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Welcome to the Crossley Heath Sixth Form

Your application should be completed by Friday 14th February 2020. When this has been received you will be invited into school to meet the team and to discuss your application and course choices. We look forward to meeting you!

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* 1. FORENAME

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* 2. MIDDLE NAME(S)

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* 3. SURNAME

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* 4. DATE OF BIRTH

Date / Time

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* 5. GENDER

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* 6. ADDRESS

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* 7. Have you lived in the UK continuously for the last three years?

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* 8. Nationality

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* 9. Current school

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* 10. Primary/junior school attended

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* 11. UPN (Unique Pupil Number) - your current school will be able to tell you this

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* 12. Your email address

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* 13. Your mobile number

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* 14. Home telephone number

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* 15. A-Level subject choices (if choosing 3 subjects)

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* 16. A-Level subject choices (if choosing 4 subjects)

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* 17. Learning Support/Additional Support (for our own internal processes - this will not affect your application) 
Do you consider yourself to have a disability or any learning difficulties?

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* 18. Do you currently have any special arrangements in place to support your learning (e.g. extra time/special software/scribe)

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* 19. We work with some other schools in Calderdale and with Calderdale College as part of the C6 Collaboration. Do you consent to us sharing your application details with our partner schools and colleges?

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* 20. Declaration.
I declare that the information I have given in this application is true and accurate and by submitting I wish to apply for a place at the Crossley Heath Sixth Form

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