Permission Slip for Off-Campus AP Exams

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2015 AP Exam Registration
Registration Forms Due By: March 13, 2015
STUDENT INFORMATION
Student Name: _________________________________
_________________________________
(Full Legal Name)
Last
First
____
M.I.
Student ID: ______________ Grade: ____ Phone Number: ______________ Email: _______________________
+If you are not a Bearden Student please check here _______ Name of School you attend:_____________________
EXAMS
Please CIRCLE the exams for which you are registering.
Week 1
Monday 5/4
Tuesday 5/5
7:45am
- Chemistry
- Environ.
Science
- Calculus AB
- Calculus BC
Wednesday
5/6
- English
Literature
11:45am
Thursday 5/7
- Computer Science
- Spanish Language
- Art History
Friday
5/8
- German
- US History
- Euro History
- ^Studio Art
Submission^
^AP Art Portfolios must be submitted by 5/8. This will occur in the classroom with the teacher prior to 5/8.
Week 2
7:45am
11:45am
Monday
5/11
- Biology
- Music
Theory
- Physics C:
Mechanics
Tuesday 5/12
Thursday 5/14
- US
Government
Wednesday
5/13
- English
Language
- French
- Statistics
- Macroeconomics
- World History
Friday
5/15
- Human
Geography**
- Microeconomics
- Latin
FEES
Check One:
___ Regular Exam: $91 per exam
___ Fee-Reduced* Exam: $12 per exam
* Student has qualified for free or reduced-price lunch program.
___ +Non-Bearden Student Exam: $100 per exam
Total # of Exams Ordered: _________ Total Amount Due: ________
Check amount: _________ Check number_________ OR cash amount: _________ Received by: _______________
Please make checks payable to: Bearden High School
ACCOMMODATIONS
If you have requested and been approved by the College Board for testing accommodations, please provide your SSD
Code: _______________________
(If you have not yet been approved, the deadline to submit to CB is Feb. 19, 2015.)
List specific accommodations requested and approved:
__________________________________________________________________________________________________
LOCATION – ITT Tech
**ALL exams will be administered OFF CAMPUS EXCEPT for AP Human Geography.
ITT Technical Institute – 9123 Executive Park Dr. Knoxville, TN 37923
SIGNATURES
***The permission slip for off-campus AP Testing (on the back) must also be completed with this registration form. By signing this,
you are acknowledging that it is YOUR responsibility to confirm the date, time, and location of your exam prior to testing.
Student Signature: ___________________________ Parent/Guardian Signature: ___________________________
KNOX COUNTY SCHOOLS
PERMISSION FORM
(For on- or off-campus activities during regular school hours)
Permission Slip for Off-Campus AP Exams
Location & Purpose:
*ITT Technical Institute for AP Testing
.
Dates of tests you are taking:
____________________________________________________________________________
Student Name:
____________________________________________________________________________
_______My child has permission to attend.
_____________________________________________
(Parent/Guardian Signature)
___________________
(Date)
CI–233 (9/10)
*AP Exams will be administered at the following location:
*ITT Technical Institute
9123 Executive Park Drive
Knoxville, TN 37923
*We anticipate that all AP Exams (except for AP Human Geo) will be administered at
ITT Tech. If the location changes for any reason, students will be notified; however, it is
also your responsibility to confirm the testing location prior to the exam date. Updated
information will be posted on the BHS Counseling website and on twitter
@BeardenGuidance. Please initial here:__________ confirming that you have read
and agree to the above statement.
Since BHS does not provide transportation, we ask that you complete the information below:
__________________________________ has permission to drive or ride with another student
(student name)
to ITT Technical Institute on ____________________________________________________.
date(s)
Students will be dismissed from morning exams by noon. Students who do not have
other AP Exams scheduled in the afternoon will not be required to return to the school
(BHS) campus. The reverse is also true for students taking afternoon exams. They do
not have to come to school on the morning of the afternoon exam. Afternoon exams
usually end by 4:00 p.m. Students will be expected to be present on campus for any
other final exam and/or final exam review, and when required by a teacher.
________________________________________________ ___________________
(Parent/Guardian Signature)
(Date)
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