Strode’s College
Application Form v1.2

Surname: Forenames:
Date of Birth: E-mail address:

Title, Name and initials of parent(s)/guardian(s) (for correspondence)

Home address:



Post Code: 		Home Phone Number:

Emergency Phone Number:

Present School:

Headteacher’s Name:
Address of School:


Previous schools attended from age 11 (with dates):


Proposed Course at Strode's:
Please consult the Prospectus and Course Booklets for completing this section
A or A/S Level GCSE GNVQ Other

Examinations taken/to be taken:
Subject (and level) Date Grade Subject Date Grade

Ethnic Group: To assist us in monitoring Equal Opportunities, how would you best describe yourself?

Please give details if you have a brother/sister who is currently as Strode’s or who has recently left:

Part-time work undertaken:

Careers which might interest you:


Please state any medical condition (eg. asthma, diabetes, epilepsy) the College ought to be aware of, or any specific learning difficulty (eg. mobility/hearing/visual impairment, dyslexia) requiring additional support:


To assist our records please would you say how you first heard about Strode’s College.

School Friends Parents/Family Careers Officer Newspaper Advert Other


Application
You are asked to write a careful statement below giving reasons for your application to Strode’s College. Include any comments describing yourself that would add strength to your application. In addition let us know of any interests you may have outside your studies and any responsibilities you may have undertaken in school and elsewhere. Mention any difficulties which you have had in your schooling such as interruption for long illness or time abroad.


By ticking this box you are affirming that all information entered is correct, and has been discussed with a parent/guardian.

Thank you for your time in filling in this page.

This page has been visited times since 2nd December 1998.

Created, maintained and hosted by Joe Woods.
Form information here and history here.