New Student Application for Summer Institute 2017

Application Deadline: Fri, May 5, 2017

IMPORTANT INFORMATION ABOUT SUMMER INSTITUTE

Summer Institute is an intensive theatre training program for youth ages 13 - 19. Students explore “art for social change,” and learn how to leverage their passion for the performing arts to make a real difference in the world. We admit students who can demonstrate leadership, a passion for the arts, and a commitment to social justice issues. This four-week program culminates in an original ensemble performance.

Dates of the Program:

  • Jun 25, 2017: Student and Parent Orientation
  • Jul 10-Aug 5, 2017 (for first year students)
  • Jul 13: Overnight Retreat at the University of Minnesota

Locations:

  • The first three weeks of classes (Jul 10 -28) are held at the University of Minnesota in Minneapolis.
  • The final week of classes (Jul 31-Aug 5) are held at Penumbra Theatre Company in St. Paul.

Daily Schedule:

  • Classes run Monday throughFri from 8:00am until 5:00pm
  • There will be one overnight dorm stay at the U of M, the evening of Thu, Jul13, 2017.
  • Students must be committed to the entire program and cannot miss more than 3 full days of classes in order to participate.

Final Performances:

  • New students will perform on the evenings of Fri, Aug 4th and Sat, Aug 5th atPenumbra Theatre Company. Aug 4th will be a private performance for Summer Institute families and friends. Aug 5this a public ticketed performance. Tickets available at our website.

Tuition and Scholarships:

  • Tuition is $400.00. Tuition includes classes, registration, and U of MN overnight.
  • There is no fee for applying to Summer Institute. No form of payment is required until you have been accepted into the program.
  • Once you have been accepted into the program, tuition will be due at the mandatory parent meeting on Sat, Jun25, 2017. Payment must be submitted at that time in the form of cash, check, or credit card.
  • Penumbra Theatre Company offers full or partial scholarships to students in need who meet scholarship requirements. In order to be considered for ascholarship you must complete the scholarship information at the end of your application.

Transportation and Food:

  • Bus passes will be provided free of charge for students in need of transportation
  • Snacks and lunches are provided on a daily basis

For questions or more information please contact Dahlia Stone,

or 651-288-6784.

APPLICATION INSTRUCTIONS

1. Fill out the appropriate enrollment application.

2. If applying for a scholarship, please be sure to complete the scholarship section.

3. Click “Submit” for online applications.

4. Mail or fax hardcopy applications to:

Summer Institute

Penumbra Theatre Company

270 North Kent Street

St. Paul, Minnesota 55102

Fax: 651-288-6789

5. You will receive confirmation via email that your application was received. At that time, information will be dispersedas to schedulingthe required entrance interview/workshop. The available times for the entrance interview/workshop will be during May 8, 2016 – May 12, 2017.

6. Accepted students will be notified via phone or mail after May 22, 2017.

7. If you have any questions while filling out your application or after you have turned it in, please contact Dahlia Stone, or 651-288-6784.

APPLICANT INFORMATION

First Name: ______Last Name: ______

Date of Birth (mm/dd/yy): ______

School Name and Address: ______Grade/Year in College: ______

How do you identify? Gender: ______

Race: ______

Ethnicity: ______

APPLICANT’S HOME ADDRESS AND CONTACT INFORMATION

Street Address Line 1: ______

Street Address Line 2: ______

City: ______State: ______Zip: ______

Home Phone Number: ______

Applicant’s Cell Phone Number: ______

Applicant’s Email Address: ______

PARENT/GUARDIAN INFORMATION

Applicant lives with (please check one): __Mother __Father __Both __Joint custody __Other

If other, please list relationship to applicant: ______

Mother/Guardian Information Father/Guardian Information

First Name: ______First Name: ______

Last Name: ______Last Name: ______

Occupation: ______Occupation: ______

Home Phone: ______Home Phone: ______

Business Phone: ______Business Phone: ______

Cell Phone: ______Cell Phone: ______

E‐mail Address: ______E‐mail Address: ______

APPLICATION QUESTIONS (to be completed by the student)

Finding Summer Institute

  1. How did you find out about Penumbra’s Summer Institute? Check all that apply:

___ Workshop at my school___ Parent/Guardian___ MMEP Academic Enrichment Guide

___ College/Career Fair___ Teacher/Counselor___ Admission Possible

___ Website___ I applied before___ Other, please describe:

___ Email___ Former SI student______

___ Brochure___ Community Center______

  1. If you were referred by someone, what is his or her name? ______

If completing a hard copy application, please attach additional pages with answers to the following questions:

Your Experience (list)

  1. Please list what, if any,experienceyou have hadwith the performing arts.
  2. Please list any extra‐ or co‐curricular activities in which you have been involved including volunteer/service experiences.

Your Goals(short answer)

  1. Why do you think you would be a good candidate for the Summer Institute program?
  1. Do you have specific goals for your time spent at Summer Institute? What would you like to accomplish during the four weeks?

Essay Question (approximately250 words)

  1. In your own words, what does “art for social change” mean?

SCHOLARSHIP INFORMATION

Scholarships are awarded to eligible students on the basis of need and dedication to the performing arts. If you would like to be considered for a scholarship, please answer the following questions. You may ask a parent/guardian to help you with this section.

How many people are in your household? ______

What is your household’s annual income? ______

Do you feel an obligation to provide financial support for your family? ______

Are you on the free and reduced lunch program at school for 2016‐17? ______

In 2016-17 did your family receive public assistance, disability, social security benefits or WIC? If yes, please explain:

______

Are you or your parents (a) first generation immigrant(s) to the United States? ______

Is there anything else you would like to share with us about your financial situation? ______

New Student Enrollment Application

Application Deadline: Fri, May 5, 2017

New Student Enrollment Application Page 1 of 5