Sixth Form Choice

Pre-interview Questionnaire

* Required
Details of Student
   
Full name *
Sex
Nationality
Religion
Date of Birth
Age
First Language
Level of English
Health
   
Home Address *
Postcode
Telephone
Fax
Email *
   
Details of Secondary Education
   
Name of School

 
Attended from (Year)
Attended to (Year)
   
GCSE's or Equivalent  
Subject  
1 Grade Board date
2 Grade Board date
3 Grade Board date
4 Grade Board date
5 Grade Board date
6 Grade Board date
7 Grade Board date
8 Grade Board date
9 Grade Board date
   
Details of Sixth Form Studies you are considering to study
School or College
1 Options Board Date
2 Options Board Date
3 Options Board Date
4 Options Board Date
5 Options Board Date
6 Options Board Date
   
Details of Parents or Guardian( if both parents abroad or deceased)
Father / Guardian  
Full Name
Profession
Employer
   
Address
Postcode
   
Telephone
Fax
Email
   
Mother  
Full Name
Profession
Employer
   
Address
Postcode
   
Telephone
Fax
Email
   
   
Person(s) Responsible for School Fees
 
   
Details of Proposed School or College(if known) & outcome of any previous applications
 
 
England - Metropolitan Areas
 
Prefered Borough
   
England - Non-Metropolitan Areas
 
Prefered Location
Sector
Year of Entry

2001       2002
Class
Term
Type
Day Pupil / Board
   
Special Requirments (if any)
 
 
Other Interests (sports, social, hobbies, special skills, etc.)
 
 
Other Information
 
   
 

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