leyton sixth form college application form 2016-2017

7/25/2019 Leyton Sixth Form College Application Form 2016-2017

http://slidepdf.com/reader/full/leyton-sixth-form-college-application-form-2016-2017 1/6

SUCCESSU SS

AT A CARING COLLEGE

#Leae %i'e BjeC'() a!D 'iCk C"L! f"% C"%e ("!L Ch""e "!e B'eC, "% f"% a)'8> @55 7 >55 =5< 8 55 8>;<< 7 = 9;8<9=>< 7 = @@@.5B=87..>4.#? ;: E;A >; ;> a2 ;E E;A 4 ;< a ?A?.

#Leae C"#Le'e aLL eC'i"! CLea%L i! Ca#i'aL Le''e% a!D BLe/BLaCk i!k

e7=. I7=. I7=. 2 I7=. 3 Q>;B

F8558@ >9 DNA DNA 1 DNA 2

f"% aDii"! & aDiCe "ffiCe e "!L:

o;

%/D

N8 o;

e=.P;8;<<87/<=;=

I7=.

P;8;<<87/<=;=

NmeC

!#NAme:

FoeNAme!:

home ADDe!!:

Po!"CoDe:

#e%"!aL De'aiL

"% Ch"e!

'D #%"g%ae

!>+= b"eC b"eC b"eC o=;

F8>7=87 L5 2 L5 3 (75.L5 1 e7=;B)

!>+= A!/A b"eC b"eC A2L5< C;=.* !>+. D9.

#a%e!'/ga%Dia!/!e+' "f ki!

a##LiCa'i"! f"% (2016-2017)a##LiCa'i"! %eCeieD B 'he e!D "f a%Ch 2016 a%e ga%a!'eeD a! i!'e%ie.

#Leae a!e% aLL $e'i"! F a! i!C"#Le'e a##LiCa'i"! a !"' Be #%"CeeD.

i#"%'a!' i!f"%a'i"!:aDii"!: 020 8928 9000/??;?@E;..A. "#e! DaiL: 8:30a F 5:30#

"#e! Da: a'%Da 7'h !"eBe% 2015 a!D a'%Da 6'h feB%a% 2016e!%"Le!': C"e!Ce e!D "f ag' 2016a##LiCa'i"! f"% Bii"! !" La'e% 'ha!: f%iDa 1' a#%iL 2016

(#Leae 'iCk)

(#Leae 'iCk)

DA"e oF bI"h: / /

PLeA!e "ICk: mALe FemALe

"eLePhoNe No:

APPLICAN" mobILe No:

e-mAIL ADDe!!:

C#eN" !ChooL/CoLLeGe:

'o# PAeN" / G#ADIAN / Ne" oF kIN! F#LL NAme: ADDe!!: ( ;7= ;8 <=>7=)

eLA"IoN!hIP %I"h !"#DeN": emeGeNC' CoN"AC" "eLePhoNe N#mbe:

(.. 8=;, =;, ;;) (A ;<987<+5 >5= .. 8=;, =;, ;;)

*A! >57=.

L! !G CC

!=>7= ID (L!C >< 875B) e7;857= ">=8; G;8>9

!"'e() f"% i!'e%iee%

1

"=E B7B G=C 7D4 =;>4B4 B78A >@B = B74 a>>8B8=< F=@;, >4A4 7< B74 =@; 8< B= G=C@ h4 = 4@ =@

'4<8=@ 'B !4;4@ E7= E8 B74< =;>4B4 B74 @44@4<4 A4B8=<. #<4 B74G 7D4 =<4 A=, >4A4 AC;8B G=C@

=@; B= 4GB=< '8B7 F=@; c=44 a.'.a.$. < <= B4@ B7< 1 a>@8 2016.

i G=C AC;8B G=C@ =@;, B74< 8< B7B G=C E=C 84 B= 7<4 G=C@ 7=A4< ABCG >@=@;;4 @=; bec =>B8=<B= a 4D4A =@ D84 D4@A, A8;>G =<BB a;8AA8=<A & aD84 A >4@ 4=E.

i G=C 7D4 >@4D8=CAG ABC84 B A7== A8B7 =@; =@ =44 4A4E74@4 G=C ;CAB 4<AC@4 B7B G=C@ ;=AB @44@=D84.

