Application Preparation Day, 28th June 2016
Application form for students and teachers (and optional Open Day booking for 29th June)
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First name *
Last name *
Email address *
School name *
School address *
(including post code)
Home address *
Home post code *
Present school year *
the day is aimed at y12s, but may also be suitable for y13s who are applying in their gap year
Year starting university *
Subject *
Choose the subject you are most interested in studying
Joint honours
If you are applying for a joint honours course, which combination are you applying for?
Male/female *
Date of birth *
MM
/
DD
/
YYYY
Special requirements *
e.g. dietary, access, or anything else you think we should be aware of
What proportion of your GCSE grades were A*? *
(approximate to the nearest)
What post-16 qualification are you studying? *
What subjects are you currently studying? *
What are your predicted grades? *
Write a paragraph explaining why you would like to attend the day and how it would benefit you *
Would you like to attend our Open Day at Christ Church on Wednesday 29th June? *
If you are coming to Open Day, which tutor subject talks would you like to attend on Wednesday?
Choose a maximum of 2
If you are coming to the Open Day, would you like lunch on Wednesday?
Clear selection
If you are coming to Open Day, would you like accommodation on Tuesday night?
Clear selection
Submit
Clear form
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