Teen Academy
WINTER 2014 PHOTOGRAPHY CLASSES AT ICP
© Jakob Sweet
© Nyssa Berman
© Ilaria Lampson
WINTER COURSES-- REGISTER NOW!
Photo I in Black-and-White: Camera and Darkroom
January 25 - March 29 Saturdays | 11 am–2 pm or 3–6 pm January 30 - April 3 Thursdays | 4–6:30 pm
create your own prints in the darkroom.
Photo I in Color: Color Film and Darkroom*
January 25 - March 29 | Saturdays | 2–5 pm January 26 - March 30 | Sundays | 2–5 pm
darkroom printing.
Photo II in Black-and-White: Lighting for Portraiture**
January 26 - March 30 | Sundays | 11 am–2 pm
Learn techniques in natural and artificial lighting while creating a portfolio of black-and-white portraits.
Photo II in Black-and-White: Exploring Self-Portraiture**
January 26 - March 30 | Sundays | 3–6pm
Turn the camera on yourself! Discover the genre of self- portraiture through photography assignments and visual presentations.
* Prerequisite Photo I in Black-and-White or Photo I in Color as approved ** Prerequisite Photo I in Black-and-White as approved by Community
Scholarship applications are available online.
www.icp.org/school/teen-academy
For more information: teen_academy@icp.org 212.857.0058
© Christina Baez
1114 Avenue of the Americas at 43rd Street New York NY 10036 T 212.857.0000 F 212.857.0090 www.icp.org
ICP Teen Academy Scholarship Application Winter 2014
Please return this completed application and requested documentation to:
ATTN: TEEN ACADEMY OR by Fax to: 212-857-0091 / 212-857-0090 International Center of Photography 1114 Avenue of the Americas at 43rd Street New York, NY 10036
For more information contact Dee Campos, Teen Academy Coordinator:
212-857-0061, dcampos@icp.edu
APPLICATIONS WILL NOT BE CONSIDERED IF THEY ARE INCOMPLETE OR DO NOT INCLUDE SUPPORTING DOCUMENTATION.
Please indicate which course you are applying for (see attached flyer for course descriptions)
Winter 2014 Dates: Saturdays January 25 – March 29; Sundays January 26 – March 30; Thursdays January 30 – April 3
Application Deadline: Monday, January 13th at 5pm
Photography I in Black-and-White: Camera and Darkroom – Saturdays, 11am-2pm Photography I in Black-and-White: Camera and Darkroom – Saturdays, 3-6pm Photography I in Black-and-White: Camera and Darkroom – Thursdays, 4-6:30pm Photography I in Color: Color Film and Darkroom – Saturdays, 2-5pm* Photography I in Color: Color Film and Darkroom – Sunday, 2-5pm*
Photography II in Black-and-White: Lighting for Portraiture – Sundays, 11am-2pm* Photography II in Black-and-White: Exploring Self-Portraiture – Sundays, 3-6pm*
*For all Photography II classes and Photography I in Color, there is a prerequisite of Photography I in Black-and-White or equivalent as approved by ICP Community Programs Staff
PART ONE: STUDENT CONTACT INFORMATION
Name:
Grade (please check):
Email:
9th 10th 11th 12th
Date of Birth:
Street Address: Apt. City: State: Zip:
Student Home Phone: Parent Name: Parent Email: Parent Home Phone: Parent Cell:
School: How did you hear about Teen Academy? Will you need to borrow a 35mm SLR film camera for the course?
School Contact Email:
Teen Academy Scholarship Application Winter 2014
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Student Cell:
PART TWO: STUDENT QUESTIONNAIRE To provide us with a better understanding of your photography experience and interest in the class, please type your
detailed answers to the following questions on a separate piece of paper: 1. Why are you interested in photography, and what do you like best about it?
2. Do you have any past experience with photography? If so, please describe by including the names of class/es taken, how many sessions, and the specific skills that you learned.
