Applicant’s Name: _____________________

SHENANDOAH VALLEY GOVERNOR’S SCHOOL AH Program Application

Student Checklist for Fall 2014The following items are your responsibility to complete/accomplish for your application to SVGS. This checklist is to aid you in making sure nothing is omitted.

TYPE your name and circle the art concentration for which you are applying at the top of EVERY sheet. Also, fill in biographical information where requested, including that requested on the Application Form, Teacher Recommendation Forms, Counselor Recommendation Form, and Student Profile.

ALL FORMS AND INFORMATION MUST BE TYPED.1. APPLICATION FORM

Type your name, program preference and other personal information on every page where requested.

_____ Completed Application Form to counselor (DUE TBA by your school counseling department)

2. TALENT ADJUDICATION

_____ Adjudication Request Form to counselor (DUE February 1, 2014)

3. TEACHER RECOMMENDATIONSTo distribute to a teacher/coach/mentor who can provide you an honest and excellent recommendation:

_____ Art or Drama Teacher Recommendation. (Complete your information at the top before distributing it!)

NOTE: If you are asking someone outside your school to do this, you must provide them with a stamped, addressed (to your guidance counselor) envelope. The person will place the recommendation in the envelope, seal it, sign across the seal, and mail it to the guidance counselor.

_____ English Teacher Recommendation (Complete your information at the top before distributing it!)

4. COUNSELOR RECOMMENDATION/INFORMATIONTo give to your counselor

_____ Counselor Recommendation/Information (Complete your information at the top before distributing it!)

5. Other

_____ PSAT Test (MANDATORY)You may substitute the SAT percent scores if you were unable to take the PSAT on the dates it is given. However, your scores are due to your counselor by his/her specified date.Please be aware that test scores are FINAL as of this due date! (You may not take them later in the year to submit improved scores for this application process.)

The Augusta County School Board does not discriminate on the basis of race, color, national origin, religion, age, disability, or gender in itsprograms and activities and provides equal access to the Boy Scouts and other designated youth groups.

The following persons have been designated to handle inquires regarding non-discrimination policies:

Title IX Coordinator, Eric W. Bond, Ed. D18 Government Center Ln.Verona, VA 24482(540) 245-5100

Section 504 CoordinatorGeorge Earhart18 Government Center Ln.Verona, VA 24482(540) 245-5100

Shenandoah Valley Governor’s School

Overview of Requirements for Auditions and Portfolios: February 2014

For the THEATRE PROGRAM:

Acting Audition

You will present two memorized contrasting monologues, approximately one minute each, or one monologue and an alternate activity relevant to either musical or technical theatre. “Contrasting” can be demonstrated through the character and type of material chosen, such as contemporary vs. classical, urban vs. rural, dramatic vs. comedic, etc. Find characters in your own material and emotional range and from material with which you are familiar. Do not use foreign dialects, costumes or props.

You will be required to participate in an improvisation with three (3) to five (5) other performers in addition to your monologue. The adjudicators will set up these improvisations as part of a warm-up for the group, after which your individual audition will be held.

Design/Production

You will bring examples of your work (photographs, drawings, etc) and discuss them with the adjudicators. You will participate in an improvisation activity with three (3) to five (5) other applicants. You will perform a short “hands-on” exercise with provided props and materials.

For the VISUAL ARTS PROGRAM:

Portfolio

You will present a portfolio of ten pieces of recent (within the last two years) artwork to the adjudicators. Variety of subject matter and media is encouraged. If available, you should include both 2-D and 3-D work. You are encouraged to present original material and drawings from life. A sketchbook should be included with your portfolio but does not count in the total of ten (10) required works.

Color slides or digital presentations of artwork may be offered in lieu of the actual piece(s) ONLY if size or transportation difficulties prevent your including the actual piece. You are responsible for bringing a slide projector and slide tray with your slides mounted and ready for viewing by the adjudicators.

Interview

You will have an informal, private interview and review of your work with the adjudicators during which questions may be asked about techniques and ideas demonstrated in your work.

