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Student Details
First Name*
Middle Names
Last Name*
Gender*
- Male
- Female
- Other
Date of Birth*
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Student Age*
When would you like to start your course?*
Are you applying for:
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Start Date*

Day
Month
Year
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Age at Start*
Address*
Type your door number and address to select

Street Address City Postcode
What date did you start living at this address?*
Contact number*
Email*
Enter Email Confirm Email
Did you attend school/college in England*
- Yes
- No
Current school/college name*
Please type in your current school/college name and select
Please select from the following*
- Overseas
- Home School
- Other

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Course Application
Please select your interview date*
After your application is processed you will receive confirmation of your interview date/time
Subject of interest*
Please choose which programme/subject area you would like to study
Select 3 A-level subject options. These will be discussed in more detail at interview
Adult Courses*
Please choose which adult course you would like to study
1st A-Level*
2nd A-Level*
3rd A-Level*
GCSE Packages*
Maths & English will be added to your study programme if you have not passed at grade 4 or above
Art & Design Course*
Business Course*
ESOL course*
Health, Care & Early Years Course*
ICT Course*
Media Course*
Music Course*
Science Course*
Sport Course*

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Please tell us about yourself
More about you*
Why do you wish to follow this study programme? What are you career aims? What part-time work, work experience and school responsibilities do you have?
How did you hear about BSix?*
Which social media do you use the most*
Which messaging type do you use the most*
Reference
Please complete the details below of an appropriate and verifiable 'Referee' from your most recent school/college This can be your previous Teacher, Tutor, Head of Year, etc.
Name of Referee*

This can be your previous Teacher, Tutor, Head of Year, etc.
Job Role of Referee*

This can be your previous Teacher, Tutor, Head of Year, etc
Referee Email Address*
Enter Email Confirm Email

This should be the school/college email address of your previous Teacher, Tutor, Head of Year. If you can't provide the email address of your referee, please put in the general email of your most recent school/college.
Student Data Agreement*
I agree to BSix Brooke House Sixth Form College collecting and processing the personal data contained on this form for any purpose connected with my studies or my health and safety, whilst on college premises, or any other legitimate reason. My consent is conditional upon BSix Brooke House Sixth Form College complying with its obligations and duties under the Data Protection Act 1998. The information provided by me on this application form is accurate.
- I agree

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Student Details