Application Form

Thank you for considering Westbury Sixth Form Centre! Please ensure accuracy when completing this form.

If you have any questions or need further information, email admissions@westburysixthform.org.uk.

Previously applied? DO NOT submit another application—email admissions@westburysixthform.org.uk to update your details.
Existing student? Speak to your form tutor instead of submitting this form.
Age Requirement: We only accept applications from students aged 16-18 by August 31st.

Personal Details

Title:

Surname (Family Name):

First Name:

Date of Birth (dd/mm/yyyy):

Full Address:

Legal Sex:

Primary Emergency Contact Name:

Primary Emergency Contact Phone:

Do you require additional support or have any medical conditions that may affect your learning?

Yes No

Please describe your support needs or conditions:

Do you have any unprotected convictions, cautions, or pending court cases?

Yes No

Please provide details of the convictions:

Previous School:

Did you receive Free School Meals?

Yes No

I confirm that before signing this form I have read the ESFA Privacy Notice and LRS Privacy Notice.

I confirm I have read and understand the information above.