Sixth Form Application for 2020 Entry
ALLESTREE WOODL ANDS SCHOOL SIXTH FORM
‘Aspire and Achieve’
This Application Form is an important document and should be completed as accurately as possible with information that is up-to-date. It is imperative that the school is informed immediately of any changes, especially your address, telephone numbers and email address in the event that we may need to contact you urgently.
A L L E ST R E E WOO D L A N D S S C HOO L S I X T H F O R M
PLEASE AFFIX PASSPORT SIZE
A P P L I C AT I O N F O R M F O R 2 0 2 0 E N T R Y
(45MM X 35MM)
CLOSING DAT E : 4 .0 0 P M FR IDAY 24 T H JA NUA RY 2020
PHOTOGRAPH HERE
Send to: Woodlands School, Blenheim Drive, Allestree, Derby DE22 2LW Email: sixthform@woodlands.derby.sch.uk
Please complete this form using BLOCK CAPITALS and in BLACK PEN. Thank you. FULL NAME:
ADDRESS:
POST CODE:
DATE OF BIRTH:
MALE:
FEMALE:
Please tick
CURRENT SCHOOL:
IF WOODLANDS, PLEASE STATE TUTOR GROUP:
HOME TELEPHONE NUMBER:
MOBILE TELEPHONE NUMBER:
STUDENT EMAIL ADDRESS:
PARENT’S EMAIL ADDRESS:
Please list all exam subjects you are taking: SUBJECTS:
QUALIFICATION TYPE:
PREDICTED GRADE:
SUBJECTS:
QUALIFICATION TYPE:
PREDICTED GRADE:
Mathematics GCSE English Language
GCSE
English Literature
GCSE
Qualifications/Certificates/Awards already achieved (including out of school): NAME OF QUALIFICATION: DATE ACHIEVED:
Please Turn Over
Subject Choices: The school welcomes applications from students who will achieve English Language and Maths at Grade 5 and 3 other GCSEs at similar grades in discrete subjects (for example, qualifications in related subjects such as English Literature and English Language will count as one grade only towards the achievement level). However, students are expected to achieve subject specific requirements at GCSE in accordance with the subject curriculum guidelines issued. In exceptional circumstances, the application of the above criteria is at the Head of Sixth Form’s discretion. The following factors are used when assessing whether criteria for entry into the Sixth Form have been met: 1 Evidence of sustained and committed approach to study throughout Key Stage 4. 1 Academic Profile to date in relation to the cohort of applications received. 1 Predicted GCSE results. 1 Quality of the student’s Progess File/Record of Achievement. 1 Pastoral and academic staff recommendations. 1 Attendance/Punctuality record. 1 Performance at interview. At Allestree Woodlands School students will be expected to take a minimum of 3 A Levels which are examined at the end of year 13. For exceptional students, we offer the Extended Project Qualification and, in some cases, the opportunity to study 4 A Levels. Year 12
3 or 4 A Levels + Core programme + EPQ (optional)
Year 13
3 or 4 A Levels + Core programme + EPQ (optional)
From the following list please choose 3 subjects and 1 reserve choice and complete the table below. Please ensure that you meet the subject entry requirements which can be found in the Sixth Form prospectus. The A level subjects on offer are: Art, Craft and Design Biology Business Studies Chemistry Computer Science Drama and Theatre Studies
D&T – Product Design English Language English Literature Environmental Science French Further Mathematics
Government and Politics Geography German History Mathematics Music
Physical Education Physics Psychology RE: Ethics & Philosophy Sociology Spanish
Please be advised that subjects will run dependent upon sufficient uptake from students. Whilst we will endeavour to ensure the optimum number of students can undertake their chosen programme of study, subject combinations can only be confirmed once offers have been accepted and option blocks finalised. SUBJECTS:
REASONS FOR CHOICE:
TEACHERS WITH WHOM YOU HAVE DISCUSSED THIS:
1.
2.
3.
RESERVE
Please indicate if you wish to take the EPQ (Extended Project Qualification) Due to the challenging nature of this qualification, this will be offered in the first instance to those students with the best overall GCSE grades.
If you have researched a particular career or career area, please tell us what your career plans are, including any Higher Education plans:
YES NO
As well as aiming to help you to achieve the highest academic standards, we also want to develop and build upon your hobbies, interests and personal skills. Briefly describe your present interests and hobbies. Include details of any work experience or part-time employment you have had:
PARENTAL CONSENT AND COPYRIGHT PERMISSION Please use the tick boxes to indicate either YES, you give consent or NO, you do not give consent, to your child’s details or participation in any of the following:
YES
NO
1 Photograph of student taken by staff or external supplier for use in situations described below 1 Images and name of student in any school Newsletters, Education Extras and on the school website 1 Images ONLY of student in any school newsletters, education extra and on the school website 1 Images and name of student in any school promotional publications and adverts 1 Images ONLY of student in any school promotional publications and adverts 1 Images and name of student in any school promotional video 1 Images ONLY of student in any school promotional video 1 Internet access 1 Sex Education 1 Data exchanges with career advice partners 1 Fingertip recognition for student meals 1 Lifetime school trip consent
To help us help you, please give details of any medical (e.g. physical impairment/disability) or additional learning needs you may have (e.g. dyslexia):
PLEASE READ THE FOLLOWING CAREFULLY I accept that as a member of Woodland School’s Sixth Form I am committed to the Post-16 contract which includes taking part in the core ’Life Skills’ tutor period session, following the Sixth Form dress code, attending registrations and using the school’s facilities during Study Periods in order to support the A Level programme.
SIGNED:
DATED:
OFFICE USE ONLY NAME:
SCHOOL:
Form:
1
Received:
Acknowledged:
11
Interviewer’s Initials:
English grade OK?
Date of Interview:
Attendance rate in Year 11:
Maths grade OK?
2
3
4
Confirmed:
Favourite GCSE:
Number of 5-9 grades predicted:
Subject Choices: 1.
2.
Discussed Career plan:
3.
Probable Career:
RoA/Progress File seen:
Suitability of Subjects for Future Plans & Work Experience:
Strengths:
Weaknesses:
Time Management / Suitability for KS5 study discussed:
Reasons for choosing Woodlands and potential contribution to life of the Sixth Form:
General Comments / Recommendations:
Make Offer?
YES
CONSIDER
Reserve
NO
Staff signature:
5