IB Exam Registration– For May 2012 EXAMS
North Mecklenburg High School
Important! IB examinations will be sent to the school based on the information provided through this registration process.
Once the registrations are complete, you will have an opportunity to check to see that your registration is correctly
entered. There is no fee for Theory of Knowledge or the Extended Essay.
All IB Diploma Program students who choose to sit for their exams will owe a flat fee of $145. This is the
exam registration fee required by the International Baccalaureate Organization. This registration fee is to be
paid no later than Friday, October 14, 2011.
Each exam is an additional $100. Exam fees are due by Tuesday Nov. 1, 2011.
Please provide the information below using blue or black ink.
Your registration will be entered and transmitted electronically to IBCA.
Please print your name clearly as you wish to have it appear on the IB Diploma.
Last Name First Name Middle Name
Provide your date of birth: Circle one: Male
Day Month Year
Print your date of birth:
Day Name of Month Year
Please fill in your nationality and language. (Nationality is the country whose citizenship you hold--that which is listed on your
Nationality Best Language
2nd Nationality 2nd Best Language
Circle one: D (diploma – 12th) A (anticipated – 11th) C (Certificate- 11th, 12th)
Ethnicity: American Indian/Alaska Native Asian/Pacific Islander
Please list the last 4 digits of your Social Security Number: 9999
Indicate the subject in which you are writing your Extended Essay.
English Biology Music
French ______Chemistry Theatre Arts
German Environmental System Visual Arts
______ Spanish ______Physics ______ Other __________________
History Computer Science
IB Diploma Candidates must take six examinations, one from each of the IB groups: Group 1 –English,
Group 2 – Foreign Language, Group 3 – History, Group 4 – Science, Group 5 – Mathematics, and Group 6 – Arts (a
second group 3, 4, or 5 can substitute for group 6). Candidates take a minimum of three HL (Higher Level) examinations
and a maximum of four HL exams. Higher Level examinations may be taken only in grade 12. No more than two
Standard Level exams may be taken in grade 11.
Indicate the exams you took/will take your JUNIOR year with A. Indicate the exams you will take your SENIOR year
with D. Indicate your extra examinations with E.
Diploma Candidates: be certain you have marked
Exactly 6 courses
At least 3 HL courses
At least 2 SL courses
No more than 2 courses as an anticipated candidate (with an A)
IB Certificate Candidates must take 3 IB examinations. This Applies to the Class of 2012 ONLY
Indicate the courses you took/will take in junior year with C11; indicate the courses you will take as a senior with C12.
Certificate Candidates: be certain you have marked 3 courses.
A represents Anticipated Candidate: D represents Diploma Candidate: C is Certificate Candidate.
If you are taking an extra exam, mark E. (Points on extra exams do not count toward a diploma).
Group 1, English Group 2, Foreign Language Group 3, Individuals & Societies
IB English HL IB French SL IB History HL
IB German SL
IB Psychology HL
IB Spanish SL
Group 4, Science Group 5, Mathematics Group 6, Arts
IB Biology HL IB Mathematics SL IB Art HL
IB Chemistry SL IB Math Studies SL IB Photo HL
IB Chemistry HL
IB Physics HL
______ IB Echo-systems SL
I have carefully reviewed the information on both sides of this registration form and attest to its correctness.
Student Signature Date
Parent Signature ____________________________________________ Date______________________