ST.

MARK’S CATHOLIC SCHOOL

APPLICATION FOR THE SIXTH FORM

EXTERNAL CANDIDATES
Please complete in block capitals. Obtain Parent/Guardian’s signature at the end.
Please note your present school will be contacted for a prediction of your GCSE grades.
_____________________________________________________________________________________________________
A. PERSONAL DETAILS

Surname ______________________________ Forename ___________________________________

Gender (Please tick) Female Male ____________________________________

Date of Age on 1st Sept

Birth 2018

Day Month Year Are you a UK Yes/ No

resident

Home Address _________________________________________________________________________

_________________________________________________________________________
Post Code _______________________ Telephone Number ___________________________
Email address: __________________________________ Mobile number: ______________________
____________________________________________________________________________________________
CURRENT SCHOOL
____________________________________________________________________________________________

Dates Attended ___________________________________________________________________________

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EXAMINATIONS TO BE TAKEN IN YEAR 11 Please specify whether the science qualification
examined is Core Science, Additional Science, or Separate Sciences (Biology, Chemistry,
Physics)

Subject Level 2 Date exam Predicted

(GCSE/BTEC/OCR will be taken grade
AS modules) Month /year

If you have achieved any complete GCSEs please state which subject and grade achieved (do not include here any units of
GCSEs not yet completed)

Subject Grade achieved Date taken

OTHER EXAMINATIONS OR QUALIFICATIONS (eg. Music grades, Dance grades, Duke
of Edinburgh)

PROPOSED COURSE OF STUDY

Preferred choice of subjects (please rank in preference order)

A Levels
1.
2.
3.
Reserve:
_____________________________________________________________________________________________________

INTERESTS

Sport: Have you represented your school in any Sport in Years 10 or 11? Yes / No

Details:_______________________________________________________________________
_________________________________________________________________________

Music: Do you play a musical instrument or sing? Yes / No

Have you participated in Orchestra or Choir in Year 10/11? Yes / No

Details:_______________________________________________________________________
Other interests: _________________________________________________________________________

_________________________________________________________________________

PERSONAL STATEMENT (Use this space to write about your achievements, interests and
why you want
to join St Mark’s Sixth Form.)

____________________________________________________________________________________________
If admitted to the Sixth Form I agree to abide by the Sixth Form regulations.

Signature of applicant: __________________________________________ Date: ______________

____________________________________________________________________________________________
COMMENTS BY PARENT/GUARDIAN (Please indicate whether or not you support this
application)
Signature of Parent / Guardian: ______________________________________ Date: ______________

COMPLETED FORMS MUST BE RETURNED BY FRIDAY 17TH NOVEMBER 2017.