Artward Bound Application

ARTWARD BOUND A college access program for Boston students 2012 APPLICATION

Are you a student with a passion for drawing, painting, animation or any kind of visual art? Do you want to get prepared for college?

ARTWARD BOUND COULD BE FOR YOU ABOUT ARTWARD BOUND $UWZDUG %RXQG LV D IRXU \HDU FROOHJH DFFHVV SURJUDP LQ WKH YLVXDO DUWV GHVLJQHG IRU XQGHUVHUYHG SRWHQWLDO oUVW JHQHUDWLRQ students who live and go to school in Boston. Artward Bound helps prepare 8th – 12th grade students interested in the visual arts with the artistic and academic skills needed for admission to and success at an art/design college or other post-­secondary school. Artward Bound is currently accepting applications from rising 9th and 10 graders.

Students in Artward Bound begin with a six-­week summer session that includes intensive art and academic programs based on the campus of the Massachusetts College of Art and Design (MassArt). Students will participate in MassArt’s summer youth programs, academic support programs, and additional community art projects. During the school year, students participate in art classes and other activities including visits to museums and studios, academic tutoring, and life skills workshops. Students enrolling in the SURJUDP DUH H[SHFWHG WR SDUWLFLSDWH WKURXJK WKHLU VHQLRU \HDU LQ KLJK VFKRRO )RU WKH oUVW WZR \HDUV SURJUDP DFWLYLWLHV SULPDULO\ WDNH SODFH DW 0DVV$UW DIWHU ZKLFK VWXGHQWV PD\ SDUWLFLSDWH LQ RWKHU DIoOLDWHG DUW SURJUDPV WKURXJKRXW WKH FLW\

ADMISSIONS APPLICATION AND PROCESS Artward Bound has capacity for 30 students and has a rolling admissions process. The program will continue to review DSSOLFDWLRQV XQWLO WKH DYDLODEOH VWXGHQW VSDFHV DUH oOOHG We encourage students to apply early.

ADDITIONAL APPLICATION REQUIREMENTS v

Two Letters of Recommendation: One letter must be from a teacher who knows your work as a student. The other can be from a teacher or someone from your community like an athletic coach, pastor/minister, or youth organization leader or instructor. Please give each recommender the attached Letter of Recommendation Form that includes instructions for the letter. (p. 7 & 9)

v

Parent/guardian and student must read the Agreement of Participation (p. 11)

WHO CAN APPLY Artward Bound provides artistic, academic, and life skills VXSSRUW WR XQGHUVHUYHG SRWHQWLDO oUVW JHQHUDWLRQ FROOHJH bound students who live and go to school in Boston.

You may apply if: v you are currently in 8th or 9th grade and will be in 9th or 10th JUDGH LQ WKH VFKRRO \HDU v

you currently attend a Boston district, pilot, exam, parochial or charter school.

v

you live in Boston.

APPLICATION INSTRUCTIONS Please complete the following forms. Do not leave any questions blank. If questions do not apply to you, put N/A (Not Applicable). v

Student Information (p. 1)

v

Family Information (p. 2)

v

Student Education Information, Extracurricular Activities, and Writing Samples (p. 3 & 4)

v

Parent/Guardian Release of Information. Please ask your guidance counselor or principal for a copy of your complete middle school transcript/report card that lists your past and current classes and grades. (p. 5)

Thank you for your interest in Artward Bound. Artward Bound offers an exciting opportunity for you to work toward your future educational goals, and we look forward to working with you to achieve those goals.

For additional questions, please contact: Tracey Boler Director, Artward Bound

tracey.boler@massart.edu Massachusetts College of Art and Design is committed to an admissions policy that does not discriminate on the basis of race, creed, sexual orientation, gender, national or ethnic origin, religion or disability. We seek to provide opportunities and experience for all students on an equal basis.

ARTWARD BOUND APPLICATION STUDENT INFORMATION

LAST NAME/FAMILY NAME

FIRST NAME/GIVEN NAME

MIDDLE NAME

SOCIAL SECURITY NUMBER

OTHER NAME(S) (nickname, previous name, abbreviation, etc...)

