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First Name: Surname: M/F: Date of Birth:

Current School: Home Address (including postcode):

Home Phone Number:

Mobile Phone Number:

Email:

Choices: Please outline why you are applying for a place at CSIA VI Form?

Cranberry Road Camborne Cornwall TR14 7PP www.cambornescience.co.uk enquiries@cambornescience.co.uk

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I wish to apply for the following courses (please see page 5 for a full list): Option 4 is intended for Academies / EPQ or a 4th option for those who wish to study more than 3 subjects or equivalent

Please complete the table below for the subjects you are currently studying and your latest predicted grades: Subject

Level

Latest predicted grade(s)

Maths GCSE

English GCSE

1 2 3 4

A-Levels Courses

Level 3 Courses

Academies / EPQ

Reserve Choice

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Interests: Please give us as much information as you can about your personal interests and responsibilities e.g. music, sport etc. and detail what you would bring to the VI Form.

Work Experience: Please give information about any experience of employment you have:

Employment: What sort of employment would you like to enter in the future?

Cornwall School of Maths and Science: Are you interested in applying to CSMS?

Yes /No (please delete as necessary)

If yes – are you interested in the Oxbridge Stream?

Yes /No (please delete as necessary)

Further information will be available at interview on application process

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Higher Education: Do you expect to go onto Higher Education/University?

Yes /No (please delete as necessary)

If yes – which course/area of study are you thinking of?

Please could you indicate below how you heard about us?

Signature of applicant:…………………………………………………………….. Date:…………………………….. Signature of parent/carer:……………………………………………………….. Date:……………………………..

Please ensure this form is completed and returned to reception or email

Green@cambornescience.co.uk by Friday 23rd November 2018

Interviews for places will take place during December 2018 Letters confirming offers of places will be sent out before the end of the Autumn term.

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Subjects on offer The VI Form Academy A-Levels

Art French Photography

Biology Further Maths Physics

Chemistry Geography Product Design

Computer Science

History Psychology

Economics Maths Sociology English Lang & Lit

Media Spanish

English Literature

Philosophy & Ethics

Textiles

EPQ – Extended Project Qualification (equivalent to 0.5 A level) Core Maths –Equivalent to 0.5 A level

Level 3 OCR Nationals/BTECs

BTEC in Public Services (S) OCR Health & Social Care (S) & (D) available

AQA Applied Science (S) BTEC Sport (S), (D) and (T) available

BTEC Performing Arts Drama (S)

OCR ICT (S)

BTEC Performing Arts Dance (S)

OCR Business (S)

BTEC Performing Arts Music (S)

WJEC Food and Nutrition (S)

Academies

Netball Cricket Football Ten Tors Rugby Duke of Edinburgh Hockey

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Please indicate in Option 4 if you would be interested in joining a sports academy and/or Duke of Edinburgh or Ten Tors. *Courses will only run if there is enough interest to make them viable.

Students should choose courses that add up to a total of 4 A Levels or equivalent. (All A Levels are worth one.) (S) – Single option equivalent to 1 A Level (D) – Double option equivalent to 2 A-Levels (T) – Triple option equivalent to 3 A-Levels