LKSD Summer Arts Academy
May 25 - June 7, 2014
Applications due: April 25, 2014
Available to: 9th-12th grade LKSD students
Academy summary:
 Students will create visually stunning works of art using a variety
of art media
 Students will display finished art at a community showcase
Students will be selected based on:
1. Completed application
2. Teacher/site administrator recommendation
3. Stated desire to learn art techniques (essay answers)
General information:
 Students will arrive in Bethel on Sunday, May 25
 Housing: Yuut Elitnaurviat dormitory
 There will be qualified male and female chaperones with the
students during the duration of the summer academy
 Meals and evening leisure activities will be provided for students
 Students will return home June 7
 Students will receive 0.5 Elective credit for successful completion
of the summer academy and any related coursework.
Application checklist:
Check off as you complete and make sure all pages are included when
you send your application packet in.
__Participant application (Pg 2-3)
__Allergy & medication form (Pg 7)
__Teacher recommendation (Pg 4-5)
__Media release form (Pg 8)
__Stud. Travel Behavior Rubric (Pg 6)
Please submit your application through email or fax:
Email to: julie_mcwilliams@lksd.org
or
FAX: 907-543-4924 (Attention: Julie McWilliams)
1
Participant Application
(2 pages)
Name:
School:_________________________ Grade (Fall 2014):
Your Mailing Address:
City, state, zip:
Phone:
Cell Phone:
Email Address:
Read the following statements. Put a checkmark next to the sentences that
you can answer “yes” to. Your answers will not deny you a chance to
participate in the Art Academy. They will assist instructors in designing and
preparing the very best experience for you.
_____I like doing group art projects
_____I like doing independent art projects
_____I like making murals
_____I like to show my art to others
_____I keep my art private
_____I write about my art
_____I sketch my ideas before starting a project
_____I keep an art journal
_____I know many famous artists and can recognize their art
_____I like creating art on computers or iPads
_____I like to use “found” objects to create art (recycled junk)
_____I like to incorporate nature in my art
_____I know and can use the Elements and Principles of Art
I have experience with:
_____paints (watercolor, acrylic, oil, tempera)
_____drawing techniques
_____Zendoodles
_____oil and chalk pastels
_____pencils (colored and regular)
_____charcoal
_____carving
_____printmaking
_____3D sculpture (clay, wire, paper mache)
_____fiber art (cloth and/or weaving, skin sewing, basketry)
2
To help us in our selection of participants, please answer the questions below:
Why are you applying for the Summer Arts Academy?
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What do you hope to learn at the Summer Arts Academy?
______________________________________________________________
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3
Teacher Recommendation
(2 pages)
Please return this form to the student. It will be turned in with the
completed application packet.
Student Name:
Teacher completing this rubric:
Always
Most of
the time
Some of
the time
Not
enough
Class assignments
Neatly done
Turned in on time
Assignments made up
after an absence
Work habits
Prepared for class
with all materials
Stays on task until
work is completed
Can work well with
others when asked
Lets others do work
without bothering
Attitude
Has a positive
attitude about school
and life
Flexible when plans
change
Respects others
Likes helping out
when asked
Follows directions
(Continued on next page)
4
What did/do you teach this student?
How many absences has this student had this year?
What, if any, disciplinary action has been taken with this student?
Describe this student’s interest in learning new things.
If you were an instructor or chaperone for this academy, would you travel
with this student? If no, please explain why:
Teacher Signature:
Date:
5
6
Parental Media Release Form
I certify that I am the parent and/or guardian of
a student in the Lower Kuskokwim School District (LKSD).
,
I give the LKSD the right and permission to use and/or edit any
· Photographs
· Videos/films
· Audio recordings
· Student name
· Works, projects, and art
· Awards/recognitions
of the above named student in the following ways:
· In school settings
· During out-of-school student activities
· On LKSD webpages
· At workshops or conferences
· In public media such as radio, television, and newspaper
· In LKSD publications such as ELICAQ, Student of the Month, and
advertisements
These photographs, videos, films, audio recordings, student name, works, projects,
art, awards/recognitions will be used for the purpose of representing LKSD in a
positive and beneficial manner. They will not be used for commercial purposes or
profit.
I hereby consent to the above named uses and release LKSD, its employees, Board
members and agents from any and all claims resulting from such use.
Parent/Guardian Signature
Date
Parent/Guardian Printed Name
Address
Student Signature
Phone Number
Student Printed Name
7
Parental Media Release Form
I certify that I am the parent and/or guardian of
a student in the Lower Kuskokwim School District (LKSD).
,
I give the LKSD the right and permission to use and/or edit any
· Photographs
· Videos/films
· Audio recordings
· Student name
· Works, projects, and art
· Awards/recognitions
of the above named student in the following ways:
· In school settings
· During out-of-school student activities
· On LKSD webpages
· At workshops or conferences
· In public media such as radio, television, and newspaper
· In LKSD publications such as ELICAQ, Student of the Month, and
advertisements
These photographs, videos, films, audio recordings, student name, works, projects,
art, awards/recognitions will be used for the purpose of representing LKSD in a
positive and beneficial manner. They will not be used for commercial purposes or
profit.
I hereby consent to the above named uses and release LKSD, its employees, Board
members and agents from any and all claims resulting from such use.
Parent/Guardian Signature
Date
Parent/Guardian Printed Name
Address
Student Signature
Phone Number
Student Printed Name
8