Sixth form application form

For entry to AS/A level courses

Student details:
Family name:
First name:
Preferred name:
Date of birth: Date of birth: / DD / MM YYYY
Gender:

Gender: Male Female
Nationality:
First language:
Boarder status:

Boarder status: Boarder Day student
Home address: Home address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please do not include commas or other punctuation.
Email address:
Parent/Guardian details:
Parent/Guardian 1:
Family name:
First name of parent:
Salutation:
Gender:

Gender: Male Female
Relationship to student:

Relationship to student: Father Mother Guardian Guardian
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please do not include commas or other punctuation.
Telephone - mobile:
Telephone - home:
Telephone - work:
Email address - correspondence:
Email Address – fees invoices:
Parent/Guardian 2:
Family name:
First name of parent:
Salutation:
Gender:

Gender: Male Female
Relationship to student:

Relationship to student: Father Mother Guardian Guardian
Address: Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please do not include commas or other punctuation.
Telephone - mobile:
Telephone - home:
Telephone - work:
Email address - correspondence:
Email Address – fees invoices:
Details of last two schools attended:
Name of school:
Address of school Address of school
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please do not include commas or other punctuation.
Entry date: Entry date: / DD / MM YYYY
Leaving date: Leaving date: / DD / MM YYYY
Name of school:
Address of school Address of school
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Please do not include commas or other punctuation.
Entry date: Entry date: / DD / MM YYYY
Leaving date: Leaving date: / DD / MM YYYY
Contact details of agent (if used)
Name of agent (if applicable):
Address of agent: Address of agent:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Agent email address:
Agent telephone number:
Copy of Academic Reports to be sent to agent?

Copy of Academic Reports to be sent to agent? Yes No
A and AS LEVEL CHOICES

Concord College prefers students to start with four A level subjects. An extra AS level is possible for those with specific interests. It is likely that students will eventually drop one subject, but we prefer students to start with a wider range of subjects in order to encourage breadth.

COURSE OPTIONS

• Students should choose from Menu A OR Menu B OR Menu C (do not mix menus).
• Students should choose four A level subjects, one of which may be dropped at the end of the first year.
• Students with lower levels of English will study for EFL (English as a Foreign Language) examinations.
• Students may take an additional AS level from the AS levels box, but not in addition to a full A level in English Literature or Language (because these lessons happen at the same time).
• German and Art do not appear in any menus but you may add these as a fourth choice for any menu.
Menu choice
PLEASE REMEMBER TO CHOOSE ALL YOUR SUBJECTS FROM THE SAME MENU
SUBJECT COMBINATIONS WHICH MIX MENUS CANNOT BE TIMETABLED

The College reserves the right not to run a class when only three students or fewer opt for the subject
A Levels
1:
2:
3:
4:
AS LEVEL SUBJECTS:
1:
2:
Entry:
Proposed year of entry:
Proposed month of entry:
Please indicate your possible university course aspirations (please tick all that apply):
Accounting/Finance Business/Management Computer Science Dentistry Economics Engineering Law Mathematics Medicine Natural Sciences PPE Other (please specify):Other Other (please specify):Other
How did you hear of Concord?
Has any friend or relative studied at Concord?

Has any friend or relative studied at Concord? Yes No
If yes, name/relationship to applicant:
If yes, Year of study:
Ethnicity
Please choose from the following drop down your ethnicity:
Learning difficulties:
Does the student have a diagnosis of a specific learning difficulty? Please give details as this will enable us to provide the relevant support if and when they join Concord College.

Does the student have a diagnosis of a specific learning difficulty? Please give details as this will enable us to provide the relevant support if and when they join Concord College.
Yes No
If yes please give details below:
Concord College runs a Summer School during July and August offering courses in English or Science. Are you interested in receiving further information on our summer courses?

Concord College runs a Summer School during July and August offering courses in English or Science. Are you interested in receiving further information on our summer courses? Yes No
COLLEGE FEES

If and when a place is offered and accepted, a deposit will be required to secure the place. Deposits will be retained by the College and credited without interest to the final account when the student leaves the College. Please note that deposits will not be refunded if the student withdraws having held a place that could have been given to another student. You will also be required to enter into a contract with Concord College.

A non-refundable registration fee of £300 is payable for all applications for a Boarding place at the College. This may be paid either by bank transfer, Credit/Debit card or Cheque (drawn on a UK bank account). If you wish to pay via bank transfer or Credit/Debit card, please contact the Admissions Secretary (Admissions@concordcollege.org.uk) for further details. We are unable to process the application until the above fee has been received.

Once you have submitted the completed application form, please forward copies of examination certificates or statements of results of examinations already taken by the student (showing subjects and grades). Please also forward copies of the student’s school reports covering the last two years plus a copy of their passport. These can be emailed as attachments to the Admissions Secretary or sent to the College by fax to: (+44) 1694 731389.

DECLARATION

We request that the above named child be registered as a prospective student for Concord College and understand that registration does not secure a place at the College but does ensure that the student will be considered for selection as a student. We confirm that we have read the Admissions Policy (http://www.concordcollegeuk.com/about/policies/) and that the applicant meets the criteria for entry into the College’s Sixth Form
You will receive a confirmation email on submission of application form.

Sixth form application form

Sixth form application form

Student details:

Parent/Guardian details:

Parent/Guardian 1:

Parent/Guardian 2:

Details of last two schools attended:

Contact details of agent (if used)

Menu choice

PLEASE REMEMBER TO CHOOSE ALL YOUR SUBJECTS FROM THE SAME MENU SUBJECT COMBINATIONS WHICH MIX MENUS CANNOT BE TIMETABLED

A Levels

AS LEVEL SUBJECTS:

Entry:

Please indicate your possible university course aspirations (please tick all that apply):

Ethnicity

Learning difficulties:

You will receive a confirmation email on submission of application form.

PLEASE REMEMBER TO CHOOSE ALL YOUR SUBJECTS FROM THE SAME MENU
SUBJECT COMBINATIONS WHICH MIX MENUS CANNOT BE TIMETABLED