After School at MuseumLab Application Posted on September 16, 2022September 16, 2022 by Suzanne MccaffreyAfter School Application for 2022-23 "*" indicates required fields FOR STUDENT TO COMPLETEStudent Name* First Last Student Preferred NameStudent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Email* Student Date of Birth* MM slash DD slash YYYY Student Grade* 6th Grade 7th Grade 8th GradeStudent Preferred Pronoun (she/her, he/him, they/them)Student InterestsHave you been to MuseumLab before?* yes noThroughout the year we’ll be exploring a wide variety of art and making processes. In which, if any, do you have previous experience? Check all that apply.* Traditional 2D arts (drawing, painting, cartooning, etc) Fiber arts (sewing, embroidery, weaving, etc) Digital arts (animation, laser cutting, 3D printing, etc) Writing (poetry, short stories, etc) Performance (acting, music, spoken word, puppetry, etc) Sculpture (clay, paper mache, metals, woodworking, etc) Printmaking (silkscreen, block printing, etching, etc) OtherSelect AllIf you chose "Other," please describe:What art and making processes are you interested in learning? Check all that apply.* Traditional 2D arts (drawing, painting, cartooning, etc) Fiber arts (sewing, embroidery, weaving, etc) Digital arts (animation, laser cutting, 3D printing, etc) Writing (poetry, short stories, etc) Performance (acting, music, spoken word, puppetry, etc) Sculpture (clay, paper mache, metals, woodworking, etc) Printmaking (silkscreen, block printing, etching, etc) OtherSelect AllIf you chose "Other," please describe:How does art play a role in your everyday life?*Your acceptance into the After School program will be based on your interest in art and making. Please submit an image of artwork you completed.Accepted file types: jpg, jpeg, png, gif.Please submit a picture of artwork that you are still working on.Accepted file types: jpg, jpeg, png, gif.Participants in After School at MuseumLab will learn from artists, while exploring current issues through a social justice lens. When you think about social justice, what does that mean to you?*How could you contribute to making MuseumLab’s After School program feel more inclusive or welcoming for other kids?*Why does a program that combines art and social justice interest you?*Where do you get your knowledge of social justice issues? (Check all that apply)*Parents/GuardiansTeachers/SchoolFriendsPrint or digital news sourcesSocial mediaOtherPlease specify the type of print or digital media, social media or other source:What else would you like us to know about you?FOR PARENT/GUARDIAN TO COMPLETEParent/Guardian Name* First Last Parent/Guardian Email*Parent/Guardian Phone*Parent/Guardian Address (If different from student) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code After School at MuseumLab will meet Monday through Friday. As the program builds on itself over time, is your child able to commit to attending at least two days per week?* Yes NoHow will your child get to and from After School at MuseumLab?*List the names of people who are allowed to pick up your child from After School at MuseumLab (ID will be required to pickup inside MuseumLab).*How did you hear about After School at MuseumLab?EMERGENCY CONTACTSEmergency Contact #1 Name - Please list someone other than the parent or guardian of the student* First Last Emergency Contact #1 Phone*Emergency Contact #1 Email* Relationship to Student*Emergency Contact #2 Name* First Last Please list someone other than the parent or guardian of the studentEmergency Contact #2 Phone*Emergency Contact #2 Email* Relationship to Student*Δ
