Post 16 Centre Application Form Guidance Notes

SECTION 1: PERSONAL INFORMATIONS

SECTION 2: EMERGENCY CONTACTS

SECTION 3: BANK DETAILSS

SECTION 4: CHOICE OF COURSES

SECTION 5: SELF EVALUATIONS

SECTION 6: REFERENCESS

SECTION 7: PERSONAL STATEMENTS

FOR OFFICE USE:S

Post 16 Centre Application Form

*Attached Guidance notes must be read before completing this form

SECTION 1: PERSONAL INFORMATIONS

First Name: / Surname:
Date of Birth: / Gender: / Male / Female
Address:
Post Code:
Student Mobile Number:
Ethnic Group: / Religion:
Language Spoken:
Previous secondary school:
Attendance / % / Punctuality / %
Brothers/sisters in school: (state full name and form)
I understand my details will be passed to Connexions. (careers)
Please declare any criminal convictions:

SECTION 2: EMERGENCY CONTACTS

1st Parent Name: / Home phone No: / Mobile:
Address:
Post Code:
2nd Parent/contact Name: / Home phone No: / Mobile:
Address:
Post Code:
Medical conditions which you feel College should be aware of:
Doctors Name: / Telephone Number:
Address
Post Code:
Travel: How will you travel to school each morning?
Walk / bus / car taxi:
Dinner: school lunch / sandwiches / free meal (free meal requires proof of benefits)

SECTION 3: BANK DETAILSS

Sort Code and Account Number:
Bank Address:

SECTION 4: CHOICE OF COURSES

1.  / 2. 
3.  / 4. 
5.  / 6. 

SECTION 5: SELF EVALUATIONS

Please rate yourself in the following areas:

Attitude to study / excellent / good / satisfactory / below expectation / poor / very poor
comment:
Determination / excellent / good / satisfactory / below expectation / poor / very poor
comment:
Maturity / excellent / good / satisfactory / below expectation / poor / very poor
comment:

SECTION 6: REFERENCESS

Please ensure you nominate at least one Subject Teacher

Surname: / First Name:
Address: / Telephone Number:
Post Code:
Surname: / First Name:
Address: / Telephone Number:
Post Code:

SECTION 7: PERSONAL STATEMENTS

FOR OFFICE USES

Date of Admission: / Copy of passport/ID Docs in file: Y/N? / Admission Number: A
FSM/Bursary Docs checked and verified: Y/N? / I.D. Card: Y/N? / £5 locker fee received: Y/N? / Year: / Form: