School Office: 0117 973 0201Admissions: 0117 933 9087Finance: 0117 973 3853

College Road, Clifton, Bristol BS8 3JD e-mail: enquiries@cliftonhigh.bristol.sch.ukweb: www.cliftonhigh.bristol.sch.ukFacsimile: 0117 923 8962

Application Form for Entrance ExaminationPlease tick appropriate box

Year of entry Examination date Closing date for application tick

Yr 7 21st January 2012 13th January 2012

Yr 7 (reserve date) 28th January 2012 20th January 2012

Yr 9 21st January 2012 13th January 2012

Yr 9 (reserve date) 28th January 2012 20th January 2012

Yr 12 Scholarship interviews beginning 14th November 2011 11th November 2011

Applicant’s Full Name

Parent(s)’ Name(s) (inc. title)

1) 2)

Home Address

Postcode

Previous schools

Telephone email:

Present School Head:

Interests/Hobbies

Other relevant comments/information

Examination fee £30 – refundable in first term’s fees upon entry.

Scholarship candidates onlyPlease tick the appropriate boxes and give details where required

Type of scholarship

Please tick box Yr group entry Main instrument/Grade/ Main sport (where applicable)

Academic

Music

Sport