LANGLEY GRAMMAR SCHOOL SIXTH FORM

APPLICATION FOR ENTRY INTO Y12 SEPTEMBER 2014

TO BE RECEIVED AT LANGLEY GRAMMAR SCHOOL BY

FRIDAY7 FEBRUARY 2014

Please print clearly in black ink and capital letters

The first page should be completed by the applicant. The final page should be

completed by your Headteacher or your Head of Year.

NAME / DOB / GENDER
HOME ADDRESS / HOME TEL:
PARENTAL MOB:
PREVIOUS SCHOOL: (Name of Headteacher and school address)
SCHOOL TEL:
NAMES AND DATES OF ALL OTHER SECONDARY SCHOOLS ATTENDED

Before making your subject choices, please refer to the Sixth Form prospectus and course guide to find out which AS/A level courses and enrichment courses are available.

Choose FOUR subjects you wish to take at AS level in year 12:

Give ONE alternative in case we are not able to satisfy your request:

Select TWO of the enrichment courses,in order of preference (you will only do one):

Please state any ideas you have concerning career plans:
Please list your interests and other activities, your achievements, work experience etc
Please use the space below to explain your reasons for wanting to join the Sixth Form at Langley Grammar School

Please give the whole form to your Headteacher or Head of Year who should complete the next page. It should then be sent to Mrs A Congdon, Admissions Officer, Langley Grammar School, Reddington Drive, Langley, Slough, Berkshire SL3 7QSby 7February 2014

This page should be completed by your current Headteacher or Head of Year

SCHOOL REFERENCE

  • The student named below has applied to us for the full-time courses detailed below
  • Please could you complete the proforma below

PERSONAL DETAILS OF THE APPLICANT

SurnameForenames

COURSES APPLIED FOR

AS Level:

Enrichment course:

SCHOOL ATTENDANCE

% attendance during the current school year / % punctuality during the current school year
Potential for AS/A level study, using a 1-5 scale where 1 is excellent and 5 is very poor

PUBLIC EXAMINATIONS UCI:

Known or predicted qualification grades:

Please list in year order or attach a copy from your electronic system

SUBJECT / DATE / QUALIFICATION / KNOWN GRADE / PREDICTED GRADE

ASSESSMENT

Please indicate your assessment of the student for each of the factors listed in the grid below. We

appreciate the assessment refers to your school/college, we will make appropriate adjustments.

FACTOR / Applies / Inclines to
/ Applies
Intellectual ability / Quickly grasps the essentials of new ideas / Slow to grasp new ideas
Motivation / Keen and industrious / Wastes time and avoids work
Initiative / Is enterprising and original / Needs constant guidance
Integrity / High standard / Tends to be unreliable
Co-operation / Very co-operative / Unco-operative and can be disruptive
Conduct / Well behaved / Poor behaviour
Oral ability / Speaks clearly and fluently / Has some difficulty with language
Written ability / High standard / Has difficulty with written work
Relationships / Mixes readily / Does not mix easily

GENERAL REMARKS ON STUDENT'S APPLICATION

I * strongly recommend/recommend/recommend with reservations/do not recommend the above person for the course(s).

Signed...... Date...... Position......

School/College ...... Telephone No......

Please return the completed form, by Friday 7February 2014,to Mrs A Congdon, Admissions Officer, Langley Grammar School, Reddington Drive, Langley, Slough, Berkshire SL3 7QS

Telephone 01753 598315

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