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Welcome to the Crossley Heath Sixth Form

The deadline for applications is Friday 11th February 2022. If you are new to Crossley Heath, we will contact your school for a reference and predicted grades. Offers of places will be made to all successful applicants by 1st April 2022.

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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

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* 5. SEX/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. Your email address

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* 12. Your mobile number

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* 13. Home telephone number

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* 14. A-Level subject choice 1

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* 15. A-Level subject choice 2

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* 16. A-Level subject choice 3

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* 17. A-Level subject choice 4 - CHOOSE ONLY IF STUDYING 4 SUBJECTS otherwise leave blank

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* 18. A-Level RESERVE subject (in case a first choice is not available)

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

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* 21. 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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