Richmond Secondary School


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NameRichmond Secondary School
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Richmond Secondary School


APPLICATION FOR THE INTERNATIONAL BACCALAUREATE DIPLOMA PROGRAMME

SEPTEMBER 2017 ENTRY
NAME OF APPLICANT: _____________________________________________________________ STUDENT #: __________________________________

(last name) (first name)

PARENT/GUARDIAN: ___________________________________________________________________________________________________________
ADDRESS: ____________________________________________________________________________________________________________________
CITY: _________________________________________________________________ POSTAL CODE: _________________________________________
STUDENT CELL PHONE: _________________________________________________ PARENT CELL PHONE: __________________________________
STUDENT EMAIL: ______________________________________________________ PARENT EMAIL: _______________________________________
BIRTH DATE: _______ _______ _______

(day) (month) (year)

BIRTH COUNTRY: _____________________________________________________ 2nd NATIONALITY (if different): _________________________
CURRENT SCHOOL: _____________________________________________________ ELL LEVEL: __________________________________________
BESIDES ENGLISH, IS THERE ONE OR MORE LANGUAGES THAT YOU CAN FLUENTLY READ, WRITE AND SPEAK? IF SO, WHICH LANGAUGES?
_1)______________________________________2)________________________________3)________________________________________________
LANGUAGE of ACQUISITION CURRENTLY BEING STUDIED IN SCHOOL: __________________________________________________________________
Richmond High Students:

Please submit this application to the office at Richmond Secondary School by January 9, 2017, no later than 4 pm.

A copy of the applicant’s 1) most recent Report Card and 2) final Grade 9 Report Card must be attached.
All other applicants:

Please submit this application to the office at Richmond Secondary School by January 31, 2017, no later than 4 pm.

A copy of the applicant’s 1) Grade 10 Report Card; 2) final Grade 9 Report Card; and 3) Transfer Application must be attached.
If you do not reside within the catchment area for Richmond Secondary School, and you would like to take the IB Diploma Programme, you must obtain a Transfer Form from your current school of attendance and submit it along with this programme application. Completed Transfer Forms (signed by current school of attendance) will be accepted at Richmond Secondary beginning on January 9, 2017, 8am.


NOTE: All students coming into the programme are required to sit the Formal IB Intake Assessment.

FORMAL IB INTAKE ASSESSMENT: Wednesday February 1, 2017 @ 6:00-8:00 P.M. (in Classroom Wing of RHS)
IB Administration Fees:
Diploma Programme: $xyz/year

Course Candidate Option: $abc/course up to a maximum of $jkl/year for students taking four or more courses.
Participation in the IB Diploma Programme may involve activities outside the classroom that are an essential part of the Diploma Programme. Fees may be applied to these activities (for example, the Group 4 Project at Bamfield, guest speakers, lab fees, EE field trips, and other offerings that are above and beyond the regular curriculum).
Should you have questions, contact the IB Diploma Program Coordinator at Richmond Secondary School:
Mr. Dave Miller Tel: 604.668.6400 ext 1312; E-mail: dmiller@sd38.bc.ca

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Last Name: ________________________________________________ First Name: _______________________________________________
CHOOSE YOUR OPTION: FULL DIPLOMA  COURSE (S) ONLY 
THIS COURSE SELECTION IS FOR THE INFORMATION OF THE IB COORDINATOR ONLY AND IS A REQUIRED STEP IN THE APPLICATION PROCESS. AT RHS, FORMAL TIME-TABLING FOR THE IB DIPLOMA PROGRAMME IS DONE BY SCHOOL ADMINISTRATION AND COUNSELLING STAFF. BEST EFFORTS WILL BE MADE TO PLACE STUDENTS INTO THEIR PREFERRED COURSE SELECTIONS, BUT NO ASSURANCES CAN BE MADE.
APPLICANTS MUST PROVIDE AT LEAST TWO COURSE REQUESTS WHEN THEY WISH TO ENROLL IN ONLY ONE COURSE IN A GROUP OF STUDY. LIKEWISE, APPLICANTS MUST PROVIDE THREE RANKED REQUESTS WHEN THEY WISH TO ENROLL IN TWO COURSES IN ONE GROUP OF STUDY.
DIPLOMA CANDIDATES MUST ENROLL IN AT LEAST ONE COURSE IN EACH OF GROUPS 1-5. DIPLOMA CANDIDATES MUST HAVE AT LEAST 3 HL COURSES AND AT LEAST 3 SL COURSES SELECTED. ALL DIPLOMA CANDIDATES TAKE TOK, EE, and CAS; COURSE CANDIDATES MAY CHOOSE TO ENROLL IN TOK, EE AND CAS.
Level Ranked Course Name Requests
GROUP 1: LANGUAGE A LITERATURE HL ENGLISH
GROUP 2: LANGUAGE B ACQUISITION (how many courses do you wish to take in this area? 1  2 )
circle one: HL SL 1. ______________________________
circle one: HL SL 2. _____________________________
GROUP 3: INDIVIDUALS AND SOCIETIES (how many courses do you wish to take in this area? 1  2 )
circle one: HL SL 1. ______________________________
circle one: HL SL 2. _____________________________
circle one: HL SL 3. _____________________________
GROUP 4: EXPERIMENTAL SCIENCES (how many courses do you wish to take in this area? 1  2 )
circle one: HL SL 1. ______________________________



circle one: HL SL 2. ______________________________



circle one: HL SL 3. ______________________________

_

GROUP 5: MATHEMATICS circle one: HL SL
GROUP 6: THE ARTS circle one: HL SL ________________________________
Theory of Knowledge (TOK - required for all Diploma Candidates)

Extended Essay (EE - required for all Diploma Candidates)
Creativity, Activity, Service (CAS - required for all Diploma Candidates)
EXTRA COURSE (OPTIONAL)

GROUP ___ circle one: HL SL _______________________________
Course Requests made by IB Diploma Candidates will be given priority in the course selection process.

Course Requests made by IB Course Candidates will be accommodated where class-size permits.

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