Sixth Form Application
(Start September 2019)
Please complete and return by 30th January 2019
Student Personal Information
Surname: Gender:
Forename(s): Date of Birth:
Address: Student email:
Mobile No.
Parent/Guardian Details:
Postcode: Father’s Name:
Mobile no:

Home telephone No: Mother’s Name:
Mobile no:

Referee
Please provide name and contact details of a referee.
Referee Name
Referee Contact details
Present Course of Study
Subject Expected Grade Subject Expected Grade
A. G.
B. H.
C. I.
D. J.
E. K.
F. L.
Attendance
Attendance figure to date
Early indication of preferred courses /career
Please indicate the subjects/courses you may be interested in studying and give any future career aspirations.
What are your interests, hobbies, membership of clubs, organisations, current responsibilities?
Please use this space to write a letter of application which should address the following points:
  • Reasons for wishing to stay/study at Amethyst Sixth Form
  • Reasons for your subject choices
  • Personal Qualities
  • School Involvement to date
  • What will you bring to the Sixth Form?
No guarantee of a place can be made until receipt of proof of entry qualifications.