Online Application Form – Year 12

Please complete the form below if are making an application to join us for Year 12 (6th Form) or to transfer to us during Key Stage 5 (Years 12 and 13).  Existing students of Silverstone UTC in Year 11 are guaranteed a place in 6th Form if they meet the entry criteria for the course they are applying for, but must still use this form to make an application.

Application for entry in:-

Personal Details

Forename(s) of Student

Surname of Student

Date of Birth
(if no calendar is present, use the format yyyy-mm-dd)

Gender of Student

Name of Parent (name & surname)

Contact Details
Address Line 1
Address Line 2
             Town
           County
        Postcode

Mobile / Daytime Number

Home Number

Parent Email

Student Nationality

Have you lived in the UK/EEA for the last 3 years?
YesNo

Education Details

Current School and Town

Qualifications gained or to be taken:-
For dates, please give approximate date (n.b. if no calendar is present, use the format yyyy-mm-dd). Please enter subject and indicate the level studied (e.g. GCSE), forecast or achieved grade, and select "Y" or "N" in the final column to indicate if it has already been achieved (e.g. early entry)
Date                          Subject                                                         Level                  Grade   Achieved?


Any other qualifications

Specialism, A Level and Route Options

All students must choose a Specialism, a preference for study route and a choice of A Levels if applicable.

There are 3 routes of study in the 6th Form, each with different entry requirements. Choose the Specialism and Route most suited to your learning style and expected achievement at GCSE.

These routes are:-
Extended Diploma
Technical Baccalaureate
Silverstone Baccalaureate
For entry requirements, see our prospectus.

Choose your route below:-

Select from the drop-down box

For the Technical Baccalaureate, you may choose up to 2 additional subjects.
For the Silverstone Baccalaureate, you may choose up to 3 additional subjects.
You must also specify a Reserve Subject in case you first preferences cannot be accommodated.
All routes also have the EPQ (Extended Project) as optional.

Choose your Subject Options below:-

Choose the number of options that is relevant to your chosen route.

Subject option 1  

Subject option 2  

Subject option 3  

Subject option 4  

Subject Reserve  

*If you opt for Further Maths you must also choose Maths

Does your child have an Education, Health and Care (EHC) Plan or a Statutory Statement of Special Educational Needs?
YesNo

Does your child have a learning difficulty, disability, sensory impairment or medical condition?
YesNo

If yes, please select type, otherwise select "None"
NoneSpecific learning difficulty (SPLD)Moderate learning difficulty (MLD)Severe learning difficulty (SLD)Profound & multiple learning difficulty (PMLD)Social, emotional and mental health (SEMH)Speech, language and communication needs (SLCN)Hearing impairment (HI)Visual impairment (VI)Multi-sensory impairment (MSI)Physical disability (PD)Autistic spectrum disorder (ASD)Other difficulty / disorder (OTH)SEN support but no specialist assessment of type of need (NSA)

Do you feel that you will need extra support in your studies for any other reason?YesNo
If "Yes", please state  

Ethnic Origin

WBRI White - BritishWIRI White - IrishWIRT Traveller of Irish heritageWOTH Any other white backgroundWROM Gypsy / RomaMWBC White and Black CaribbeanMWBA White and Black AfricanMWAS White and AsianMOTH Any other mixed backgroundAIND IndianAPKN PakistaniABAN BangladeshiAOTH Any other Asian backgroundBCRB Black CaribbeanBAFR Black - AfricanBOTH Any other Black backgroundCHNE ChineseOOTH Any other ethnic groupREFU Refused – prefer not to say

Reason for choosing Silverstone UTC (or any other comments)

How did you find out about us?

Data Protection Statement

Information contained in this form is personal data. It will be held in a computer and is subject to the Data Protection Act 1998.

