St. Crispin's Sixth Form
Application Form September 2021

St. Crispin’s School, London Road, Wokingham, Berkshire, RG40 1SS

Lisa Lightfoot
Sixth Form Administrator
0118 978 1144 extension 272

You do not have to complete this form in one go. You may save it and return later using a button at the bottom of the page. Click here to retrieve a saved form.

Once you have submitted an application, you will be given the option to print a hard copy for your reference.

For a guide on how to use this form - please click here

Personal Details

Forename:

Surname:

Flat/House name or number:

Street:

Town/City:

Post Code:

Home Telephone:

Student Mobile:

Student Email:

Parent/Carer Name:

Parent/Carer Mobile:

Parent/Carer Email:

Date of Birth:

Gender:

Nationality:

School Details

Currently at St. Crispin's:

No Yes

Name of School/College:

Address 1:

Address 2:

Town/City:

Post Code:

Current Head of Year/House:

Current Head of Year/House Email:

Current Form Group:

Examinations

Please record below the examinations you have already taken and those you will take in June 2021.

International Students

If you are currently attending a school outside of the United Kingdom which does not offer GCSE Exams please do the following:
For Subject enter: Studying outside of the UK
For Qualification select: Other (International)
For Equivalent select: N/A
For Grade select: Other (International)
Please then give details of your subjects of study, qualification level and predicted grade in the “Why have you chosen to apply to St. Crispin's Sixth Form?” box below.

Subject	Qualification	Equivalent to	School Predicted Grade	Achieved? *

* 'Achieved' – if you have taken and passed an exam in Year 10, could you please highlight this with the pull down menu.

Course Options

The Sixth Form Prospectus gives information on all our Level 3 courses and further details for each subject can be found in the Sixth Form area of the St Crispin's website.
Please select your subject choices in order of preference. This means that your first option is the course you wish to study most.
All students should pick three courses and a reserve. Your choice of courses will depend on your interests, future plans and whether your predicted grades at GCSE meet the course criteria.
We will meet with each student who applies to our Sixth Form in February to confirm the subject choices. This meeting gives any student who is interested in studying 4 subjects the opportunity to discuss this with one of the Sixth Form team.
If you are selecting Art as one of your options please make a note in your personal statement below about which specialism you are interested in e.g Fine Art, Graphic Communication, Three Dimensional Design or Textiles.
Please be aware that entry to courses will be subject to your examination results meeting the entry criteria for that course.

Course 1:

Course 2:

Course 3:

Reserve:

Personal Statement

The personal statement will form part of your meeting to discuss options and academic entry requirements for particular courses.

Why have you chosen to apply to St. Crispin's Sixth Form?

What qualities do you think you will bring to the Sixth Form?

How would you describe yourself in 5 words?

What are your ambitions after leaving the Sixth Form? Career or University?

Please select one of the following, your answer will not affect your offer of a place:

I have only applied to St. Crispin's Sixth Form – I have not applied to any other Sixth Form
I have made applications to more than one Sixth Form College

Ethnic Group

To help us ensure that our equal opportunities policy is fully and fairly implemented (and for no other reason)
please complete this section of the monitoring form:

Is English your first language? Yes No

If yes, have you been resident in the UK for less than two years? No Yes

I would describe my ethnic origin to be:

White
British
Irish
Other white background

Mixed
White and Black Caribbean
White and Black African
White and Asian
Other mixed background

Asian or Asian British
Indian
Pakistani
Bangladeshi
Other asian background

Black or Black British
Caribbean
African
Other black background

Chinese
Chinese

Other Ethnic Groups
Other

I do not wish to disclose
Undisclosed

Special Educational Needs and Disabilities

Do you have Special Educational Needs?
No
Yes - Supported by the school
Yes - Statemented
Not known

Examination Requirements

Are you given extra time in your GCSE or BTEC modules for any reason?
No Yes
Do you receive any extra support when taking an exam?
No Yes
Do you expect that you may need it again in Years 12 and 13?
No Yes

Overseas Candidates

Are you an overseas candidate or currently not in a state secondary school?
No Yes

If yes, will you be able to provide us with original documents to officially evidence your right to residency in the UK?
No Yes

Please tick here to confirm that a parent/carer has read and supports this application

Application Deadline: Monday 11th January 2021

If you wish to make a change to your application, after it has been submitted, please email Mrs Lightfoot at lightfootl@crispins.co.uk

St. Crispin's Sixth Form Application Form September 2021