/ Application Form for
Dormers Wells High School
6th Form
For Admission September 2017
Internal Applicant
Ø  Please type or write in BLOCK CAPITALS and in BLUE or BLACK ink
Student Details
Surname: / ...... ………………. / Preferred Surname: / ……………………
Forename: / …………………… / Chosen Name: / ……………………
Date of Birth / …………………… / Gender ……………….
Nationality / …………………………
Address / …………………………………………………………………………
…………………………………………………………………………
…………………………………………………………………………
Post Code / …………………………
Home Telephone ……………………………….. / Mobile ………………….
Do you have siblings/relatives who presently attend DWHS?
Name:……………………. Year:…… Name: ……………………. .Year:…….
Email Address ………………………………………………..
Home Language ………………………………………………..
Other Languages ………………………………………………..
………………………………………………..

DWHS Sixth Form Course Offer

Indicate which courses/subjects you wish to enrol onto in the 6th Form if offered a place.

·  BTECS

Please choose one BTEC subject.

Please note that you cannot combine a BTEC with any other subject.

Level 3
BTEC Extended Diploma in Business Studies
BTEC Extended Diploma in Health & Social Care

·  A LEVELS

Please select 3 subjects that you would like to study from the columns below.

You can only choose one per column:

A / B / C / D
Art & Design / Biology / Chemistry / Chemistry
Biology / Business / Geography / Computing
Economics / French / History / Photography
English (Not possible with Physics) / Maths / Maths / Psychology
Maths / Media Studies / Physics / Sociology
Physical Education (Not possible with Physics) / Religious Education / Psychology / Spanish
Has anyone in your family been to University? Yes/No
Have any of your parents completed a HE degree or equivalent course? Yes/No

Please describe your interests and hobbies, e.g. sport, musical ability, drama, student council, posts of responsibility. Try to explain how these activities have helped develop your skills and qualities such as team work, leadership, reliability (no more than 300 words):

What are your career aspirations after completing this course? ie University, employment etc. How will this course help you with your future? (no more than 300 words)