Fine Arts Diploma Seal

School Application

Instructions: Submit an electronic copy by December 15th annuallyfor program approval. (PDF). Schools will be notified of application status by the 1st Monday in February. Submit documentation to: Jessica L. Booth, Program Specialist for Fine Arts, Georgia Department of Education,
For questions regarding this seal, contact: Jessica L. Booth, 404-656-0675,

I.General Information

School District:
Name of Superintendent:
High School: / Principal: / Email:
HS Mailing Address:
City: / State: / ZIP Code:
Fine Arts Diploma Seal Coordinator: / Email: / Phone:

II.Certification Signatures

We, the undersigned, certify that the information contained in this application is accurate and complete to the best of our knowledge; that the necessary assurances of compliance with applicable state and federal statutes, rules, and regulations will be met; and, that the indicated school is providing the necessary courses as part of the curriculum; that a local coordinator for the program at the school has been appointed; and that a list of qualifying seniors will be submitted to the GaDOE by April 15 of each year upon approval of this application.
Signature of High School Principal: / Date Signed:
Signature of District Superintendent: / Date Signed:

III.Fine Arts Courses Offered

Please specify courses and levels offered for each Fine Arts Area
Dance
Music
Theatre
Visual Arts

IV.Creative Industries Focus Coursework

Please list pre-approved Creative Industries Focus Courses as published on the GADOE Fine Arts website at:GaDOE.org/fine-artsthat your school offers; no rationale needed. Or a fourth fine arts course.
*If you want to add additional courses not listed on the Fine Arts Website please provide a brief description of each course and a short narrative describing its creative industry dimension for courses that you would like the committee to consider for approval.
CTAE / Course Title: / Course Number:
*Summary of Course Content:
*Creative Industries Focus Dimension:
CTAE / Course Title: / Course Number:
*Summary of Course Content:
Global
*Creative Industries Focus Dimension
CTAE / Course Title: / Course Number:
*Summary of Course Content:
Global
*Creative Industries Focus Dimension
CTAE / Course Title: / Course Number:
*Summary of Course Content:
:
Global
*Creative Industries Focus Dimension
CTAE / Course Title: / Course Number:
*Summary of Course Content:
:
Global
*Creative Industries Focus Dimension
CTAE / Course Title: / Course Number:
*Summary of Course Content:
:
Global
*Creative Industries Focus Dimension
English Language Arts / Course Title: / Course Number:
*Summary of Course Content:
:
Global
*Creative Industries Focus Dimension
English Language Arts / Course Title: / Course Number:
*Summary of Course Content:
Global
*Creative Industries Focus Dimension:
Other – please specify / Course Title: / Course Number:
*Summary of Course Content:
Global
*Creative Industries Focus Dimension
Other – please specify / Course Title: / Course Number:
*Summary of Course Content:
:
Global
*Creative Industries Focus Dimension

V.Extracurricular and Other School-Sponsored Activities

What opportunities do students have to meet extracurricular requirements for the Fine Arts Diploma Seal? Please list all opportunities offered by your school and specify how students engage with the Fine Arts.

VI.Community Service

What opportunities do students have to complete a minimum of 20 hours of (a) fine arts related community service project(s)? Please list all opportunities offered by your school and specify how students engage with people through the arts at those events.

VII.Capstone Presentation

Describe the process leading to an evaluation of students with their capstone presentation. Include logistics and personnel responsible in the preparation of students and in the evaluation process. What is your anticipated timeline?

VIII.GaDOE Approval (for office use only)

Program has been / has not been approved. Applicant may / may not award the Fine Arts Diploma Seal on qualifying students’ diplomas.
Signature of Fine Arts Program Specialist: / Date signed:
Signature Curriculum and Instruction Director: / Date signed:

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