Sixth Form Application (HRS Applicants) Forenames (required) Surname (required) DoB (DD/MM/YYYY) Email Address (required) Qualifications to be completed this year (required) Please list your personal qualities, hobbies and interests (required) Please tell us your career aspirations after you have completed your sixth form studies (required) Please list the qualifications you have already attained: Qualification 1 Subject: Level e.g. GCSE: Year Taken: Result: Qualification 2 Subject: Level e.g. GCSE: Year Taken: Result: Qualification 3 Subject: Level e.g. GCSE: Year Taken: Result: Qualification 4 Subject: Level e.g. GCSE: Year Taken: Result: I would like to join the Extra Curricular Football Academy: YesNo I declare that the information given on this form is correct and that I agree to abide by the Helena Romanes Sixth Form Centre rules and regulations. The approval of a parent or guardian is required if the applicant is under 18 years of age on September 1st 2019. By ticking this box, you confirm that you have discussed this application with your parent/guardian Parent/Guardian Name Privacy Notice By ticking this box, you confirm that you have read the Privacy Notice If you have any queries please contact Mrs Wright (Head of Sixth Form) on 01371 878636 or via email – email@example.com The deadline for completed Sixth Form Applications is Friday 14th December 2018.