Sixth Form Application
2017/18
Etone College
Personal Details
Name
Address (including postcode)
Home telephone number
Email address
Date of birth
Male
Female
Gender (please circle)
Date of application
Reference Details
Name of School
Contact
Name
Address (including postcode)
Position
Contact Telephone Number
Email address
External applicants must bring a form of identification (birth certificate/passport) along with them to the interview. We will
send for a written reference from your school. The interview will not take place until we have received a written reference.
Current Academic Progress
Baseline
Grade / Award
Subject
English (Language)
Mathematics
Science (Core/Additional)
Results
(Already achieved)
Core
Teacher’s
expected grade
Additional
If pupils study the separate sciences, please list the expected grades in the order of Biology / Chemistry / Physics
English (Literature)
Option:
Option:
Option:
Option:
Other:
Other:
Selecting your courses
Personal Statement
Please include information about the following:
1. Interests / Hobbies: What makes you stand out from the crowd?
2. School and Personal Achievements – Include responsibilities in school you have had.
3. Why you want to continue your studies to Sixth Form level at Etone College.
Please attach a separate sheet if necessary
Your future
Please give us an indication of what you intend to do when you leave Sixth Form. This will help us guide you towards choosing the right
courses. Give as many details as you can (e.g. I want to study Psychology at a local University, possibly Warwick).
Look carefully at the subjects below. The table shows all the courses we are offering in the Sixth Form. You can select up to
four. All A-levels count as 1 option. Some BTECs are ‘double’ and count as 2 and are the equivalent of 2 A-levels.
Please note that if a course is undersubscribed it will not run.
Final decision on course viability lies with the Headteacher
BLOCK B
BLOCK C
BLOCK D
BLOCK E
Biology
Mathematics
Physics
Chemistry
EPQ
English Literature
Geography
Sociology
History
L3 ECDL
Politics
Psychology
English Language
Psychology
DoE
German
French
Spanish
Applied Business
MOOC
Technology
(Product Design)
Applied Business
Economics
Further Mathematics
Film Studies
Fine Art
Music
Photography
Health and Social Care
Performing Arts
Single (Block B)
Double (Blocks A&B)
Single (Block D)
Double (Blocks C&D)
BTECs
A-Levels
BLOCK A
Sport
IT
Single (Block B), Double (Blocks A&B)
Triple (Blocks A,B &C)
Applied Science
IT
Media Production
Single (Block C)
Double (Blocks C&D)
PATHWAYS
1.
2.
3.
3 A Levels from Blocks A – D and the EPQ
3 A Levels or BTEC subjects and an option from Block E
3 A Levels or BTEC qualifications (maximum 1 A Level) and an option from Block E
2nd Choice
1st Choice
List the courses you’re interested in and briefly give reasons why.
Choose 4 options. Study hall can only be chosen once.
Block A
Block B
Block C
Block D
Block E
Subject
Subject
Subject
Subject
Subject
Reason
Reason
Reason
Reason
Reason
Subject
Subject
Subject
Subject
Subject
Reason
Reason
Reason
Reason
Reason
Leadership will complete this page in the interview
Interview
Interviewer
Date
Time
Parent/Carer present?
Yes
No
Is Etone first choice
Yes
No
If not, where?
Course selection
Block A
Block B
Block C
Block E
Block D
Disclaimer
I understand that some course combinations may not be possible and if a course is undersubscribed it may not run.
The Data Protection Act 1998 requires your consent before we can hold or process information about you. This approval is
required also to offer you a place on the course.
Student signature
Date
Parent/Carer signature
Date
Staff signature
Date
External applicant check
Passport / Birth Certificate (take a copy)
Yes
No
Written Reference
Yes
No