High School Seminar 2008–2009
National Gallery of Art

SPONSORING-TEACHER APPLICATION

Please print out, complete, and send this form with the Student Application via mail or fax

Mailing Address
High School Seminar
Department of Teacher, School, and Family Programs
National Gallery of Art
2000B South Club Drive
Landover, MD 20785


Fax Number
(202) 842-6935

Applications must be received no later than Friday, September 26, 2008.

PART I
Please type or print legibly

______________________________________________________________________
Teacher's name

______________________________________________________________________
Name of school

______________________________________________________________________
School address

______________________________________________________________________
City / State / Zip

______________________________________________________________________
School District

______________________________________________________________________
School phone number

______________________________________________________________________
Principal's name

______________________________________________________________________
Home telephone / E-mail address

______________________________________________________________________
Where can you best be reached during the school year?

______________________________________________________________________
Classes taught

______________________________________________________________________
Have you participated in the High School Seminar before? When?

______________________________________________________________________
Can you attend the teacher orientation on November 15?

______________________________________________________________________
If you cannot attend this orientation, can you attend a make-up session on another date?

PART II

Sponsoring teacher's statement of support

Please provide a brief statement describing why this student should be considered for admission to the High School Seminar program (no more than 200 words, please).