+4 7D4 >@=D84 74 8AB =@ G=C. iB 8A D4@G 8;>=@B>8B8=< F=@; D ;?,

A <G ;8AA8< 8<=@;B8=< ;G @4C4 =C@ 88BG B= >@=4AA G=C@ >>8B8=<.

i EA7 B= 0>>G 5=@ 03AA=< B= B74 5C-B4 ABC3G >@=6@04 34A2@43 < B74 #)& ch#'e" '()d $&#g&a!!e A42B=<. i5 =554@43 0 >024 0B B74

c=464, i 06@44 B= 2=>G EB7 B74 64<4@0 @46C0B=<A 0<3 0<G >0@B2C0@ 2=<3B=<A A4B =CB < B74 #554@ =5 a3AA=<A. I /=?5D ?4-? ?4 5=-?535A 5> /==/? ? ?4 >? D B73.

d-?- !=?/?5 a/? cn$en% % !#ce$$

i<5=@0B=< G=C >@=D34 =< B7A 4<@=40AA43 B= (74 d0B0 '4@D24, E727 A @46AB4@43 C<34@ B74 d0B0 $@=B42B=< a2B 1998. (74 @46AB@0B=<

A >@0@G 5=@ B74 2=42B=< 0<3 0<0GAA =5 AB0BAB20 30B0 CB B 0A= 0=EA (74 d0B0 '4@D24 B=: A70@4 <5=@0B=< EB7 =B74@ =@60<A0B=<A 5=@ B74>C@>=A4A =5 34B42B<6 5@0C3; B74G 0G EA7 B= 2=<B02B G=C 5@= B4 B= B4 0=CB 2=C@A4A, =@ 40@<<6 =>>=@BC<B4A @44D0 @<6 0=CB >@=D44<BA 5=@ 40@<4@A < e<60<3. FC@B74@ <5=@0B=< 0=CB 30B0 2=<534<B0BG A 0D004 =< @4C4AB 5@= B74 <ABBCB=< 0B E727 G=C 0@4 4<@=<6.

i, B74 C<34@A6<43, />? B= B7A 30B0 4<6 A70@43 EB7 AC27 =@60<A0B=<A.

i, B74 C<34@A6<43, />? B= B74 CA4 =5 G >7=B=6@0>7 < >C2BG 0B4@0A 0<3/=@ 442B@=<2 430 G 4GB=< 'B7 F=@ c=464.i C<34@AB0<3 B70B 4GB=< 'B7 F=@ c=464 @4B0<A B74 2=>G@67B < B74 064 0<3 6D4 >4@AA=< 5=@ BA CA4 < 0 430.

i ? 6D4 2=<A4>=@BC<B4A G >=AB.

i ? EA7 B= 4 2=<B02B43 G (74 d0B0 '4@D24 =@ BA >0@B<4@A < @4A>42B =5 AC@D4GA 0<3 @4A40@27.

'ig"a()&e: da(e:

$%a%emen% F a!!LIcan%

% %he $%den%

!Lea$e $end cm!Le%ed a!!LIca%In F#m$ %:

Le*%n $I)%h F#m cLLege, e$$e) #ad, Le*%n, Lndn e10 6e"

%7: 020 8928 9000 F-C: 020 8928 9200 e-57: <5=D@7D?.-/.

a!!LIca%In checkLI$%

beF#e * $end *# F#m make $#e * ha'e cm!Le%ed %he FLLIng:

a ;=>- ?-> ;?

a ;-=?/-=-/C? ?-> ;? ( ?= =-?>; ? D)

c-=D >?-? >?D ;==-

n-?-?D -=D -?

!->>;=? ;D , D -A ( ?, B -;? -?=-?A - ?-? ?>)

$?-?? a;;-? (>/-?)

#= = ;=A> $/c (>?-;/>)

3

!Lea$e #ead %he FLLIng $%a%emen% and $Ign beL.78A E8 74> CA B= >@=4AA G=C@ >>8B8=< ;=@4 C8G.

%B??=: @D?6?= E F-: BBB.-../D?>C?= E I>?-=-: D?>C?= E $-;-?: LD?6?=

BBB.D?.-.

$ea'e ick he !#'

a$$#$iae b#e'

F)&(he& c#!!e"(:

ha' (hi' '()de"( bee" &eFe&&ed F#& 'e&i#)' !i'c#"d)c( d)&i"g (he a'( -ea& #F

'()die' +i(h -#)? i5 A=, >40A4 2=;;4<B:

"#-e'

ha' hi' 'de" eceied e'# '$$#? "#e'

ha' hi' 'de" eceied ea"i"g '$$#?i A=, >4A4 8D4 4B8A:

"#e'

"#e'd#e' hi' 'de" hae a" acce'' # heahcae "eed'?i A=, >4A4 8D4 4B8A:

"#e'd#e' hi' 'de" hae a" edcai#", heah & cae $a" (ehc$), a 'ae!e" # '139?