DATE OF BIRTH (Month/Day/Year)

Mailing Address (Valid until – Month/Day/Year) ___/___/___

STREET ADDRESS

CITY

PHONE

STATE

May we text you at this number?

ZIP/POSTAL CODE

Yes

No

FAX

Permanent Address (if different)

STREET ADDRESS

CITY

PHONE

STATE

May we text you at this number?

ZIP/POSTAL CODE

Yes

No

FAX

Additional Information IS YOUR PRIMARY LANGUAGE ENGLISH? GENDER:*

Male

Yes

No (if not, please specify primary language)______________________

Female

U.S. CITIZENS AND LEGAL PERMANENT RESIDENTS Please answer BOTH questions below:

1. WHAT IS YOUR ETHNICITY?* Hispanic or Latino(a)

Not Hispanic or Latino(a)

2. WHAT ARE YOUR PRIMARY ETHNIC/RACIAL HERITAGES? Choose one or more: White

Black or African American

American Indian or Alaskan Native

Asian

Cape Verdean

Native Hawaiian or other Pacific Islander

2WKHU +RZ ZRXOG \RX OLNH WR VHOI GHVFULEH" ______________________ *Gender and ethnicity information is optional and is used for reporting purposes.

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STUDENT’S NAME

ARTWARD BOUND FAMILY INFORMATION Parent/Guardian 1 Father

Stepfather

Mother

Stepmother

Guardian

NAME

DAYTIME PHONE

EVENING PHONE

STREET ADDRESS

CITY

STATE

ZIP/POSTAL CODE

OCCUPATION

EDUCATION High School Diploma

Some College

College Degree

Some Graduate or Professional School

Graduate or Professional Degree

Parent/Guardian 2 Father

Stepfather

Mother

Stepmother

Guardian

NAME

DAYTIME PHONE

EVENING PHONE

STREET ADDRESS

CITY

STATE

ZIP/POSTAL CODE

OCCUPATION

EDUCATION High School Diploma

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Some College

College Degree

Some Graduate or Professional School

Graduate or Professional Degree

STUDENT’S NAME

ARTWARD BOUND STUDENT EDUCATION INFORMATION A middle school transcript/report card is required.

NAME OF MIDDLE SCHOOL

STUDENTS CURRENT GRADE LEVEL IN SCHOOL:

8th grade

9th grade

DOES THE STUDENT QUALIFY FOR EITHER FREE OR REDUCED LUNCH?

YES

NO

Extracurricular Activities Please list any Extracurricular Activities (athletics, clubs, volunteerism, etc.) in their order of importance to you: Activity

Grade

Position Held

Writing Samples Please submit two writing samples.

1. A half page essay describing why you would like to be selected to participate in Artward Bound. (You may write your essay in the space provided on page 4, or include it in a separate attachment.)

2. A paper that you have written for a current class or a paper that you are most proud of (e.g. journal writing, a creative writing assignment, a poem, musical lyrics, etc.).

Please note that these writing samples are just one part of your complete application.

p.3

STUDENT’S NAME

Please describe why you would like to be selected to participate in Artward Bound:

p.4

ARTWARD BOUND PARENT/GUARDIAN RELEASE OF STUDENT INFORMATION TO THE PRINCIPAL OR GUIDANCE COUNSELOR You are hereby authorized to release from your records to the Massachusetts College of Art and Design’s Artward Bound program, the school transcript/report card with past and current courses and grades, and any other pertinent data concerning the following student:

STUDENT NAME

SCHOOL ID#

DATE OF BIRTH

I,

hereby give consent and declare knowledge for (PARENT/GUARDIAN NAME)

the review and release of school records of (STUDENT NAME)

to be made available to authorized staff of the Massachusetts College of Art and Design’s Artward Bound program. All such information and records ZLOO EH NHSW FRQoGHQWLDO DQG XVHG RQO\ IRU FRXQVHOLQJ SXUSRVHV WR IDFLOLWDWH DFDGHPLF FROOHJH DQG FDUHHU DVVLVWDQFH IRU WKH DIRUHPHQWLRQHG VWXGHQW

