TEEN

AMBASSADORS
Program Application

A youth program for students in grades 10 12

The Arts Can Take You Places!

INSTRUCTIONS
Please print legibly using blue or black ink or fill out digitally.

APPLICANT INFORMATION

Name: Last:_____________________________ First:____________________________ M.I.____
Date of Birth: ___________________________ Age: ________
Country of Birth: ______________________________
Address: _______________________________________________________________
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City: ___________________________________ State: ________________ Zip-Code: ___________
Phone #: (_______) ________ - _________
Cell #: (_______) _______- ____________
E-Mail: _____________________________
What language, other than English, is spoken in your home? _________________________
How did you hear about the program? ______________________________

SCHOOL INFORMATION

School Name: _________________________________________________
Address: ________________________________________________
Ward (if applicable) ____________
Grade in 2015-16:____________

Parent/ Guardian Information

Name: Last:__________________________________ First:________________________
Is address same as above? ___________
If no, fill out below:
Street: __________________________________________________________________________
City: ___________________________________ State: __________ Zip Code: ________________
Phone # : (_______) _________ - _________
Cell # : (_______) ________- __________

Emergency Contact: ________________________________________________________

Relationship: ______________________ Phone: ________________

REQUIREMENTS:
The Teen Ambassadors Program has Fall, Spring and Summer Trainings. Each training period consists of
several hours working with museum educators, curators, docents and other professionals. Once you
have finished a training period and completed a qualifying tour, you are able to sign up for weekend or
weekday tour volunteer shifts. Requirements include:


Participation in all required training sessions (24 hr/ for summer session)

Service of 4 hours/month after completion of training for at least 3 months

The program may be used to qualify for community service hours required by most high schools prior to
graduation. Active Teen Ambassadors who have met all the guidelines also have the opportunity to take
part in:


Museum activities such as exhibit openings, press previews, and other programs

Field trips and opportunities to meet teens at other Smithsonian museums

Additional project opportunities and collaborations with outside organizations

Art-making workshops with staff, volunteers and visiting artists

DATES AND TIME FOR SUMMER 2015 TRAINING CLASS:

Week One: July 7-10, 1:30-4:30 p.m.

Week Two: July 14-17, 1:30-4:30 p.m.

There will be a required meeting for the parents of accepted students on Monday, July 6th at 6:00 p.m.

To apply to be a member of the Summer 2015 Teen Ambassador Class, please send completed
applications to Alli Hartley by June 8, 2015. Applicants will be notified by June 25, 2015. For any
questions, contact Alli Hartley at 202-633-4619.
Alli Hartley
Address for applications: HartleyA@si.edu Smithsonians

National M useum of African Art

950 Independence Ave., S.W.

MRC 708 PO Box 37012
Washington D.C. 20013

APPLICATION QUESTIONS

We are interested in recruiting a group of students with a broad interest in international arts and
cultures. Please answer the following questions either on this application or on an attached sheet of
paper.

ESSAY

Write a short essay on a recent museum visit you enjoyed. Choose your favorite exhibition and describe
it. Include the title of the exhibition, theme, what objects and/or other materials comprised the
installation (light/sound/videos/interactives, other). Discuss what specifically caught your interest and
why. What did you learn from this experience?

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SHORT ANSWERS

1. What role do the arts play in your life? In what ways do you consider yourself an artist?

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2. Why do you want to be a National Museum of African Art Teen Ambassador? If you have any
connections to Africa youd like to explore during this program, please explain.

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Please list all organizations or clubs at school of which you are a member. If you have a resume or
activity sheet, please attach to the back.
Name of Club

Position

Year(s)

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