UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2017

UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2017 ARE YOU AN INTERNAL OR EXTERNAL APPLICANT? INTERNAL / EXTERNAL STUDENT DETAILS Full Name DOB ...
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UXBRIDGE HIGH SCHOOL SIXTH FORM APPLICATION FORM 2017 ARE YOU AN INTERNAL OR EXTERNAL APPLICANT?

INTERNAL

/ EXTERNAL

STUDENT DETAILS Full Name DOB

Gender

Male / Female

Home Address

Your Contact Number Email Address Present School/College

Start Date Date of Leaving

Country of birth (as stated by

parent/guardian and/or on passport)

Ethnicity Nationality (as stated by

parent/guardian and/or on passport)

Religion Language spoken at home

Mother tongue (the language you

Knowledge of any other language(s) Do you receive Free School Meals?

were exposed to from birth to age 5)

Do you have siblings at UHS?

Yes / No

UCI Number

(Please obtain from previous school/college)

UPN Number

(Please obtain from previous school/college)

FAMILY CONTACT DETAILS Mother’s Full Name Contact Numbers Home Address

Father’s Full Name Contact Numbers Home Address

Email Address DOB

Email Address DOB

National Insurance Number

National Insurance Number

(if different from student)

(if different from student)

Yes / No

MEDICAL INFORMATION Doctor’s Surgery Name & Address

Contact Number Do you suffer from any illness the school should be aware of, such as asthma; diabetes; epilepsy etc.? If yes, please give details. Do you have any allergies at all such as penicillin; nuts; other medicines; food; animals; insect stings etc.? If yes, please give details Are you taking any medication at the present time? If yes, please give details

SPECIAL EDUCATION NEEDS INFORMATION Do you have any Special Education Needs?

Yes / No

Please provide us with any further details that may assist us in supporting you at school

OTHER INFORMATION How would you travel to school? (please circle) Please circle if any status relates to you

Bicycle / Train / Car / Walk / Taxi / Public Bus / London Underground Other: __________________________ Refugee

/ Asylum Seeker / Child from Services family / Looked after immediately before adoption

ABOUT YOUR EDUCATION MOCK EXAM RESULTS / PREDICTED GRADES SUBJECT English Language English Literature Mathematics

GRADE

SUBJECT

GRADE

SUBJECTS – WHAT WE OFFER Note: All A Level subjects are run subject to demand. Please rank your choices in order of preference. For example: Maths 1 st; Chemistry 2nd; History 3rd; Biology 4th.

A LEVEL SUBJECT

Art Biology Business Chemistry Design Technology Economics English Literature French German Geography

PREFERENCE ORDER

PREFERENCE ORDER

SUBJECT

Government & Politics History Mathematics Philosophy Physical Education Physics Psychology Spanish Sociology Please specify any other preferences

VOCATIONAL COURSES PREFERENCE ORDER

SUBJECT

Diploma in Computer Science (equivalent of up to 2 A Levels) Diploma in Finance (equivalent of up to 1 A Level) Business Studies L3 BTEC (equivalent of up to 2 A Levels) Media Studies L3 BTEC (equivalent of up to 2 A Levels) Performing Arts L3 BTEC (equivalent of up to 2 A Levels) Health & Social Care L3 BTEC (equivalent of up to 2 A Levels) Please specify any other preferences

OTHER COURSES There are three stand-alone pathways, which means they cannot be chosen in conjunction with any other BTEC or A Level course. SUBJECT Level 2 BTEC in Engineering - 1 year duration (equivalent of up to 4 GCSEs)

TICK

Level 2 BTEC in Business Studies - 1 year duration (equivalent of up to 4 GCSEs)

GCSE RESIT SUBJECTS Students applying to Uxbridge High School Sixth Form without a grade 5 or higher in English and Maths will be required to resit these subjects. Please tick if you did not receive the grade in these subjects. Mathematics

English

ENRICHMENT COURSES Each student must choose one of these courses. Only one may be selected, and it must only be selected in addition to at least three A Level / vocational courses.

Business Studies Young Enterprise Duke of Edinburgh Silver Award European Computer Driving Licence Further Mathematics

Royal Shakespeare Company UHS Football Club PE Mentoring

FURTHER INFORMATION WHY DO YOU WANT TO STUDY AT UXBRIDGE HIGH SCHOOL’S SIXTH FORM?

DO YOU HAVE AN IDEA OF WHAT CAREER YOU ASPIRE TO BE IN?

DO YOU HAVE ANY EXTRA CURRICULAR INTERESTS OR HOBBIES?

WHAT ARE WE LOOKING FOR? The academic entry requirements are dependent on the course you wish to study. Please see overleaf for more information on this. If you meet the course entry requirements then we accept a student on a Sixth Form study programme providing that:  you have a genuine desire to continue with your educational studies  you choose a realistic and relevant course for which you are qualified and wish to pursue At your     



previous educational establishment you will be expect to have demonstrated and able to sustain the following: consistently high punctuality and attendance commitment to your studies adherence to dress code good record of behaviour willingness to take part in the school community motivation and responsibility of the organisation of your personal study time

ENTRY REQUIREMENTS A Level courses: Entry requirements for all A Level subjects is 5 A* - C grades at GCSE, including English and Maths (new grade 5 measures), with a B grade or higher in the subject you want to study. A minimum of three A Levels or their equivalent must be studied. BTEC / Cambridge Technical courses: These subjects can be studied as complete courses worth two A Levels or as a half worth one A Level. If you only wish to study the half then you must tick Part 1 and pick your other subjects accordingly. Entry Requirements for all BTEC Level 3 and Diploma subjects is 5 A* - C grades at GCSE, including English and Maths (new grade 5 measures). Performing Arts Level 3: Part 1 – Drama can be taken as a stand-alone course without Part 2 – Music & Dance. However, if you wish to complete Part 2 – Music & Dance, then you have to firstly complete Part 1 – Drama.

HOW CAN I APPLY? Please complete this form in full and return to Uxbridge High School, The Greenway, Uxbridge, Middlesex, UB8 2PR. Be prepared, if your application is successful, to attend an interview. Please bring with you to your interview your Year 11 report and GCSE results. All applications must be completed and submitted by 25th January 2017 Internal interviews will take place from the week beginning 27th February 2017 External interviews will take on 8th & 9th March 2017

WHERE CAN I FIND OUT MORE? You can call to speak to a member of the Sixth Form team on 01895 234 060. Alternatively, you can email our main office on [email protected] or view the Sixth Form section of our website www.uhs.org.uk. @uxbridgehighsch

For Official Use Only:

Agreed Course(s): 1 No. of D – G at GCSE: Agreed by Staff Member:

2

3 Date:

4

UXBRIDGE HIGH SCHOOL

SIXTH FORM APPLICATION FORM 2017