PARENT/GUARDIAN ADDRESS

PHONE NUMBER

PARENT/GUARDIAN SIGNATURE

DATE

STUDENT SIGNATURE

DATE

Please return all information to: Tracey Boler, Director, Artward Bound, Professional and Continuing Education Massachusetts College of Art and Design 621 Huntington Avenue Boston, Massachusetts 02115

p.5

p.6

ARTWARD BOUND LETTER OF RECOMMENDATION

STUDENT’S NAME (PRINT)

FIRST

LAST

MIDDLE INITIAL

TO THE STUDENT 3OHDVH VHSDUDWH WKLV VKHHW IURP WKH UHVW RI WKH DSSOLFDWLRQ DQG JLYH LW WR WKH SHUVRQ ZULWLQJ \RXU OHWWHU RI UHFRPPHQGDWLRQ WR oOO RXW

TO THE REFERENCE PERSON $UWZDUG %RXQG LV D IRXU \HDU FROOHJH DFFHVV SURJUDP LQ WKH YLVXDO DUWV GHVLJQHG IRU XQGHUVHUYHG SRWHQWLDO oUVW JHQHUDWLRQ VWXGHQWV ZKR OLYH DQG JR WR VFKRRO LQ %RVWRQ 7KH SURJUDP V JRDO LV WR KHOS SUHSDUH WK WK JUDGH VWXGHQWV ZKR KDYH H[SUHVVHG LQWHUHVW LQ WKH YLVXDO DUWV ZLWK WKH DUWLVWLF DQG DFDGHPLF VNLOOV QHHGHG IRU DGPLVVLRQ WR DQ DUW GHVLJQ FROOHJH RU RWKHU SRVW VHFRQGDU\ LQVWLWXWLRQ 6WXGHQWV PD\ DSSO\ LI WKH\ DUH ULVLQJ WK DQG WK graders who attend a Boston district, pilot, exam, parochial, or charter school, and live in Boston.

Please assess the above student’s potential to be a successful participant in Artward Bound. We’d appreciate your comments on the student’s visual arts interests, academic potential, ability to relate to others, and persistence to carry through on tasks. Please use the back page if needed.

PLEASE RATE THE STUDENT’S ABILITY IN THE FOLLOWING AREAS: TOP 5%

STRONG

AVERAGE

WEAK

1. Shows interest in the visual arts

____________________________________________________________

2. Is a creative thinker

____________________________________________________________

3. Shows academic potential

____________________________________________________________

4. Works well with peers

____________________________________________________________

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6. Shows respect for others

____________________________________________________________

NAME OF REFERENCE

TITLE

RELATION TO STUDENT

SIGNATURE

DATE

Thank you for your time and support of this student.

Please mail the recommendation directly to: Tracey Boler, Director, Artward Bound, Professional and Continuing Education Massachusetts College of Art and Design 621 Huntington Avenue, Boston, Massachusetts 02115 p.7

(over)

STUDENT’S NAME

LETTER OF RECOMMENDATION (Continued)

p.8

ARTWARD BOUND LETTER OF RECOMMENDATION

STUDENT’S NAME (PRINT)

FIRST

LAST

MIDDLE INITIAL

TO THE STUDENT 3OHDVH VHSDUDWH WKLV VKHHW IURP WKH UHVW RI WKH DSSOLFDWLRQ DQG JLYH LW WR WKH SHUVRQ ZULWLQJ \RXU OHWWHU RI UHFRPPHQGDWLRQ WR oOO RXW

TO THE REFERENCE PERSON $UWZDUG %RXQG LV D IRXU \HDU FROOHJH DFFHVV SURJUDP LQ WKH YLVXDO DUWV GHVLJQHG IRU XQGHUVHUYHG SRWHQWLDO oUVW JHQHUDWLRQ VWXGHQWV ZKR OLYH DQG JR WR VFKRRO LQ %RVWRQ 7KH SURJUDP V JRDO LV WR KHOS SUHSDUH WK WK JUDGH VWXGHQWV ZKR KDYH H[SUHVVHG LQWHUHVW LQ WKH YLVXDO DUWV ZLWK WKH DUWLVWLF DQG DFDGHPLF VNLOOV QHHGHG IRU DGPLVVLRQ WR DQ DUW GHVLJQ FROOHJH RU RWKHU SRVW VHFRQGDU\ LQVWLWXWLRQ 6WXGHQWV PD\ DSSO\ LI WKH\ DUH ULVLQJ WK DQG WK graders who attend a Boston district, pilot, exam, parochial, or charter school, and live in Boston.

