The Elmgreen School Sixth Form TES6 Application Form by mpU36R

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									                           The Elmgreen School Sixth Form - TES6
                          Application for Academic Year 2012 / 2013

                 Please ensure your application is received by The Elmgreen School reception by Friday 6 January 2012.
                           The Elmgreen School, Elmcourt Road, London, SE27 9BZ, Telephone: 020 8766 5020
                                  Please send electronic copies to: admin@the-elmgreen-school.org.uk

1. Personal Details: Please type or print your answers:
Surname / Family Name:                                                               First Name:

Date of Birth:                                                                       Gender:

Nationality:                                                                         First Language:

Student’s Home                                                                       Student’s Mobile
Address:                                                                             Number:
                                                                                     Student’s Email
Postcode:                                                                            Address:


2. Pathways: Please circle the name of the pathway are you applying for:

       TES6 Baccalaureate                    TES6 General                         TES6 Diploma                          TES6 Skills

Pathway for students who achieve    Pathway for students who achieve     Pathway for students who achieve     Pathway for students who achieve
at least 6 Bs at GCSE including     at least 5 A*- C at GCSE including   at least 5 A*- C at GCSE including   at least 5 A*- G GCSEs including
English and Maths.                  English and Maths.                   English and Maths.                   English and Maths at Grade D or
                                                                                                              E.
·    3 or 4 A Levels                ·    3 A Levels                      ·    Level 3 BTEC National           ·     Level 2 BTEC First Diploma
·    1 AS Level in Citizenship      ·    1 AS Level in Citizenship       Diploma                              and/or GCSE courses
·    The Extended Project           ·    Enrichment opportunities        ·    1 AS Level in Citizenship       ·     Enrichment opportunities
Qualification                                                            ·    Enrichment opportunities
·    Enrichment opportunities


3. Course Choices: Please enter up to four subjects & levels in order of preference and two reserve choices (R1, R2):
e.g. English A Level, Maths AS level, Sports Level 2 or Maths GCSE
       Subject                   Level                 Subject                  Level                     Subject                Level
1.                                              2.                                                3.
4.                                              R1.                                               R2.


4. Are you currently at The Elmgreen School?                                   If Yes go straight to section 5
If No please complete below and then go to section 5:
Current School Name and                                                          Current School
Address:                                                                         Telephone Number:


Student UPN number:                                                              Student UCI number:
This can be obtained from                                                        This can be obtained fro
your school office.                                                              your Exams officer.
Parent / Carer Name and                                                          Parent / Carer Mobile
Address:                                                                         Number:
(if different from students)                                                     (Emergency contact)
                                                                                 Parent / Carer Email
                                                                                 Address:

Student’s Doctor Address:                                                        Student’s Doctor’s
                                                                                 Telephone Number:
                                                                                 (Emergency contact)
Student’s SEN and / or
Medical Needs:
5. Results: Please complete the following to show your predicted or completed results:
GCSE subjects            Full / Short course       Target Minimum Grade            Predicted / Working at / Mock   Grade if completed

English
English Literature
Maths




Diploma / BTEC           Full / Short course       Target Minimum Grade            Predicted / Working at / Mock   Grade if completed




6. Current responsibilities and future aspirations: Please answer these questions in no more than 150 words for each.
What roles and responsibilities do you hold in
School? (e.g. Head boy / girl, Student Council
representative)
What are your hobbies and interests outside of
school?

What are your career, university or further
education plans?

Why do you want to attend The Elmgreen
School Sixth Form (TES6)?



Signature of Student:                                                                Date:

Signature of Parent / Carer:                                                         Date:

7. Supporting References: If you currently attend The Elmgreen School please ask your Form Tutor or Deputy Head
of College (DHOC) to complete this section. If you are an external applicant then the following should be completed
by your Form Tutor or Head of Year / College / House.

Please enter 1 for excellent, 2 for good, 3 for satisfactory, 4 for unsatisfactory, 5 for serious concern or circle Y for Yes, N for No.
Attendance to lessons:                Attendance to registration:              Punctuality to               Punctuality to
                                                                               lessons:                     registration:
Attitude to learning:                 Attitude to staff:                       Attitude to other            Suitability for
                                                                               students:                    chosen courses:
Time Management /                     Organisation / Equipped for              Other......                  Other......
Meeting deadlines:                    learning:
The Elmgreen Way: Looks               The Elmgreen Way: Looks                  The Elmgreen Way:            The Elmgreen Way:
after themselves:                     after others:                            Looks after the              Looks after the
                                                                               school:                      community:
Has the student required       Y      Has the student required           Y     Has the student        Y     Has the student         Y
further support for EAL?       /      learning support?                  /     required pastoral      /     ever been excluded? /
                               N                                         N     support?               N                              N

If you have selected Yes for any of the above, please provide further details to admin@the-elmgreen-school.org.uk

I confirm the above reference and predicted grades entered are correct.

Name:                                                   Role:                        Email address:

Signature:                                                                           Date:

								
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