sixth-form-online-application

Personal Details

Applicants Details

Other Names *

Surname *

Phone Number

Address

Street Address

Address Line 2

City

State/Province

ZIP / Postal Code

Country

Telephone

Email *

Mobile

Date of Birth *

Gender *

Age: *

Religion *

Nationality *

Upload your passport photograph: *
No file chosen

Parent / Career Details:

Parent's or Carer's Title:

Names

Surname

Given Name

Relationship to Applicant *

Occupation:

Postal Address

Street Address

Address Line 2

City

State/Province

ZIP / Postal Code

Country

Home Phone Number

Mobile Number

Email *

Is this the student's home address?check

Parent / Career Details:

Parent's or Career's Title:

Names

Surname

Given Names

Relationship to Applicant

Occupation:

Postal Address

Street Address

Address Line 2

City

State/Province

ZIP / Postal Code

Country

Email Address

Home Phone Number

Mobile Number

If different from address above, is this the student’s home address?yes

Education:

Current School: *

Address *

Street Address

Address Line 2

City

State/Province

ZIP / Postal Code

Country

Phone

Email Address

Please give the name, title and, if possible, the email address of the person at your current school who will be able to supply a reference e.g. your Head of Year.

Referee:*

Surname

Given Names

Title: *

Telephone Number *

Qualifications*
Subject
Examination
Examination Grade

Personal Statement

Please explain briefly why you want to join the Sixth Form.

Student's Personal Statement *

Health/ Special Education Needs (SEN):

Please indicate if your child has any of the following (please tick the relevant boxes and provide additional information where possible)Hearing impairmentAllergiesVisual impairmentGifted / Special TalentGifted / Special Talent

Important Note

The final acceptance of the student will be conditional, upon a successful outcome of a placement test, and upon signing of the Acceptance of offer form. I/We understand that: 1. The information provided with this application is true and complete to the best of my/our knowledge. Any falsification or significant omission in this form may disqualify my/our child from further consideration or result in a revocation of an approved transfer.

I confirm that the details entered above are true:YesNo

*Cheques are payable to Lead-Forte Gate College. Bank transfers are also accepted.

APPLICATION FEE: 15,000