Please assess the above student’s potential to be a successful participant in Artward Bound. We’d appreciate your comments on the student’s visual arts interests, academic potential, ability to relate to others, and persistence to carry through on tasks. Please use the back page if needed.

PLEASE RATE THE STUDENT’S ABILITY IN THE FOLLOWING AREAS: TOP 5%

STRONG

AVERAGE

WEAK

1. Shows interest in the visual arts

____________________________________________________________

2. Is a creative thinker

____________________________________________________________

3. Shows academic potential

____________________________________________________________

4. Works well with peers

____________________________________________________________

6KRZV VHOI DPELWLRQ DQG VHOI GLVFLSOLQH

BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

6. Shows respect for others

____________________________________________________________

NAME OF REFERENCE

TITLE

RELATION TO STUDENT

SIGNATURE

DATE

Thank you for your time and support of this student.

Please mail the recommendation directly to: Tracey Boler, Director, Artward Bound, Professional and Continuing Education Massachusetts College of Art and Design 621 Huntington Avenue, Boston, Massachusetts 02115 p.9

(over)

STUDENT’S NAME

LETTER OF RECOMMENDATION (Continued)

p.10

THANK YOU FOR YOUR INTEREST IN ARTWARD BOUND. We look forward to receiving your application.

ARTWARD BOUND AGREEMENT OF PARTICIPATION Students who are accepted and decide to participate in Artward Bound and their parents or guardians will each be required to sign an Agreement of Participation specifying terms of participation as follows: Parent/Guardian must agree to: v

work with their child to obtain and maintain a B average or better in school;Íž

v

enforce all rules and regulations of Artward Bound as they pertain to their child;Íž

v

ensure that their child attends all Artward Bound sessions including: -­ orientation -­ six-­week summer session -­ twice a week academic year classes and tutoring -­ academic year classes and tutoring -­ other special activities as scheduled

v

ensure that their child will not be involved with illegal drugs or alcohol. Use of illegal drugs or alcohol will result in the student’s immediate dismissal from the program;͞

v

notify Artward Bound staff if their child is absent or will not be participating in a trip or other planned activity;Íž

v

answer all inquiries from Artward Bound staff regarding their child;Íž

v

attend required Artward Bound parent/guardian meetings.

Students must agree to: v

work to obtain and maintain a B average or better in school;Íž

v

respect teachers, tutors, other Artward Bound staff, and fellow students;Íž

v

not disturb classes and hand in all assignments;Íž

v

attend the six-­week summer session and obey all rules;͞

v

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v

attend classes, tutoring, and special activities during the school year and summer session. Parents or guardians will be contacted in the case of any unexcused absences and repeated unexcused absences may result in dismissal from the program;Íž

v

not be involved with illegal drugs or alcohol. Use of illegal drugs or alcohol will result in immediate dismissal from the program;Íž

v

ensure that parent/guardian notify Artward Bound staff regarding any absences or inability to participate in a planned trip or activity;Íž

v

follow the rules and regulations of Artward Bound;Íž

v

work to develop themselves fully academically, artistically, and personally for graduation from high school.

STUDENT APPLICATION CHECKLIST Please make sure that all of the following pages of the application have been completed: Student Family

Information page (p. 1)

Information page (p. 2)

Student

Education Information, Extracurricular Activities, and Writing Samples page (p. 3 & 4) Release of Student Information page with signatures. Please make sure the middle school sends the student’s transcript with past and current courses and grades. (p. 5)

If you have any questions, or need any help completing the application, please contact: Tracey Boler Director, Artward Bound

tracey.boler@massart.edu

Parent/Guardian

Two

(2) letters of recommendation sent to Massachusetts College of Art and Design (p. 7 & 9)

Parent/Guardian

and Student have read the Agreement of Participation page (above)

Please return all information to: Tracey Boler, Director of Artward Bound Professional and Continuing Education Massachusetts College of Art and Design 621 Huntington Avenue Boston, Massachusetts 02115

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MassArt Youth Programs 621 Huntington Avenue Boston, Massachusetts 02115