Your portfolio will be returned to you at the conclusion of the interview.

SVGS THEATER ARTS

Instructions for Adjudication for Theatre Arts

Auditions will take approximately one hour. There will be a fifteen-minute group warm-up activity for you and the other applicants. Following this will be your audition (see guidelines below) followed by a short interview. You will also be asked to perform an improvisation with other applicants.

SUCCESSFUL AUDITIONERS WILL FOLLOW THESE GUIDELINES:

Group Warm-Up: The group will play a series of theatre games. This should help you: relax and enjoy, focus and meet your fellow applicants

Audition Pieces: You must prepare two contrasting monologues (for example, comic and suspenseful) Time the pieces to ensure that each is about one minute long Choose characters close to your age Choose material from plays (not from poems, short stories, or novels) Do not wear costumes or bring props Memorize and rehearse your pieces Practice your pieces for your drama teacher, friends, and/or family Prepare to make adjustments (accept direction) after you have performed both pieces

Interview: Prepare to talk about the following: The works you chose to perform The process by which you prepared for the audition Your interest in theatre Your interest in attending Governor’s School

Improvisation: Each applicant will be given a situation and asked to perform a short improvisation Wear clothes that allow for movement Work with your partner, not against him/her Relax and enjoy the experience

THE GOVERNOR’S SCHOOL STRIVES TO TRAIN WELL-ROUNDED ACTORS AND TECHNICIANS. THEREFORE, YOU WILL BE GIVEN NUMEROUS OPPORTUNITIES TO WORK IN BOTH MUSICAL AND TECHNICAL THEATRE.

If you have an interest in musical theatre, you may substitute one of the following for your second monologue:Song: Prepare one verse of a song (approximately one minute)

Bring a tape or CD with your music (cued to your song)Dance: Prepare one dance or movement piece (approximately one minute)

Wear appropriate dance attire and shoesBring a tape or CD with your music (cued to your music)

If you have an interest in technical theatre or design, you may substitute a portfolio review for your second monologue:

Portfolio: Present sketches, designs, photographs, costumes, slides, prompt books, sample properties or other evidence of your technical theatre work

ORPresent drawings, sculpture, or photography if your experience has previously been in the field of art

Quality is more important than quantity Prepare to discuss your work during the interview

SVGS VISUAL ARTSInstructions for Adjudication for Visual Arts

Portfolio Evaluations will take approximately twenty minutes. Portfolios should present your BEST work, NOT demonstrate development.

If you will need a computer for your portfolio, you must arrange to come to SVGS to load your portfolio prior to your adjudication date. SVGS supports both MacIntosh and Windows operating systems. SVGS will provide computer projection systems. To schedule loading your portfolio or if you have questions about the computers, please e-mail Jennifer Vaughan (vaughan@svgs.k12.va.us) or call her at 245-5088.

Successful portfolios and interviews will follow these guidelines:

Portfolios:Must contain 10 pieces of your best workDemonstrate your ideas and interestsInclude work in more than one medium, and both 2D and 3D if possibleInclude work that demonstrates the development of a theme

Focus on craftsmanship, mastery of materials, and an indication of time spent to achieve a strong resultShow originality in choice of subject, technique, and/or compositionOriginal work MUST be submitted unless size or medium prevent transport. Only in this case may digital

images or color slides be substituted

Portfolios should not:Show unfinished work or work of low quality along with work of high quality

Other points:Bring your sketchbook.You should be prepared to discuss your work with the adjudicators. You will have a short interview during your adjudication.

ARTS ADJUDICATION REQUEST

Return to your counselor NO LATER THAN February 1, 2014.

FULL LEGAL NAME: _________________________________________

SCHOOL: ___________

Preferred Name: ____________________________________________

Phone Contact: _________________________________________

e-mail Contact: _________________________________________

Program (circle one): Visual Arts Theatre Arts

Please indicate by CROSSING OUT ANY TIMES WHICH CONFLICT with MANDATORY activities in which you are engaged by marking through the times. Please indicate by circling your preferred times. We will do our best to honor your request. All adjudications will take place at SVGS, located in the west wing of the Valley Vocational Technical Center in Fishersville.

