Application Form - 2025 Entry

The application window for September 2025 is now open. To apply, please complete the online form below or click HERE to download the form as a Word document. If you have any questions about applications or admissions please contact info@harrisrainhamsixthform.org.uk.

Your Details

First Name ^*

Surname ^*

Date of Birth ^*

Gender ^*

House Number and Street ^*

Town ^*

County ^*

Postcode ^*

Home Phone ^*

Student Mobile Phone ^*

Student Email ^*

Name of present/last school or college ^*

Postcode of present/last school or college ^*

As part of your application we need to ensure that you are legally entitled to continue your studies in the UK once you turn 16.

Please confirm this by selecting the appropriate option below: ^*

If 'Other', state your legal entitlement to study in the UK

Subjects Studied

Please enter the subjects that you are currently studying and your predicted grades

Subject	Examination/ Qualification (e.g. GCSE, BTEC)	Predicted Grade

If more space is required, please enter details below

Subjects

Please look at the entry requirements on the website and then select up to three subjects*. These should be subjects where your predicted grades meet the entry requirements.

Please note all our subjects are for Level 3 courses at either A-level or vocational.

If you select a CTEC diploma, equivalent to two A-levels, you only need to select one other course (CTEC extended certificate or A-level).

If you select a CTEC extended certificate, equivalent to one A-level, you either need to select one other course (CTEC diploma) or two additional courses (two A-level courses or two CTEC extended certificate courses).

* A fourth A-level subject may be taken in the following circumstances:

The fourth subject is further maths and maths A-Level is already selected (grade 8 in maths required)
Four A-Levels are chosen by an applicant who is on track to reach only 7+ grades.

1 ^*

2 ^*

* 4

Referee

Referee Name ^*

Referee Job Role ^*

Referee Email ^*

Educational Needs

Do you have a disability and/or would need additional support at your course discussion? ^*

If yes, please give details

Personal Information

Have you received Free School Meals in UK state education at any time since starting secondary school? ^*

Are you or have you ever been in Local Authority Care? ^*

Is English your first language? ^*

If not, what is your first language?

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Application Form - 2025 Entry

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