Form

Expression of Interest Form

Students Contact Information
Student Name
First Last
Date of Birth
Current Grade-Level
Parent/Guardian Contact Information
Name*
First Last
Phone (Cell)*
Phone (Home)
My level of interest in the IBDP at this point could best be described as:*
- This is something I definitely want to do. I've made up my mind.
- I've just started considering this path. I might need more information.
- I'm interested, but I'm not sure if it's the right path for me.
I would like to request a meeting with the Academic Career and Counselor:
- I prefer to meet her
- Not as this time
Please write the date and time you would like to meet the Academic Career and Counselor
Counseling Schedule: Mondays: 12:00-12:30 Wednesdays: 11:30-12:00, 12:00-12:30, 12:45-13:15
I would like to discuss the following questions/issues with the Academic and Career Counselor:
I am interested in:*
- Mathematics Disciplines
- Sciences Disciplines
Some possible college majors or careers I am currently thinking about:

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