Intended Destination Form – Moor Park High School & Sixth Form in Preston, Lancashire

Name*

First Last

Date of Birth*

Address*

Street Address City County / State / Region ZIP / Postal Code

Gender*

Male
Female

Phone

Mobile*

Email*

At the end of Year 11, are you planning to:*

A) Continue in education - outside Lancashire
B) Continue in education - different institution
C) Continue in education - same institution
D) Apprenticeship or work based learning
E) Go into employment with training
F) Go into employment with no training
G) Not available for education or training
H) Do voluntary work
I) Not decided

Your opportunity to receive more information! Important Note

The 16-19 Education and Skills Team is part of Lancashire County Council and we work closely with other organisations, such as schools, college and other organisations who provide support for young people around education, employment and training. We have a responsibility to check how you are getting on once you leave school. To support this, we would like to share your information for up to 3 years after you have left school, including your name, address and contact details and whether or not you are in education, training or employment as follows: Do you give your consent for Lancashire County Council to share this information:

With your secondary school so that they can monitor what their pupils do when they leave:*

Yes
No

With other education and training providers, such as colleges, so that they can provide you with information and support on your options:*

Yes
No

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