Sixth Form application form

Boarding Application Form

Sixth Form

* Indicates required field

Pupil's full name *

Date of birth dd/mm/yyyy *

Nationality *

Please summarise your need for boarding *

Intended date of entry e.g. Sept 2017 *

Intended year of entry *

Do you have any present or previous connections with Beechen Cliff e.g. brothers or sisters? *

Parent/Carer 1

Name of Parent/Carer 1 *

Address of Parent/Carer 1 *

Home telephone number of Parent/Carer 1 *

Mobile telephone number of Parent/Carer 1 *

Work telephone number of Parent/Carer 1 *

Email address of Parent/Carer 1 *

Parent/Carer 2

Name of Parent/Carer 2 *

Address of Parent/Carer 2 *

Home telephone number of Parent/Carer 2 *

Mobile telephone number of Parent/Carer 2 *

Work telephone number of Parent/Carer 2 *

Email address of Parent/Carer 2 *

To whom should correspondence be sent? *

Present School

Name of present School *

Name of Headteacher *

Email address of Headteacher *

Telephone number of present School *

Present School address *

Dates of attendance at present School e.g. Sept 2014 - Present *

Reason for leaving present School *

UCI number (available from exams officer) *

UPN number (available from data manager) *

Referee information

All referees will be contacted. Interviews will be offered following successful reference requests.

Name of Referee *

Telephone number of Referee *

Email address of Referee *

Key information

Please specify any known disability, medical condition or diagnosed learning difficulties that the School should be aware of *

Is your child a Looked After Child? (please supply details) *

Has your child been referred to any outside agencies (please supply details) *

Is your child eligible for Free School Meals? *

Current studies

Please list the subjects that you are currently studying in the box below. For each subject, please state the type of qualification it is and your predicted grade - this is usually decided by your current teachers. An example list is shown below.

Maths. GCSE. Predicted grade A.
Physics. GCSE. Predicted grade B.
Catering. BTEC. Predicted grade PASS.

Current subjects *

Provisional Pre-Interview Subjects

All students follow a Tutorial, Study Skills and Enrichment programme. You can choose up to five subjects. Please select your subjects in order of preference 1-5.

1st choice subject *

2nd choice subject *

3rd choice subject *

4th choice subject *

5th choice subject *

*These subjects are offered within the BET partnership, venue to be determined prior to induction.

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