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Sixth Form Online Application

The Pingle Academy Sixth Form - Application closing date: Tuesday 30th November 2021

Head of Sixth Form - Ms J Wilson (jwilson.pingle@deferrerstrust.com)

PLEASE NOTE: Stars (*) next to questions mean that this is required information, you will not be able to submit the form unless this is complete. Question marks (?) underneath text boxes give you tips and examples to complete the the form.

Student Details

Biological Sex - Please select one of the following*
Gender Option - Please select one of the following*

Parent/Carer Details

Parent/Carer A

Parent/Carer B

Qualifications

GCSE (AND OTHER COURSES) FORECAST GRADES FOR ALL SUBJECTS INCLUDING ALL SCIENCES. PLEASE INDICATE SHORT COURSES.

 SubjectsQualification TypePredicted Grade

QUALIFICATIONS/CERTIFICATES/AWARDS ALREADY ACHIEVED (INCLUDING OUT OF SCHOOL e.g. Duke of Edinburgh)

 SubjectQualification TypeAdditional Info

Pathway

Please select your chosen pathway below*

Choice of subjects

Please choose 3 subjects, one from each list in order of preference from the options below. You will be able to discuss these options at interview.

Option A - Please select one of the following*
Option B - Please select one of the following*
Option C - Please select one of the following*
Option D - Please select one of the following*
Optional AS*
 SubjectReason for choiceAdditional Info
Option A
Option B
Option C
Option D

Interviews will be held between 31st January and 10th February 2022

My preferred dates and times are (please select below)

 15:30 - 17:0017:00 - 18:0018:00 - 19:00
Thursday 27th January
Monday 31st January
Tuesday 1st February
Wednesday 2nd February
Thursday 3rd February
Monday 7th February
Wednesday 9th February
Thursday 10th February
My parent(s)/carer(s) will be attending the interview with me*

Please contact Ms Wilson, Head of Sixth Form, if the above dates are not convenient.

Email - jwilson.pingle@deferrerstrust.com

Declaration

By checking this box you agree that all of the information you have entered is true to your knowledge*