Application Form
Form 4 (Year 10)

Group walking on a lawn near a large building - from Concord College

GCSE (Form 4) Admissions Form

Step 1 of 7

Application for a day or boarding place(Required)

Year of Entry(Required)

Entry Point(Required)

The vast majority of students start in September. Concord recognises that transfer from some educational systems means that a few students would prefer a January start. If you wish to apply to start in January, places may be more limited and some subject choices are not possible for January starts. Please ask for further information.

Student Details

Family Name(Required)

First Name (as it appears on Passport)(Required)

Preferred Name(Required)

Date of Birth(Required)

Gender (as it appears on Passport)(Required)

Nationality (as it appears on Passport)(Required)

Do you hold any nationality other than the above?(Required)

Yes

If you hold another nationality in addition to the one listed above, please give details. For each nationality please indicate whether you hold a current passport.

Ethnicity(Required)

First Language(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Parent Details

Parent 1

Family Name(Required)

First Name (as it appears on their passport)(Required)

Preferred Name

Salutation(Required)

Relationship to student(Required)

Other –(Required)

Address – Same as student?

Yes

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone (mobile number)(Required)

Alternative telephone

Email (For correspondence and invoicing)(Required)

Parent 1 has sole responsbility?

Yes

Parent 2

Family Name(Required)

First Name (as it appears on their passport)(Required)

Preferred Name

Salutation(Required)

Relationship to student(Required)

Other –(Required)

Address – Same as student?

Yes

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Telephone (mobile number)(Required)

Alternative telephone

Email (For correspondence and invoicing)(Required)

Agent Details

Are you using an Educational Agent for your child's school placement?

Yes

Name of Agent(Required)

Name of Agency Company(Required)

Address of Agent(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Agent's Email(Required)

Agent's telephone number(Required)

Agent's Website

Should the Agent be the primary contact for the application process?

Yes

Academic information
Please give details of all schools that the student has attended in the last 4 years.

Name of school(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Website

Entry Date(Required)

Leaving Date(Required)

Add another school?

Yes

Name of school(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Website

Entry Date(Required)

Leaving Date(Required)

Add another school?

Yes

Name of school(Required)

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Website

Entry Date(Required)

Leaving Date(Required)

Does the student have a specific learning difficulty and/or disability? Please give details as this will enable us to provide relevant support if they join Concord.(Required)

Yes

Please give details:(Required)

Final details and submission

How did you hear about Concord College?

Has any relative or friend attended Concord?

If yes, who attended Concord and when? How are they related to the student?(Required)

Fees and Payments
A non-refundable registration fee is payable for all applications for a place at the College. Details of current application fees can be found on our Boarding Fees and Day Fees pages, please see the appropriate page for details. This may be paid either by bank transfer or Credit/Debit card. The Admissions Secretary (Admissions@concordcollege.org.uk) will contact you once your application has been received and entered into the application system to arrange payment. We are unable to process the application further until the above fee has been received.

If a place is offered and accepted, a deposit will be required to secure the place. Deposits will be retained by the College and credited without interest to the final account when the student leaves the College. Please note that deposits will not be refunded if the student withdraws, having held a place that could have been given to another student. You will also be required to enter into a contract with Concord College.

Once you have submitted the completed application form, please forward copies of examination certificates or statements of results of examinations already taken by the student (showing subjects and grades). Please also forward copies of the student’s school reports covering the last two years plus a copy of their passport. These can be emailed as attachments to the Admissions Secretary admissions@concordcollege.org.uk

Declaration

We request that the above named child be registered as a prospective student for Concord College and understand that registration does not secure a place at the College but does ensure that the student will be considered for selection as a student. We confirm that we have read the Admissions Policy (http://www.concordcollegeuk.com/about/policies/) and that the applicant meets the criteria for entry to the College.(Required)

I Confirm

You will receive a confirmation email on submission of application form