Ridgeview High School Pre-International Baccalaureate Program Application
	466 Madison Avenue Orange Park, Florida 32065 (904) 213-5203 FAX: (904) 213-3033

Please complete all sections.

Part I:  Students Personal Information

Legal Name:

(Last) ________________________________________     Sex:   _______

(First) ________________________________________     Grade Level:   _______

(Middle)   ______________________________________

Street Address:   _______________________________________________________

City:    ______________________________________________________ State:    ______    Zip:    ______

Current school: ____________________________________________________________

Date of birth: __ __ / __ __ / __ __ __ __

(Please attach a copy of your birth certificate and immunization records if you have not attended a Clay County public school.)

Student #__ __ __ __ __ __ __ __ __ __

Home phone # __ __ __ - __ __ __ - __ __ __ __    Cell phone # __ __ __ - __ __ __ - __ __ __ __

Father / Guardian ____________________________________      Work #: __ __ __ - __ __ __ - __ __ __ __

Mother / Guardian ____________________________________      Work #: __ __ __ - __ __ __ - __ __ __ __

Father's Cell Phone: __ __ __ - __ __ __ - __ __ __ __

Mother's Cell Phone: __ __ __ - __ __ __ - __ __ __ __

Email addresses:__________________________________________________________________________________________________

__________________________________________________________________________________________________________________

** NOTE **  The selection of students for the Pre-IIB program is based on standardized test scores, grades, and teacher recommendations.  If you are not currently attending a Clay County public school, you must attach a copy of your most recant report card and your most recent standardized test scores.  If you attend a Clay County public school we will contact your present school to obtain your grade and test scores information.

Part II:  Teacher Recommendations

Attached are teacher recommendation forms.  Distribute these forms to your current language arts, math, science, and social studies teachers.  These evaluation forms are to be returned to the IB Office at Ridgeview High School by the teachers.  Please list below the teachers' names and the specific course titles.  [Example: Jane Smith Algebra 1 Honors]

** NOTE **  Algebra 1 / Algebra 1 Honors must be completed by the end of 8th grade.

	Teacher's Printed Name	Specific Course Title
Language Arts:	_________________________________________	_________________________________________
Math:	_________________________________________	_________________________________________
Science:	_________________________________________	_________________________________________
Social Studies:	_________________________________________	_________________________________________

Part III:  Student's Interest, Talents

Please use the following lines to describe your school and community activities, your interest, and any special talents you might have.  (limit to 100 words or less)

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Part IV:  Statement Of Intent

Please read the statement below and sign to indicate your intent: 

"I understand that the Pre-IB Program is a rigorous academic program for academically talented and highly motivated students.  As a student, I am willing to strive for the attainment of the high standards required for this program.  As a parent, I am willing to encourage and support my child in striving for the attainment of the high standards required for this program."

_____________________________________________	_________________________
Student Signature	Date

_____________________________________________	_________________________
Parent Signature	Date

This completed application must be postmarked by January 26, 2007.  Mark attention to Vickie Bandy, IB Coordinator.  Applications postmarked after January 26, 2007 will be placed on a waiting list in the order in which they are received. 

This HTML application is a representative form ONLY.  Forms submitted for consideration must be the IBApplication.pdf file.  If you don't already have it, you can get the free Adobe Acrobat Reader here.