Holy Family Catholic School & Sixth Form - Application Form

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<ul><li><p>Holy Family Catholic School &amp; Sixth Form</p><p>Aspire to the holy FAmily WAy</p><p>internAl/externAl students entry september 2016</p><p>Application Form</p><p>Please include where applicable:</p><p> School Stamp &amp; Signed by HOY School Reference UPN UCI ULN (if applicable)</p><p>Holy Family Catholic School &amp; Sixth Form</p><p>1 Shernhall Street, Walthamstow House Site, Walthamstow, London E17 3EATel: 0208 520 0482 Fax: 0208 520 0482 Email: m.pastides@holyfamily.waltham.sch.uk</p><p>Last Date for Acceptance 11th March 2016</p><p>Surname Gender (please circle) Male Female</p><p>Forename(s) Date of Birth</p><p>Address Current School</p><p>Postcode Mobile Phone Number</p><p>Email Home Phone Number</p><p>Student Details</p></li><li><p>For Office Use Only</p><p> Received AcknowledgedOffer </p><p>Acceptance </p><p>Taster </p><p>Enrolled </p><p>Parent/Carer Details</p><p>(These details refer to the Parent/Carer to whom correspondence should be addressed)</p><p>Surname Title (please circle) Mr / Mrs / Ms</p><p>Forename(s) Home Phone Number</p><p>Email Mobile Phone Number</p><p>Address (if different from students address overleaf)</p><p>Personal Statement of Application</p><p>Give brief details on why you have chosen your subjects and your career aim (if known)</p><p>What positions of responsibility have you held (in school, part time job etc.)</p><p>Why do you wish to apply to Holy Family Sixth Form?</p><p>2.</p></li><li><p>THIS PAGE: EXTERNAL CANDIDATES ONLY TO COMPLETE</p><p>Name of School .........................................................................................................................................................................</p><p>Address .........................................................................................................................................................................................</p><p>................................................................................................................................................... Postcode ..............................</p><p>UPN Number (obtainable from your school) ...............................................................................................................</p><p>UCI Number (obtainable from your schools examinations officer) ...................................................................</p><p>THIS PAGE: EXTERNAL CANDIDATES ONLY TO COMPLETE</p><p>Present GCSE subjects being studied</p><p>Please enter your English Language, English Literature and Maths GCSE predictions, followed by your others in alphabetical order. Please ensure that the predicted grades are accurate as they must be confirmed by a member of staff from your school on page 8.</p><p>GCSE Subject Predicted Grade GCSE SubjectPredicted Grade</p><p>English Language</p><p>English Literature</p><p>Maths</p><p>Other qualifications to be taken (ie NVQ, BTEC etc)</p><p>Please note: non-GCSE subjects are NOT used to calculate GCSE average score.</p><p>Type (eg: BTEC)</p><p>Subject Level (First, Cert, Diploma etc)</p><p>Estimated Grade(eg: Pass)</p><p>3.</p></li><li><p>Curriculum Offer Year 12 2016-17</p><p>AS/A LEVEL CURRICULUM OFFER - ENTRY REQUIREMENTS</p><p>AS/A Level Subject GCSE Average</p><p>GCSE English</p><p>GCSE Maths</p><p>GCSE Science</p><p>Other GCSE Subjects</p><p>Art and Design 5.5 C n/a n/a B in Art</p><p>Biology* 5.5 C b bb Or B Grade in Single Biology</p><p>Business Studies# 5.5 C b n/a Interest in Business essential, B in GCSE Maths preferred</p><p>Computing# 5.5 C b n/a ICT subject preferred</p><p>Chemistry* 5.5 C b bb Or B Grade in Single Chemistry</p><p>Design and Technology: Product Design (3D)</p><p>5.5 C C n/a B in Design related subject eg: (Graphics, Resistant Materials, Textiles)</p><p>Drama and Theatre studies</p><p>5.5 C n/a n/a B in Drama</p><p>Economics# 5.5 b b n/a Interest in Economic issues essential</p><p>English Literature* 5.5 b n/a n/a B grade in both Lit and Lang required</p><p>French 5.5 C n/a n/a B grade in French and/or Native Speaker</p><p>Geography# 5.5 C C n/a C in Geography if taken</p><p>Government and Politics#</p><p>5.5 C n/a n/a Interest in Politics essential!