Apply Online (21-22 Intake)

Applying to St Wilfrid’s Sixth Form in Blackburn, Lancashire

You can apply for the 2021-22 intake using the form below. You will see a confirmation message on the page when you submit your form, but will not receive an email notification.

Following your application, you will be invited to a course consultation where a member of our highly trained team will help you select the subjects that are right for you. These will take place in January and February 2021.

Applications for our 2022-23 intake will be open from Wednesday 3rd November.

1. Student Information

First Name *Last Name *Date of Birth *

Sex *MaleFemaleCurrent Address *House Number and Street Name *Town *Postcode *Home Telephone Number *Student Mobile Number *Student's Personal Email Address *Confirm Personal Email Address *

2. Student Education

Current School *

If you have already achieved any GCSE/Level 2 qualifications, please use the box below to list them. Please use the following format in the box: Maths - B, English - A, Geography - A

GCSE/Level 2 Already AchievedSubject Choice 1 *Subject Choice 2 *Subject Choice 3 *Subject Choice 4

3. Educational Support

If you have ever had a statement of special educational needs or been on the SEN register at school action plus or school action, please advise on the type of difficulty below: SPLD, MLD, BESD, SLCN, ASD, HI, VI, PD. If any other, please specify:

SEN Support

If you have any additional support requirements, either medical or learning, please let us know here:

Additional Support

Are you happy for the Academy to communicate with you using your email address and via text messages to your mobile phone? *YesNoDeclaration *I declare that I am the named person listed on the form and the information I have provided is truthful and correct.I have read the privacy policy and agree with the terms of the use of my data.

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St Wilfrid's Sixth Form - Application Form

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