IB Support Registration Form (Language A or Language B) Fill the form below to resgiter for IB Support Registration Form (Language A or Language B) First Name of IB candidate *Surname of IB candidate *Email address *Note: for safeguarding purposes, we much prefer to use school email addressGenderMaleFemaleOtherWe are aware that in some countries online video conferencing is not readily accessible. Do you have access to video conferencing (Google Meet, Microsoft Teams, Skype)?YesNoIf yes, please give detailsIf no, does your school have special access to video-conferencing (Skype, Google Talk, Hangouts, etc.)?YesNoPlease give detailsAre you applying for:Language A Literature: *YesNoHLSLPlease name Language A Literature:Language B (Acquisition): *YesNoHLSLAb Initio (SL)Please name Language B (Acquisition):Date of Birth *NationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweSecond NationalitySelect a second nationalityAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua And BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia And HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, The Democratic Republic Of TheCook IslandsCosta RicaCote D'IvoireCroatia (Local Name: Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard And Mc Donald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic Of)IraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic OfKorea, Republic OfKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedonia, Former Yugoslav Republic OfMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States OfMoldova, Republic OfMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts And NevisSaint LuciaSaint Vincent And The GrenadinesSamoaSan MarinoSao Tome And PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia, South Sandwich IslandsSpainSri LankaSt. HelenaSt. Pierre And MiquelonSudanSurinameSvalbard And Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic OfThailandTogoTokelauTongaTrinidad And TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis And Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabweStudent's Mother Tongue *Host IB School Name *Host IB School Location *(Country)IB Coordinator's Name *IB Coordinator's e-mail address *Any other school contact if applicable (ie Language A Coordinator)Other contact's e-mail addressFor Language A Literature:How long ago was it that you lived and studied in a country using your mother tongue or the first language you want to study with us?When (what year) did you last live in a country where your mother tongue (or the first language you want to study with us) was spoken (do not count short visits)?How many years has it been since you attended a school where your mother tongue was spoken?Have you continued to read books and literature in your mother tongue?What was the name of a book you have recently read?Have you continued to write academic papers in your mother tongue?Have you had "formal" tutoring in your mother tongue during the past two years? (ie Saturday school, distance learning programme, private tutor, group lessons at school). Please explain: *For Language B (Acquisition):For how many years have you studied this language?How many years has it been since you attended a school where this language was taught?Have you continued to read books and literature in this language?Have you continued to write in this language?Have you had "formal" tutoring in this language during the past two years? Please explain: *In addition to this IB Language course, what other IB Language/s will you study for the IB? (Note, only two languages are required but some students opt for a third language instead a Group 6) *If you are studying a 3rd language what language and level will that be?Are you transferring in to the second year of IB? If so, please see supplemental application form.YesNoIf so, at what school and where did you start the IBDP?Are you transferring after starting SSST Lit A with another tutor?YesNoIf so, please explain why you are seeking a new tutor?When are you starting your IBDP programme? *Please select an optionJanuaryFebruaryMarchAprilJuneJulyAugustSeptemberOctoberNovemberDecemberWhat year? *When are you due to sit your IBDP exams? *MayNovemberYear *Please select an option202420252026Has the student ever had a diagnosis for a special educational need?YesNoWho is paying for your ILLTC IB Mother Tongue Teacher Consultancy?(Note: Because of Brexit, if your school is based in the EU or Switzerland, the payer must be the school or a company, not an individual EU resident.)The School: *YesNoPartialFamily paying privately: *YesNoPartialParent's company, embassy or sponsoring organization: *YesNoPartialIf company please name the company:Position/Title of the person who will receive the invoice *Name of person who should receive the invoice: *E-mail *Billing Address *Telephone number *If the fees will be paid by a company, please province the TAX/VAT number.I have read the Terms and Conditions for ILLTC Mother Tongue Mentoring Consultancy and agree to their terms. I have read and discussed with the student the Privacy Statement along with purpose of this programme in light of the European General Data Protection Regulations (GDPR) and we have understood and agree with these Guidelines as set out by the ILLTC GDPR Policy Statement for Clients published on the website. *YesNoN/AName of person completing form *TitleEmail address *Relationship to the IB Candidate (complete as appropriate) *School staff (eg IB Coordinator, Language A Coordinator, SS Coordinator)ParentRepresentative of Sponsoring Organisation or Relocation CompanyName of FirmHow did you hear about ILLTC? *Another studentMy SchoolOur CompanyOther (please explain)If you chose "Other" above, please explain:Next StepsHTMLUpon receipt of the completed registration form we will contact your school (if this has been submitted by someone other than the school) and also the person who will pay the fees to confirm arrangements. We will then send the first invoice for payment, and introduce your ILLTC Teacher so the student, school and teacher can plan next steps.Send Message