Apply for our 2021 Intake Step 1 of 7 14% Applicant's detailsFirst name*Surname*Date of Birth* Date Format: DD slash MM slash YYYY Address line 1*Address line 2City*County*Postcode*Gender*-MaleFemaleUnspecifiedEmail* Enter Email Confirm Email Main contact telephone number*The above telephone number is my...*-Mobile telephone numberHome telephone numberDo you have a landline home telephone?*YesNoHome telephone number*Do you have a mobile telephone?*-YesNoMobile Telephone Number*Are you a current student at The JCB Academy?*YesNoCurrent School*-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 HallFrederick 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*Do you have any medical (e.g. physical impairment/disability) or additional learning needs (e.g. dyslexia)?*YesNoPlease provide details* SubjectsHow many subjects are you taking at school?*-56789101112131415Please 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*QualificationsDo you have any qualifications that you like to tell us about?*YesNoThis can be qualifications, certificates and awards that you've already achieved, including any that you've gained out of school.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.Your Subject ChoicesWhich pathway would you like to take?*Traditional A-levelsEngineering or Business DiplomasWhich diploma subject?*EngineeringBusinessOur diploma subjects are both offered in two levels: BTEC National Level 3 Diploma (equivalent of 2 A-levels). This diploma must be complimented with either one A-level or a BTEC National Level 3. BTEC National Level 3 Extended Diploma (equivalent of 3 A-levels). The level 3 extended diploma does not require you to study any additional subjects. Which level of engineering diploma would you like to study?*BTEC Diploma in Engineering - equivalent of 2 A-levelsBTEC Extended Diploma in Engineering - equivalent of 3 A-levelsWhich level of business diploma would you like to study?*BTEC Diploma in Business - equivalent of 2 A-levelsBTEC Extended Diploma in Business - equivalent of 3 A-levelsAll learners are required to study at least three A-levels. Crucially, all candidates for this pathway must study both Mathematics and Physics. Please take care to select the subjects you wish to study as any offer will be based on the choices you make. Subject combinations will only be confirmed once offers have been received and finalised. Choose Your A-levelsYour 1st compulsary A-level subject*Mathematics (compulsary)Your 2nd compulsary A-level subject*Physics (compulsary)Please choose your 3rd A-level subject*-BiologyBusiness Studies (BTEC Extended Certificate)ChemistryEngineering (BTEC Extended Certificate)Product DesignYou are required to study the equivalent of three A-levels and your chosen diploma is the equivalent of two A-levels. Please select the A-level you wish to study alongside your diploma. Please take care to select the subjects you wish to study as any offer will be based on the choices you make. What would you like to study alongside your Engineering Diploma?*An A-levelA Business BTEC Extended CertificateWhat would you like to study alongside your Business Diploma?*An A-levelAn Engineering BTEC Extended CertificateSelect the A-level subject to study alongside your engineering diploma*-BiologyChemistryMathematicsPhysicsProduct DesignSelect the A-level subject to study alongside your business diploma*-BiologyChemistryMathematicsPhysicsProduct Design Personal statement*Please tell us about yourself. May be you would like to tell us about your aspirations, hobbies, interests, greatest personal achievements, etc. Parent/Carer detailsFirst name (parent/carer)*Surname (parent/carer)*Email (parent/carer)* Main contact telephone number (parent/carer)*Is the above telephone number your...*-Mobile telephone numberHome telephone numberDo you have a landline home telephone?*-YesNoHome telephone number (parent/carer)*Do you have a mobile telephone?*-YesNoMobile Telephone Number (parent/carer)* Confirmation{all_fields}ConfirmationI confirm that the above information is correct How did you hear about The JCB Academy Sixth Form?*-By searching Google, Bing, etcCareers eventSocial Media (Facebook, Instagram, etc.)Newspaper/Magazine advertWord of mouthPlease 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 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.I would like to apply for a 2021 place at The JCB Academy Sixth Form.*I agree to the aboveConsent 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 FormNo, I would not like to be contacted for marketing purposes by The JCB Academy Sixth FormSpamCommentsThis field is for validation purposes and should be left unchanged.
