Shenfield High School Sixth Form Application Form Deadline

This form must be completed and received by the 20th January 2017. Formal offers will be made to students by 27th March 2017.

Surname

Telephone Number

Forename

Parent’s Name

Date of Birth

Parental Signature

Student’s Signature

Parent’s Email

Reference attached Yes/No (Please circle) Address

Reference to follow Yes/No (Please circle)

External students please attach a passport size photograph above

Present form

Present school

If currently attending Shenfield High School

If NOT currently attending Shenfield High School

Four pathways of study are available. Please complete the box below to indicate

your preferred choice. Please refer to page 4 of the Prospectus for assistance.

50+ Points

Pathway 1

46+ Points

Pathway 2

42+ Points

Pathway 3

38+ Points

Pathway 4

Pathway 1, 2, 3 or 4

plus Football/Cricket/

Performing Arts

Academy 4 A Levels and the possibility

of an

Extended

Project Qualification in Year 13

……………………….……………………….

……………………….......................

3 A Levels and the possibility

of an

Extended

Project Qualification in Year 13

……………………. …………………….

…………………….

2 A Levels and 1 BTEC

Extended

Certificate

(equivalent to 1 A Level)

OR 2 BTEC

Extended Certificates

(equivalent to 2 A Levels)

and 1 A Level

……………………… ……………………… ………………………

BTEC Level 3 Extended Diploma

(equivalent to 3

A Levels)

………………………

Pathway 1, 2, 3 or 4

Plus

Football Academy

Cricket Academy Performing Arts Academy

(please tick as appropriate)

The choice of subjects is not binding at this stage. It will be used to work out an option

scheme which will enable the maximum number of students to follow the course of their

choice.

Please Note:

Applications to the Sixth Form are considered on an individual basis.

Students must meet the entry requirements for each subject they choose.

If students meet the points score entry requirements but fail to achieve a grade 5

in English Language or Mathematics, entry into the Sixth Form will need to be

considered carefully by the Sixth Form Team. If successful, resit classes will be

compulsory.

The availability of all subjects and courses is dependent on viable class

numbers.

The school reserves the right to cancel under subscribed courses.

Personal Statement

Your reasons for wishing to join the Sixth Form at SHS:

Extra-curricular interests:

External students only

This section should only be completed by students NOT currently attending

Shenfield High School. Please list in the table below the GCSE subjects you are

currently studying and the estimated grades you are considered likely to achieve in your

GCSE examinations. Subject Estimated

grade

Subject Estimated

grade

Reference

External students: Please supply a reference from your current Headteacher or Head of Year and attach it to this form.

Sixth Form Induction

Please tick here to confirm that you are able to attend the Sixth Form Induction on

26th June – 27th June 2017.

Deadline

This form must be completed and received by the 20th January 2017. Formal offers will be made to students by 27th March 2017. Shenfield High School Sixth Form Tel: 01277 219131

Alexander Lane Email: j.dunn@shenfield.essex.sch.uk Shenfield www.shenfield.essex.sch.uk Brentwood Essex CM15 8RY