Chesterton Sixth Form Application

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Student Details

Forename

Surname

Date of Birth

Home Address

Postcode

Present School

We'll send an automatic confirmation email to the address entered in the 'Student Email Address' field below when you submit your application.

Student Email Address

Parent Email Address

Student Telephone Number

Home Telephone Number

Are you in receipt of Pupil Premium funding?

No Yes

Is Chesterton Sixth Form your: (this will not affect your application in any way)

Firm choice Reserve choice Unsure

Course Preferences

Career intentions, including Higher Education (if known)

Choice 1

Choice 2

Choice 3

The opportunity to study four A-Level subjects will be offered to some particularly well-qualified applicants, currently defined as students who have achieved at least an average grade 7 across their best seven GCSE subjects. If you meet (or are expecting to meet) this criteria please make a selection below.

Choice 4

Reserve

Data Protection

I consent to providing this information to Chesterton Sixth Form. It will be processed in accordance with the Trust Privacy Policy.

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