teenamb application summer 2015
TRANSCRIPT
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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: _______________________________________________________________
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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:____________
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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 May 30, 2015. Applicants will be notified by June 15, 2015. For any questions, contact Alli Hartley at 202-633-4619. Address for applications: [email protected] Alli Hartley
National Museum of African Art Smithsonian Institution 950 Independence Ave., S.W. MRC 708 PO Box 37012 Washington D.C. 20013
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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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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 youd like to explore during this program, please explain.
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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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