The information you provide will be passed to the Education and Skills Funding Agency (ESFA). The ESFA is responsible for funding and planning education and training for children and adults in England, and are registered under the Data Protection Act 1998. The information you provide will be shared with other organisations for the purpose of administration, careers and other guidance and statistical and research purposes. Other organisations with which we will share information include, the Department for Education, Connexions, Higher Education Statistics Agency, Higher Education Funding Council for England, educational institutions and organisations performing research and statistical work on behalf of the ESFA or their partners. The ESFA is also a co-financing organisation and uses European Social Funds from the

European Union to directly or indirectly part finance learning activities, helping develop employment by promoting employability, business spirit and equal opportunities, and investing in human resources. At no time will your personal information be passed on to organisations for marketing or sales purposes.”

Privacy Notice for pupils/parents

Data Protection Act 1998: How we use pupil information

We collect and hold personal information relating to our pupils and may also receive information about them from their previous school, local authority and/or the Department for Education (DfE). We use this personal data to:

  • support our pupils’ learning
  • monitor and report on their progress
  • provide appropriate pastoral care; and
  • assess the quality of our services

This information will include their contact details, national curriculum assessment results, attendance information, any exclusion information, where they go after they leave us and personal characteristics such as their ethnic group, any special educational needs they may have as well as relevant medical information. For pupils enrolling for post 14 qualifications, the Learning Records Service will give us the unique learner number (ULN) and may also give us details about your learning or qualifications.

Once pupils reach the age of 13, the law requires us to pass on certain information to the Local Authority (Northamptonshire County Council) who have responsibilities in relation to the education or training of 13-19 year olds. We may also share certain personal data relating to children aged 16 and over with post-16 education and training providers in order to secure appropriate services for them. A parent/guardian can request that only their child’s name, address and date of birth be passed to Northamptonshire County Council by informing the Principal. This right is transferred to the child once he/she reaches the age 16. For more information about services for young people, please go to our local authority website.

We will not give information about our pupils to anyone without your consent unless the law and our policies allow us to do so. If you want to receive a copy of the information about your son/daughter that we hold, please contact the Principal.

We are required, by law, to pass some information about our pupils to the Department for Education (DfE). This information will, in turn, then be made available for use by the LA.

DfE may also share pupil level personal data that we supply to them, with third parties. This will only take place where legislation allows it to do so and it is in compliance with the Data Protection Act 1998.

Decisions on whether DfE releases this personal data to third parties are subject to a robust approval process and are based on a detailed assessment of who is requesting the data, the purpose for which it is required, the level and sensitivity of data requested and the arrangements in place to store and handle the data. To be granted access to pupil level data, requestors must comply with strict terms and conditions covering the confidentiality and handling of data, security arrangements and retention and use of the data.

For more information on how this sharing process works, please visit: https://www.gov.uk/guidance/national-pupil-database-apply-for-a-data-extract

For information on which third party organisations (and for which project) pupil level data has been provided to, please visit: https://www.gov.uk/government/publications/national-pupil-database-requests-received

If you need more information about how our local authority and/or DfE collect and use your information, please visit:

By submitting this form, you confirm that you have read and understood the above statement and agree that, by using these services, you are accepting the terms of this Privacy Notice and consenting to the collection, use, disclosure and retention of your personal data, and the children/young people named on this form, as described in this Privacy Notice.

Declaration

Terms and Conditions

  • I wish to apply for a place Silverstone UTC;
  • I understand that any fraudulent, or deliberately misleading information given on or omitted from this form,
  • and/or in any supporting information, may render this application invalid, and may lead to the offer of a place being withdrawn;

  • I understand that the Admissions Team may need to share the information on this form with other professionals;
  • I understand that the UTC cannot be held responsible if the application is late either because of delays in the postal system, failures of IT systems or because I have not completed the form correctly;
  • I understand that, if I have made more than one application, the UTC will use the latest dated (most recent) application when allocating a school place. Any previous offer of a school place will be removed if a preference can be offered from this subsequent application;
  • I understand that completion of this form does not automatically guarantee me a place at the UTC;
  • I understand that the UTC reserves the right to amend course details if necessary, and that optional subjects may not all be available or granted.

If your application is unsuccessful through over-subscription, please tick here if you would like to be placed on our waiting list