Applications to join The JCB Academy Sixth Form close on December 31st. Step 1 of 7 14% X/TwitterThis field is for validation purposes and should be left unchanged.Applicant's detailsLearner Name(Required) First Last Date of Birth(Required) DD slash MM slash YYYY Address(Required) Street Address Address Line 2 Derby, Stoke-on-Trent, etc. County (Staffordshire, Derbyshire, etc.) Post Code Gender as specified on Birth Certificate(Required)-MaleFemaleUnspecifiedEmail(Required) Enter Email Confirm Email Main contact telephone number(Required)The above telephone number is my...(Required)-Mobile telephone numberHome telephone numberDo you have a landline home telephone?(Required)YesNoHome telephone number(Required)Do you have a mobile telephone?(Required)-YesNoMobile Telephone Number(Required)Are you a current learner at The JCB Academy?(Required) Yes No Current School(Required)-Abbot Beyne SchoolAbbotsholme SchoolAldercar High SchoolAllestree WoodlandsAlleyne's AcademyAnthony Gell SchoolAshby schoolBelper School and Sixth Form CentreBiddulph High SchoolBilbrook CofE (VC) Middle SchoolBlessed Robert Sutton Catholic Voluntary AcademyBlessed William Howard Catholic SchoolBlythe Bridge High SchoolBolsover SchoolBrookfield Community SchoolBuxton Community SchoolCannock Chase High SchoolCardinal Griffin Catholic CollegeChapel-en-le-Frith High SchoolChase Terrace Technology CollegeCheadle AcademyChellaston AcademyCheslyn Hay AcademyChesterton Community Sports CollegeChrist Church AcademyChurnet View Middle SchoolCity of Derby AcademyClayton Hall AcademyCodsall Community High SchoolCodsall Middle SchoolCo-operative Academy of Stoke-on-TrentDa Vinci AcademyDavid Nieper AcademyDe Ferrers AcademyDenstone CollegeDerby Cathedral SchoolDerby High SchoolDerby Moor AcademyDiscovery AcademyDronfield Henry Fanshawe SchoolEcclesbourne SchoolEckington SchoolEndon High SchoolErasmus Darwin AcademyFallibroome AcademyForemarke HallFrances Bardsley AcademyFrederick Gent SchoolFriary SchoolFriesland SchoolGranville AcademyGreat Wyrley AcademyHart SchoolHasland Hall Community SchoolHeanor Gate Science CollegeHeritage High SchoolHighfields SchoolHope Valley CollegeJames Bateman Middle SchoolJohn Flamsteed Community SchoolJohn Port Spencer AcademyJohn Taylor Free SchoolJohn Taylor High SchoolKidsgrove High SchoolKing Edward VI High SchoolKing's CofE (VA) SchoolKingsmead SchoolKinver High School and Sixth FormKirk Hallam Community AcademyLady Manners SchoolLandau Forte AcademyLeek High SchoolLees Brook Community SchoolLichfield Cathedral SchoolLittleover Community SchoolLong Eaton SchoolLongdon HallMadeley High SchoolMerrill AcademyMoorside High SchoolMurray Park SchoolNether Stowe SchoolNetherthorpe SchoolNew Mills SchoolNewcastle AcademyNoel-Baker AcademyNorth Road AcademyNorton Canes High SchoolOld Vicarage Darley AbbeyOldfields Hall Middle SchoolOrmiston Ilkeston Enterprise AcademyOrmiston Meridian AcademyOrmiston Sir Stanley Matthews AcademyOunsdale High SchoolOutwood Academy NewboldPaget High SchoolPainsley Catholic CollegeParkside Community SchoolPaulet High SchoolPenkridge Middle SchoolPerton Middle SchoolPingle AcademyQueen Elizabeth's Grammar SchoolRawlett SchoolRipley AcademyRural Enterprise AcademyRyecroft CofE Middle SchoolS. Anselm's Preparatory SchoolSaint Benedict Catholic AcademySaint John Houghton Catholic Voluntary AcademyShirebrook AcademySir Graham Balfour High SchoolSir Thomas Boughey AcademySt Dominic's Priory SchoolSt Edward's Church of England AcademySt John Fisher Catholic CollegeSt Joseph Academy, Trent valeSt Margaret Ward Catholic AcademySt Mary's Catholic High School, A Catholic Voluntary AcademySt Peter’s AcademySt Philip Howard Catholic Voluntary AcademySt Thomas More Catholic Voluntary AcademyStafford Manor High SchoolStaffordshire University AcademySwanwick Hall SchoolTamworth Enterprise College and AET AcademyThomas Alleyne's High SchoolTibshelf Community SchoolTrentham AcademyWalton High SchoolWalton Priory Middle SchoolWest Park Community SchoolWeston Road AcademyWestwood CollegeWhittington Green SchoolWilliam Allitt SchoolWilnecote SchoolWilsthorpe SchoolWindsor Park CE Middle SchoolWolgarston High SchoolWolstanton High AcademyWoodhouse AcademyOTHEROther current school(Required)Does the learner have any Special Educational Needs and/or Disabilities (SEND)?(Required) No Yes Please provide details of the SEND(Required)Do you have any medical (e.g. physical impairment/disability) or additional learning needs (e.g. dyslexia)?(Required) No Yes Please provide details of the medical or additional learning needs(Required)Transport In order for us to plan our transport, please visit JCB Academy Bus Routes (opens new window) and choose the most appropriate bus stop and paste it below.Bus Stop(Required) SubjectsHow many subjects are you taking at school?(Required)-56789101112131415Please select all subjects you are taking.What subjects are you taking?(Required) Art and Design Business Creative iMedia Design & Technology Engineering Design Engineering Manufacturing Engineering Principles English Language English Literature French Further Mathematics Geography German History ICT Italian Mathematics PE Product Design Science - Combined Science - Triple - Biology Science - Triple - Chemistry Science - Triple - Physics Spanish Other Predicted grade for English Language(Required)-987654321Predicted grade for Mathematics(Required)-987654321Predicted grade for Further Mathematics(Required)-987654321Predicted grade for English Literature(Required)-987654321Predicted grade for Biology(Required)-987654321Predicted grade for Chemistry(Required)-987654321Predicted grade for Physics(Required)-987654321Predicted grade for Combined Science(Required)Predicted grade for Engineering Design(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Engineering Manufacturing(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Engineering Principles(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Business(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Design & Technology(Required)-987654321Predicted grade for Product design(Required)-987654321Predicted grade for ICT(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Creative iMedia(Required)-Distinction* at Level 2Distinction at Level 2Merit at Level 2Pass at Level 2Distinction at Level 1Merit at Level 1Pass at Level 1Predicted grade for Art and Design(Required)-987654321Predicted grade for French(Required)-987654321Predicted grade for German(Required)-987654321Predicted grade for Italian(Required)-987654321Predicted grade for Spanish(Required)-987654321Predicted grade for PE(Required)-987654321Predicted grade for History(Required)-987654321Predicted grade for Geography(Required)-987654321Other subjects(Required)Please list any other subject you are taking, along with your predicted grade. QualificationsDo you have any qualifications that you like to tell us about?