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LOXFORD SCHOOL OF SCIENCE AND TECHNOLOGY SIXTH FORM APPLICATION FORM 2010 (External Applicants) Completing this Form You must complete ALL Sections A, B, C and D SECTION A – Personal Information (Please complete in BLOCK CAPITALS and BLACK INK) Last Name: Date of Birth: ______________________________________________________________________________________ First Name(s): Male/Female: ______________________________________________________________________________________ Address: ______________________________________________________________________________________ Post Code: ______________________________________________________________________________________ Telephone Number:

Mobile:

______________________________________________________________________________________ E-Mail Address: ______________________________________________________________________________________ Do you consider yourself to have a disability?

Yes/No

If yes, please give details: ______________________________________________________________________________________

SECTION B – Academic Information Name of Current School*: _____________________________________________________________________________________ School Address (if not Loxford School of Science and Technology): ______________________________________________________________________________________ Post Code: ______________________________________________________________________________________ Telephone Number: Fax: ______________________________________________________________________________________ E-Mail Address: ______________________________________________________________________________________ Head of Year: Tutor Group: ______________________________________________________________________________________ * References will be requested from your current school. /mnt/conversion/splitting/100715160441-1ef461d600d54343a82695cb79b15c89.file


SECTION B – Academic Information (continued) GCSE Subjects (Please list your GCSE subjects here and the grades you are predicted): Subject

Predicted Grade(s)

All other subjects

Predicted Grade(s)

English Language English Literature Mathematics Biology Triple Science

Physics

Chemistr y

Additional Science Core Science OCR National Science ICT Language (please state): Technology (please state):

Please tell us about any other interests and hobbies you follow and any qualifications you have, if relevant:

During Year 11 how would you describe your: Attendance: Punctuality: Homework:

Excellent Excellent Excellent

Good Good Good

Fair Fair Fair

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Poor Poor Poor


SECTION C – Choice Form SECTION C – Choice Form

LOXFORD SCHOOL OF SCIENCE AND TECHNOLOGY SIXTH FORM CENTRE COURSE CHOICE FORM – 2010/2011 Name:

____________________________________________

Tutor Group: __________

Choose a 2 year course or 1 year course 2 Year Courses (usually 3) A’ Level Choices Please choose 1 (one) from each box: A

B

C

E (Enrichment)

D

Biology

Chemistry

Physics

Maths

Critical Thinking (AS)

Chemistry

Biology

Business Studies

History

GCSERe-sits in Maths & English (where necessary)

English Literature

Law

Drama Economics

Accounts

Computer Science

Art

Philosophy of Religion & Ethics

Media Studies

History

Photography

Psychology

Psychology

French

Government & Politics

Maths

Film Studies

Spanish

Electronics

Applied Science

Applied Science

Geography

ICT (Applied)

ASDAN(Certificate of Personal Effectiveness) (AS) Further Mathematics (AS)

Media Studies

ICT (General) French (GCSE) Spanish (GCSE)

Product Design

If you wish to do Applied Science, it must be chosen in both B & C Or Choose 1: Subject Business Media Applied Science IT

Level BTEC National OCR National BTEC National Diploma

   

Or Choose 1: Subject

Level Business BTEC First Diploma Media OCR National Introductory Certificate in Business BTEC /mnt/conversion/splitting/100715160441-1ef461d600d54343a82695cb79b15c89.file

  


All students must enrol for English and/or Mathematics if they have not been awarded a C Grade or above in the subjects at GCSE SECTION D – Personal Statement In this section please tell us why you want to join the Sixth Form at Loxford School of Science and Technology, why you have chosen your subjects and what plans you have for the future: Continue on a separate sheet if necessary:

Please return the completed form to: Sixth Form Applications Loxford School of Science and Technology Loxford Lane ILFORD Essex IG1 2UT E-Mail: sixthformapplications@loxford.net For office use only

Date of Application

Ack

Ref Sent

Ref Rec’d

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Int Date

Offer


http://loxford.fluencycms.co.uk/MainFolder/Year12/APPLICATION%20FORM%20-%206th%20FORM%20exTERNAL