Summer Institute New Student Application
RequiredRequired Question(s)
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APPLICANT INFORMATION
 
Required 1.

First Name:

 

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Required 2.

Last Name:

 

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Required 3.

Date of Birth (mm/dd/yy):

 

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4.

School Name and Address:

 

350 characters left.
5.

Grade/Year

 

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HOW DO YOU IDENTIFY?
 
Required 6.

Gender:

 

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Required 7.

Race:

 

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Required 8.
Ethnicity:
 

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APPLICANT'S HOME ADDRESS AND CONTACT INFORMATION
 
9.
Please enter information indicated below.

Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

10.

Home Phone Number:

 

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11.

Applicant's Cell Phone Number:

 

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Required 12.

Applicant's Email Address:

 

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PARENT/GUARDIAN INFORMATION
 
13.

Applicant lives with (please check one). If other, please list relationship to the applicant in the field below.

Mother
Father
Both
Joint Custody
Other (please list relationship to applicant below)
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MOTHER/GUARDIAN INFORMATION
 
14.

First Name:

 

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15.

Last Name:

 

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16.

Occupation: 

 

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17.

Home Phone:

 

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18.

Business Phone:

 

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19.

Cell Phone:

 

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20.

Email Address:

 

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FATHER/GUARDIAN INFORMATION
 
21.

First Name:

 

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22.

Last Name:

 

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23.

Occupation: 

 

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24.

Home Phone:

 

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25.

Business Phone:

 

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26.

Cell Phone:

 

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27.

Email Address:

 

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APPLICATION QUESTIONS (to be completed by student)
 
Required 28.

How did you find out about Summer Institute? Check all that apply:

Workshop at my school
College/Career Fair
Website
Email
Brochure
Parent/Guardian
Teacher/Counselor
I applied before
Former SI Student
Community Center
MMEP Academic Enrichment Guide
Admission Possible
Other  
29.

If you were referred by someone, what is his or her name?

 

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YOUR EXPERIENCE (list)
 
Required 30.

Please list what, if any, experience you have had with the performing arts.

 

1000 characters left.
31.

Please list any extra or co-curricular activities in which you have been involved including volunteer/service experiences.

 

1000 characters left.
YOUR GOALS (short answer)
 
Required 32.
Why do you think you would be a good candidate for the Summer Institute program? 
 

350 characters left.
Required 33.

Do you have specific goals for your time spent at Summer Institute? What would you like to accomplish during the four weeks?

 

350 characters left.
ESSAY QUESTION (approximately 250 words)
 
Required 34.

In your own words, what does "art for social change" mean?

 

1000 characters left.
SCHOLARSHIP INFORMATION
Scholarships are awarded to eligible students on the basis of need and dedication to the performing arts. If you would like to be considered for a scholarship, please answer the following questions. You may ask a parent/guardian to help you with this section.
 
35.
How many people are in your household? 
 

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36.
What is your household's annual income? 
 

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37.
Do you feel an obligation to provide financial support for your family?
 

50 characters left.
Required 38.
Are you on the free and reduced lunch program at school? 
 

50 characters left.
Required 39.
Does your family receive public assistance, disability, social security benefits or WIC? If yes, please explain.
Yes
No
  • Comment:

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