Please complete the details below:

Section 1: Personal Details

Section 2: Previous Education:

Name of school or college you attended in year 11 Select from dropdown Bankfield School Fairfield High School Grange Comprehensive School Ormiston Bolingbroke Academy The Heath School St Chads Catholic High School Saints Peter & Paul Catholic College Wade Deacon High School Ashley School Christ the King Centre for Learning Gateacre Comprehensive Halewood Centre for Learning Helsby High School Huyton Arts & Sports Centre for Learning Knowsley Park Centre for Learning New Heys Community College Parklands High School Penketh County High School Rainhill High Rainford High Sir Thomas Botelor St Edmund Arrowsmith St Francis Xavier's St Gregory's Catholic High School St Julie's Catholic High School Sutton High School Bridgewater High School Broughton Hall High School Cardinal Newman Catholic High School De La Salle High School Enterprise Liverpool South Academy Grappenhall Hall School Great Sankey Haydock Sports College Holly Lodge Home Tutored Key Stage 4 Gateway Lysander High School North Liverpool Academy Overseas St Edwards College St Francis If Assisi St Hildas St John Boscoe Tower College West Derby Other school


Have you ever studied at Cronton or Riverside College before? No Yes If so who was your Personal Tutor?

Section 3: Course Details:

Which course/subjects would you like to study?


Course Type Please Select A Level Vocational Access Other Where would you like to study? Please Select Cronton Astmoor Kingsway

Section 4: Career Plans:

If you know which career you are interested in, please provide details:

Section 5: Additional Support:

Do you have:

• A disability (eg visual impairment, hard of hearing, mental health difficulty, epilepsy)
• A learning difficulty (eg dyslexia, dyscalculia)
• A major health condition that may affect your course

If so, please tick this box

You may be entitled to Student Bursary - Are you or your parents in receipt of:

Free school meals
Income support
Employment & Support Allowance
Disability Living Allowance

We will contact you to discuss your support requirements. Any information that you provide will be kept private and will not be passed to anyone without your consent.

Section 6: Qualifications:

Section 7: Supporting Statement:

Please include any further information about yourself to support your college application. (eg work experience/ voluntary work/ prefect/ sports clubs/ musical talents)

Section 8: Equal Opportunities:

Cronton Sixth Form is committed to equal opportunities. We would like you to provide the following information to help us
monitor our policy.