YCEP_Application_Form

advertisement
The 2015 Youth Civic Engagement Program Application
About Youth Civic Engagement Program (YCEP) application process:
What does an YCEP student do?
 Earn up to 100 hours of Service Learning/ Community Service credit in a fun, exciting setting
 Get a small stipend for transportation costs
 Help design a comic guide on Japanese Internment and Racial Profiling
 Develop Civic Engagement skills
 Help design educational carts geared towards teenagers
 Volunteer with Spark! Lab and learn about Invention
 Be part of the planning team and help facilitate the National Youth Summit webcast in May
 Receive snacks
 Earn a certificate of participation
 Meet curators and staff behind the scenes of the National Museum of American History (NMAH)
 Explore connections between past events and present day issues
 Participate in fun hands-on activities and creative programing
 Speak up and out as a youth advocate
 Meet and work with other teens with similar interests across DC and the Smithsonian
 Gain important leadership, communication, and college and career skills
 Learn more about history, social justice and Museum careers
What is the commitment for being an YCEP student?
 Attend alternate Tuesday evening sessions from 4pm-7pm and Saturdays from 10am-2pm from October
6th, 2015-May 31st, 2016 at the National Museum of American History at 14th St. and Constitution Ave,
NW, Washington, DC, 20001.
Eligibility:
• Applicants must be in high school (14-18 years old)
• Applicants must live in the Washington, DC, metropolitan region (DC, MD or VA)
• All are welcome to apply!
1
The 2015 Youth Civic Engagement Program Application
• Have an interest in history, social justice, or Museums
Application Procedure: Submit a completed and signed application and one recommendation (from an adult
over the age of 18 who is not related to you-- a teacher, mentor, etc.). We would prefer that you submit this
application and the signed permission form via e-mail to Sage Morgan-Hubbard at MorganHubbardS@si.edu. If you are unable to do so, you can drop it off directly in a drop-box at the National
Museum of American History at the Welcome Center (at the Mall entrance off the 2nd floor) or the
Information Desk (at the Constitution Ave entrance off the 1 st floor).
Application Deadline: Applications must be submitted no later than October 5th, 2015.
Questions? If you have any questions about this program or application procedures, please contact: Sage
Morgan-Hubbard, the Youth Programs Coordinator, at Morgan-HubbardS@si.edu or (202) 633-3445
Applicant Full Name: Click here to enter text.
Date of Birth: Click here to enter a date.
Address: Click here to enter text.
City: Click here to enter text.
State: Click here to enter text.
Zip Code: Click here to enter text.
Gender: Click here to enter text.
Ethnicity: Click here to enter text. Cell Phone Number: Click here to enter text.
Applicant Email: Click here to enter text.
Name of School: Click here to enter text.
Grade: Click here to enter text.
Parent/Guardian’s Name(s): Click here to enter text. and Click here to enter text.
Parent/Guardian’s Phone Number(s) Click here to enter text. (home)
Click here to enter text. (work) Click here to enter text. (cell)
Parent/Guardian’s Email (s): Click here to enter text. or Click here to enter text.
I am a US Citizen or US Permanent Resident: ☐ Yes
☐No
Other: Click here to enter text.
Required essays or video responses:
2
The 2015 Youth Civic Engagement Program Application
Directions: Please RESPOND to each of the following three questions below in either an essay or short private
video link (in Youtube or Vimeo, etc.). Essays must be typed and 150-500 words each and the equivalent
length of response via video.
1. In your own words, why are you interested in history? Do you feel history connects to us today? Why
or why not?
Click here to enter text.
2. Communication is an important skill when working in a Museum. Write about a time when you have
communicated effectively to your friends and/or community about topic in history. How have you
expressed your opinions and what was the result?
Click here to enter text.
3. Leadership and responsibility are key qualities we look for in candidates; can you tell us of an
experience that you had where you demonstrated these qualities
Click here to enter text.
Application Survey:
1. Are you available alternative Tuesday evenings from 4-7pm and Saturdays from 10-4pm from Oct 6th,
2015-June 11th, 2016?
2. Are you involved in any extracurricular activities during the time of the advisory council (band, sports,
part-time job, etc.)? If so, please list them and when if any times they conflict with the program.
Click here to enter text.
3. Do you have previous experience interacting with the general public?
None at all
A little bit
A good amount
A lot
4. Please rate your comfort level in interacting with people.
Very comfortable
1
2
3
4
5 Not comfortable
5. Please rate your comfort level in conveying historical information to others?
Very comfortable
1
2
3
4
5 Not comfortable
3
The 2015 Youth Civic Engagement Program Application
6. Why should we study history?
Click here to enter text.
7. What do you think a Museum is and does?
Click here to enter text.
8. In what settings have you interacted with primary sources and interpreted history?
Click here to enter text.
Submission Packet Checklist:
☐Completed and Signed Application Form e-mail to Morgan-HubbardS@si.edu or deliver to NMAH at 14th
and Constitution and leave at a drop-box at the Welcome Center or Information Desk at either of the two
entrances.
☐Essays or video
☐Application Survey
☐ Recommendation (From a recommender who is over 18 years old and not related to you. Ask your
recommender to e-mail their completed form to NMAHYouth@si.edu)
I certify that the information given above is true:
Applicant Signature: ______________________________________________________
Parent/Guardian Signature: _________________________________________________
4
Download