KING EDWARD VI CAMP HILL SCHOOL FOR GIRLS
KEVI CAMP HILL SCHOOL FOR GIRLS
VICARAGE ROAD
KINGS HEATH
BIRMINGHAM
FOR ENTRY IN SEPTEMBER 2016
B14 7QJ
The deadline for the receipt of applications is January 22nd 2016
0121 4442150
[email protected]
All applications from external candidates will be processed after this date.
FOR SCHOOL USE ONLY
DATE RECEIVED:
DISCUSSION DATE:
OFFER MADE: YES / NO
STUDENT ACCEPTED: YES / NO
APPLICATION FOR SIXTH FORM
PERSONAL DETAILS
Name:
Date of Birth:
Address:
Name of Parent/Guardian:
Address (if different):
Home Telephone No:
Home Telephone No:
Mobile No:
Mobile No:
Email:
Email:
DETAILS OF CURRENT SCHOOL
Current School:
Name of Headteacher:
Address:
Telephone number:
A LEVEL SUBJECT CHOICES
PLEASE CONSULT THE SIXTH FORM PROSPECTUS FOR COURSES BEING OFFERED
INDICATE YOUR CHOICE OF ADVANCED LEVEL SUBJECTS BELOW
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FOR OFFICE USE ONLY: REQUESTED SUBJECT CHANGES
GCSE PREDICTIONS AND OUTCOMES
GCSE SUBJECT
PREDICTED GRADES
MOCK RESULTS (IF KNOWN)
GRADE OBTAINED (IF EARLY ENTRY)
I can confirm that my daughter will be living at the parental home during her Sixth Form studies.
Signature of Parent/Guardian: ……………………………………………………………..............
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Date: ………………………………………
WHAT ARE YOUR REASONS FOR APPLYING FOR ENTRY TO OUR SIXTH FORM?
Please complete the section above and do not add extra sheets.
Signature: ……………………………………………………………...............................................
Date: ………………………………………
SCHOOL REFERENCE:
PLEASE COMMENT ON THE STUDENT’S ATTENDANCE, RELIABILITY, ATTITUDE AND POTENTIAL APTITUDE FOR ACHIEVING HIGH GRADES AT A
LEVEL STUDY, AND RETURN THE COMPLETED FORM TO KING EDWARD VI CAMP HILL SCHOOL FOR GIRLS.
Thank you for providing this reference. We are extremely grateful for your help.
Signature: ……………………………………………………………......
Date: …………………………………………………………………………
Title: ………………………………………………………………………………
Student UPN: …………………………………………………………………
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FOR SCHOOL USE ONLY
Date:
Name:
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2.
3.
4.
5.
6.
Summative comments:
Category:
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