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The International Baccalaureate Programme at Tates Creek High School
Intent to Participate Agreement 2021-2022
Grades 9–12
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Complete Agreement by January 31, 2021
Student Last Name:
*
Your answer
Student First Name:
*
Your answer
Student Middle Initial:
Your answer
Gender:
*
Your answer
Race/Ethnicity (optional):
Choose
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific
White
Two or more races
Other
Middle School Attended:
*
Choose
Beaumont Middle
Bryan Station Middle
Crawford Middle
Edith J. Hayes Middle
Jesse Clark Middle
Leestown Middle
Lexington Christian Academy
The Lexington School
Lexington Traditional Magnet
Lexington Universal Academy
Mary Queen of the Holy Rosary
Montessori Middle School of Kentucky (Community Montessori)
Morton Middle
Providence Montessori Middle School
Saint Peter and Paul
Sayre
SCAPA at Bluegrass
Seton Catholic
Southern Middle
Sphinx Adademy
Tates Creek Middle
Trinity Christian Academy
Winburn Middle
Other
Middle School Attended (if not listed above):
Your answer
Anticipated High School Graduation Year:
*
Choose
2025
2024
2023
2022
Current Grade:
*
Choose
8th
9th
10th
11th
Address (Number, Street, Apt. Number):
*
Your answer
City and State
*
Your answer
Zip Code
*
Choose
40502
40503
40504
40505
40507
40508
40509
40510
40511
40513
40514
40515
40516
40517
Not Listed
Is your address out-of- area for Tates Creek High School?
Yes
No
Clear selection
Parent/Guardian Last Name:
*
Your answer
Parent/Guardian First Name:
*
Your answer
Parent/Guardian Email:
*
Your answer
Parent/Guardian Phone Number: (XXX-XXX-XXXX)
*
Your answer
Parent/Guardian 2 Last Name:
Your answer
Parent/Guardian 2 First Name:
Your answer
Parent/Guardian 2 Email:
Your answer
Parent/Guardian 2 Phone Number (XXX-XXX-XXXX):
Your answer
Parent/Guardian 2 Address (optional):
Your answer
Student Phone Number (optional):
Your answer
By selecting yes we, the student and parent/guardian, are confirming we have been notified that out-of-area students are required to do the following: **Complete the FCPS Magnet School application found at
https://dna.fcps.net/SpecProgApp/
. ** Upon approved notification from FCPS students must complete enrollment requirements found at
https://www.fcps.net/domain/6602
. **Complete student schedule card in spring for upcoming fall semester. **Bring required enrollment documents to TCHS Registrar. ** Remain enrolled in the ACE Pre-Diploma and Full IB Diploma curriculum to maintain out of area status.
*
Yes
Choose the IB status and section of the Intent to Participate Form that applies to you:
*
IB ACE Pre-Diploma Student Freshman/Sophomore
IB Full Diploma Candidate Junior/Senior
IB Diploma Course Students Junior/Senior (Selected Individual IB Courses)
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