Apply - Sixth Form International Pupil

Loughborough High School Sixth Form International Pupil

This form is for applications to Loughborough High School Sixth Form International Pupil. Please note, your application will be processed as soon as we receive this form and your non-refundable registration fee (see details below).

Please complete and submit the form below. Fields marked * are mandatory. If you wish to apply for more than one candidate please complete the form again.

If you have any questions, please call us on +44 (0)1509 212348 or email high.admissions@lsf.org

Candidate's Details

Legal Surname*

Legal Forename(s)*

Preferred Forename/Known As

Date of Birth*

Nationality*

Is English the candidates first language*

Yes
No

First Language*

Please note any previous experience in learning a Modern Foreign Language as well as how many years your child has studied each language.

English Language – Level of Attainment

IELTS

TRF Certificate No.

CERF

Other

School Year

Year of Entry*

Current Year Group*

Names of close relatives at, or having attended, Loughborough Schools Foundation, their relationship to candidate and School attended.

Additional Comments

Passport Details

Passport Number*

Passport Expiry Date*

Country of Birth*

Place of Birth*

A copy of the passport and birth certificate must be supplied when submitting this form.

Copy of Passport*

Max. file size: 12 MB.

Copy of Birth Certificate*

Max. file size: 12 MB.

Current School

Name of current School*

Name of Head*

Current School Details*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code

Email Address*

Date joined current School*

The High School would like to contact your child’s current school for a reference. Please indicate by ticking one of the boxes below, if you give consent to this.*

Yes
No

Parent/Legal Guardian Details

Parent Legal/Guardian 1

Title*

Forename(s)*

Surname*

Relationship to candidate*

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Add additional parent/legal guardian?

Yes

Parent Legal/Guardian 2

Title*

Forename(s)*

Surname*

Relationship to candidate*

Is your address the same as above?

Yes

Address*

Street Address Address Line 2 City County Postcode

Home Phone*

Mobile Phone

Email Address*

Occupation*

Employer*

Where parents have separated or divorced, please state with which parent the candidate resides.

Agent and Student Sponsorship

Are you using an Agent to handle your application?

Yes
No

Name of Agency

Do you require Child Student sponsorship?

Yes
No

Please give details of the Visa that the student will be travelling on

A Level Subjects:

Loughborough High School recommends students take three subjects to A Level. In exceptional circumstances some students may take four A Level subjects, following discussion with the Head of Sixth Form or Assistant Head - (Curriculum). In addition, physical education and enrichment activities form part of the curriculum for all Sixth Form students. The latest Sixth Form option choices booklet (follow the link on the Sixth Form Admissions page of the www.lsf.org/high website) should be studied before completing this section. Please select three options and list them below. If you wish to discuss taking a fourth subject please refer to this in your Personal Statement.’

Proposed A Level subjects*

Reserve subject choice*

Predicted Grades

Date taken/to be taken	Qualification (e.g. GCSE)	Board	Subject	Grade/predicted grade

Personal Statement*

The student should use the space below to write a short statement about themselves describing, for example, involvement in extra-curricular activities both in and outside school

Medical details

Please provide details of any learning support / SEN needs e.g dyslexia, dyspraxia, ADD, ADHD, Autistic spectrum disorder (including Asperger's Syndrome) or if your child is being assessed for any of these conditions.

Learning Support / SEN needs

Please provide details of any learning support / SEN needs e.g dyslexia, dyspraxia, ADD, ADHD, Autistic spectrum disorder (including Asperger's Syndrome) or if your child is being assessed for any of these conditions.

If you wish to attach any supporting reports/documentation you may do so here.

Drop files here or

Accepted file types: jpg, png, doc, docx, pdf, , Max. file size: 1 MB.

For example an educational psychologist's report, medical report, occupational therapist's report, please give brief details on a separate sheet and attach a copy of the most recent report.

Assessment Access Arrangements

A candidate who is eligible may be given appropriate adjustment in relation to entrance assessments, subject to documentary evidence being provided.

Therefore, if the candidate has had a specialist assessment diagnosing a learning difficulty or disability, for example an educational psychologist’s report, medical report, occupational therapist’s report, please provide details in the boxes above and attach a copy of the most recent report. If the candidate suffers from any medical condition or physical incapacity of which we should be aware, please provide details in the Medical Details box above.

Please indicate here if you wish to discuss further.

Yes

Scholarships

Scholarships may be awarded for excellent academic performance.

Music Scholarships may be awarded. Further details are available from the Registrar

Please indicate here if you intend applying for a Music Scholarship.

Yes

Further Details

Please use this space to provide further details relating to any question or other matter about which you feel we should be aware

Registration and Examination Fee: £130 per candidate

Payment options:

Payment can be made either by Bank Transfer using the details below, by Cheque (payable to Loughborough Schools Foundation) or click to pay by Credit Card:

Loughborough Schools Foundation
Current a/c no. 08171610
Sort Code 601410
IBAN: GB86 NWBK 6014 1008 1716 10
SWIFT CODE: NWBK GB 2L
Reference: HSRF and candidate's surname

I have made payment by:

Bank Transfer
Cheque
Credit Card

Date payment was sent / made

Data Protection

I understand that information from this form may be processed for purposes by Loughborough Schools Foundation under the Data Protection Act 2018 and that individuals have, on written request, the right of access to personal data held about them. For the purposes of compliance with the Data Protection Act 2018, in completing and submitting this form I hereby give my consent to Loughborough Schools Foundation to process the personal and sensitive data supplied in the Registration Form for the purposes of administering its lists of prospective pupils.*

Please tick here to show you have read and understood the above.

Please verify

The Loughborough
Schools Foundation

The Loughborough Schools Foundation

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Apply – Sixth Form International Pupil

Loughborough High School Sixth Form International Pupil

Candidate's Details

English Language – Level of Attainment

School Year

Passport Details

Current School

Parent/Legal Guardian Details

Agent and Student Sponsorship

A Level Subjects:

Assessment Access Arrangements

Scholarships

Registration and Examination Fee: £130 per candidate

Data Protection