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Ashcroft Technology Academy

Ashcroft Technology Academy


Please be advised that a reference, completed by your Form Tutor or Head of Year, must accompany your application. The reference form can be downloaded below. You can upload the completed reference as part of your online application, hand deliver/post the reference to the Academy reception or email it to sixthforminfo@ashcroftacademy.org.uk Please ensure that you clearly label your reference with your full name.

Reference Form Word

Reference Form PDF

1. Personal Details

Gender*

Address

Other details

UK Citizenship*
Diplomatic status (if applicable)
Legal right to be resident in UK*

2. Ethnic Origin

This information is required to ensure that we comply with our Equal Opportunities Policy and is not part of our Admissions Procedure. Please check one box only:

White
Black or Black British
Mixed
Chinese or other ethnic group
Asian or Asian British
Other

3. UPN

UPN = Unique Pupil Number which can be obtained from your school main office.

4. Preferred Programme of Study - Provisional Courses for 2018

4a. A Level/BTEC

Please choose 4 subjects you would like to take in the Sixth Form. Please list your subjects in order of preference. 1 being the subject you are most eager to study.

4b. International Baccalaureate

Please select 6 subjects, 1 from each group. 3 subjects should be at Standard Level and 3 at Higher Level.

Group 1 Studies in Language & Literature

Group 2 Language Acquisition

Group 3 Individuals and Societies

Group 4 Sciences

Group 5 Mathematics

Group 6 The Arts/Other Options

5. Present subjects being studied

Please ensure that the grades provided in this section have been provided/verified by your Form Tutor or Head of Year.

 SubjectType of Qualification (GCSE, BTEC, ETC)Mock GradePredicted Grade

6. Additional Information

Please give detailed information under the following headings:

7. Declaration

I understand that entry to the sixth form on my preferred programme of study will be based on meeting the minimum and subject specific entry requirements, subject / course availability and good references. I understand that in the event of under subscription or over subscription Ashcroft Technology Academy may not be able to offer me individual subjects. Information on this form is to the best of my knowledge correct in all respects.*

Please type the letters and numbers displayed in the image into the textbox below to verify you wish to send this response. If you have difficulties reading the letters in the image below you can try a different image by clicking on it.

Verification Image