GCSE/IGCSE Application form

For entry to the two year GCSE/IGCSE course

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
GCSE/IGCSE COURSES

Year 10 (Form 4) & Year 11 (Form 5) – A Two Year GCSE/IGCSE Course

Compulsory examined Courses:
Biology
Chemistry
Physics
Mathematics
English* (Literature and Language Dual Award or FCE)

* Not all students will follow a course leading to GCSE/IGCSE English. All students are tested in English upon arrival at College and follow courses suitable to their ability and needs.

Compulsory non-examined courses:
Physical Education
Personal, Social & Health Education (PSHE)

Year 10 (Form 4) Optional Subjects:
- Students should choose ONE subject from each column by selecting a subject from the drop down boxes below the table
- Students must NOT choose the same subject in more than one column.
- Students should read the explanatory notes below and the minimum requirements in some subjects.
Media
Explanatory Notes:

1. English Support – After initial testing, students deemed to require additional support in English will be placed in an English Support class in Column 1. The final decision about which students must take this subject will be made by the English Department: this is not an option. The aim of these lessons is to help students with the English that they need for the successful study of linguistically demanding subjects such as Biology, History and Religious Studies and also to access the wider curriculum in English. Please choose options in Column 1 bearing in mind that it may not be possible to follow this course.
2. First Language – Students may also take a GCSE examination in their own language in Year 10 (form 4), but no tuition is given.

• Students over 13 years of age can choose to take part in the Duke of Edinburgh Award Scheme.
COLUMN 1
COLUMN 2
COLUMN 3
COLUMN 4
Entry:
Proposed year of entry:
Proposed month of entry:
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 Lower School.
You will receive a confirmation email on submission of application form.

GCSE/IGCSE Application form

GCSE/IGCSE 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)

Media

Entry:

Ethnicity

Learning difficulties:

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