APPLICATION FOR MASCALLS ACADEMY SIXTH FORM:2018 Entry

[for use by applicants who live outside of the county of Kent]

PERSONAL INFORMATION AND CONTACT DETAILS

Name:
Address:
Tel No: / Home: / Mobile:
Email: / Date of Birth:

PARENT/GUARDIAN CONTACT DETAILS

Name: / Relationship to applicant:
Address:
(if different from applicants)
Tel No: / Home: / Mobile:
Email:

If you have, OR HAVE had a brother or sister attend this provider, please give details:

Name of sibling: / Year of entry to Mascalls:

EDUCATION DETAILS

Name of your current school, college or centre:
Date of entry to secondary school:
Referee Contact Name at current School:*
Referee Email Address:
Referee Contact Phone Number:

* For students currently studying at Mascalls Academy, please give your Advisor’s name and for external candidates, please give Head of Year 11, Form Tutor or Advisor.

ADDITIONAL SUPPORT

Do you consider yourself to have a disability? / YesNo
If Yes, please provide further details
Do you consider yourself to have a learning difficulty? / YesNo
If Yes, please provide further details
What is your main spoken language (if not English)?

QUALIFICATIONS

Please list all the subjects you are studying that will lead to a Level 2 qualification, and the grades you are currently predicted to achieve. If you have already completed a qualification, please enter the Actual Grade below.

Subject / Qualification
GCSE/BTEC/OCR etc / Completion Date / Actual Grade

SUBECTS YOU WANT TO STUDY AT MASCALLS

Please ensure you have read the entry criteria and calculated your points score and that this meets the requirements for your chosen subjects. Most students will take 4 AS subjects in Year 12, and you should list your choices in priority order.

Choice 1 / Choice 4 (if permitted)
Choice 2 / Reserve
Choice 3 / Reserve

** High ability students may be able to study 4 subjects in Year 12, subject to grades and Head of Department approval.

WORK EXPERIENCE HISTORY

Company/Employers’ Name:
Period of Work:
Main Duties:
Type of Work: / Work ExperiencePaid Employment
Other______
Company/Employers’ Name:
Period of Work:
Main Duties:
Type of Work: / Work ExperiencePaid Employment
Other______

What are your career aims/goals?

Would you like help deciding which course is right for you? / YesNo

PERSONAL STATEMENT Please tell us about you - your approach to your studies, your likes and interests, hobbies, extra-curricular activities, sporting achievements etc. Continue overleaf if needed.

Please write a short statement on why you wish to apply to Mascalls Academy and why you have chosen the courses you have selected

Please enter any additional information you feel is relevant:

I confirm my interest in applying to Mascalls Academy Sixth Form. I understand Mascalls will obtain a reference from my current school if appropriate.

Late applications will be considered on a student by student basis, and any offers will be based on subject availability.

Signed:______Name:______

(student)(student)

Date:______

Please complete and return to:

Miss Michelle Preston, Sixth Form Support Assistant

MascallsAcademy, Sixth Form Centre, Maidstone Road, Paddock Wood, Kent, TN12 6LT

email:

DEADLINE FOR COMPLETED APPLICATIONS FRIDAY 15TH DECEMBER 2017

Sixth Form Paper Application - 2018-19.docx