Riverside Secondary School Leamington District Secondary School

How to Apply

Applications for the 2017/18 Preparatory Program (for students currently in grade 8) will be available at the information nights at Riverside on Monday, January 16th at 6:30PM and at Leamington on Wednesday, January 18th at 5:00PM. Applications will subsequently be available at both schools and through the board website at .

Applications are due Wednesday, February 15, 2017. Candidates will be contacted to schedule a brief interview.

To apply for the program you must:

Be enrolled in grade 8

Provide a copy of your grade 7 final report card and grade 8 February report card

List yourextra-curricularand community involvement on the form provided

Submit the application package to the Student Services Office at LDSS or the Guidance Office at RSS.

Have I Missed My Chance to Apply?

If it is after February 15, 2017 and you have not yet applied to the program and you wish to, please review our expectations and complete the application package. Applications are available at the main office of both schools, or you can download it here:

GECDSB Preparatory Program Application 2017-2018 (doc name)

To learn more about the International Baccalaureate Program, visit or contact our Program Coordinators at the school for more information.

Derek TomkinsLisa Jeffery

Preparatory Program CoordinatorPreparatory Program Coordinator

Riverside Secondary SchoolLeamington District Secondary School

519-948-4116, extension 31108519-326-6191, extension 51917

APPLICATION FORM

GRADE 9 PREPARATORY PROGRAM for

THE INTERNATIONAL BACCALAUREATE DIPLOMA

ApplicationDirections:

1.Readinstructionsandinformationsheetsinthispackage.

2.Completetheinformationsectionoftheapplication(sectionsA –B).Theemailaddressesprovidedmust be checkedregularly.

3.CompletetheExtra-CurricularInvolvementChart,attachONEadditionalsheetonlyifnecessary.

4.Submitapplicationonorbefore Wednesday, February 15, 2017 at4:00pmto the RSSor LDSS mainoffice.

INCOMPLETEPACKAGESWILLNOTBECONSIDERED.SeetheApplicationChecklistbelowtoensureyou haveincludedalltheapplicationrequirements.

5.You will be contacted for a brief interview after your application has been processed.

ApplicationChecklist:

Completedapplicationformincludingthe Extra-Curricular and CommunityInvolvementChart.

Copyoffinalgrade7reportcard and current February grade 8 report card.

APPLICATIONDEADLINE–Wednesday, February 15, 2017,4:00P.M.

CONTACT INFORMATION

A.StudentInformation(pleaseprint)

LastName / FirstNameInitial / Preferred Name
Currentschool you areattendingand School Board
Address
NumberStreetApt #
City / Province / PostalCode
Home TelephoneNumber
( )- / Date of Birth
StudentContact email address (required – must check regularly)
  1. Parent/Guardian ContactInformation (pleaseprint)

1.Parent/Guardian Last Name / Given Name
Telephone
Bus. ()-
Cell ()- / Email address (required –must checkregularly)
2.Parent/Guardian Last Name / Given Name
Telephone
Bus. ()-
Cell ()- / Email address
  1. ForOfficeUseOnly

Extra-Curricular and Community Involvement

On the chartprovided,listthe activities inwhichyouparticipate(both inschooland in the community)

Activity / Date/Duration / Role
e.g.SoccerTeam / May–September2013-present / -attendpracticesandgames
-teamwork
-stayphysicallyfit
-teamcaptaininsummer2016

If morespaceisrequired,pleaseattachoneadditional page(maximum).

Student’sSignatureDate