Sixth Form Applications

This form should only be completed by students from other schools who wish to apply for a place in Roundhay Sixth Form from September 2019.

Please read before starting to complete the form below: 

  • Please ensure you have read our Privacy Notice on the Data Protection Page of our website which explains how we use the data you provide.
  • Completing this form should take you approximately 10 minutes.
  • All fields ending with a * are required and you will be unable to submit your form without completing them.  This includes a mobile number and email address for the student and parent; subject choices; and grades for your current KS4 subjects (both target and those on your latest report).
  • Please note that all telephone numbers must be entered as numbers only (including area codes) - no spaces or other characters should be included.  For example 01133931200.

If you need any assistance to complete this form then please contact us by emailing sixthform@roundhayschool.com or telephoning 0113 3931225.


If you have been returned to the top of this page having clicked Submit then please address the issues highlighted in red and try to submit once again.  You must ensure that:

  • all fields indicated with a * have been completed (including three subject choices, your targets and report levels for Maths and English Language)
  • date of birth is provided in the format dd/mm/yyyy
  • student and parent telephone numbers and email addresses have been provided in the correct format
  • you have ticked the final declaration

First Name*

Surname*

Date of birth (dd/mm/yyyy)*

Current school*

If your school is not listed then select OTHER from the bottom of the list

If you selected OTHER then please type the name of your school


STUDENT CONTACT DETAILS

House number or name*

Street*

Locality (e.g. Roundhay)

City*

Postcode (e.g. LS81ND) - no spaces*

Mobile Telephone (e.g. 07000000000) - 11 numbers, no spaces*

Email Address*


PARENTAL CONTACT DETAILS

Mobile Telephone (e.g. 07000000000) - 11 numbers, no spaces*

Email Address*


SUBJECT CHOICES

Please list three or four subject choices in order of preference

If you select a DOUBLE qualification you must also select the SINGLE version as another option

Choice 1*

Choice 2*

Choice 3*

Choice 4


KS4 TARGET GRADES

Please provide details of your target grades in your KS4 subjects. You must provide information on English Language, Mathematics and the other other subjects you are studying.

GCSE Mathematics (required): Target*

GCSE English Language (required): Target*

GCSE English Literature: Target

Use the boxes below to provide details of all your Science subjects, whether combined or single:

Science GCSE 1: Target

Science GCSE 2: Target

Science GCSE 3: Target

For your other subjects please select the closest matching name from the list and then provide the target grade. If there are insufficient spaces then please give details of your strongest subjects, and those most relevant to your application.

Subject A: Name

Subject A: Target

Subject B: Name

Subject B Target

Subject C: Name

Subject C Target

Subject D: Name

Subject D: Target

Subject E: Name

Subject E: Target


KS4 LATEST REPORT GRADES

Please provide details of your most recent report grade for each of your KS4 subjects. You must provide information on English Language, Mathematics and the other other subjects you are studying. This information will be used to identify potential students for interview.

If you are selected for interview you will be required to provide documentary evidence (in the form your latest school report) of the information provided below.

GCSE Mathematics (required): Latest report grade*

GCSE English Language (required): Latest report grade*

GCSE English Literature: Latest report grade

Use the boxes below to provide details of all your Science subjects, whether combined or single:

Science GCSE 1: Latest report grade

Science GCSE 2: Latest report grade

Science GCSE 3: Latest report grade

For your other subjects please select the closest matching name from the list and then provide the latest report grade. If there are insufficient spaces then please give details of your strongest subjects, and those most relevant to your application.

Subject A: Name

Subject A: Latest report grade

Subject B: Name

Subject B: Latest report grade

Subject C: Name

Subject C: Latest report grade

Subject D: Name

Subject D: Latest report grade

Subject E: Name

Subject E: Latest report grade


DECLARATION

I confirm that the information I have provided is accurate

Email 2*:

* required fields