(Required)This can be qualifications, certificates and awards that you've already achieved, including any that you've gained out of school. Yes No 1. Qualifications/Certificate/Award2. Qualifications/Certificate/Award3. Qualifications/Certificate/Award4. Qualifications/Certificate/Award5. Qualifications/Certificate/Award Entry Requirements Please see our entry requirements page for further information.Engineering Transition ProgrammeYou have stated that your predicted grade for English and/or Mathematics is a 3 or below.Available courses based on your predicated grades(Required) Engineering Transition Programme PathwayWhich pathway would you like to take?(Required) Engineering / Business Vocational Courses Traditional A-levels Which subject?(Required) Engineering Business Which level of engineering pathway would you like to study?(Required) T-level - Extended Course in Engineering (equivalent of 3 A-levels) Double Engineering (equivalent of 2 A-levels) Which level of business diploma would you like to study?(Required) Course in Business (equivalent of 2 A-levels) BTEC Diploma Choose Your SubjectsPlease choose your three subjects(Required) Biology Chemistry Computer Science English Language Mathematics Physics Product Design Extended Certificate - Business Extended Certificate - Engineering This field is hidden when viewing the formMaths selectedWould you like to study A-level Further Mathematics as an additional 4th subject alongside your A-levels?(Required) Yes, add A-level Further Mathematics as an additional subject No, I do not want to add A-level Further Mathematics as an additional subject Subject alongside EngineeringYou are required to study the equivalent of three A-levels and your chosen Double Engineering subject is the equivalent of two A-levels. Please select the A-level you wish to study alongside your subject. Please take care to select the subjects you wish to study as any offer will be based on the choices you make. Please choose your one subject to go alongside your Double Engineering(Required) Biology Chemistry Computer Science English Language Mathematics Physics Product Design Extended Certificate - Business This field is hidden when viewing the formMaths selected with Eng courseWould you like to study A-level Further Mathematics as an additional 4th subject alongside your Engineering Course and Maths?(Required) Yes, add A-level Further Mathematics as an additional subject No, I do not want to add A-level Further Mathematics as an additional subject Subject alongside Business DiplomaPlease choose your one subject to go alongside your Business Diploma(Required) Biology Chemistry Computer Science English Language Mathematics Physics Product Design Extended Certificate - Engineering This field is hidden when viewing the formMaths selected with Bus diplomaWould you like to study A-level Further Mathematics as an additional 4th subject Business Diploma and Maths?(Required) Yes, add A-level Further Mathematics as an additional subject No, I do not want to add A-level Further Mathematics as an additional subject Artificial Intelligence (AI) Learners are reminded that their personal statement should be written entirely in their own words and reflect their genuine thoughts, experiences, and ambitions. The use of AI tools or similar software to generate or edit personal statements is not permitted. Personal statements are an important opportunity for learners to demonstrate their individuality, motivation, and suitability, and using AI undermines the authenticity of this process.Personal statement(Required)Please tell us about yourself. May be you would like to tell us about your aspirations, hobbies, interests, greatest personal achievements, etc. Parent/Carer detailsParent/Carer Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last This field is hidden when viewing the formFirst name (parent/carer)(Required)This field is hidden when viewing the formSurname (parent/carer)(Required)Email (parent/carer)(Required) Enter Email Confirm Email Main contact telephone number (parent/carer)(Required)Is the above telephone number your...(Required)-Mobile telephone numberHome telephone numberDo you have a landline home telephone?(Required)-YesNoHome telephone number (parent/carer)(Required)Do you have a mobile telephone?(Required)-YesNoMobile Telephone Number (parent/carer)(Required)How did you hear about The JCB Academy Sixth Form?(Required)-By searching Google, Bing, etcOpen eventSocial Media (Facebook, Instagram, etc.)Newspaper/Magazine advertWord of mouth Confirmation{all_fields}Confirmation(Required) I confirm that the above information is correct and I would like to apply for a place at The JCB Academy Sixth Form. Any information provided will only be used in relation to your sixth form application. We take spam very seriously and any personal information we collect from this website will be used in accordance with the Data Protection Act 2018 and other applicable laws. You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us in the future. For more information about our privacy practices please read our privacy policy for further information on how we store and use your information. By clicking below, you agree that we may process your information in accordance with these terms. The Data Controller is The JCB Academy Trust.CAPTCHA
