Sixth Form Application Form

September 2023

Please return this form by post, or to admissions@sggs.org.uk by Friday 10th

February 2023
Please fill in this form as fully as you can and sign and date the declaration. A parent/carer needs to
countersign your signature. Please use capital letters and ensure that we have your current direct email
address as we will correspond with you via email.

Personal Details
Applicant Name
Applicant Date of Birth
Home Address

Telephone:
Applicant’s Email
(for correspondence)
Parent/Carer Name(s)
Parent/Carer Email
Parent/Carer Telephone
Declaration
Applicant Signature Date:
Parent/Carer Signature Date:
(in support of application)

Subjects you wish to study for A-level at Stratford Girls’ Grammar Sixth Form
A-level Subject Choices in
Subject
Order of Preference
1

4
Reserve / Alternative
Stretch and Challenge
We ask that all students select from
Core Maths, Further Maths or EPQ as
a Stretch and Challenge option
Work experience
Curriculum Enrichment

Other (please state any other

area you would be interested in)

Education from 11 years: (current school first)

Name & Address of School From (Month & Year) To (Month & Year)
Current School Details
Name of Headteacher

School Telephone Number

School Email

Type of School
(grammar/comprehensive/independent)

Academic Studies – Please list all GCSE (or equivalent) subjects

Exam Predicted Actual
Level Subject Year/Month Taken
Board Grade Grade

Personal Statement: Please tell us about yourself

Other Qualifications: (e.g. Music, Drama, Sport, Dance)
Extra-Curricular Activities and Qualifications: (inside & outside school)
e.g. sports teams, music ensembles, music or dance qualifications, drama, student council etc

Interests: (inside & outside school)

Positions of Responsibility: (inside & outside school)

Career / Post 18 Plans or Areas of Interest:

Other Information: Do you require any special arrangements or support to help you access learning
e.g. coloured paper, additional time in exams, access to a lift, medication etc.
Please note that this information will not affect an offer of a place but will enable us to prepare any support that you
may need.

Please give this section of the

form to your Headteacher / Head
of Year / Head of House

CURRENT SCHOOL REFERENCE

Student Name
Unique Pupil Number (UPN)

Please tick the relevant box Excellent Good Satisfactor Poor

y
Good Attendance (>95%)
Punctual
Reliable
Requires minimum supervision
Communicates effectively (verbal)
Communicates effectively (written)
Works hard
Works well with others
Sociable
Well organised
Resilient
Perseveres
Confident
Helpful and co-operative
Adaptable

Please comment on any achievements, characteristics or circumstances of which we should be aware in relation to
the applicant, and also the applicant’s suitability for academic A-level courses in a selective sixth form. Please also
inform us of any additional learning or pastoral needs the student may have. This information will be used to support
students through the admission process and on entry to Year 12. It will not affect any offer of a place.

Academic Studies – Please list all GCSE (or equivalent) subjects

Level Subject Exam Year/ Predicted Actual Mock
Board Month Grade Grade Grade
Taken (if available)
Name of person completing this form

Position

Date

School Stamp

This form should be returned to the applicant to accompany their application (closing
date 10th February 2023), or returned directly to admissions@sggs.org.uk or by post to:
Stratford Girls’ Grammar School, Shottery Manor, Stratford upon Avon, CV37 9HA

Thank you for taking the time to complete this form.