</p><p>History 5.5 C n/a n/a B grade in History</p><p>ICT# (Applied A Level)</p><p>5.5 C C n/a C in ICT subject if taken at GCSE/BTEC</p><p>Maths* 5.5 n/a A (higher) n/a B grades at GCSE Maths will be considered on an individual basis</p><p>Media Studies# 5.5 C n/a n/a C in Media subject if taken at GCSE</p><p>Music 5.5 C n/a n/a B in Music and/or minimum of Grade 5 in chosen instrument</p><p>Photography# 5.5 C n/a n/a C in Art if taken orB in Media related subject with suitable Portfolio</p><p>Physics* 5.5 C b bb Or B Grade in Single Physics GCSE</p><p>Psychology# 5.5 C C CC C in Psychology if taken at GCSE</p><p>Philosophy &amp; Ethics# 5.5 C n/a n/a C in RE if taken at GCSE</p><p>Sociology# 5.5 C n/a n/a C in Sociology if taken at GCSE</p><p>Spanish 5.5 C n/a n/a B Grade in Spanish and/or Native Speaker</p><p>PLEASE CAREFULLY READ THE FOLLOWING INFORMATION</p><p> Subjects above which have an * next to the title will have a minimum entry requirement of a B at GCSE as these subjects require a particularly high level of prior knowledge and ability in order for students to succeed at A Level.</p><p> Subjects above which have a # next to them do NOT have to have been studied at GCSE level, in order to take them at A Level</p><p> Each AS/A Level course above will only run if sufficient demand from students exists. Demand is calculated after the application closing date of Friday 11th March.</p><p>4.</p></li><li><p>Level 3 Vocational Offer</p><p>Subject GCSE Average</p><p>GCSE English</p><p>GCSE Maths</p><p>GCSE Science</p><p>Other</p><p>Business (BTEC)Double Award 4.5 C n/a n/a Merit in L2 BTEC if taken</p><p>Health and Social Care(BTEC) Double Award 4.5 C n/a CC Merit in L2 BTEC if taken</p><p>Media (BTEC) Double Award 4.5 C n/a n/a Merit in L2 BTEC if taken</p><p>Performing Arts (BTEC)Single Award 4.5 C n/a n/a Merit in L2 BTEC if taken</p><p>Science (BTEC)Single Award 4.5 C C CC Merit in L2 BTEC if taken</p><p>Sport (CTID)Single Award 4.5 C n/a CC C in GCSE PE if taken</p><p>PLEASE CAREFULLY READ THE FOLLOWING INFORMATION</p><p> The BTEC courses above will only run if sufficient demand from students exists. Demand is calculated after the application closing date of Friday 11th March.</p><p>PLEASE READ THE FOLLOWING VERY CAREFULLY AS MISTAKES MAY DELAY YOUR APPLICATION</p><p>The table on the next page shows last years option blocks. This is the starting point for the construction of the timetable for 2016-17.</p><p>AS Students should choose one subject from each block A-D, plus two reserve subjects.</p><p>We will try our utmost to ensure that allstudents gain their first choices of subjects, but this may not be possible in all of cases.</p><p>If you wish to undertake a combination of subjects that will not fit, please contact Mr Delf. If sufficient numbers of students wish to take this combination we will attempt to accommodate it. The current Option Blocks represent the arrangement that is the best for the vast majority of students.</p><p>Occasionally a course does not attract enough students for it to be viable to run. If this is the case, students will be informed as soon as possible and a reserve subject will be used.In addition, we occasionally have to move subjects between option blocks due to staffing. Students will be notified as above. </p><p>Further Maths is normally taken as an extra AS/A Level by students on the Maths course and is therefore not represented in the option blocks below. Entry for this subject is determined by the Maths Department and usually requires students to gain an A* at Maths GCSE and/or extremely high achievement in the first term of AS Maths. Extra lessons will be added to the students timetable.</p><p>Level 3 Vocational students should choose a maximum of two Level 3 subjects (one Doubleaward and one Single award) and a maximum of one AS subject from Block C.</p><p>The combination of subjects that are chosen will be carefully discussed at interview.</p><p>Please be aware that the BTEC Level 3 subjects will only run if student demand exists. Decisions on whether a course will run will be made after the application deadline on 11th March 2015.</p><p>For full details on subject choices please see the Course Booklet or email a member of the sixth form team if you have any questions.</p><p>Option/Subject Choices For Sixth Form</p><p>5.</p></li><li><p>Provisional Option Blocks 2016-17</p><p>AS/A LEVEL PROGRAMME</p><p>BLOCK A . BLOCK B . BLOCK C . BLOCK D .