High School Seminar 2008–2009
National Gallery of Art

STUDENT APPLICATION

Please print out, complete, and return this form to your sponsoring teacher, who will submit your application together with the Sponsoring-Teacher Application via mail or fax.

Mailing Address
High School Seminar
Department of Teacher, School, and Family Programs
National Gallery of Art
2000B South Club Drive
Landover, MD 20785


Fax Number
(202) 842-6935

Applications must be received no later than Friday, September 26, 2008.

PART I
Please type or print legibly

______________________________________________________________________
Student's name

______________________________________________________________________
Address

______________________________________________________________________
City / State / Zip code

______________________________________________________________________
Name of sponsoring teacher

______________________________________________________________________
Name of school

______________________________________________________________________
Grade level

______________________________________________________________________
Home telephone / E-mail address

______________________________________________________________________
Where can you best be reached during the school year?

______________________________________________________________________
Art classes you have taken

______________________________________________________________________
Parent / guardian signature granting permission to participate in the seminar

PART II

On a separate sheet of paper, please answer the following three questions (limit your response to no more than two double-spaced pages).

1. What do you expect to gain by participating in the seminar?
   
   
2. What can you contribute to the program?
   
   
3. As an artist, what issues or themes do you explore in your own work?