Applicant Name ____________________________________________________ Date Submitted__________________ Last Name, First Name

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International Baccalaureate Diploma Program

Student and Parent Application for Highland High School IB Placement

2166 S. 1700 E. Salt Lake City, Utah 84106

Thank you for your interest in pursuing IB for your high school experience. Applications must have the following items attached for consideration:

1. This fully completed Application Form 2. Two transcripts

a. Most current transcript from this school year b. Final transcript from the previous school year

3. Two paragraphs a. Student’s written reasons for desiring an IB placement b. Parent/guardian’s written reasons for desiring an IB placement

4. One signature on reverse of this application a. Current Mathematics teacher recommending student placement

5. One letter of recommendation from a current teacher addressing work ethic, intellectual curiosity, and/or any unique qualities that might predict success in this program. (This is optional and is not required for acceptance.)

First Deadline: Thursday, November 19, 2010 for 2010-2011 school year consideration.

Applications accepted year round.Return Application to: Extended Learning Prake City School istrict

440 East 100 South, Salt Lake City, Utah 84111

Student Name Last, First Birthdate

Mailing Address Apt #

City State Zip Code

Current Grade Current School SLCSD Student ID#

Home Phone Family Email

Alternate Phone Parent/Guardian Name

Student Signature

Parent Signature

NOTE: Applications accepted year round. Return Application to: Highland High School, Attention IB Counselor

2166 S. 1700 E. Salt Lake City, Utah 84106

Applicant Name ____________________________________________________ Date Submitted__________________ Last Name, First Name

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International Baccalaureate Diploma Program

Student and Parent Application for Highland High School IB Placement

2166 S. 1700 E. Salt Lake City, Utah 84106

Current Teacher Signature Page

Student Last Name, First Name Birthdate

Dear Teachers of Language Arts and Mathematics:

The above named student is making an application to the International Baccalaureate Program at

West High School. Please make a recommendation regarding BEST ACADEMIC PLACEMENT for this

student in the 2010-2011 school year, by circling the recommended course.

Your recommendation will not be a factor for acceptance, only placement.

Thank you,

IB Selection Committee

Mathematics: Secondary Math 1 Secondary Math 1 Honors Secondary Math 2 Honors

Student should have success in preceding course.

Math Teacher Name Math Teacher Signature Date

Math Teacher Contact Number or email address

Highland High IB Information Meetings: December 1, 2011; January 19, 2012, and February 23, 2010 7:00 PM

Highland High School: 2166 S. 1700 E. Questions: Please contact, Missy Whiteurs (coordinator) missy.mackay-whiteurs@slcschools.org or 801-484-4343

The Salt Lake City School District does not discriminate on the basis of age, color, disability, national origin, pregnancy, race, religion, or sex in its programs and activities. The following person has been designated to handle inquiries regarding non-discrimination policy: Whitney Banks, Office of Compliance and

Investigations, 440 East 100 South, Salt Lake City, Utah 84111, (801)578-8388. You may also contact the Office for Civil Rights, Denver, CO, (303)844-5695.

Questions? Please contact:

Kyle Bracken – IB Coordinator (kyle.bracken@slcschools.org) Mary Akers – IB Counselor (mary.akers@slcschools.org)

Jon Jensen – IB Administrator (jon.jensen@slcschools.org)

Dear Teachers of Mathematics:

The above named student is making an application to the International Baccalaureate Program at

Highland High School. Please make a recommendation regarding BEST ACADEMIC PLACEMENT for

this student in the 2020-2021 school year by circling the recommended course.

Your recommendation will not be a factor for acceptance, only placement.

Thank you,

Highland High School IB Selection Committee