Sixth Form Student Information

Name of student *

Academic Information

List below all GCSE/iGCSE examinations you have already taken, and GCSEs/iGCSEs you will be taking next summer:

Date of Exam *

Subject *

Tier/level *

Predicted/Actual Result *

Date of Exam 2

Subject 2

Tier/level 2

Estimated/Actual Result 2

Date of Exam 3

Subject 3

Tier/level 3

Estimated/Actual Result 3

Date of Exam 4

Subject 4

Tier/level 4

Estimated/Actual Result 4

Date of Exam 5

Subject 5

Tier/level 5

Estimated/Actual Result 5

Date of Exam 6

Subject 6

Tier/level 6

Estimated/Actual Result 6

Date of Exam 7

Subject 7

Tier/level 7

Estimated/Actual Result 7

Date of Exam 8

Subject 8

Tier/level 8

Estimated/Actual Result 8

Date of Exam 9

Subject 9

Tier/level 9

Estimated/Actual Result 9

Date of Exam 10

Subject 10

Tier/level 10

Estimated/Actual Result 10

Date of Exam 11

Subject 11

Tier/level 11

Estimated/Actual Result 11

Date of Exam 12

Subject 12

Tier/level 12

Estimated/Actual Result 12

A Level Choices

Choice of subjects in order of preference that you wish to study in Year 12:

Choice No. 1 *

Choice No. 2 *

Choice No. 3 *

First Reserve Choice *

Second Reserve Choice

Why have you chosen your proposed programme of study?

Please state you career aspirations. *

General interests and positions of responsibility

General interests *
e.g. clubs, teams, choir, orchestra etc. - including detail of any other honours, awards or grades (music, drama, sport etc.)

Who can we contact for a school reference?

We will contact your referee once you have registered with us. This is an essential part of the admissions process. If you have any concerns, please inform admissions@sjcr.org.uk.

Name *

Position held *

Address *
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Country

Email *

Work telephone *

Email

13516

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