Mar. 3, 2014 Mar. 4, 2014 Mar. 6, 2014Visual Arts ONLY Theatre ONLY Visual Arts Theatre

2:302:30

2:30

2:50 2:50 2:303:10 3:103:30 3:30 3:30 3:303:50 3:504:10 4:104:30 4:30 4:30 4:304:50 4:505:10 5:106:00 6:00 6:00 6:006:20 6:206:40 6:407:00 7:00 7:00 7:007:20 7:207:40 7:408:00 8:008:20 8:00 8:20 8:008:40 8:40

If Augusta County schools are closed, your adjudication will have to be rescheduled. Opening delays will NOT affect adjudication schedule.

SHENANDOAH VALLEY GOVERNOR’S SCHOOL

Application Form for the Arts and Humanities Program for Fall 2014

To be completed by applicant

Each applicant must: Complete the application, training and experience form, and activities sheet by typing in the spaces provided. Provide recommendation forms to one English and one art or drama teacher, coach or mentor. Have taken the PSAT test in October, 2013, or SAT no later than January, 2014. Submit adjudication request form by February 1, 2014. Prepare a portfolio or audition and participate in ASSIGNED adjudication date.*Full-time students in Augusta County, Staunton or Waynesboro Public Schools will be given priority in admissions.

Program for which you are applying: (Circle ONE) Theatre Arts Visual ArtsStudent's Full Legal Name: _____________________________________________

Preferred Nickname: ________________ DOB: __/__/__ Gender:____________

I am currently a SOPHOMORE JUNIOR at High School:______________________ Circle to indicate the appropriate grade level

Address: __________________________________________________________________________________________________________

Student Email: _________________________________

Parent(s) Information:

Mother Dr. / Ms. / Mrs. ________________________________________Please circle appropriate title First Name Last Name

Father Dr. / Mr._____________________________________________Please circle appropriate title First Name Last Name

Phone (home): ______________ Other phone: ___________________Parent Email: _________________________________

To be completed by applicant:I apply for admission to SVGS for the Fall 2014 school year. I waive the right to view recommendations provided by teachers and counselors as part of this application. I agree to participate in the mandatory Summer Orientation program tentatively scheduled during the week prior to the beginning of school in August, 2014. I agree to participate in performances/exhibits and other appropriate events as required by my instructor. I agree to complete a senior leadership and service project as part of my program completion requirements.

________________________________ _______________Signature Date

To be completed by parent or legal guardian:

I grant my son or daughter permission to apply to SVGS for the Fall 2014 school year. I waive the right to view recommendations provided by teachers and counselors as part of this application. I agree to provide or arrange for transportation for my child. I agree to have my child participate in the mandatory Summer Orientation program tentatively scheduled for the week prior to the beginning of school. I agree to have my child to participate in performances/exhibits and other appropriate events as required by my instructor. and complete a senior leadership and service project as part of his/her program completion requirements.

__________________________________ _______________Signature Date

Shenandoah Valley Governor’s School

Training, Experience and Honors FormTotal Score (out of 50)

Training: Please explain, in no more than 100 TYPED words each in the spaces provided, your two most important and/or beneficial training experiences you have received within the last three years in the art field for which you are applying. Be sure to include the type of study (private, school, companies), name of teacher, director or coach, name of school or company, time involved, and calendar year. Acronyms MUST be explained. You may include relevant high school classes.

Year(s) Type of Study Time Involved Why Important and/or beneficial?Example: 2009-2010

Drama I 8 hours per week for the semester plus afternoons

This class changed my life. It made me realize how much ACTING, being able to step outside myself as someone else, means to me. I find myself analyzing every situation as if I were 10 different characters. This experience has opened my mind to broader viewpoints and more tolerance for others.

Experience: Please explain, in no than 100 TYPED words each in the spaces provided, your two most important and/or beneficial performances or exhibitions in the art field for which you are applying. Include the performance or exhibition and year; name of the group, exhibition, contest; name of teacher/coach; your role or part. Acronyms MUST be explained.

