Personal Details

Name (as appears on your passport) *

First

Last

Date of Birth *

Gender *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Mobile Phone *

Home Telephone *

Email *

Nationality (as appears on your passport) *

Country of Birth *

Have you lived outside the UK during the last 3 years? *

Yes
No

If YES, what was your country of residence? *

Date of entry into the UK: *

Course Selection

Please list the subjects you have chosen in priority order, with an additional selection as a possible reserve.

1 *

2 *

3 *

4

(Four A Level Pathway only)

Reserve Choice: *

Education

What school did you last attend/are you currently attending?

Current/last school attended *

School Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date Attended From *

Date Attended To *

Previous Schools (secondary and primary) *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Learning / Examination Support

Do you consider that you have a disability/learning difficulty or other need you wish us to know about? *

Yes
No

(If yes, we want to help you get the best from your courses and will arrange for a member of our Learning Support team to discuss this with you in confidence).

Additional Languages

If you speak more than one language at home and would like to meet with our Modern Languages Department to discuss potential qualifications in additional languages as part of our Polyglots Connect, please complete the information below. A member of the Modern Languages team will speak with you at the start of term.

Please confirm

Please tick if you are bilingual and interested in gaining GCSE or A Level qualification in a language that you speak.

Please indicate the language(s) spoken:

Financial Support

You may be entitled to additional financial support if you were supported by Free School Meals (FSM) or Pupil Premium (PP) funding at secondary school. Please tick below if this applies to you.

I received FSM / PP support at secondary school

Signature Section

The information on this form will be used for administration purposes by the school. Applicant information may be disclosed to Career Connect and other agencies for statistical reasons. For full information on how data is used and protected at Formby High School, please refer to our Privacy Notice and Data Protection Policy which are published in the data protection section of the school’s website. We ask you to confirm, by signing below, that the information contained is accurate and that you consent to Formby High School using the data for its legitimate purposes.

Applicants Signature *

Type your name here to confirm that you have read and understand that the information contained is accurate and that you consent to Formby High School using the data for its legitimate purposes.

Date *

Sixth Form Applications 2021

Personal Details

Course Selection

Education

Learning / Examination Support

Additional Languages

Financial Support

Signature Section