LPGS Sixth Form Application

LPGS Sixth Form (Co-educational)

APPLICATION FOR ADMISSION IN SEPTEMBER 2018



The closing date for applications is 9th February 2018


Personal Details


Firstname *
Surname *
Gender *
Date of birth *
Address line 1 *
Address line 2 *
Town *
Postcode *
Home telephone number *
Mobile Telephone number *
Email address *


Parental Information



Full name(s) of parent(s) living with student:

Parent 1 full name
Parent 1 mobile
Parent 2 full name
Parent 2 mobile

Details of current school


Current School *
Headteacher of current school *
Address of current school *


Postcode of current school *
School telephone number *
School email address *


GCSE examinations taken / to be taken



  1. Subject (1) *
  2. Predicted grade (1)
  3. Grade if taken (1)
  4. QCA score (1)
  1. Subject (2) *
  2. Predicted grade (2)
  3. Grade if taken (2)
  4. QCA score (2)


  1. Subject (3) *
  2. Predicted Grade (3)
  3. Grade if taken (3)
  4. QCA score (3)
  1. Subject (4) *
  2. Predicted grade (4)
  3. Grade if taken (4)
  4. QCA score (4)
  1. Subject (5) *
  2. Predicted grade (5)
  3. Grade if taken (5)
  4. QCA score (5)
  1. Subject (6)
  2. Predicted grade (6)
  3. Grade if taken (6)
  4. QCA score (6)


  1. Subject (7)
  2. Predicted grade (7)
  3. Grade if taken (7)
  4. QCA score (7)
  1. Subject (8)
  2. Predicted grade (8)
  3. Grade if taken (8)
  4. QCA score (8)
  1. Subject (9)
  2. Predicted grade (9)
  3. Grade if taken (9)
  4. QCA score (9)


  1. Subject (10)
  2. Predicted grade (10)
  3. Grade if taken (10)
  4. QCA score (10)

QCA Score


Calculate the following:


Total QCA score *
Average QCA score *

Choosing your subjects


When choosing your preferred course(s) of study, please be advised that your Average QCA score must range between:


  • 7 to study 4 A Levels
  • 5.3 - 6.9 for 3 A Levels
  • 4 - 5.2 for a vocation pathway such as a Level 3 BTEC Course plus 1 A Level.



Put your choices in priority order


NOTE: only choose 4 A Levels if your average QCA score is greater than 7

Course 1 *
Course 2
Course 3
Course 4

I have read the Guide to Courses and understand the entry requirements I have to meet to be able to study this combination of subjects
*

Additional Educational Needs & exams provision


Please note that this is not considered as part of the selection process. However it is important that we have accurate information about any additional needs in order for you to receive the support that you are entitled to.


Do you have any diagnosed special educational need (this may be learning, physical, sensory or other)?
If yes, please specify:
Do you have a statement for special educational needs or EHCP?
Have you been entitled to any exams access provision at GCSE?
If yes, please specify

Personal Statement



Please state your reasons for applying to LPGS, your choice of courses and how they contribute to future plans *
Please comment on extra-curricular achievements or interests you have in and out of school *


I understand in joining the Sixth Form that entry confers certain privileges and entails certain responsibilities within the School community. I undertake to respect the ethos and regulations of the School and observe the requirements relating to personal appearance, attendance punctuality and private study.

I have checked the data entered in this form and have printed a copy for my own records *

If you want an electronic copy of this form sent to you please confirm the email address you would like this sent to and tick the box at the bottom of the form.

Email to send copy of form to


Send me a copy of this form

Please leave the next box blank or your submission will not be accepted: