Moseley Sixth Form Application Information for September 2021
Providing personal details, course interests, academic background, and preferences for Moseley Sixth Form application in September 2021. Includes sections on learning difficulties, support systems, career ambitions, work experience, hobbies, and reasons for choosing Moseley Sixth Form. Additionally, a reference form for current schools seeking feedback on student performance.
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Moseley Sixth Form Application for September 2021 (Current Year 11 or Year 12) PERSONAL DETAILS Surname Forename Gender Male Female Date of Birth Address Home Phone Number Mobile Number (Student) Mobile number (Parent/Carer) Email address Parent(s) Name Date Started Current School and Year group If Moseley, state house Form If you are not currently studying full time, please explain why What type of courses are you interested in? GCSE & Level 2 courses BTEC National (Level 3) A Level Combination of BTEC National & A Level Which subjects would you like to study? Do you have a learning difficulty/disability and/or health problem(s)? Yes No If YES give details: ....................................................... Is the above likely to affect your learning? Yes No Do you have any support at school to assist you in your learning? Yes No If YES give details: ....................................................... Do you have any evidence that you had extra support in your exams? Yes No If you think that you qualify for support in your exams, we will need to see the written evidence from your present/previous school Moseley School, Wake Green Road, B13 9UU 0121 566 6444 sixthformsupport@moseley.bham.sch.uk
Moseley Sixth Form What subjects are you currently studying or have studied? Please include any GCSEs already achieved. Level: GCSE / BTEC / Other Grade Achieved Grade Estimated Subject & Exam Board What are your future career ambitions? How does your choice of subjects link in with this? Moseley School, Wake Green Road, B13 9UU 0121 566 6444 sixthformsupport@moseley.bham.sch.uk
Moseley Sixth Form Give details about any work experience or voluntary work you have participated in Describe your hobbies and interests Explain why you would like to study at Moseley Sixth Form Moseley School, Wake Green Road, B13 9UU 0121 566 6444 sixthformsupport@moseley.bham.sch.uk
The student below has applied to us for a place in Sixth Form and has indicated that you are willing to supply a reference. Moseley School would like to take the opportunity to thank you for your assistance. Current School Name of Referee Position Date Student Forename Student Surname DOB Please confirm the dates between which the student attended the school/college Start Date Leave Date Below Expectation Excellent Good Satisfactory Poor Very Poor Attendance Below Expectation Excellent Good Satisfactory Poor Very Poor Punctuality Below Expectation Excellent Good Satisfactory Poor Very Poor Attitude to Study Below Expectation Excellent Good Satisfactory Poor Very Poor Determination Below Expectation Excellent Good Satisfactory Poor Very Poor Maturity Below Expectation Aptitude for Advanced Level Study Excellent Good Satisfactory Poor Very Poor Below Expectation Suitability for Chosen Courses Excellent Good Satisfactory Poor Very Poor Moseley School, Wake Green Road, B13 9UU 0121 566 6444 sixthformsupport@moseley.bham.sch.uk
Moseley Sixth Form Other information (for example, health, specific learning difficulties, requirements for exams etc) Thank you for providing a reference for this applicant. Please return this form by email to sixthformsupport@moseley.bham.sch.uk The information on this form will be held by us under the terms of the Data Protection Act and used for managing the application process, planning our provision and monitoring equality of opportunity for all of our applicants. Moseley School, Wake Green Road, B13 9UU 0121 566 6444 sixthformsupport@moseley.bham.sch.uk
