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Clemens IB Diploma Program Application for 2023-2024
1. Student Application Part 1 and Agreement of Understanding Part 2 must be completed.
2. Student's most recent report card (or a screenshot of current student portal) must be delivered to IB coordinator:
LRollins@scuc.txed.net
. Please include student's full name in subject line. The purpose of submitting report card is to try to ensure a student will be able to complete the course track; grades are not the determining factor. Thank you!
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* Indicates required question
Last Name of Student
*
Your answer
First Name of Student
*
Your answer
ID # (If in SCUC District) - Put OOD if not a current SCUC student.
*
Your answer
Current School Campus
*
Your answer
Current Year
*
Sophomore (Class of 2026)
Freshman (Class of 2027)
8th Grade (Class of 2028)
Other:
Required
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
STUDENT email that they actually have access to and check. If they don't have one, just leave it blank (parent email is further down)
*
Your answer
Parent/Guardian Contact Name
*
Your answer
Phone of Parent/Guardian (area code) ###-####
*
Your answer
Email #1 of Parent/Guardian
*
Your answer
Email #2 of Parent/Guardian (if you want to include both emails)
Your answer
Gender of Student
*
Female
Male
Prefer not to answer
Required
Birthdate of Student
*
MM
/
DD
/
YYYY
QUALIFICATIONS/PRIOR COURSEWORK
Qualifications: I verify that I meet the basic requirements to qualify for admission into the Clemens IB Diploma program:
*
Check all that apply. Space will be provided in the following section to explain any that you were unable to select/check.
Yes, I am passing or have passed all of my core classes (English, Social Studies, Math, Science, and World Language (Spanish/French/German, if any).
Yes, I have passed my most recent End of Course (STAAR) exams.
Required
Previous Coursework - These are not requirements, but will help us in planning your coursework.
*
Check all that apply. Space will be provided in the following section to explain any that you were unable to select/check. This will help us in building a 4-year plan and to establish you would be able to complete all coursework for both Texas and IB.
Algebra 1 in 8th grade
Integrated Physics & Chemistry (IPC) in 8th grade
Spanish 1 in 8th grade
Spanish 2 in 8th grade
High school Art 1 in 8th grade
Principles of Business in 8th grade
Principles of Agriculture in 8th grade
Algebra I (Honors preferred but not required)
Geometry (Honors preferred but not required)
Algebra II (Honors preferred but not required)
Spanish 1 (Honors preferred but not required)
Spanish 2 (Honors preferred but not required)
None of the above
Required
High School of Residence
*
Students living outside the Clemens attendance zone must complete a district Transfer Request Form. Acceptance subject to space/availability/capacity.
Clemens
Steele
Out of District
Required
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