EXTERNAL APPLICATION FORM

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Date of Birth *

Use the date picker. Must be in the format DD/MMM/YYYY

Gender *

What Year Group are you currently in? *

Name of current school the applicant attends *

Address of current school the applicant attends *

Telephone number of the current school *

School's Local Authority *

In which Local Authority do you currently live? *

UPN Number *

This information is obtainable from your current school office

UCI Number *

This information is obtainable from your school's exam office or examination papers

Does the applicant have an EHCP? *

Yes

If Yes, have you applied through your Local Authority?

Yes

Is the applicant 'Looked After' in Public Care? *

Yes

Predicted GCSE grades (NB, these should be what the applicant is expected to get, not target grades. Please outline the subject, qualification and expected grade) *

Please select four subjects in order of preference. Select your first choice here. *

Remember that BTEC & CTEC Diplomas are worth two subjects and must therefore be selected twice

Second subject choice *

Remember that BTEC & CTEC Diplomas are worth two subjects and must therefore be selected twice

Third subject choice *

Remember that BTEC & CTEC Diplomas are worth two subjects and must therefore be selected twice

Fourth subject choice *

Remember that BTEC & CTEC Diplomas are worth two subjects and must therefore be selected twice

Religion *

Ethnicity *

First Language *

Language spoken at home *

Address (House Number and Street) *

Postcode *

Telephone Number *

Parent/Carer 1 - Title *

Parent/Carer 1 - First Name *

Parent/Carer 1 - Surname *

Parent/Carer 1 - Email Address *

Parent/Carer 1 - Address *

Parent/Carer 1 - Home Phone *

Parent/Carer 1 - Mobile Phone *

Parent/Carer 2 - Title

Parent/Carer 2 - First Name

Parent/Carer 2 - Surname

Parent/Carer 2 - Email Address

Parent/Carer 2 - Address

Parent/Carer 2 - Home Phone

Parent/Carer 2 - Mobile Phone

Is there any further information you wish to provide in support of your application. If so, please provide details

I/We am/are the parent(s)/legal carer(s) of the child named on this application *

I will inform the school immediately of any changes to my postal address/contact details *

I will inform the school if I decide not to continue with my application for Bishop Thomas Grant School Sixth Form *

Yes

Please sign below parents on the Left and Applicant on the Right *

Please provide a signature. *

EXTERNAL APPLICATION FORM

EXTERNAL APPLICANTS