Gap Year UCAS Applications
Please complete the questionnaire below to aid me in writing your UCAS reference for your forthcoming UCAS application.

Any personal information shared will be handled with sensitivity.

Please ensure you have also read: Gap Year Student UCAS Guide

Wishing you all the best with your application.

Ms Ania Butler
Assistant Headteacher
Head of Sixth Form
Mill Hill County High School
Email *
What is your home address? *
What is your full name? *
What is your contact telephone number? *
What is your email address? *
What date did you leave MHCHS Sixth Form? *
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/
DD
/
YYYY
What was your Year 13 form group? *
What is your 10 digit UCAS ID number? *
Please detail below any modules you are planning on resitting during your gap year
Are you receiving tuition?
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What course(s) are you applying for at university this year?
Which universities are you applying for?
What have you done since leaving MHCHS Sixth Form? i.e. study, work experience, employment, travel, additional courses/qualifications. Please give as much detail as you can.
What else do you plan to do with your gap year? i.e. study, work experience, employment, travel, additional courses/qualifications. Please give as much detail as you can.
Please give any further information you feel is relevant to your reference i.e. your performance in individual modules or course components, anything that may have affected your academic work (e.g. an ongoing illness), any other personal circumstances which may have affected, or will affect, your performance, any specific needs you may have, like a disability or learning difficulty, and how you are managing it. 
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