Bradgate Sixth Form Application
Personal Details
Legal Forename(s)
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Surname
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Preferred name
*
Date of birth
*
/
Day
/
Month
Year
Date
Legal gender
*
Contact email address
*
example@example.com
Current school or provider
*
Nationality
*
Home address including postcode
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How many years have you lived at this address?
*
What’s your first language?
*
Will you have been a resident in the UK or Iceland, Liechtenstein, Norway or Switzerland for 3 years prior to the 1 September?
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Yes
No
Date of Entry to UK if applicable
/
Day
/
Month
Year
Date
Your previous country if applicable
Health
Do you consider yourself to have any medical disability, learning difficulty or other health condition?
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Yes
No
Do you have an EHCP?
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Yes
No
Parental Information
Parent name
*
Relationship to you
*
Parent phone number
*
Parent email address
*
example@example.com
Qualifications
Qualifications
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Subject
Qualification type
Grade/Predicted grade
Completion date
1
2
3
4
5
6
7
8
9
10
11
12
Personal statement
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0/2000
Course choices
Subject 1
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Subject 2
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Subject 3
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Subject 4
Do you have a specific career in mind, if so what is it?
*
Why have you chosen to study these subjects?
*
Please state that you have read the entry criteria and additional subject specific entry criteria for Bradgate Sixth Form
*
Yes
Please sign here to confirm the information you are about to submit is correct to the best of your knowledge.
*
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