Joseph Rowntree Sixth Form Application Form

Please complete this form if you are not currently a student at The Joseph Rowntree School.

Our application form can be found online at https://www.josephrowntree.co.uk/index.asp

This form should be completed (IN BLOCK LETTERS) by both student and Parent/Carer and returned marked for the attention of Miss Lowther, The Joseph Rowntree School, Haxby Road, York, YO32 4BZ

Student Information                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          

Legal Surname:-
Legal Forenames :-	Preferred Forename:-
Date of Birth:-	Gender:-Please tick	Male	Female
Address (including Postcode):-
Telephone  Home:-
Student Mobile Number:-
Email Address:-
The school will use the above information to contact you in writing or telephone, we would be grateful if you would contact the school in the event of any changes to the information we hold.
Current School:-

Parent/Carer Information

We require names, address and telephone numbers of those who have parental responsibility for the student.

Parent/Carer  Salutation:-
Relationship with Student:-
Address (including Post code)
Telephone Home:-	Mobile & Name:- Mobile & Name:-
Email Address:-

Joseph Rowntree Sixth Form Application Form

Please complete this form if you are not currently a student at The Joseph Rowntree School.

Art & Design (Fine Art)	French
Art & Design (Graphics)	Geography
Art & Design (Photography)	History
Art & Design (Textiles)	ICT Cambridge National
DT – Product Design	Mathematics
Biology	Mathematics - Further
Business Studies	Media Studies
Applied Business Extended Certificate	Music
BTEC Health & Social Care	Philosophy and Ethics
BTEC Health & Social Care (Double)	Physical Education
BTEC Sport Performance & Coaching	Physics
Applied Criminology	Politics (Huntington)
Chemistry	Psychology
Computer Science (Huntington)	Spanish
Design and Technology (Product Design)	Sociology
Drama & Theatre Studies
Economics (Huntington)
English Language
English Literature

INSTRUCTIONS - Please write:

1 Next to your 1^st choice

2 Next to your 2^nd choice

3 Next to your 3^rd choice

4 Next to your 4^th choice (if you’d like to start year 12 with 4 subjects)

Double Health & Social Care counts as TWO option choices

We will endeavour to accommodate the subjects you have selected (particularly considering your order of preference).  Should any problems arise, we will speak to you as soon as possible to discuss this. 

	Date	Comment/Action
Application Received
Reference Applied
Reference Received
Accepted