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IB EXAM REGISTRATION FORM 2011

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IB EXAM REGISTRATION FORM 2011 Powered By Docstoc
					                                       NEWPORT HIGH
                               INTERNATIONAL BACCALAUREATE PROGRAM
                                     MAY 2011 EXAM REGISTRATION FORM
                                               PLEASE PRINT

FIRST NAME _____________________________ LAST NAME _____________________________
Birthdate (mm/dd/yy) __________________                  Social Security or ID Number _____________________
                                   Please check one on each of the following
Male ____ Female _____

Year of Graduation 2011 _____ 2012 _____
Diploma Candidate _____ Anticipated Diploma Candidate _____ Certificate Candidate _____
                                    _____________________________________
                                   Please check the exams to be taken in May 2011
_____    Language A1 – English / Higher Level
_____    Language B – Spanish/ Standard Level
_____    History of Americas / Higher Level
_____    Physics/ Standard Level
_____    Biology/ Higher Level
_____    Math Studies / Standard Level
_____    Mathematics/ Standard Level
_____    Film / Standard Level ______     Higher Level________
Retake Exam Subject Area ___________________________
Total number of exams _____ X $ 96               = $_____ plus annual IB registration fee: $141

         Total fees due to Newport High School ________. Free or reduced lunch _____ cost $0

        Deadline for forms ~ Monday, 10/15/10                     Deadline for payment ~ Wednesday, 11/12/10
I understand that by registering for the exams, I agree to pay the above total fees for exams. If payment is
not received by the deadline noted above, I understand that my student account will be assessed. I
understand that if I choose to not sit for the exams in May 2010 that paid fees will not be returned. If I do
not sit for the exam, my student account will be assessed $92 per exam.

___________________________________                               ________________________________
Student Signature                                                 Student Name (please print)

___________________________________                               ________________________________
Parent Signature                                                  Parent Name (please print)
                        RETURN SIGNED FORM TO MS Atwill, IB COORDINATOR
Exam Schedule: AM 8:30-12 PM 12:30 – 3:30

IB English Tuesday May 3 AM and Tuesday May 10 PM

IB Math Studies and IB Math SL Wednesday May 4 PM and Thursday May 5 AM

IB Physics Wednesday May 11 PM Thursday May 12 AM

IB History Thursday May 12 PM and Friday May 13 AM

IB Spanish Wednesday May 18 AM

IB Biology Wednesday May 18 PM and Thursday May 19 AM
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