Sixth Form Application Form - Haslingden High School and Sixth Form

Name *

First

Last

Address including postcode *

Date of Birth *

Gender *

Current HHS student *

Home telephone number

Parent mobile

Student mobile

Parent email address *

Student email address *

Predicted GCSE English Language Grade *

Predicted GCSE Maths Grade *

Please list all the qualifications you are taking/have gained with either predicted OR achieved grades *

Subject choices *

List FOUR subjects that you would like to study.

University *

Area of study

List the subject(s) that you might wish to study at university.

Employment / Apprenticeship *

Possible careers

List the career(s) that you may wish to pursue after leaving sixth form.

Please give any information on any medical, learning or physical needs you may have and if you currently receive any educational support

Please give any other information, e.g. extra-curricular activities in or out of school, hobbies or interests

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