Honors Academy
RIFLE HIGH SCHOOL
Pre-International Baccalaureate
Programme
Student Application Packet
Garfield County School District Re-2
Rifle High School
1350 Prefontaine Avenue
Rifle, Colorado 81650
970-665-7725
Fax: 970-665-7785
International Baccalaureate Mission Statement
The International Baccalaureate aims to develop inquiring, knowledgeable
and caring young people who help to create a better and more peaceful
world through intercultural understanding and respect.
To this end the organization works with schools, governments and
international organizations to develop challenging programmes of
international education and rigorous assessment.
These programmes encourage students across the world to become active,
compassionate and lifelong learners who understand that other people, with
their differences, can also be right.
We are delighted with your interest in the International Baccalaureate Programme at Rifle High
School. Highly motivated students with top-level academic abilities and lofty standards of
performance are obvious candidates for the IB Programme. However, since the IB Programme is
intended to attract a wide variety of learners, students with grades just above average (C+) can be
successful, provided they are highly self-motivated. Students who have a solid and well-rounded
freshman and sophomore academic and extra-curricular background are considered excellent
candidates for the program. Students who are participating in the IB Programme are encouraged
to be involved in extra-curricular activities and athletics. These activities play an important role
in the IB Programme.
This application must be completed and returned to either your 8th Grade Counselor or the RHS
Main Office. Be sure to complete all portions of the application and pay attention to the detail
and quality of your work.
ITEMS REQUIRED FOR AN APPLICATION TO BE CONSIDERED COMPLETE
•
Completed application form. All pages completed and all blanks filled as necessary. It is
important that the application reflects the quality of work that you are capable of
producing.
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Completed Extra-curricular Questionnaire.
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Signed and dated Rifle Honor Code and Declaration.
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Copy of current transcript/attendance record.
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The names and signatures of three teacher references.
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Completed application essay.
In addition to a completed application, we screen candidates for evidence of high motivation,
personal management skills, work ethic, attendance, and a strong desire to participate in the
Honors Program. The IB Learner Profile that is included with the application is also a telling
representation of the type of student who will thrive in this program. Please honestly reflect on
the qualities listed on the profile to determine if the student would be a good match for IB.
Application for Admission to the Rifle High School Honors Academy
______________________________________________________________________________
LAST NAME
FIRST NAME
______________________________________________________________________________
ADDRESS
CITY
ZIP CODE
(_____ )_______________________________________________________________________
HOME PHONE NUMBER
MIDDLE SCHOOL ATTENDED
PRESENT GRADE
LEVEL
____/____/________________MALE/FEMALE_______________________________________
___________
BIRTHDATE
GENDER
LANGUAGE SPOKEN AT HOME
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___________
NAME(S) OF PARENT(S)/GUARDIAN(S)
(______)_________________________(______)______________________________________
FATHER’S WORK/CELLPHONE
MOTHER’S WORK/CELL PHONE
(______)_______________________________________________________________________
STUDENT’S CELL PHONE
STUDENT’S EMAIL
Please complete all pages of this application. Be sure that all phone numbers are
current.
Statement of Commitment
• I realize the Honors Academy/IB Programme requires a commitment to extensive study in and
outside of school, involvement in academic tasks and extracurricular activities, and a financial
obligation. I am willing to commit the time and effort necessary for successful
participation/completion of the IB Programme.
_______________________________________
Signature of Student
______________________________
Date
• I verify that all information in this application is correct. I support the application of my
student to the Honors Academy at Rifle High School.
_______________________________________
Signature of Parent/Guardian
______________________________
Date
• I acknowledge that the selection process includes consideration of test scores, a writing
sample, transcript evaluation, attendance evaluation, and teacher recommendations. Parents
have access to all information pertaining to their child that is student generated.
_______________________________________
Signature of Parent/Guardian
______________________________
Date
I have given teacher recommendation forms to the following people:
• NAME ______________________________________ SCHOOL ______________________
Subject Taught/Position held
b. NAME ______________________________________ SCHOOL ______________________
Subject Taught/Position held
c. NAME ______________________________________ SCHOOL ______________________
Subject Taught/Position held
• I acknowledge that enrollment and demonstrated success in the Honors Academy is a
prerequisite to acceptance into the IB Programme. However, admission in the Honors
Academy does not guarantee admittance into the IB Programme.
_______________________________________
Signature of Student
______________________________
Date
_______________________________________
Signature of Parent/Guardian
______________________________
Date
Rifle High School Honors Academy
Pre-International Baccalaureate Diploma Programme
Application
Extra Curricular Activities
On the following lines, please list your interests, activities, hobbies, special
talents, and sports. Talk about your level of involvement, competitions you may
have entered, and how often the activity meets (If necessary add an additional
sheet).
For example: “I play the clarinet in the school band,” or “I attend church youth
group every Wednesday.”
Interests/Hobbies
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Activities
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Sports
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Special Talents
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R.H.S.
Responsibility ~ Humanity ~ Scholarship
Rifle High School Honors Academy
Pre-International Baccalaureate Diploma Programme
Application
Student Essay
Keeping in mind that the International Baccalaureate Diploma Programme is a
very challenging and unique opportunity for students in the Garfield-RE2 School
District, what sets you apart from other candidates that are applying to this
program? What should we know about you? Please write your response in your
own handwriting.
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R.H.S.
Responsibility ~ Humanity ~ Scholarship