Sixth Form Registration Form

Sixth Form Registration Form
Applicant Details
Applicant's Full Name*

First NameLast Name
Applicant's Date of Birth*

DayMonthYear
Date
Applicant's Ethnicity
If English is not the primary language spoken at home, please add:
Proposed Year of Entry*
Please share a recent photograph of the applicant below:*

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Parent/Guardian Details
Parent 1 Name*

First NameLast Name
Parent 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 1 Phone Number*

Area CodePhone Number
Parent 1 Email Address*
example@example.com
Parent 1 Occupation
Parent 2 Name

First NameLast Name
Parent 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2 Phone Number

Area CodePhone Number
Parent 2 Email Address
example@example.com
Parent 2 Occupation
Applicant lives with

Both ParentsParent 1Parent 2
Applicant's Schooling Information
Applicant's Current School*
Name of Head of School
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Entry to current school*

DayMonthYear
Date
Email address of main contact at current school*
example@example.com

Applicant's Predicted Grades - please enter predicted grades for the subjects being studied at GCSE*

	9	8	7	6	5	4	3	2	1
English Language
English Literature
Maths
Science Double Award
Chemistry
Physics
Biology
French
German
Spanish
Art
Textiles
Drama
Dance
Food and Nutrition
Music
History
Geography
Religious Studies
Physical Education
Media Studies
Business Studies

Please list predicted grade of any subject(s) not listed above
Please list any GCSEs already taken, and the grades achieved
Scholarships
I intend to apply for the Academic Scholarship

Yes
Please state presentation topic title:
I intend to apply for the Expressive Arts Scholarship (please select which area)

ArtDanceDramaMusic
Expressive Arts Scholarship applications consist of a letter of application addressed to the Headmistress, at the time of applying, and subsequently if shortlisted will be invited to interview and to prepare a presentation.
I intend to apply for the Sports Scholarship

Yes
Those wishing to apply for a Sports Scholarship should submit a sporting CV in place of an application form. Shortlisted applications will be invited to interview and for a fitness test.
Individual Learning
Does the Applicant have Individual Learning Needs?*

YesNo
St Mary's School is committed to helping pupils to overcome any barriers to learning to ensure they reach their potential. With this in mind, please share details of any individual learning needs the applicant has.
Please share any supporting documents including Educational Psychologist Reports.

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Additional Information
Please list the name, age and current school of any siblings
Please detail any previous connections with St Mary's School
A Level Options

Please select the 4 A Levels the Applicant is considering
Before you let us know which A Levels you are interested in studying, you may wish to re-visit our 2023-2025 subject guide - p lease click here
Option 1*
Option 2*
Option 3*
Option 4*
Declaration
We request that our daughter is registered as a prospective pupil of St Mary’s School. We understand there is an admission procedure and once this has been completed offers will be made by the school. The Terms and Conditions of Admission will be sent to successful applicants.

We acknowledge that a non-refundable registration fee of £100 should be enclosed with this application via cheque or bank transfer to:-

Royal Bank of Scotland

Sort Code – 16 24 48

Account Number – 10082964

Reference – Daughter’s Name

Please note that St Mary’s School will not be changing these details nor do we use alternate accounts. If you are ever requested to make a payment to anaccount different to these, please contact the Bursar (by phone) for confirmation.

We agree that St Mary’s School may contact our daughter’s present school for a reference. I/ We understand that the personal data provided above will be processed for the purposes set out in St Mary’s School’s Privacy Notice.

For the purposes of data protection law, St Mary’s School is the data controller for any personal data you supply to us. This personal data will be processed in accordance with data protection law, only used for the purpose(s) for which you have supplied it to us and our Privacy Notice, and (except where you have consented) only shared with third parties where it is necessary for us to do so and the law allows it. If we share your personal information with another organisation (eg another school,ISI, DfE or another government department etc) this will be to help us act upon what you have told us or because these organisations need to be made aware of what you are telling us (in order for them to act upon it).

Please let us know if you do not wish us to share your information with relevant organisations, but also be aware that we might not be able to act upon your correspondence if we do not share it. It is also important to note that, in certain circumstances, we might have a legal obligation to share the information that you have supplied to us with other organisations.

We confirm, by signing this form that the information we have provided is, to the best of our knowledge, true.
Parent 1*

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Parent 2

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Sixth Form Registration Form

Applicant Details

Parent/Guardian Details

Applicant's Schooling Information

Scholarships

Individual Learning

Additional Information

A Level Options

Declaration