Apply Online (22-23 Intake)

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

You can apply for the 2022-23 intake using the form below. You will see a confirmation message on the page when you submit your form, (you will not receive an email notification or copy of the form).

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 2022.

If you have any questions in the meantime, please contact us on 01254 604000.

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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