IB Exam Registration FOR IB CERTIFICATES - May 2015
Part 1: IB Exam Registration
Name ______________________________________
Grade _________________
Please circle the exams you will be taking in May of 2015:
Group 1 - Language A1
English
HL
Group 2 - Language B
Spanish
SL
French
SL
Group 3 - Individuals and Society
History
SL
History
HL
Psychology
SL
Psychology
HL
Economics
SL
Group 4 - Experimental Sciences
Biology
SL
Biology
HL
Chemistry
SL
Chemistry
HL
Physics
SL
Physics
HL
Mathematics
HL
Group 5 - Mathematics
Math Studies SL
Mathematics
SL
Group 6 - Arts and Electives
IB Music
SL
IB Visual Arts SL
Circle one:
solo
group
IB Visual Arts HL
1
composition
Registration Information
IB Exam Fees- May 2015 Exam Session
PART 2: IB Diploma Program Exam Fee Calculation
Registration Fee:
$160
Subject Fees: $110 per subject
Number of exams circled above _______ x $110
_______________
Postage Fee:
Due to increased costs for international courier
_______$10_____
TOTAL
Your check should be written to Niwot High School. Payment by credit
card is available through RevTrak (see pg.5 for more information).
IB Exam registration with payment is due
no later than
October 20, 2014 to the NHS’s IB Office
Changes to Exam Registration after October 20th incur a fee from
IBO. Please check exam registration details carefully. After January
15th exam registration changes can only occur in exceptional
circumstances (this incurs an even higher fee).
2
PART 3: Personal Data
Please PRINT all information clearly as this is how your name will
appear on all IB correspondence, certificate/s, exams, etc. Use the
same name you will use for your college applications.
Name (as you want it to appear on the IB certificate)
First Name
M.I.
Last Name
Date of Birth
Day
Gender
Ethnicity
Month
_________ Male
Year
_____________ Female
American Indian/Alaska Native
Asian/Pacific Islander
Hispanic
White /Non-Hispanic
Black/Non-Hispanic
Other
First Language: _________________________________
Second Language (fluent): __________________________________
First Nationality (country on your passport):
__________________________________________________________________
There is an additional charge to change registration
details once registration has been submitted to IBO.
Please check all details carefully!
3
Part 4: Payment and acknowledgement
Cash Amt. : ____________ Check Amt. : ___________ Check # _____
IB Grocery Certificate Account Amt. _____________________
(Please make sure to check with Ms. Hauck for an accurate amount to be included)
We have reviewed all information and registration details and
understand that there will not be a refund of registration fees
after those fees are sent to IBO.
---------------------IF YOUR CHILD IS ON FREE/REDUCED LUNCH,
WE CAN PROVIDE PAYMENT ASSISTANCE THROUGH THE STATE.
THE AMOUNT OF ASSISTANCE IS NOT DETERMINED UNTIL A LATER
DATE. YOU WILL BE REQUIRED TO MAKE SOME PAYMENTS.
YOU MUST PROVIDE A COPY OF YOUR FOOD SERVICES LETTER TO
INDICATE PROOF OF NEED. PLEASE ATTACH THE LETTER TO THIS
REGISTRATION FORM (OR BRING IT IN FOR US TO COPY).
-------------------We reviewed all information and registration details provided in this
packet and understand that it is our responsibility to cover all IB
exams related costs even in the case of withdraws from the IB DP and
particularly when the decision to withdraw from the program is made
post IB exam registration deadlines. We understand that NHS
advances IB exam payments to comply with IBO‘s payment due dates
and collects agreed upon payments from parents over the course of the
school year in many instances accommodating parents/guardians
with payment plans. Consequently, we acknowledge that in order for
an IB student to take his/her IB exam/s the associated costs must have
been paid for no later than by May 1 and before the exam/s
administration date.
Candidate Signature
Date
Parent/Guardian Signature
Date
4
IF YOU ARE PAYING BY CREDIT CARD:
The RevTrak is our provider of online payment solutions in the St. Vrain
Valley Schools. For easy access to RevTrak, please visit Niwot High
School’s main webpage and look on the right hand side for the RevTrak’s
icon like the one on the top of this page. To calculate your student’s exam
payment, you may want to refer to the below listed options. The RevTrak
list should mirror the list below. RevTrak access instructions are attached to
this registration form.
Payment Options for RevTrak
1 Exam + Registration
2 Exams + Registration
3 Exams + Registration
4 Exams + Registration
5 Exams + Registration
6 Exams + Registration
1 Exam only
2 Exams only
3 Exams only
4 Exams only
5 Exams only
6 Exams only
$270 + $10= $280
$380 + $10= $390
$490 + $10= $500
$600 +$10= $610
$710 +$10= $720
$820 +$10= $830
$110 +$10= $120
$220 +$10= $230
$330 +$10= $340
$440 +$10= $450
$550 +$10= $560
$660 +$10= $670
⃰ Please note that all listed above prices are based on an on-time registration.
Late registrations will a subject to increased exam fees as per IBO’s IB exam
fee schedule.
One-time IB exam
Additional exam fee
Deadline
registration fee
(per each IB exam)
On-time (by 10/20/14)
$160
$110
11/15/14-1/15/15
$214
$35
After 1/15/15
$459
$140
⃰ If you experience any problems accessing RevTrak for exam payments,
please contact Debbie Hauck at: hauck_debra@svvsd.org.
5