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Your details

Please use this form to submit an application to join Waverley Sixth Form.

This information will be shared directly with the admissions tutor of the Sixth Form. You will receive an acknowledgement of your application within five working days. Please note that during school holidays or national holidays there may be a delay in response.

Should you have any questions concerning your application, please e-mail enquiry@waverley.bham.sch.uk.

Your details

First name* Surname* Date of birth* Gender* Name of the school you currently attend.* Date you started at your current school.*

Your contact details

Home address* Home post code* Home telephone number* Mobile telephone number E-mail address*

Parents/carers

We are required to retain two sets of contact details for your parents/carers who have legal responsibility for your care and wellbeing.

Parent or carer 1

Title* First name* Surname* Address (if different from applicant) Post code* Daytime telephone number* Relationship to applicant*

Parent or carer 2

Title* First name* Surname* Address (if different from applicant) Post code* Daytime telephone number* Relationship to applicant*

Subject choices

Use this section of the form to indicate which subject(s) you would like to study at Waverley Sixth Form.

Indicate which subjects you would like to study.* Describe your future career intentions.*

Qualifications

Use this section to tell us about the qualifications you are studying/have studied. We will ask for copies of any certificates during your admissions interview.

	Type of exam (GCSE, BTEC, etc)	Subject	Target grade	Mock grade	Actual grade	Year awarded

Medical

Doctor's name* Doctor's address* Doctor's telephone number* Please provide any details of any special educational needs or medical conditions.

Do you and/or your parents/carer have a diagnosed disability? This includes medical, learning, or physical disability that affects your day-to-day life. If so, please provide details below. You may send a seperate letter if you would prefer.

Disability information

About you

We would like to know as much as possible about you, your interests, and other activities. Use this space to tell us about yourself. Include details of any jobs, training schemes, or work experience you have done. Also say why you have chosen your course(s) and why you would like to study with us.

*

Referee

Please give the name, position, and address of a suitable referee (someone who knows you personally and can write about you). This should be your Achievement Co-ordinator or Head of Year.

Referee's name Address Contact telephone number

Student declaration

Schools hold information on students in order to run the education system. The information collected will be processed in compliance with the Data Protection Act.

It will be used to administer your progress through the education system and may be shared with DFE, Local Authority, other school and educational establishments to which your child may progress, future and prospective employers, and health and welfare practitioners.

Please refer to our policies and procedures regarding Data Protection on our school website.

By submitting this form you are committing to undertake and honour, in full, the requirements of the agreed suety programme and school/Sixth Form regulations.

By submitting this form, you are agree that your parents/carers support this application and agree to the terms of acceptance.

*I confirm I have read, understood, and agree to the student declaration.

Waverley School

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Our School

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Your details

Your details

Your contact details

Parents/carers

Parent or carer 1

Parent or carer 2

Subject choices

Qualifications

Medical

About you

Referee

Student declaration

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