixth Form Application Form: 2019 Entry

Transcription

1 Cheadle Hulme Sixth Form Application Form: 2019 Entry Please complete in black ink Personal Details Surname First name Middle Name Gender of Birth Male Female Have you lived Yes/No in the UK for the last three years? Residency If you were not born in the UK or EU please indicate your current residential status (only complete if you have not attended CHHS) British/EU Citizen Yes/No Asylum Seeker Yes/No Refugee Yes/No Home Address Post Code Home telephone number Mobile number contact name (please write your full name clearly) Contact address (this is the address we will use to contact you regarding your application and to inform you about events at CHSF)

2 School Details Name Address Current Head of Year (We will contact your Head of Year for a Reference) The Following subjects will be offered at Cheadle Hulme Sixth Form in September 2019: Art and Design Biology Business Chemistry Computer Science Drama and Theatre Economics English Language English Literature French Further Mathematics Geography German History Law Mathematics Media Studies Music Photography Physical Education Philosophy and Religion Physics Psychology Spanish Textiles Core Mathematics Please list, in order of preference, the subjects in which you are interested. This will form the basis of the discussion at your consultation meeting. Whilst we will make every effort to accommodate a student s preferred choices, we cannot guarantee that all combinations of subjects can be offered

3 School Examinations being taken Please enter your Y11 subjects below. Your predicted grade is the grade that your teacher predicts you will get at the END of the course. This may be different to your target grade. Level (eg GCSE, AS) Subject Mock Exam Grade (if known) Predicted Grade If you have already achieved a FINAL grade for a subject, please enter the details below - Level Subject Grade achieved achieved

4 Please comment on your reasons for choosing Cheadle Hulme Sixth Form and the ways in which you could contribute to the life of the school. If your subject choices are linked to a specific career or university course which you have in mind, then please also refer to this here. Please list extra-curricular and out of school activities which you currently take part in. Please provide details of any aspect of your health or additional learning support which you wish to bring to our attention. This information will be used to provide additional support if appropriate and requested.

5 Application Form Disclaimer All the personal information collected in this form and any subsequent information collected in the future, will only be held, used and/or shared in accordance with the Trust s Privacy Notice. A copy of this notice can be found by visiting: All personal data is also held in accordance with GDPR and all reasonable precautions are taken by the Trust to prevent unauthorised access to this information. Any specific questions regarding data protection should be directed to the Trust by ing dataprotection@laurustrust.co.uk Please sign below as your confirmation that all the details you have provided are correct and that you give your consent to the use of your personal information as described in the Trust s Privacy Notice and/or relevant policies. This application form will be retained in line with the Trust s retention schedule. Your consent may be withdrawn at anytime by ing consent@chhs.org.uk Student signature Parent/Carer signature I would like a place at Cheadle Hulme Sixth Form Student signature Definitely Possibly Please print name Parent/Carer signature Please print name Please return this form by Friday 7 th December to: Mrs L Turner Academic Services Manager Cheadle Hulme Sixth Form Woods Lane Cheadle SK8 7JY For Office Use only received : Reference received : Offer : Accepted :