3. Why are you interested in this class? What do you hope to gain? What qualities will you bring?
PART THREE: DEMOGRAPHICS
Please complete the following section as it pertains to the applicant. We ask the following questions to help us collect statistical information about each applicant. Your response to these questions is helpful, but also optional.
___ Female ___ Male
___ African-American/Black ___ Asian/Pacific Islander ___ Caucasian
___ Hispanic/Latino ___ Native American/Alaskan Native ___ Other (please specify) ___________________________
Home Neighborhood ___________________________ School Neighborhood __________________________
PART FOUR: ATTENDANCE AGREEMENT
This section must be completed by both the Parent/Guardian and the Student.
The ICP Teen Academy program requires students to attend every class. Attendance is mandatory. Absences must be documented or otherwise explained. As a scholarship student, three or more absences will result in dismissal from the program. Punctuality is critical and tardiness beyond 15 minutes (unless documented or otherwise explained) will be considered an absence.
If accepted, I give _______________________________ (print student name) permission to participate in the ICP Teen Academy Program Winter 2014.
Print Parent/Guardian Name Student Signature Date
If accepted, I, _____________________________ (print student name), agree to attend all classes according to the sched- ule. If I am unable to attend the class, I will contact the Instructor in advance.
Print Student Name Student Signature Date
PART FIVE: FINANCIAL INFORMATION
Parent/Guardian (Please complete this section)
Scholarships are awarded to students who demonstrate both a committed interest in the class as well as financial need. In order to assess financial need, we require the following information and supporting documentation outlined on the following page. Applications for financial aid will NOT be considered unless the entire application is completed by all parents/guardians of Teen Academy applicants.
Teen Academy Scholarship Application Winter 2014
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A.
Who does the student live with? Both Parents Mother Father
Legal Guardian Relative / Other
Who claims the student on their taxes?
Both Parents file together Mother claims student Father claims student “Other” claims student:
No one files taxes
What is parent’s marital status as of today?
Married/Remarried Divorced/Seperated Single
Widowed
Parent Single Parent Legal Guardian Other, please specify
Name Phone Address Total Income 2012 (including child support, if applicable) Expected Income 2013
Email
Parent Single Parent Legal Guardian Other, please specify
Name Phone Address Total Income 2012 (including child support, if applicable) Expected Income 2013
Email
B. C. D.
Number of children (under 18) in household______ Annual household school tuition costs (what the school(s) charge(s))_____________ Annual financial aid awarded for tuition _____________
ICP Tuition is $785 (includes all fees). Based on your financial means, please indicate what you are able to contribute toward ICP tuition _______________ (Must be above $25*)
E.
*This amount will be required on or before the first day of class.
The monetary value of a scholarship includes: $700 for tuition, $55 materials fee, $30 registration fee, and darkroom sup- plies (average costs $90).
F.
Unusual Circumstances
Loss of job Recent Separation/Divorce Illness, Injury, or Medical/Dental Change in family living status Change in work status Bankruptcy Death in the family
Income and/or child support reduction
Other, please specify: ___________________________ ___________________________ ___________________________ ___________________________ ___________________________
Teen Academy Scholarship Application Winter 2014
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PART SIX: REQUIRED SUPPORTING DOCUMENTATION
Please attach the following:
1.
2.
3.
Income
If you receive taxable income: A copy of your 2012 Federal Tax return with all W-2 forms
If you receive non-taxable income: Proof of public assistance (e.g. social services grant letter-AFDC or TANF, food stamps verification, and/ or Social Security benefits statement from 2012) OR If you receive “other” non-taxable income, please provide an explanation below: ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________
Tuition
Proof of tuition costs (example: school’s brochure stating costs or a bill from the school) If applicable, financial aid award letter from school
Unusual Circumstances All supporting documentation, as related to section F
I certify that the information offered in this application is true and complete. I agree to inform ICP Community Programs staff promptly in writing of any financial resources that may become available to me subsequent to the completion of this form. If my child is admitted, I understand that I must re-file this form for each term that he/she applies to Teen Academy.
Parent Signature Print Name Date
Teen Academy Scholarship Application Winter 2014
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