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: _______________________________________________________________ _______________________________________________________________ _______ 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:____________ 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 June 8, 2015. Applicants will be notified by June 25, 2015. For any questions, contact Alli Hartley at 202-‐633-‐4619. Alli Hartley Address for applications: HartleyA@si.edu Smithsonian’s National M useum of African Art 950 Independence Ave., S.W. MRC 708 PO Box 37012 Washington D.C. 20013 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? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ SHORT ANSWERS 1. What role do the arts play in your life? In what ways do you consider yourself an artist? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________ 2. Why do you want to be a National Museum of African Art Teen Ambassador? If you have any connections to Africa you’d like to explore during this program, please explain. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 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) _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ________________