Application for 2016 Penn State College of Communications Summer Camp

Transcription

1 Application for 2016 Penn State College of Communications Summer Camp TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN. Please print in ink or type, and be careful not to skip any sections of this form, as all sections are required for the application process. Any questions can be directed to Stephanie Hopkins: / Completed application forms and materials are due no later than Friday, March 11, 2016 at 5:00 p.m. All materials should be mailed directly to: Stephanie Hopkins Penn State College of Communications 204A Carnegie Building University Park, PA Summer Camp Program Application: STUDENT S NAME Application Materials Include: 1. Completed Application Form 2. High School Transcripts 3. A Personal Statement in 500 words or less on why the student wishes to attend the camp program at Penn State 4. One letter of recommendation (see form) Students/Guardians will be notified on Monday, March 21, 2016, in regards to the admission to the camp program. All accepted students/guardians will receive an official registration form by that must be submitted along with payment. STUDENT INFORMATION [ ] Male [ ] Female Last name First name Middle initial Birth date (month/day/year) Age Home mailing address (no. and street, or box no.) City State ZIP code Country Home phone no.

2 PARENT/LEGAL GUARDIAN INFORMATION Parent/Legal Guardian s Last name First name Parent/Legal Guardian s address Penn State will use this address to communicate logistical information regarding the program. Daytime phone no. Cell phone no. Student s grade next fall: Do you wish to be put on a waiting list if the program is full? [ ] Yes [ ] No Penn State s College of Communications will be offering three separate camp programs that will run simultaneously. Please indicate a first and second choice camp. Choice: Broadcast Journalism Camp Film Camp Multimedia Journalism Camp I do not wish to be considered for an alternate camp program. Scholarship Opportunities At the time the student applies, they will be automatically evaluated for merit and need based scholarships. If the student is chosen for a scholarship award, they will be notified on Monday, March 21, Registration Fee If the student is chosen to participate in the Summer Camp program, a fee of $895 per participant will be due by Friday, April 22, An official registration form will be ed to all accepted students. If the student receives a scholarship award, that amount will be taken off of the registration fee, due by Friday, April 22, Are you a Centre County resident (check one)? Yes No

3 PENN STATE COLLEGE OF COMMUNICATIONS SUMMER CAMP: RECOMMENDATION LETTER Student s name: Student s address: Parent/legal guardian(s) name(s): Parent/legal guardian(s) address(es): Parent/legal guardian(s) relationship to student: Home mailing address: Name of nominating official: address of nominating official (if nominating student): Relationship of nominating official to student: Student s school: Student s grade level: Student s age: Student s date of birth: Student s gender: [_] Male [_] Female

4 Short answer: Why do you think this student deserves a scholarship to attend this camp? Short answer: Please list the student s coursework and extracurricular activities that would be related to the camp. Nominator s permission: I have read and responded to the best of my knowledge on behalf of the student nominee. In addition, if the nominated student is selected as a scholarship recipient, I grant permission to Penn State to use my name, photo, or school information in a manner deemed appropriate by the University. I agree. I do not agree. Student signature: Parent/legal guardian or school official signature: (If submitting electronically: By typing in your name, you are agreeing to abide by the Communications Camps scholarship application rules.)

5 PENN STATE COLLEGE OF COMMUNICATIONS SUMMER CAMP: STUDENT S PERSONAL STATEMENT In 500 words or less: Why do you wish to attend Penn State s College of Communications Summer Camp? Student signature: