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

Home telephone No: Parent/carer
mobile numbers:

Please provide name and contact details of a referee.
Referee Name
Referee Contact details
Current Secondary School
Please enter the name of the school you currently attend.
Present Course of Study
If you don't know your grades yet then write "TBC" in the top 2 boxes below:
Subject Expected Grade Subject Expected Grade
A. G.
B. H.
C. I.
D. J.
E. K.
F. L.
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.
Preferred courses:

(If you are interested in a course that is not listed above, then please provide details below)
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.

Please correct errors