teenamb application summer 2015

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TEEN AMBASSADORS Program Application A youth program for students in grades 10 – 12 The Arts Can Take You Places! INSTRUCTIONS Please print legibly using blue or black ink or fill out digitally. APPLICANT INFORMATION Name: Last:_____________________________ First:____________________________ M.I.____ Date of Birth: ___________________________ Age: ________ Country of Birth: ______________________________ Address: _______________________________________________________________ _______________________________________________________________ _______ City: ___________________________________ State: ________________ ZipCode: ___________ Phone #: (_______) ________ _________ Cell #: (_______) _______ ____________ EMail: _____________________________ What language, other than English, is spoken in your home? _________________________ How did you hear about the program? ______________________________ SCHOOL INFORMATION School Name: _________________________________________________ Address: ________________________________________________ Ward (if applicable) ____________ Grade in 201516:____________

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TeenAmb Application Summer 2015

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Page 1: TeenAmb Application Summer 2015

 TEEN  AMBASSADORS  Program  Application  

A  youth  program  for  students  in  grades  10  –  12    

The  Arts  Can  Take  You  Places!    INSTRUCTIONS  Please  print  legibly  using  blue  or  black  ink  or  fill  out  digitally.    

APPLICANT  INFORMATION    

Name:    Last:_____________________________  First:____________________________  M.I.____    

Date  of  Birth:  ___________________________    Age:  ________    

Country  of  Birth:  ______________________________  

Address:  _______________________________________________________________    

_______________________________________________________________  _______    

City:  ___________________________________  State:  ________________  Zip-­‐Code:  ___________  

Phone  #:  (_______)  ________  -­‐  _________    

Cell  #:    (_______)  _______-­‐  ____________    

E-­‐Mail:  _____________________________  

What  language,  other  than  English,  is  spoken  in  your  home?    _________________________    

How  did  you  hear  about  the  program?      ______________________________  

 SCHOOL  INFORMATION  

 

School  Name:      _________________________________________________  

Address:  ________________________________________________    

Ward  (if  applicable)  ____________  

Grade  in  2015-­‐16:____________  

Page 2: TeenAmb Application Summer 2015

Parent/ Guardian Information

Name:  Last:__________________________________    First:________________________    

Is  address  same  as  above?    ___________  

If  no,  fill  out  below:    

Street:  __________________________________________________________________________    

City:  ___________________________________  State:  __________  Zip  Code:  ________________  

Phone  #  :  (_______)  _________  -­‐  _________    

Cell  #  :  (_______)  ________-­‐  __________    

 

Emergency  Contact:    ________________________________________________________  

                             Relationship:  ______________________      Phone:  ________________  

REQUIREMENTS:  

The  Teen  Ambassadors  Program  has  Fall,  Spring  and  Summer  Trainings.  Each  training  period  consists  of  several  hours  working  with  museum  educators,  curators,  docents  and  other  professionals.    Once  you  have  finished  a  training  period  and  completed  a  qualifying  tour,  you  are  able  to  sign  up  for  weekend  or  weekday  tour  volunteer  shifts.  Requirements  include:    •   Participation  in  all  required  training  sessions  (24  hr/  for  summer  session)  •   Service  of  4  hours/month  after  completion  of  training  for  at  least  3  months    The  program  may  be  used  to  qualify  for  community  service  hours  required  by  most  high  schools  prior  to  graduation.  Active  Teen  Ambassadors  who  have  met  all  the  guidelines  also  have  the  opportunity  to  take  part  in:    •   Museum  activities  such  as  exhibit  openings,  press  previews,  and  other  programs  •   Field  trips  and  opportunities  to  meet  teens  at  other  Smithsonian  museums  •   Additional  project  opportunities  and  collaborations  with  outside  organizations  •   Art-­‐making  workshops  with  staff,  volunteers  and  visiting  artists    DATES  AND  TIME  FOR  SUMMER  2015  TRAINING  CLASS:  •   Week  One:  July  7-­‐10,  1:30-­‐4:30  p.m.  •   Week  Two:  July  14-­‐17,  1:30-­‐4:30  p.m.    There  will  be  a  required  meeting  for  the  parents  of  accepted  students  on  Monday,  July  6th  at  6:00  p.m.      To  apply  to  be  a  member  of  the  Summer  2015  Teen  Ambassador  Class,  please  send  completed  applications  to  Alli  Hartley  by  June  8,  2015.    Applicants  will  be  notified  by  June  25,  2015.  For  any  questions,  contact  Alli  Hartley  at  202-­‐633-­‐4619.  Address  for  applications:          [email protected]                                                                    

 

Alli  Hartley  Smithsonian’s  National  Museum  of  African  Art  950  Independence  Ave.,  S.W.  MRC  708  PO  Box  37012  Washington  D.C.  20013    

Page 3: TeenAmb Application Summer 2015

APPLICATION  QUESTIONS  We  are  interested  in  recruiting  a  group  of  students  with  a  broad  interest  in  international  arts  and  cultures.  Please  answer  the  following  questions  either  on  this  application  or  on  an  attached  sheet  of  paper.    

 ESSAY  

Write  a  short  essay  on  a  recent  museum  visit  you  enjoyed.      Choose  your  favorite  exhibition  and  describe  it.      Include  the  title  of  the  exhibition,  theme,  what  objects  and/or  other  materials  comprised  the  installation  (light/sound/videos/interactives,  other).    Discuss  what  specifically  caught  your  interest  and  why.    What  did  you  learn  from  this  experience?        ______________________________________________________________________________

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Page 4: TeenAmb Application Summer 2015

SHORT  ANSWERS  

 1. What  role  do  the  arts  play  in  your  life?  In  what  ways  do  you  consider  yourself  an  artist?  

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2.  Why  do  you  want  to  be  a  National  Museum  of  African  Art  Teen  Ambassador?  If  you  have  any  

connections  to  Africa  you’d  like  to  explore  during  this  program,  please  explain.      

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Page 5: TeenAmb Application Summer 2015

Please  list  all  organizations  or  clubs  at  school  of  which  you  are  a  member.  If  you  have  a  resume  or  activity  sheet,  please  attach  to  the  back.  

Name  of  Club           Position               Year(s)  

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