Closing date 11th February 2022


Surname of Applicant: Forename of Applicant:

Name of Parent/Guardian:
Address including Postcode:
Contact Number: Date of Birth: / /
Gender:
Student email address: Parent/Carer email address:
Present School:
All students are required to study 3 A Level subjects. Students wishing to study a fourth subject should discuss this with the Head of Sixth Form. If numbers opting for a particular subject are very low, it may not be possible to offer that subject. All subjects have maximum and minimum numbers.

In addition, Year 12 students must undertake an academic enrichment option of EPQ, Core Maths or AS Further Maths. We aim to accomodate as many subject combinations as possible and compile the option block to facilitate the greatest choice of combinations. Should there be any clashes that cannot be resolve, we will ask the student to select another subject.


A Level Choices - Please select 3 subjects

A Level Choices - Please select 3 subjects
Choice 1
Choice 2
Choice 3
Choice 4 - Only include if you wish to be considered to study 4 A Level subjects
(If you do not, please select No 4th Choice).
Academic Enrichment Option

Special Education Needs or Disabilities?
Sixth Form is committed to recognising and providing the appropriate support for individual students with a SEN or a disability. We recommend applicants supply this information at an early stage to ensure suitable arrangements are made in preparation for student admission.

Please supply relevant information below
(include details of any exam access arrangements taken during GCSE examinations):
Please contact Mr Alistair King, SEN Co-ordinator if you wish to discuss in more detail. Email: alistair.king@churston.torbay.sch.uk or Tel: 01803 842289

The information collected in this form will be processed and stored electronically by the School in compliance with the General Data Protection Regulation. The data may be shared with an agent of the School, but only for administrative or other service provision purposes, and with Government Departments where there is a legal requirement to do so. If you would like further informatiom about Data Protection, please contact the School Data Protection Officer.
By signing or submitting this form, you acknowledge that you have read, understood and agreed to this data processing. Detailed information is available in the Policy and Privacy Notices at churstongrammar.com/policies
Above agreed by Applicant Tick here
Above agreed by Parent/Carer Tick here