Sixth form application - Talbot Heath

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Date Application Complete(Required)

DD slash MM slash YYYY

Full name of pupil (as on birth certificate)(Required)

First Last

Date of Birth(Required)

DD slash MM slash YYYY

Please upload a copy of your daughter's passport(Required)

Max. file size: 256 MB.

Please upload a copy of your daughter's birth certificate(Required)

Max. file size: 256 MB.

Term and year of entry(Required)

Please tick if applicable(Required)

Day

Weekly Boarding

Flexi Boarding Place

Full Boarding Place

Nationality(Required)

Title of person(s) with parental responsibility(Required)

Full Name(s) of person(s) with parental responsibility(Required)

First Last

Email Address 1(Required)

Phone Number 1(Required)

Title of person(s) with parental responsibility

Occupation(Required)

Full Name(s) of person(s) with parental responsibility

First Last

Email Address 2(Required)

Phone Number 2(Required)

Occupation(Required)

Full Address of person(s) with parental responsibility including postcode(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Information

Siblings already attending Talbot Heath (please provide names)

Schools attended with dates. Address of current school(Required)

Is your child to follow Talbot Heath's normal course of Religious Education?(Required)

Yes

Special Educational Needs

If your child has been seen by a specialist teacher/educational psychologist, please attach a copy of any relevant reports. Up-to-date details will be requested by the School shortly before entry.

Does your child have any known requirements for, or ever received, any individual learning support?(Required)

Yes

If "yes", please indicate the areas in which your child requires, or has previously received support:(Required)

Specific Learning Difficulties

Hearing

Emotional/Behavioural/Social

Physical

Sight

Other – please use space below to provide further details

Not Applicable

Other, please specify,

If your child has been seen by a specialist teacher/educational psychologist, please attach a copy of any relevant reports. Up-to-date details will be requested by the School shortly before entry.

Max. file size: 256 MB.

Subjects being studied to GCSE(Required)

Please tick up to 5 options from the list: **Please note this list is not exhaustive and the subject available can vary year on year.(Required)

Art & Design

Biology

Business

Chemistry

Classical Civilisations

Computer Science

Drama & Theatre Studies

English Literature

French

Geography

History

Latin

Maths

Further Maths

Music

Physical Education

Physics

Psychology

Religious Studies

Sociology

Spanish

Extended Project Qualification

Sports Leadership

Oversea Applicants Public examinations taken

Scholarships & Bursaries

Please indicate by clicking on the appropriate boxes of the following scholarships you wish your daughter to be considered.

Individual Scholarships – Please tick all that apply(Required)

Natalie Clein or Kate Royal Music Scholarship

Isabel Davis Sport Scholarship

Rebecca Newnham Art Scholarship

Louisa Clein Drama/Performing Arts Scholarship

Fiona Marshall Academic Scholarship

Swimming Scholarship

Tennis Scholarship

Not Applicable – Place only

Bursary(Required)

Yes

Mary Broad Award(Required)

Yes

Please indicate if you wish your daughter to be considered for a Mary Broad Award. For more information on this award, please contact the Head of Admissions – admissions@talbotheath.org

I/We hereby apply for the admission of(Required)

to the School, from and including the year and term mentioned in the application form.

I/We request that the name of the above-named child be registered as a prospective pupil AND I/we agree to the non-refundable Application fee of £120 (overseas applicants £180)

Select Application Fee(Required)

£120 – UK

£180 – Overseas

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Select Application Fee

£120.00 (UK)

£180.00 (Overseas)

I/We have read and understand the Declaration below.(Required)

Yes

PLACE REQUEST

Sixth Form

Declaration

I/We understand that

1. application for my/our daughter as a prospective pupil does not secure my/our daughter a place at the School but does ensure that my/our daughter will be considered for selection as a pupil at the School;(Required)

Yes

2. the School may process personal data about my/our daughter, including sensitive personal data such as medical details, for the purpose of administering its list of prospective pupils and administering its selection procedures and I/we consent to the processing of my/our daughter's personal data (including sensitive personal data) for these purposes;(Required)

Yes

3. in the event that my/our daughter is offered a place at the School, such an offer will be subject to the School's terms and conditions to the provision of educational services, which will bind me/us in the event that I/we accept the place.(Required)

Yes

Please type in capitals the names of all persons with parental responsibility for the pupil being registered to confirm your form submission.(Required)

Data Protection: Talbot Heath School Trust Ltd, as a Registered Data user, has an obligation to comply with the principles of the Data Protection Act 1998. Any personal details collected on this form will only be used for the purpose(s) stated. This information will be kept securely and will not be passed on to any third parties without the data subject’s consent. Information will not be kept longer than is necessary. Any queries regarding Data Protection should be sent to the Headmistress.

Total

Credit Card

Option

Quantity

Product Name Quantity

Price: £ 0.00

Quantity

Option

Untitled

First Choice

Second Choice

Third Choice

Junior School

Senior School

Sixth form

School Life

Parents, Pupil and staff Area

Charity

Talbot Heath School – Sixth Form & Mary Broad Application Form

Additional Information

Special Educational Needs

Scholarships & Bursaries

PLACE REQUEST

Declaration

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