Educational Stages and Palmer Catholic Academy

Topics: High school, Secondary school, Educational stages Pages: 6 (572 words) Published: June 20, 2013
THE PALMER CATHOLIC ACADEMY Aldborough Road South, Seven Kings, Ilford, Essex, IG3 8EU Tel: 020 8590 3808 Fax: 020 8597 5119 Email: office@thepalmercatholicacademy.org.uk Website: the palmercatholicacademy.org

APPLICATION FOR ADMISSION TO THE SIXTH FORM – SEPTEMBER 2012 Please complete Sections 1 to 4 and ask your Head of Year to complete Section 5 SECTION 1 Surname ……………………………………………………… Forename(s)…………………………………………………. Date of birth …………………………….. male / female

Religion ………………………………………(Roman Catholic applicants must include a priest reference form) Address ……………………………………………………………………………………………………. ……………………………………………………………Post Code……………………………………… Resident in the London Borough of ……………………………………………………………………… Home telephone number ………………………… Names of Parents / Carers ………………………………………………………….. SECTION 2 EDUCATION: Current School…………………………………………………………… Telephone ……………………

Any Other Secondary School…………………………………………………Dates ……………………….. Primary School …………………………………………………………... Year left ……………………

(please ensure this section is fully completed)
1

SECTION 3

SUBJECT CHOICES SEPTEMBER 2012

All courses are described in the Booklet accompanying the Prospectus and are subject to numbers and staffing. You must ensure that you are fully aware of the requirements of each course before completing this section. Please indicate by placing a tick next to the four A Levels subjects you wish to study in Year 12.

SUBJECT
APPLIED SCIENCE ACCOUNTING ART BIOLOGY BUSINESS STUDIES APPLIED CHEMISTRY DRAMA & THEATRE STUDIES ENGLISH LITERATURE FRENCH GEOGRAPHY GOVERNMENT & POLITICS HEALTH & SOCIAL CARE HISTORY INFORMATION TECHNOLOGY MATHEMATICS FURTHER MATHEMATICS PHYSICS PSYCHOLOGY PHYSICAL EDUCATION RELIGIOUS PHILOSOPHY & ETHICS SOCIOLOGY

PLEASE TICK 4

2

SECTION 4
SUBJECT

PUBLIC EXAMINATIONS TO BE TAKEN:
PREDICTED GRADE GCSE RESULT (please leave blank)

PLEASE INDICATE HIGHER OR INTERMEDIATE

Any GCSE examination(s) already passed: Subject ……………………………………… Grade ……… Date ………………… Subject …………………………………… Grade ……… Date …………………

Have you applied to any other Sixth Form or College? If YES, please give details: ………………………………………………………………………………………………………………………… Do you have a part/time job? If YES, please give name of employer and number of hours worked: …………………………………………………………………………………………………………………………

SIGNATURE OF STUDENT ……………………………………………………………….

SIGNATURE OF PARENT / CARER ………………………………………………………

3

SECTION 5

TO BE COMPLETED BY APPLICANT’S HEAD OF YEAR.

IMPORTANT: IF YOUR SCHOOL IS SUPPLYING A SEPARATE REFERENCE THIS MUST INCLUDE YOUR UCI AND UPN (see below) ATTENDANCE PERCENTAGE PUNCTUALITY PERCENTAGE
Excellent Poor

A Attitude to work Attitude to staff Reliability Initiative Perseverance Meeting deadlines Honesty Ability to work alone Ability to work with others Hardworking

B

C

D

E

PLEASE COMMENT ON THE SUITABILITY OF THE APPLICANT: ……………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………

DO THE ESTIMATED GRADES GIVEN REPRESENT FAIR ASSESSMENT OF LIKELY ACHIEVEMENT? YES / NO Student’s U.C.I.

(Unique Candidate Identifier for exam entries)
Student’s U.P.N.

(Unique Pupil Number on student database)

Signed ………………………………………………… Name ………………………………………………… Position ………………………………………………… Contact No: ……………………………………………..

Please apply your school stamp here to verify this reference

UCI AND UPN NUMBERS MUST BE INCLUDED

4

DO NOT FILL IN THIS SECTION. IT WILL BE COMPLETED DURING YOUR INTERVIEW BLOCK A BLOCK B BLOCK C BLOCK D

Name of applicant …………………………………………………………………………………………………………………………. Interests ……………………………………………………………………………………………………………………………………… Intended career ……………………………………………………………………………………………………………………………… Comments on student ........................................................................................................................ ………………………………………………………………………………………………………………………………………………………

Signature...
Continue Reading

Please join StudyMode to read the full document

You May Also Find These Documents Helpful

  • Essay about Catholic Educational Association: Convention Summary
  • Educational Essay
  • The Different Types of Schools in Relation to Educational Stages and School Governance. Essay
  • Essay about THE FILIPINO CATHOLIC LAITY
  • cATHOLIC Essay
  • EDUCATIONAL TECHNOLOGY Essay
  • Comparison of Educational Theories Essay
  • Essay on What is Educational Technology?

Become a StudyMode Member

Sign Up - It's Free