1. Name: _____________ Form & form teacher: __________ Please list your GCSE options and the teacher(s) you have: OptionTeacher Are you in any school clubs/teams. Please list them here: Are you in any clubs/teams outside of school. Please list them here: 1

2. Do you have any other interests (such as reading, music, cinema, art)? Do you have a part-time job? Give details. Tick any of the statements that YOU think apply to you: I like art I am sporty I like working with other people I like listening to music I like playing music I enjoy working with children I watch Newsround or read a newspaper most days I think learning to drive as early as possible is important. I like writing/making up stories. I am interested in Human Rights I think keeping fit is important 2

3. Where have you been on your holidays in the last 3 years? Are there any countries you are particularly interested in? Give details. Do you have a current passport? Tick any of the following statements which YOU think apply to you: I am a leader I like working in a group I am good at organising people when jobs need to be done I am good at organising myself I like being active I don’t give up when I come across a problem I work best in the mornings. I don’t find it easy to write my ideas down on paper. 3

4. If you have studied Spanish before, please write down any topics you have covered (such as Greetings, Numbers 1 -10) What do you feel confident you can say in Spanish? What topics would you most like to revise? What Spanish would you most like to know at the end of your 20 – hour language course? 4