APPLICATION FOR COURSES AT PASTON SIXTH FORM COLLEGE2017/18

Full name: ……………………..…………………..……Gender (M/F): ….………Date of birth: ……...…….…….……..
Home address: ………………………..………..………Home phone: ……………………………………...... …………..
…………..…………………………………………………Student Mobile: ……………………………….…………………
….………………………………………………………….Parent Mobile………………………………..…………...... …….
...... StudentE-mail: ………………………...….……......
Post code: …………….…………………………………Parent E-mail………..………………………………………..…..
Name of parent(s) or guardian(s): ………………..……………….………………………………………….…….…..…...
Doctor’s Name…………………………………………………….…Surgery Name………………………………………..
Surgery Telephone No…………………………………………………………………………….
Ethnicity: …………....…….… Has your home been in the UK for the last three years (Yes/No)? …………….
If ‘No’, please say which country you were living in ………………………………………………………….………….……
Current high school (or college if applicable): ……………………………………………………………………..…
Address: ………………………………………………………...…………………………………………………..……………
……………………………………………………………………...………………… Post code: …………..…….…………
Qualifications – include any that you have taken in the past or plan to take:
Subject and Level
(eg English GCSE) / Year
taken / Predicted Grade / Actual Grade / Subject and Level (eg English GCSE) / Year
taken / Predicted Grade / Actual Grade
Please complete and sign the reverse of this form.
I am applying for the following courses starting in September 2017:
Subject / Course Level*
*Levels include: A Level, Single/ Double Award Vocational Qualifications andLevel 3 BTEC Extended Diploma
Why are you applying to Paston?
Are you considering alternatives to Paston for next year
- eg. another college, school sixth form, training, a job (Yes/No)? ……………………
If yes, please give details: ………………………………………………………………..……...………...…………
……………………………………………………………………………………………………………………………..
What are your future career plans?
Please give details of any relevant work experience, hobbies or interests:
Please give details of any personal achievements:
Please give details of any additional needs or disabilities:
How did you find out about the college?
I apply for the courses named above. I understand that the college reserves the right to alter close or not run courses or classes if deemed necessary.
Signature of applicant:……………………………………..………….. …….. Date: ……………………….
Signature of parent/guardian: …………………………..…………………….. Date: ……………………….
(where the applicant is under 18)
Data Protection Statement: The College will use this information solely in connection with the Taster Day, Open Evenings and the application process, in line with our registration under the Data Protection Act 1998 and we will not share this information with any other organisation or agency.