Apply to the Sixth Form - The JCB Academy Sixth Form

Applicant's details
First name*
Surname*
Date of Birth*
Date Format: DD slash MM slash YYYY
Address line 1*
Address line 2
City*
County*
Postcode*
Gender*
Email*
Enter Email Confirm Email
Main contact telephone number*
The above telephone number is my...*
Do you have a landline home telephone?*
Home telephone number*
Do you have a mobile telephone?*
Mobile Telephone Number*
Are you a current student at The JCB Academy?*
- Yes
- No
Current School*
Other current school*
Do you have any medical (e.g. physical impairment/disability) or additional learning needs (e.g. dyslexia)?*
- Yes
- No
Please provide details*

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Subjects
How many subjects are you taking at school?*
Please list all exam subjects you are taking.
1. Subject*
1. Predicted grade for the above subject*
2. Subject*
2. Predicted grade for the above subject*
3. Subject*
3. Predicted grade for the above subject*
4. Subject*
4. Predicted grade for the above subject*
5. Subject*
5. Predicted grade for the above subject*
6. Subject*
6. Predicted grade for the above subject*
7. Subject*
7. Predicted grade for the above subject*
8. Subject*
8. Predicted grade for the above subject*
9. Subject*
9. Predicted grade for the above subject*
10. Subject*
10. Predicted grade for the above subject*
11. Subject*
11. Predicted grade for the above subject*
12. Subject*
12. Predicted grade for the above subject*
13. Subject*
13. Predicted grade for the above subject*
14. Subject*
14. Predicted grade for the above subject*
15. Subject*
15. Predicted grade for the above subject*
Qualifications
Do you have any qualifications that you like to tell us about?*
- Yes
- No
This can be qualifications, certificates and awards that you've already achieved, including any that you've gained out of school.
1. Qualifications/Certificate/Award
2. Qualifications/Certificate/Award
3. Qualifications/Certificate/Award
4. Qualifications/Certificate/Award
5. Qualifications/Certificate/Award

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Personal statement*
Please tell us about yourself. May be you would like to tell us about your aspirations, hobbies, interests, greatest personal achievements, etc.

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Parent/Carer details
First name (parent/carer)*
Surname (parent/carer)*
Email (parent/carer)*
Main contact telephone number (parent/carer)*
Is the above telephone number your...*
Do you have a landline home telephone?*
Home telephone number (parent/carer)*
Do you have a mobile telephone?*
Mobile Telephone Number (parent/carer)*

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Confirmation
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Confirmation
- I confirm that the above information is correct

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How did you hear about The JCB Academy Sixth Form?*
Please Read the Following
I accept that as a member of The JCB Academy Sixth Form, I would be committed to the Post-16 contract which includes taking part in the core ‘Life Skills’ tutor period sessions, following the dress code, attending all lessons and using The Academy’s facilities during study periods in order to support the A-level programme.
Further details are available from The JCB Academy Sixth Form by calling 01889 506100.
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 1998 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.
I would like to apply for a 2020 place at The JCB Academy Sixth Form.*
- I agree to the above
Consent to receive additional marketing emails relating only to The JCB Academy Sixth Form*
- Yes, I would like to be contacted for marketing purposes by The JCB Academy Sixth Form
- No, I would not like to be contacted for marketing purposes by The JCB Academy Sixth Form
Comments
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Apply for our 2020 Intake

Step 1 of 7

Applicant's details

Subjects

Qualifications

Entry Requirements

Your Subject Choices

Choose Your A-levels

Parent/Carer details

Confirmation