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La Retraite 6 Application Form for External Students

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La Retraite 6 Application Form for External Students

To download the Priest Reference Form, please click here. Please note that completion of the Priest Reference Form is optional for Sixth Form applications, and only needs to be completed by Catholic applicants.

Student (the applicant)

Surname ^*

First Name(s) ^*

Email Address ^*

Date of Birth ^*

Gender ^*

Religious denomination of applicant ^*

Please state other religion

House Number and Street Lookup Address By Postcode ^*

Postcode ^*

Telephone Number

Home ^*

Other

Optional - Please download and print out the Priests/Ministers Reference Document here and attach it below.

Priests/Ministers Reference Upload

Parent/Carer Details

Parent/Carer 1 - Surname ^*

Parent/Carer 1 - Initials ^*

Title ^*

Parent/Carer 1 - Email

Parent/Carer 1 - Address

Parent/Carer 1 - Home Phone

Parent/Carer 1 - Other Phone

Parent/Carer 2 - Surname

Parent/Carer 2 - Initials

Title

Parent/Carer 2 - Email

Parent/Carer 2 - Address

Parent/Carer 2 - Home Phone

Parent/Carer 2 - Other Phone

Previous/Current Education

Name of current school which the applicant currently attends. ^*

Address of current school which the applicant currently attends. ^*

Telephone of of current school. ^*

RC/not RC ^*

School Local Authority ^*

In which local authority area do you live? ^*

External Candidates Only: Important. Failure to complete this section may result in your application not being considered.

UPN Number (This information is obtainable from your current school office) ^*

UCI Number (This information is obtainable from your School Exam's Officer or examination papers) ^*

Is the applicant 'Looked After' in Public Care? ^*

Predicted GCSE results

Predicted GCSE results: NB - these should be what the applicant is expected to get - not her/his target grades:

Subject	Examination/ Qualification (e.g. GCSE, BTEC)	Grade Expected

If more space is required, please enter details below

Are you predicted to achieve 5 Level 7s or more?

Please tick if yes, this means you are eligible for our scholarship programme. Read more

Technical Scholarship - eligibility criteria - must be studying for a T Level

Sports Scholarship - eligibility criteria - must be taking Sport as a subject

Subjects

What courses do you wish to study in the Sixth Form?

Pathway ^*

A-Level Subject 1 ^*

A-Level Subject 2 ^*

A-Level Subject 3 ^*

T-Level Subject ^*

Please list any other subjects you wish to study in the box below

Signatures

I/We am/are the parent(s)/legal carer(s) of the child named on this application ^*

I/We will inform you immediately of any changes to my/our postal address/contact details ^*

I/We will inform you if I/we have decided not to continue with this application to La Retraite Sixth Form ^*

Parent/Carer signature ^*

Student signature ^*

La Retraite 6 Application Form for External Students

Telephone Number

External Candidates Only: Important. Failure to complete this section may result in your application not being considered.

Predicted GCSE results: NB - these should be what the applicant is expected to get - not her/his target grades:

What courses do you wish to study in the Sixth Form?

La Retraite 6

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