Darrick Wood School

Gender: MaleFemale

Date of Birth:

Previous School (or Form Group if current DWS pupil):

Home Address (please include postcode):

Name of Parent/Carer:

Home Telephone:

Student Mobile Number:

Parent/Carers' Email Address:

GCSE examinations to be taken - please add the names of optional subjects.

Additional Subjects and Grades:

Courses are offered subject to demand.

Please select your 1st, 2nd, 3rd and reserve, Level 3 (A level/BTEC) subject choices

What are your reasons for wishing to study in the Sixth Form at Darrick Wood School?

Describe any interests and activities in which you participate, both in and out of school.

Outline any Work Experience undertaken and give brief details of the nature of the work.

What are your career intentions?

Are you considering Higher Education after the Sixth Form? YesNo

Do you have any Special Educational Needs? YesNo

If yes, please give a brief outline:

Are you currently, or have you ever been, in care? YesNo

Your Head of Year 11 who will provide a reference:

E-mail address for your Head of Year:

You have a statutory right of appeal. Please refer to the Admission appeals timetable on the website for further details.

Application for Entry to Sixth Form