YearExhibition/

Performance Role/PartReason why this has been important and/or

beneficial

Honors/Recognitions: Please list the most significant honor or recognition you have received in your selected art discipline.

Year(s) Honor/Recognition Level of CompetitionExample: 2010 1st in One Act Play Shenandoah Valley District, Regional

Please explain in no more than 100 TYPED words in the space below, why this honor or recognition is most meaningful to you.

Please explain in 100 TYPED words or fewer, another activity, work experience, class experience, or honor that is meaningful to you.

Shenandoah Valley Governor's SchoolArt or Drama

Teacher/Coach/Mentor Recommendation Form

Student's Name: __________________________________________________

Teacher’s Name: ___________________________________________________

Subject(s)/disciplines in which you taught/supervised student: ________________________________________________________________

Grade(s) or year(s) in which you did above: _____________________________

Directions: Use rating scale categories below. Mark one circle in every category. Please DO NOT mark between or circle two numbers. Not following this

instruction hurts students in the application process. TOTAL YOUR RATINGS Return completed forms directly to Guidance. (Note: If you are not a teacher in the student’s school, s/he

should provide you with a stamped, addressed envelope. Please seal it and sign across the seal.)

The following ratings apply:1 = Below Average 2 = Average3 = Excellent (top 10% this year) 4 = Outstanding (top few when I taught this student)

Below Out-Average Standing

1. Motivation, Persistance, Initiative.............................................1 2 3 4Self-starter, shows initiative, high level of activity

2. Communication Style.................................................................1 2 3 4Demonstrates sensitivity to others, accepts opposing viewpoints, shares ideas

3. Communication Skills.................................................................1 2 3 4General: Articulate, clear, conciseTheatre: well-modulated, varied voice appropriate to

scene or setting4. Ability ........................................................................................1 2 3 4

Demonstrates expertise and/or potential for growthin art form(s)

5. Curiosity and Interest.................................................................1 2 3 4Intense interest in and appreciation for learning new things, risk-taker

6. Knowledge..................................................................................1 2 3 4Demonstrates knowledge about concepts, history,styles and development of art discipline

7. Acceptance of Criticism..............................................................1 2 3 4Uses evaluations to improve skills, content andpresentation of work; responds positively tosuggestions and instructor’s/director’s vision or goal

8. Quality of Work..........................................................................1 2 3 4Original, well-crafted, aesthetically pleasing

continued on reverse side

9. Work Habits/Time Management...............................................1 2 3 4Disciplined, turns in work on time, consistent,can work independently, mature

10. Use of Space...............................................................................1 2 3 4Makes full/appropriate use of spaceVisual Arts: Organization of art works communicates

understanding of composition and negative spaceTheatre: Movement is purposeful and appropriate to

scene or setting11. Creativity and Originality...........................................................1 2 3 4

Produces original works or interpretations, exploresnew ideas and forms, produces variety of work styles,good problem solver

12. Leadership Skills.........................................................................1 2 3 4Motivates others, guides or directs others to completecommon goal or task

13. Organization Skills......................................................................1 2 3 4Manages materials, can work on multiple tasks,efficient, delegates when appropriate

14. Focus and Concentration...........................................................1 2 3 4Task oriented, not easily distracted

15. Class/Group Participation..........................................................1 2 3 4Participates fully in discussions and other activities,works well with the group, does not disrupt others

Total Points(Out of 60)

Teacher’s Signature ____________________________ Date: __________

Shenandoah Valley Governor's School

English Teacher Recommendation Form

Student’s name: ________________________________________________

Teacher’s name and signature: ___________________________________

Subject(s) you taught student: ____________________________________

Grade(s) in which you taught course(s) above: _______________________

Directions: Circle one number in every category. Please do not mark between or circle two

numbers. Doing so hurts the student involved. Total your ratings . Return completed forms ASAP directly to Guidance.

