CONNELL SIXTH FORM COLLEGE | APPLICATION FORM
Please complete and return your application by Thursday 15 January 2015
PLEASE WRITE IN CAPITAL LETTERS
Surname:
First Name:
Home Address:
Postcode:
Mobile Number:
Email:
© Connell Sixth Form College
Date of Birth:
Please tick:
Male
Female
Parents/Carers contact phone:
Parents/Carers contact email:
About You
Could you tell us what you like to do in your spare time.
Present School:
© Connell Sixth Form College
GCSE Subjects you are taking this year:
Subject
Predicted Grade
Any examinations you have already taken:
Subject
Grade Achieved
Proposed Courses you wish to take:
If you want to study A Levels please choose four subjects.
If you want to study a BTEC please choose one BTEC course
Please choose A level subjects from: Art, Biology, Business Studies,
Chemistry, Economics, English Language, English Literature, French,
Geography, History, Computing/ICT, Law, Mathematics, Further Mathematics,
P.E., Philosophy, Physics, Psychology, Religious Studies, Sociology, Theatre
Studies, Spanish,
© Connell Sixth Form College
Please choose BTEC subjects from Science, Sports Science, Business
Studies.
1
2
3
4
Career Pathway
If you have any idea of what you would like to do after you leave the Sixth
Form, please give details below.
© Connell Sixth Form College
Do you normally receive any extra support with your learning?
Please tick:
Yes
No
If yes, please give us any details which you feel may be useful
Do you have any long term medical or physical conditions?
Please tick:
Yes
No
If yes, please give us any details which you feel may be useful.
Please complete and post your completed application form by Thursday
15 January 2015 to:
© Connell Sixth Form College
Admissions
Connell Sixth Form College
301 Alan Turing Way
Manchester
M11 3BS
Or by email to:
[email protected]
Thank you for your application form.
You will be contacted soon and invited to come for a discussion about your
subject choices.
© Connell Sixth Form College
For Official Use Only:
Date and time of interview
Comments
Heard about Connell?
Decision:
Offer Sent Out:
Offer Accepted:
© Connell Sixth Form College