Loxford School
Sixth Form
APPLICATION FORM
2017/2018
(External Applicants)
You must complete ALL Sections A, B, C and D
SECTION A – Personal Information
(Please complete in BLOCK CAPITALS and BLACK INK)
Last Name:
Date of Birth:
______________________________________________________________________________________
First Name(s):
Male/Female:
______________________________________________________________________________________
Address:
______________________________________________________________________________________
Post Code:
______________________________________________________________________________________
Telephone Number:
Mobile:
______________________________________________________________________________________
E-Mail Address:
______________________________________________________________________________________
Do you consider yourself to have a disability?
Yes/No
If yes, please give details:
______________________________________________________________________________________
SECTION B – Academic Information
Name of Current School*:
_____________________________________________________________________________________
Post Code:
______________________________________________________________________________________
______________________________________________________________________________________
Name of Tutor:
Tutor Group:
______________________________________________________________________________________
* References will be requested from your Head of Year/Achievement Team Leader.
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SECTION B – Academic Information (continued)
GCSE/BTEC Subjects
(Please list your subjects here and the grades you are predicted):
Subject
Predicted Grade(s)
All other subjects
continued :
Predicted
Grade(s)
English Language
English Literature
Mathematics
Science/BTEC Science
Additional Science
Biology
Chemistry
Physics
History/Geography
(delete as applicable)
Languages
(please state which)
Please tell us about any other interests and hobbies you follow and any qualifications you have, if relevant:
During Year 11 how would you describe your:
Attendance:
Punctuality:
Homework:
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Excellent
Excellent
Excellent
Good
Good
Good
Fair
Fair
Fair
Poor
Poor
Poor
SECTION C – Choice Form
LOXFORD SCHOOL SIXTH FORM
INTERIM COURSE CHOICE FORM – 2017/2018
Name:
____________________________________________
Tutor Group: __________
Advanced Level Choices (2 year course)
Please choose 3 subjects with no more than 1 subject from each column:
A
B
C
D
Biology
Chemistry
Physics
Maths
Chemistry
Biology
Business Studies
Drama
English Literature
Law
Economics
Philosophy of Religion & Ethics
English Language
Computer Science
Art
Photography
Personal & Business Finance
Media Studies
History
Geography
Media Studies
Psychology
Psychology
English Literature
Government & Politics
Maths
French
Economics
Electronics
Product Design
Spanish
Textiles
Music
Sociology
Economics
Philosophy of Religion & Ethics
Further Mathematics
Or choose 1 of these subjects which are equivalent to 3 Advanced Level subjects (2 year
courses)
Subject
Business
Creative Media Production
Applied Science
Computing
Level 3
BTEC National Extended Diploma
BTEC National Extended Diploma
BTEC National Extended Diploma
BTEC National Extended Diploma



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All students will do English and/or Mathematics if they have not been awarded a Grade 5 or above in the
subjects at GCSE
The final subject blocks will be published on our website in June 2017. This will take into account any
favoured subject combinations which arise from applications as we endeavour to provide students with their
chosen subject choices.
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SECTION D – Personal Statement
In this section please tell us why you want to join the Sixth Form at Loxford School, why you have chosen your
subjects and what plans you have for the future:
Continue on a separate sheet if necessary:
Please return the completed form to:
The School Reception (Secondary Building)
or
Sixth Form Applications
Loxford School
Loxford Lane
ILFORD
Essex IG1 2UT
E-Mail: [email protected]
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