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Dame Allan’s Sixth Form Application

Application form for entrance to Dame Allan’s Sixth Form

Particulars of Candidate:

Surname:*  
First Name(s):*  
DOB (dd/mm/yyyy): / /
Gender: Boy
Or Girl
 

Name & Address of Present School:

Education Authority:
School:*
Address:  
 
Town / City:  
County:
Postcode:  
Name of present Head Teacher:
Subjects to be
taken at GCSE
level:








 
Four subjects proposed for A-Levels:



Present intentions re Higher Education or Career:

Please state if any other member of the family is at present attending or has attended Dame Allan's School:
Yes    No

If Yes, please give name and year

   Does your child have any specific learning difficulties or any disability which you wish to bring to the Schools' attention?
Yes    No
If Yes, please give details:

Name and Address of Parent(s) or Guardian(s):

Name:
Address:  
 
Town / City:  
County:
Postcode:  
Telephone:
Email:
Occupation:
Proposed
Admission Date: 		/ /
 

Please indicate what has influenced your decision to make this application:

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Other:

I understand that you will be seeking a report from my child's present Head Teacher and I confirm that (s)he is aware of my application to Dame Allan's
I confirm that (s)he is aware of my application to Dame Allan's

Applicants should also return to the school a REGISTRATION FEE (non-returnable) of £25.00 (cheques to be made payable to Dame Allan’s Schools).

Would you like to receive information about the schools:
Yes    No