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Your Application to Haybridge - September 2018 Intake
Please complete all sections. 
Use the scroll bar to navigate to all the fields on the form.
You may find it helpful to write your personal statement in MS Word and then paste it in the appropriate box.  
Press the submit button at the bottom of this form to send your application to us.
Open Printable Version of this page
Personal Details
Surname *
Forename *
Middle Name
Gender *
Date of Birth Format - dd/mm/yy *
Home Phone/ Primary Contact number *
Please leave spaces in number eg 01234 987654  
Siblings currently at Haybridge
Home Address *
Post Code *
Student Mobile Phone *
Parent Mobile Phone *
Please leave spaces in number eg 01234 987654  
Student e-mail Address *
Parent e-mail Address *
Please tick if any of these statements are true       
Do you have a Statement of Special Educational Needs which names Haybridge?
Are you, or have you ever been, Looked After “in care”?
Are you the child of a member of haybridge staff?
If the answer to any of these three questions is yes, please give details.
Current School
Current School *
School Address
School Phone
School email
Date of GCSE Mock Exams
Please enter PPG (Present Predicted Grade) all subjects you are currently taking.

English Language PPG *
English Literature PPG *
Mathematics PPG *
Science PPG
Additional Science PPG
Combined Science PPG
Triple Science PPG
Biology PPG
Chemistry PPG
Physics PPG
Geography PPG
History PPG
French PPG
German PPG
Spanish PPG
Business Studies PPG
Electronics PPG
Food Tech PPG
Graphic Design PPG
Music PPG
Product Design PPG
Religious Studies PPG
Sixth Form Courses Required
Please enter three subjects in order of preference.
Students generally follow a programme of three subjects in Year 12, although a small number of students may choose to take four subjects.  This enables students to participate in many of the extra-curricular and enrichment activities on offer. This will not only make their time in the Sixth Form more enjoyable but also help them develop key skills that universities and employers are looking for when recruiting students. There is no evidence that universities look more kindly on students following a programme of 4 A Level subjects.

All subjects are A level unless stated otherwise.
Subject Choice 1
Subject Choice 2
Subject Choice 3
Subject Choice 4 (Conditional)
Sixth Form Enrichment Courses 
Students can select three enrichment courses.
Enrichment 1
Enrichment 2
Enrichment 3
I have read the prospectus and understand the entry requirements I have to meet to be able to study this combination of subjects
 I Agree
Personal Statement
Please comment on achievements and interests in and out of school, what you can offer Haybridge Sixth Form and reasons for your choice of subjects/course, together with any long term career plans. (500-4000 characters)
I have read and understood the ‘Admission Policy for entry to the Sixth Form in September 2018’
 Agree Policy
Please ensure you click the Submit button to send your Application.

Telephone   01562 886213
Fax              01562 887002
Email           office@haybridge.worcs.sch.uk
Website      www.haybridge.worcs.sch.uk
Haybridge High School & Sixth Form
Brake Lane
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