Use the following rating scale, comparing the applicant to other students THIS year or semester:

0 = Below Average 2 = Average 4 = Very good 6 = Outstanding

Below Outstanding Average

1. Academic AbilityHigh aptitude and potential for success in the Arts and literature

2. Academic InterestIntense interest in learning, very curious, eager to learn new concepts

3. Motivation and PersistenceShows initiative, welcomes instruction, self-confident, motivated by challenge

4. Quality of WorkComplete, thorough, strives for excellence

5. Logical and Analytical SkillsApplies knowledge, reasons through problems, makes intuitive leaps, finds unique patterns or perspectives

6. Class PreparationConsistently does assigned readings and homework, is prepared to contribute

7. Work Habits and Time ManagementDisciplined, turns in work on time, meets obligations

8. Class ParticipationContributes positively to discussions and activities, shares ideas

9. Communication with PeersDemonstrates sensitivity, respects others and opposing ideas, may demonstrate leadership in groups

10. DependabilityConsistent, supports others

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

0 2 4 6

Total Points(Out of 60)

AH Program Application for 2014-2015 Year Circle One: Theater ArtsVisual Arts

Shenandoah Valley Governor's SchoolCounselor Form

Student's Name: ____________________________________________Current Grade Level:_____

How long have you known student? _______________________________

Directions: Use rating scale categories below. Mark one circle in every category. Please DO NOT mark between or circle two numbers. TOTAL YOUR RATINGS

The following ratings apply:2 = Below Average 4 = Average6 = Excellent (top 10% this year) 8 = Outstanding (top few this year)

Below Out-Average Standing

1. Motivation and Persistence........................................2 4 6 8Curious, self-starter, shows initiative, accepts criticism

2. Self-Esteem..................................................................2 4 6 8Positive self-image, self-confidence

3. Communication with Peers.........................................2 4 6 8Demonstrates sensitivity, respect for others and opposing viewpoints, shares ideas

4. Academic Interest and Ability.....................................2 4 6 8Intense interest in and appreciation for learning new thingsHigh aptitude and potential for success

5. Dependability..............................................................2 4 6 8Consistent, disciplined, supports others

TOTAL SCORE(Out of 40)

AH Program Application for 2014-2015 Year Circle One: Theater ArtsVisual Arts

Shenandoah Valley Governor's SchoolSchool Recommendation Form

Student's Name: _______________________________________________

Overall Recommendation

After consideration of the student’s qualifications, we make the following recommendation to the Selection Committee:

_____ Highly recommended without reservation (60 points)_____ Recommended (45 points)_____ Recommended with reservation (30 points)_____ Not recommended (0 points)

Principal’s Review

I have reviewed the application for the above named student and concur with the findings and recommendations. I certify that this student is in good standing with regard to discipline and attendance.

Signature: _________________________________ Date: __________

AH Program Application for 2014-2015 Year Circle One: Theater ArtsVisual Arts

SVGS Selection FormFall 2014 Year

Applicant’s Name: Current Grade Level:____

Experience/Training/Activities Points (out of 50)

Adjudication Score(out of 600)

Recommendations:

English Teacher (out of 60) __________

Art/Drama Teacher (out of 60) __________

Counselor (out of 40) __________

Overall recommendation (out of 60) __________

SUBTOTAL (out of 220) PSAT Scores: Test Date: ________

Verbal Percentile ___________x 0.2 = __________

Math Percentile __________ x 0.1 = __________

Writing Percentile __________ x 0.2 = __________

SUBTOTAL (out of 50)

Current GPA: (circle appropriate) weighted unweighted

*Please make “weighted” if student has taken DE or AP classes calculated in the reported GPA. Please mark “unweighted” if the student does not have weighted grades calculated in the reported GPA.

GPA: __________ x 15 = __________Strength of Academic Program (Enter the appropriate number from below): __________

Almost always most challenging courses (with one or two exceptions - available honors, AP or dual-enrollment courses) 20 points

Usually most challenging courses (at least half of available) 15 points Few of the most challenging courses (one or two) 10 points

SUBTOTAL (out of 80)

TOTAL SCORE (out of 1000))