Sixth Form
Preliminary Application for 2017 Admission
Personal Details
Surname
Forename
Current School
Address
Date of Birth
Home Telephone
Student Mobile
Student Email
Parent/Carer Contact details
Name
Telephone/Mobile
Email
Preliminary Application Return Date
Please return by the 9th of December so decisions can be made about the popularity of options to inform
option blocks. External students please return your form to Mrs Robinson at Westwood College, Leek
ST13 8NP.
Course Choices
We offer a wide range of courses, which are outlined below. If you have chosen BTEC courses: please see
the notes below:
Arts, PE, Music &
Drama
Languages & English
Sciences & Maths
Humanities &
Social Sciences
Design, IT & Business
Art: Fine Art
English Language
Biology
Geography
Business BTEC
Art: Textiles
English Literature
Chemistry
Health & Social
Care BTEC
Design
Art: Photography
French
Core Maths*
History
ICT
Media Studies
German
Further Maths*
Psychology
Music
Spanish
Maths*
Sociology
PE
Physics
Sport BTEC
Drama
NOTES:
* See course guide for difference between Maths courses
Health & Social Care BTEC:This counts as two choices
Sport BTEC: You can chose to take this as a 1 or 2 A Level equivalent course, so it counts as one or two choices
Business and ICT BTECs: These courses count as one choice each
Choose four courses from the list above. List on order of preference, 1 being your first choice.
1.
2.
3.
4.
Reserve Choice
(Most students study 3 subjects but it is possible
to study 4)
Signature of Applicant
I hereby apply for a place at Leek Federation Sixth Form and I am happy to be contacted via post, phone
or email regarding my application.
Signed (Student)
Signed (Parent/Carer)
Date