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La Retraite 6 Application Form for External Students

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La Retraite 6 Application Form for External Students

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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