Sixth Form Application Form September 2020

The deadline for applications to Holland Park Sixth Form for September 2020 was Thursday 12th December 2019. The form will remain open for late submissions until February but please be aware that any applications submitted after Thursday 12th December will be considered 'late' applications; the implications of this are covered in the oversubscription criteria. For details, please see the Admissions Policy. A link to this policy is available at the bottom of this form.

We ask applicants to note that a condition of entry to the Sixth Form is participation in some trial lessons in July 2020 after Year 11 examinations have concluded.

Student Forename

Student Surname

Student Middle Names

Student Gender

Student Date of Birth

Year / Month / Day

Student Email Address

Student Mobile Number

Other Contact Number

Parent Forename

Parent Surname

Parent Email Address

Parent Mobile Number

Current Home Address 1

Current Home Address 2

Current Home Town

Current Home Post Code

Current School Name

Current School Address 1

Current School Address 2

Current School Local Authority/County

Current School Post Code

School Referee Please insert here a member of staff at your current school who will be responsible for your reference

UPN Your school will be able to provide you with your Unique Pupil Number (UPN)

Referee Email Address

Your Personal Statement Please upload your Personal Statement here as a PDF or a MS Word Document. In your personal statement, you should outline: your reasons for studying to A Level; your reasons for applying to Holland Park School; what you intend to contribute to Holland Park Sixth Form; your future ambitions; other interests. Please write no more than 600 words. You are restricted to files of a maximum of 10 Megabytes.

Option Block A Please choose three subjects in total from the four Option Blocks. You cannot choose more than one subject in an option block.

Option Block B If you wish to study Further Mathematics, you must choose Further Mathematics in both Option Blocks B and D. This ensures that you are placed in both Mathematics and Further Mathematics classes. Please note you DO NOT need to select separate Mathematics too. Further Mathematicians should also select two other subject options (one from Block A and one from Block C) so that four subjects are selected in total (Mathematics and Further Mathematics - counted as two, and two other subjects).

Option Block C

Option Block D To select Further Mathematics, you must also select it in Block B. You should not choose mathematics as a separate subject. Please read the guidance accompanying Block B.

Does the student have a statement of Special Educational Need? This may also be called an Educational Healthcare Plan.

Yes
No

Details of diagnosed need (optional)

characters remaining

Guidance and Policy Documentation Please tick the box to say that you have read and understood the following documents: the Sixth Form Dress Code; Holland Park School Admissions Policy; Term Dates for the coming Academic Year; School Prospectus. See links below.

Please click to find the above documents.

Sixth Form Dress Code and Contract

School Admissions Policy

Term Dates

School Prospectus

You will not receive an automatic email receipt of your application. The thank you page, when you press submit, is your confirmation. Please take a screen-shot of this thank you page, including the completed form that shows your surname forename and email address for your records.

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Sixth Form Application Form September 2020

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