Apply for Year 12 - WMG Academy Coventry Sixth Form

Education Details
Name of current or most recent school/college*
Town of School*
From (year)*
To (year)*
Qualifications already achieved or to be taken (please give predicted grades)
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add second qualification
2
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add third qualification
3
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add fourth qualification
4
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add fifth qualification
5
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add sixth qualification
6
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add seventh qualification
7
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add eighth qualification
8
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)
- Add ninth qualification
9
Month/Year
Qualification Level
Subject
Actual Grade
Predicted Grade (if still to be taken)

Learner Support
We are committed to meeting the needs of people with learning difficulties and disabilities.
Do you have a learning difficulty, disability, sensory impairment or medical condition?*
- Yes
- No
Do you have a statement of special educational needs or an education, health and care plan?*
- Yes
- No
Do you feel that you will need extra support in your studies for any other reason?*
- Yes
- No
Please explain further

More About You
Briefly give two reasons why you would like to join the WMG Academy for Young Engineers:
1.*
2.*
Declaration
*
- I certify that the information I have provided is correct to the best of my knowledge (checking this is the equivalent of your signature).
Parent’s Name (if applicant is under 18)
Date*
How did you find out about the WMG Academy for Young Engineers?
Other (please state)
Data Protection
The WMG Academy for Young Engineers uses this application form to collect information The Data Protection Act 1998 requires you to sign the following ‘consent to proceed’ clause. Other organisations with which we share information include educational institutions and organisations performing research and statistical work on behalf of the WMG Academy and its partners.
*
- I agree to the WMG Academy processing personal data, including data about my ethnicity and my physical or mental health, contained in this form, or other data which the WMG Academy may obtain from me or other people. I agree to the processing of such data for any purposes connected with my application or my health and safety, or any other legitimate reasons.
Phone
This field is for validation purposes and should be left unchanged.

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