Sixth Form Application

For external students only - do not complete if you are currently Petchey Y11 student

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* 1. Surname:

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* 2. First name:

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* 3. Address:

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* 4. D.O.B (dd/mm/yyyy) Please note that we can only accept applications from students who will be starting year 12 for the first time in September 2022 we cannot accept applications from older students unfortunately.

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* 5. Gender:

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* 6. Is the student related to any previous or current Petchey Academy students?

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* 7. What is your ethnicity?

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* 8. Student Mobile Number:

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* 9. Student email address:

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* 10. Please note, offer of a place in our Sixth Form is subject to a satisfactory reference from a member of staff at your current school who knows you well. A blank reference form can be found on the website. Alternatively, referees can email sixthform@petcheyacademy.org.uk directly.
Please give the name of your referee, the capacity in which you know them and their position. 

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