Mrs Colette Macklin /
Stainburn Road,
Workington
Cumbria
CA14 4EB / T: 01900 873926
E:
W: / Interim Headteacher
“Be The Best You Can Be”
Please complete this form using BLACK INK. All applications are due by WEDNESDAY 15 FEBRUARY. Thank you.
FULL NAME:
ADDRESS:POST CODE: / DATE OF BIRTH: / MALE:FEMALE:
Please tick
CURRENT SCHOOL: / IF WORKINGTON ACADEMY, PLEASE STATE TUTOR GROUP:
HOME TELEPHONE NUMBER: / MOBILE TELEPHONE NUMBER:
EMAIL ADDRESS:
Please list all exam subjects you are taking:
SUBJECTS: / QUALIFICATION TYPE: / PREDICTED GRADE: / SUBJECTS: / QUALIFICATION TYPE: / PREDICTED GRADE:Mathematics / GCSE
English Language / GCSE
English Literature / GCSE
Qualifications/Certificates/Awards already achieved (including out of school):
NAME OF QUALIFICATION: / DATE ACHIEVED:Subject Choices:
The academy welcomes applications from students who will achieve English Language and Maths at Grade 4 and 3 other GCSEs at A*-C; we will also take into account:
- Evidence of sustained and committed approach to study throughout Key Stage 4 via RFL grades or staff reference.
- Predicted GCSE results.
- Attendance/Punctuality record.
From the following list please choose 3 subjects, each from a different column A – D, plus one reserve choice and complete the table below. Please ensure that you meet the subject entry requirements which can be found on individual course descriptors.
The subjects on offer are:
Block A / Block B / Block C / Block D / Enrichment
Design / Art / Applied Science / Business / Core Maths
Digital Media / ICT / Biology / Chemistry / Extended Project
English Language / Maths / Business / English Literature / Personal Development
Geography / Performing Arts BTEC / Economics / Health and Social Care / Work Experience
Physics / RE / History / ICT / GCSE Maths
French / German / Sport BTEC / GCSE English
Private Study
In-Class Support
Child Development Level 3 / Paired Reading
Please be advised that subjects will run dependent upon sufficient uptake from students. Whilst we will endeavour to ensure the optimum number of students can undertake their chosen programme of study, subject combinations can only be confirmed once offers have been accepted and option blocks finalised.
SUBJECTS: / REASONS FOR CHOICE: / TEACHERS WITH WHOM
YOU HAVE DISCUSSED THIS:
1.
2.
3.
RESERVE
Please indicate if you wish to take the EPQ (Extended Project Qualification) or Core Maths / EPQ / CORE MATHS
If you have researched a particular career or career area, please tell us what your career plans are, including any Higher Education plans:
As well as aiming to help you to achieve the highest academic standards, we also want to develop and build upon your hobbies, interests and personal skills.
Briefly describe your present interests and hobbies.
Include details of any work experience or part-time employment you have had:
To help us help you, please give details of any medical (e.g. physical impairment/disability) or additional learning needs you may have (e.g. dyslexia):
SIGNED:DATED:
PLEASE READ THE FOLLOWING CAREFULLY
I accept that as a member of Workington Academy Sixth Form I am committed to the Post-16 contract which includes taking part in the core tutor period session, following the Sixth Form dress code, attending registrations and using the school’s facilities during Study Periods in order to support the KS5 programme.
English grade OK? Maths grade OK? Number of A*– B grades predicted: Number of A*– C grades predicted: APS:
Subject Choices (include block):
1. / 2. / 3. / Reserve
Discussed Career plan: Probable Career: Recent report &/or reference seen:
Suitability of Subjects for Future Plans & Work Experience:
Strengths:
Weaknesses:
Time Management / Suitability for KS5 study discussed:
Reasons for choosing Workington Academy and potential contribution to life of the Sixth Form:
General Comments / Recommendations:
Make Offer? YES CONSIDER NO Staff signature: