Gloucester Academy Sixth Form

Gloucester Academy Sixth Form

Application Form

PLEASE NOTE: If not completed in full, this may be returned to you. If you need help completing this form please come in to the Academy. PLEASE COMPLETE ALL SECTIONS OF THE FORM IN BLOCK CAPITALS.

PERSONAL DETAILS
Mr/Miss/Ms etc: / Applicants NOT born in the United Kingdom please complete this section:
Surname:
Forename(s): / Country of birth:
Date of birth: / Your nationality:
Address: / Country of domicile:
Date of last entry to UK:
Postcode: / Emergency contact:
Telephone: / Mobile: / Name:
Email address: / Telephone:
COURSE DETAILS
What would you like to study?
Please choose up to four options from those listed below and mark them in the columns marked 1st Choice to 4th Choice in order of your preference. Please then identify any Reserve Choices in the final two columns in the event that timetabling prevents you from taking all of your first four choices.
Course / 1st Choice / 2nd Choice / 3rd Choice / 4th Choice / Reserve 1 / Reserve 2
A-Level Art
A-Level Biology
A-Level Drama & Theatre
A-Level English Literature
A-Level French
A-Level Geography
A-Level History
A-Level Mathematics
A-Level Photography
A-Level Physics
A-Level Politics
A-Level Product Design
A-Level Psychology
A-Level Sociology
A-Level Spanish
BTEC Level 3 Applied Science
BTEC Level 3 Business
BTEC Level 3 Creative Media Production
BTEC Level 3 ICT
BTEC Level 3 Music Performance
BTEC Level 3 Sport
WJEC Level 3 Food Science and Nutrition
CTC Level 3 Health & Social Care
Mathematics in Context (Level 3 Core)
Please use the space provided here to identify any courses you are interested
in studying that we are not currently offering.

Gloucester Academy Sixth Form

Application Form

PLEASE NOTE: If not completed in full, this may be returned to you. If you need help completing this form please come in to the Academy. PLEASE COMPLETE ALL SECTIONS OF THE FORM IN BLOCK CAPITALS.

Foundation Year – the option of a foundation year including Maths and English GCSE resits can be discussed at interview based on predicted grades. Your place on this will only be confirmed after Results Day in August.
Note: all courses are subject to change based on student numbers and availability.
MOST RECENT SCHOOL/COLLEGE EDUCATION
Give details of exams taken or pending
Subject / Level
Eg. GCE/
GCSE/GNVQ/
OCN/NVQ / Results / Date achieved
(if applicable) / School/College
Predicted / Actual
EMPLOYMENT
Please enter previous and present employment in date order (you may include details of voluntary work or work experience)
Employer’s name and address / Nature of work / From (date) / To (date)
Do you have a sibling or sibling(s) currently at Gloucester Academy?
EDUCATIONAL REFERENCE / DECLARATION
Please give the name and address of your school or previous tutor. / I confirm that to the best of my knowledge the information given on this form is correct.
Name: / Signature of applicant:
Address: / Date:
Signature of parent/guardian (if you are under 18):
Date:
PLEASE RETURN THIS FORM TO:
GLOUCESTER ACADEMY SIXTH FORM ADMISSIONS
GLOUCESTER ACADEMY, PAINSWICK ROAD, GLOUCESTER, GL4 6RN
EMAIL:
HOW DID YOU HEAR ABOUT GLOUCESTER ACADEMY SIXTH FORM?
/ Visit to your school
GA Facebook page / School careers advisor
Twitter / Friend/relative
Google / Previous/current student
UCAS Progress / Internal Marketing within the Academy (e.g. Y11 Assembly)
Other website (please specify)