High School Summer Institute 2012
National Gallery of Art

Thank you for your interest in the High School Summer Institute 2012. We hope you will join us for 10 days of fun and learning while you get to know the National Gallery of Art from the inside out.

Please print all pages and read the application carefully before completing it.

This application has three parts.

1. Application Form
   Complete the form, and on a separate sheet of paper, answer both Statement of Interest questions.



2. Sponsor Form
   Choose a teacher from your school who is familiar with your strengths and is willing to offer his or her support of your application. Ask your sponsor to complete and sign this form.



3. Signature Form
   This form documents your interest in the High School Summer Institute and should be signed by you, your parent/guardian, and your school principal.

Put all three parts of your application together in one envelope, postmarked by April 13, 2012, and mail it to:

High School Summer Institute
Department of Teacher, School, and Family Programs
Division of Education
National Gallery of Art
2000B South Club Drive
Landover, MD 20785

Applicants will be selected for an interview based, in part, on the timely submission of application forms, thorough responses to the Statement of Interest questions, and teacher recommendation. Due to the number of applications received, you will only be contacted if you are offered an interview.

Any questions?
Contact Sarah Diallo, museum educator for family and teen programs, at (202) 842-6252 or highschoolinstitute@nga.gov.

Main Application Form (1 of 3)

Print out, complete, and mail this form, the Sponsor Form, and the Signature Form by April 13, 2012.

Please type or print clearly. Fill in all the blanks on this form. On a separate sheet of paper, answer both Statement of Interest questions.

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Applicant's name

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Home address

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City / State / Zip code

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Home telephone / Cellular telephone / E-mail address

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Social security number             Age               Date of birth              Grade

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Country of citizenship        Work permit number (if non-US citizen)

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School name

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School address

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City / State / Zip code

______________________________________________________________________
School telephone

______________________________________________________________________
Principal's name

______________________________________________________________________
Guidance counselor's name

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Art teacher's name

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Sponsoring teacher's name

Statement of Interest

The High School Summer Institute is a competitive, 10-day, fast-paced program at the National Gallery of Art. During the program, participants will learn about the collections through interactive gallery tours, go behind the scenes to learn about museum careers, and work collaboratively to create a work of art for public display.

Participants are required to actively demonstrate a genuine interest in and enthusiasm for art; a willingness to accept challenges; and the ability to complete assignments on time. Students are also expected to show respect for adults and peers, work as a member of a team, learn from others, be on time, exhibit a positive attitude, and have an open mind.

On a separate sheet of paper, answer both questions. This is your opportunity to share your interests, talents, and unique personality with us. Please be thorough.

Applicants will be selected for an interview based on their application.

1. Describe why you want to spend 10 days at the National Gallery of Art. What are you interested in learning about museums?


2. This program requires students to display a variety of traits: responsibility, working as a team member, working independently, good listening skills, patience, creativity, and a willingness to learn. Choose two traits from this list and describe ways you display them in the classroom or in an after-school activity.

Put all three parts of your application together in one envelope, postmarked by April 13, 2012, and mail it to:

High School Summer Institute
Department of Teacher, School, and Family Programs
Division of Education
National Gallery of Art
2000B South Club Drive
Landover, MD 20785

The Institute will be held from 9:00 a.m. to 5:00 p.m. on weekdays, June 20 through July 1, 2012. Participants are required to attend all program days.

Any questions?
Contact Sarah Diallo, museum educator for family and teen programs, at (202) 842-6252 or highschoolinstitute@nga.gov.

High School Summer Institute 2012

Sponsor Form (2 of 3)

Print out, complete, and send in the Main Application Form, this form, and the Signature Form by April 13, 2012.

Choose a teacher from your school who is familiar with your strengths and is willing to support your application. Ask your sponsor to complete and sign this form.

______________________________________________________________________
Applicant's name

______________________________________________________________________
Sponsor's name

______________________________________________________________________
School telephone number

______________________________________________________________________
Best time to contact sponsor during school hours

______________________________________________________________________
Sponsor's e-mail address

______________________________________________________________________
Sponsor's home telephone number

______________________________________________________________________
Sponsor's signature

Sponsor's Statement of Support

The High School Summer Institute is a competitive, 10-day, fast-paced program at the National Gallery of Art. During the program, participants will learn about the collections through interactive gallery tours, go behind the scenes to learn about museum careers, and work collaboratively to create a work of art for public display.

Participants are required to actively demonstrate a genuine interest in and enthusiasm for art; a willingness to accept challenges; and the ability to complete assignments on time. Students are also expected to show respect for adults and peers, work as a member of a team, learn from others, be on time, exhibit a positive attitude, and have an open mind.

On a separate sheet of paper, please provide a statement describing this student's potential to be a successful participant in the High School Summer Institute 2012. Applicants will be selected for an interview based on their application.

High School Summer Institute 2012

Signature Form (3 of 3)

Print out, complete, and send in the Main Application Form, the Sponsor Form, and this form by April 13, 2012.

This form documents your interest in the High School Summer Institute and should be signed by you, your parent/guardian, and your school principal.

I want to participate in the High School Summer Institute 2012.

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Applicant's signature                                               Date

I support my child's efforts to participate in the High School Summer Institute 2012.

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Parent/Guardian's signature                                     Date

I endorse this candidate's participation in the High School Summer Institute 2012.

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Principal's signature                                                 Date