Application Your Full Name Grade Level 2015-16 Academic Year E-Mail Address Phone Number Home Address School Name School Address Parent or Guardian Name Parent or Guardian E-Mail Address Have you participated in Teen Stylin’ before? NoYes, this is my second yearYes, this is my third yearYes, this is my forth yearYes, this is my fifth yearYes, this is my sixth year I am submitting an application for: (check one) Independent StudyCampus Class Schedule ICampus Class Schedule II I have reviewed the schedules and: Campus Class Schedule I works best for me Campus Class Schedule II works best for me Independent Study Schedule III works best for me I will be present for all of the below listed dates for my chosen schedule: (all dates unless noted are Saturdays) 1. Campus Class Schedule I: Open to 6—12 grade students, 10 am—1 pm Feb 20 and 27 | Mar 5, 12, 19, and 26 | Apr 2, 9, 16, and 23 TEEN STYLIN’ REHEARSAL AND EVENTS Dress Rehearsal, April 30, 5—9 pm, Rain alternate: Sun, May 1 or Sat, May 7 Runway Event, Fri, May 6, 5—9 pm, Rain alternate: Fri, May 13 2. Campus Class Schedule II: Open to 9-12 grade students only, 2—5 pm Feb 20 and 27 | Mar 5, 12, 19, and 26 | Apr 2, 9, 16, and 23 TEEN STYLIN’ REHEARSAL AND EVENTS Dress Rehearsal, April 30, 5—9 pm, Rain alternate: Sun, May 1 or Sat, May 7 Runway Event, Fri, May 6, 5—9 pm, Rain alternate: Fri, May 13 3. Independent Study Schedule: Open to 6—12 grade students that have completed the Teen Stylin’ program at least once or that live more than 30-miles from VMFA. Orientation, Feb 13, 2016 | 11 am—2 pm *Note that there are a number of electronic deadlines that Independent Study students must meet. [insert hyperlink to Independent Study page]. TEEN STYLIN’ REHEARSAL AND EVENTS Dress Rehearsal, April 30, 5—9 pm, Rain alternate: Sun, May 1 or Sat, May 7 Runway Event, Fri, May 6, 5—9 pm, Rain alternate: Fri, May 13 If you foresee any conflicts, please explain here: Emergency Contact Information Primary Emergency Contact Full Name Primary Emergency Contact Phone Number Secondary Emergency Contact Full Name Secondary Emergency Contact Phone Number Primary Physician Full Name Primary Physician Phone Number Does the applicant have any known allergies or medical conditions? Yes No If yes, please explain here: Youth ages 13 or older are not considered children under VMFA’s Child Protection Guidelines. Students ages 13-17 in the teen programs are permitted to sign themselves in and out of each class with permission from parent, guardian, or caregiver. VMFA encourages the exploration of their unique learning environments and will regularly permit students to independently walk through the galleries during a designated and monitored period of time. I have reviewed the above information and: I give my child permission to sign him/herself in and out when onsite at VMFA I do not give permission for my child to sign him/herself in or out. A parent or guardian must be present at both sign-in and sign-out Additional comments: I am able to meet all of the participation requirements. I understand that if I do not fulfill the participation requirements I will not be eligible for the runway exhibition. I agree I do not agree Parent or Guardian Approval I agree Written Statement The writing portion of the application is in two parts. 1. Written Statement: Compose a written statement describing your interest in art and fashion design as well as your previous experience. 2. Project description: Imagine that you have been provided with only the following materials: cardboard, duct tape, hot glue, and white copy paper. Describe from start (inspiration and design) to finish (construction) the garment you would create (minimum of 250 words). Students must use the Julie Mehretu piece, Stadia III for inspiration. For VMFA Campus Series Applications: No previous experience in fashion design or making is required, though we would like to know what, if any, experience you do have. For Independent Study Applicants: Your previous experience should help us determine whether or not an Independent Study program is suitable for you.