'de" 'a dae: e$eced e"d dae: ": ("ie ea"e "#.)

i' hi' 'de" a$$i"g F# a c#'e a$$#$iae # hei abiiie'? FC@B74@ c=;;4<B:

$4A4 B8 4D4 >>@=>@8B4 B= ABC4<B:

4D4 3 (a*-c): 4D4 2 (d-b): 4D4 1 (e-g):

'bjec ea! eAB8;B4 a@4G 4<(8 <=B gc'e) g@4 ($4A4 B8)

($enc>: D =<= -D -=-? =-= ?> >?>, ;-> ; L-= $;;=? 020 8928 9067 = 9095)

i' hi' 'de" a ##ked aFe chid? e' "# e' "## 'bjec # a chid $#eci#" #de?

aBB4<<4 (>4A4 ABB4 % 8 D84)

$C<BC8BG (>4A4 ABB4 % 8 D84)

!=B8DB8=<

'4-8A8>8<4

4B8=<A78> E8B7 AB

4B8=<A78> E8B7 ABC4<BA

g== (95%) aD4@4 $==@

aBB4<<4 < $C<BC8BG =<G (90%) (4=E 90%)

'bjec ea! eAB8;B4 a@4G 4<(8 <=B gc'e) g@4 ($4A4 B8)

"a!e: $#'ii#":'ig"ae: dae:

$chL $%am!:!Lea$e en$#e aLL InF#ma%In #e"e$%ed I$

!#'Ided a$ FaIL#e % d $ ILL deLa* %he

!#ce$$Ing F %hI$ a!!LIca%In. %hank *.

F# $chL $e nL* #eFe#ee % cm!Le%e

$ea'e i' 'bjec', ea!i"ai#"', aiFicai#"' aead achieed a"d e'i!aed gade' be#+:

!Lea$e cm!Le%e %he #eFe#ence $ec%In beL. Students are entitled to see a reference once it has been received by a third party.

4

#Lea&e Di&C(&& &(i'aBiLi' "f Ch"&e! &'(D #%"g%ae i! %eLa'i"! '" #%eDiC'eD g%aDe&D5?/A?? -: -8@1>:-@51 <>;3>-991 41>1 -<<>;<>5-@1 F <81-?1 ?@>1?? <;?5@518E @4-@ 5: &1<@191> 1 588, 52 :1/1??->E, >1:13;@5-@1 @415> /4;5/1 ;2 /;A>?1.

i!'e%ie f"%f"% C"LLege e "!L F i!'e%iee% '" C"#Le'e

#Leae D" !"' fiLL i! a!'hi!g Be"!D 'hi 'age a' i!'e%ie

;; C;A>? '

!: D:

L 1 L 2 L 3 e>E

'D #%"g%ae #%"ii"!aLL "ffe%eD

; i> A:

*PLEASE BE AWARE THAT NO INFORMATION SHOULD BE INCLUDED HERE THAT YOU WOULD NOT WANT DISCLOSED TO THE STUDENT

F#"#e CAee/eD#CA"IoN PLAN!: (95< 4 7 ;5=87 =8 8>;< 8)

%hA" AC"I$I"Ie! AND IN"ee!"! Ae 'o# IN$oL$eD IN e.G. !Po", m#!IC, GIF"eD & "ALeN"eD? (;8; =5<)

I! "hee AN'"hING eL!e 'o# %o#LD LIke "o "eLL #! Abo#" 'o#!eLF "hA" mAke! 'o# A GooD CANDIDA"e?

%h' DID 'o# Choo!e Le'"oN !I"h Fom CoLLeGe?

ADDI"IoNAL CommeN"!:P5< 9;8 87=< ; ;5=7 =8 987=< B8> B 94 >9 >;7 = 7=;@ @ B + ><>5 5=;*.

(A E ; > ?A<<;> ;> ?E ?)

i!'e%iei!g 'aff '" CheCk:

'4 =A ;<<;>A? ;;> =A?;? ; 4 <<; ;> > ;<.aLL C"!'aC' De'aiL a' 'he f%"!' "f 'he a##LiCa'i"! f"% a%e C"#Le'e. aE <>;; ; ;

;> A >?E >=A? 4? <>; E 4 << ;<E >.

A? a/a B'eC B'eC a2 e.

L C>. A. D<. L #4.

5

(P5<=4)

e>;>G??<

f <

f ; <

C"%e C"!fi%eD B: != 7 (PIN") D: /A>/ 2016

;; C;A>? '

L 1 L 2 L 3 e>E

(P5<=4)

gCe g>? g>

4?

e?4 LA

a ?A? 4;A > a*-C gCe4? /;> e?4 LA >; ;; 4 <<>;<> ;A>?(?)

f"% C"LLege e "!L:

'" Be C"#Le'eD B Da'a e!'% ai'a!':

'g, C;A>??, D? e> E: D: /A>/ 2016

e!%"Le!': 'D #%"g%ae "ffe%eD

e!%"Le!' f"% f"% C"LLege e "!L

'aff #Leae %ei!D a##LiCa!' !"' '" 'ake 'hi f"% h"e

A? a/a B'eC B'eC a2 e.

L C>. A. D<. L #4.

6

!=>7= L<= N: !=>7= F;<= N:

ID N>+;: ">=8; G;8>9:

!" "ffe%

ai'i!g Li'

A:

(please tick)

(please tick)

#? >;> E ;4> A?A ;>; ? ; ;;-A<

leyton sixth form college application form 2016-2017

Documents