Artward Bound Application

ARTWARD BOUNDA college access program for Boston students

2012 APPLICATION

ADMISSIONS APPLICATION AND PROCESS Artward Bound has capacity for 30 students and has a rolling

admissions process. The program will continue to review

We encourage students to apply early.

WHO CAN APPLYArtward Bound provides artistic, academic, and life skills

bound students who live and go to school in Boston.

You may apply if:

you are currently in 8th or 9th grade and will be in 9th or 10th

you currently attend a Boston district, pilot, exam, parochial

or charter school.

you live in Boston.

APPLICATION INSTRUCTIONSPlease complete the following forms. Do not leave any questions

blank. If questions do not apply to you, put N/A (Not Applicable).

Student Information (p. 1)

Family Information (p. 2)

Student Education Information, Extracurricular Activities,

and Writing Samples (p. 3 & 4)

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)

ADDITIONAL APPLICATION REQUIREMENTSTwo 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)

Parent/guardian and student must read the Agreement of

Participation (p. 11)

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

[email protected]

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.

ABOUT ARTWARD BOUND

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

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

ARTWARD BOUND APPLICATION STUDENT INFORMATION

LAST NAME/FAMILY NAME FIRST NAME/GIVEN NAME MIDDLE NAME OTHER NAME(S) (nickname, previous name, abbreviation, etc...)

SOCIAL SECURITY NUMBER DATE OF BIRTH (Month/Day/Year)

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

STREET ADDRESS

CITY STATE ZIP/POSTAL CODE

PHONE May we text you at this number? Yes No FAX

Permanent Address (if different)

STREET ADDRESS


PHONE May we text you at this number? Yes No FAX

Additional Information

IS YOUR PRIMARY LANGUAGE ENGLISH? Yes No (if not, please specify primary language)______________________

GENDER:* Male 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

______________________

*Gender and ethnicity information is optional and is used for reporting purposes.

p.1

ARTWARD BOUND COULD BE FOR YOU

ARTWARD BOUND FAMILY INFORMATION

Parent/Guardian 1

Father Stepfather Mother Stepmother Guardian

NAME

DAYTIME PHONE EVENING PHONE

STREET ADDRESS


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


OCCUPATION

EDUCATION

High School Diploma Some College College Degree Some Graduate or Professional School Graduate or Professional Degree

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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:

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.

Activity Grade Position Held

p.3

STUDENT’S NAME

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

p.4

STUDENT’S NAME

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

the review and release of school records of

to be made available to authorized staff of the Massachusetts College of Art and Design’s Artward Bound program. All such information and records

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

(STUDENT NAME)

(PARENT/GUARDIAN NAME)

p.5

p.6

ARTWARD BOUND LETTER OF RECOMMENDATION

STUDENT’S NAME (PRINT) FIRST LAST MIDDLE INITIAL

TO THE STUDENT

TO THE REFERENCE PERSON

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 ____________________________________________________________

6. Shows respect for others ____________________________________________________________

NAME OF REFERENCE TITLE

RELATION TO STUDENT

SIGNATURE DATE

Please mail the recommendation directly to:



621 Huntington Avenue, Boston, Massachusetts 02115

Thank you for your time and support of this student.

p.7

(over)

LETTER OF RECOMMENDATION (Continued)

p.8

STUDENT’S NAME

p.9

ARTWARD BOUND LETTER OF RECOMMENDATION

STUDENT’S NAME (PRINT) FIRST LAST MIDDLE INITIAL

TO THE STUDENT

TO THE REFERENCE PERSON

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 ____________________________________________________________

6. Shows respect for others ____________________________________________________________

NAME OF REFERENCE TITLE

RELATION TO STUDENT

SIGNATURE DATE

Please mail the recommendation directly to:



621 Huntington Avenue, Boston, Massachusetts 02115

Thank you for your time and support of this student.

(over)

p.10

LETTER OF RECOMMENDATION (Continued)

STUDENT’S NAME

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

STUDENT APPLICATION CHECKLIST Please make sure that all of the following pages of the

application have been completed:

Student Information page (p. 1)

Family Information page (p. 2)

Student Education Information, Extracurricular Activities,

and Writing Samples page (p. 3 & 4)

Parent/Guardian 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)

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 EducationMassachusetts College of Art and Design 621 Huntington AvenueBoston, Massachusetts 02115

p.11

If you have any questions, or need any help completing the application, please contact:

Tracey Boler Director, Artward Bound

[email protected]

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:

work with their child to obtain and maintain a B average or

better in school;;

enforce all rules and regulations of Artward Bound as they

pertain to their child;;

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

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;;

notify Artward Bound staff if their child is absent or will not

be participating in a trip or other planned activity;;

answer all inquiries from Artward Bound staff regarding their

child;;

attend required Artward Bound parent/guardian meetings.

Students must agree to:

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

respect teachers, tutors, other Artward Bound staff, and fellow

students;;

not disturb classes and hand in all assignments;;

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

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;;

not be involved with illegal drugs or alcohol. Use of illegal drugs

or alcohol will result in immediate dismissal from the program;;

ensure that parent/guardian notify Artward Bound staff

regarding any absences or inability to participate in a

planned trip or activity;;

follow the rules and regulations of Artward Bound;;

work to develop themselves fully academically, artistically, and

personally for graduation from high school.

MassArt Youth Programs621 Huntington AvenueBoston, Massachusetts 02115

Documents

Artward Bound Application