Apply Online - Raine's Sixth Form

Please complete the form below, fields marked with * are mandatory. Please note that the closing date for applications is on the 22nd of February, with interviews commencing shortly after.

Sixth Form Application Form

Full Name *
Date of Birth *
Gender *
MaleFemale
Email *
Address *
Postcode *
Phone *
Current School & Address
Predicted Grades
Subject Choice 1 *
Subject Choice 2 *
Subject Choice 3 *
Subject Choice 4 *
Parent/Guardian Full Name *
Parent/Guardian (if different)

Verification

Please enter any two digits *Example: 12
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