</p><p>Biology Art Biology Economics</p><p>Design Business Studies Design English</p><p>Geography Chemistry Drama French</p><p>Maths Computing ICT Maths</p><p>Media History Politics Media</p><p>Philosophy Music Psychology Physics</p><p>Photography Sociology Sociology Psychology</p><p>Spanish Sport</p><p>Reserve Subjects:</p><p>1 2</p><p>LEVEL 3 VOCATIONAL PROGRAMME</p><p>Block ADiploma Awards (Equivalent to 2 A levels)</p><p>.</p><p>Block BDiploma Awards (Equivalent to 2 A levels)</p><p>.</p><p>BLOCK C</p><p>.</p><p>Block DSubsidiary Awards (Equivalent to 1 A Level)</p><p>.</p><p>BTEC Business BTEC Health and Social Care BiologyBTEC Performing Arts</p><p>BTEC Health and Social Care</p><p>BTEC Business Design BTEC Science</p><p>BTEC Media BTEC Media Drama</p><p>ICT</p><p>Politics</p><p>Psychology</p><p>Sociology</p><p>Sport</p><p>6.</p></li><li><p>Additional Information - All Students To Complete</p><p>Students Doctors Name .....................................................................................................................................................</p><p>Surgery Address &amp; Telephone No. ...................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>Please detail any known medical conditions/special educational needs (Confidential) ............................</p><p>.............................................................................................................................................................................................................</p><p>Free School Meals Yes No Baptised Roman Catholic Yes No If Catholic please state home Parish ..............................................................................................................................</p><p>If other religion please specify ..........................................................................................................................................</p><p>Student language spoken at home .................................................................................................................................</p><p>Please Tick Only ONE Box:</p><p>Bangladeshi Pakistan White And Asian </p><p>Greek/Greek Cypriot Black - African White And Black African </p><p>Indian Black Caribbean White And Black Caribbean </p><p>White - Irish Any Other Black Background Info Not Yet Obtained </p><p>Any Other Asian Background Chinese Any Other Ethnic Group </p><p>Any Other White Background Any Other WhiteMixed Background</p><p> White - British </p><p>Refused </p><p>For Internal Students Only</p><p>Signature of Form Tutor .......................................................................................................... Date .............................</p><p>(The Holy Family Catholic School &amp; Sixth Form only)</p><p>I support the application of this student and believe they have chosen appropriate courses for their predicted grades</p><p>Optional Comments:</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>7.</p></li><li><p>For External Students Only</p><p>If you are an external student, please ask your Head of Year or Form Tutor to complete thefollowing sections, affix the school stamp and send the Application Form to us.</p><p>Please also attach a copy of your most recent report, showing your estimated GCSE grades.Your application cannot be processed without this.</p><p>Personal qualities Excellent Good Satisfactory Poor</p><p>Attendance </p><p>Punctuality </p><p>Ability to adhere to deadlines </p><p>Motivation towards studies </p><p>Attitude towards staff </p><p>Relationship with peers </p><p>Adherence to uniform </p><p>Please comment on the students personal qualities, extracurricular activities or any other factor which could support their application:</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>.............................................................................................................................................................................................................</p><p>In your opinion would the courses applied for represent appropriate progression?</p><p>Yes No </p><p>Do the estimated/predicted grades represent the students likely grades? Yes No Has the student completed the form accurately (to the best of your knowledge)?</p><p>Yes No </p><p>Teachers name ...............................................................................</p></li></ul>

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