Governor's School Information
- 1. A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS GOVERNOR’S SCHOOL 2014 13 Student Application STAPLE – NO PAPER CLIPS PAGE 1 OF 2 FORM MAY BE COPIED 1. BASIC INFORMATION AND DEMOGRAPHIC DATA Name ____________________________________________________________________________________________________________ First Middle Initial Last Preferred Name ______________________________________________________ Age _______ Sex _______ Race _______ Mailing Address __________________________________________________________________________________________________ Street or Box No. City Zip Code Telephone ( _______ ) ____________________________ Last Four Digits of Social Security Number ______________________ Public County or City School System ________________________________________________________________________________ Public High School ______________________________________________________________________________ Grade _________ Charter or Non-Public High School County ____________________________________________________________________________ Charter or Non-Public High School ________________________________________________________________ Grade _________ 2. NOMINATION AREA – Indicate only one area Academics (Rising Seniors only; check one specific area) ___ English ___ Mathematics ___ Natural Science ___ Social Science ___ Spanish ___ French Performing/Visual Arts (Check one specific area) ___ Art (Rising Seniors only) ___ Dance (Rising Juniors or Seniors) ___ Theater (Rising Seniors only) ___ Choral Music (Rising Juniors or Seniors) List Voice Part _______________________________ (Soprano I, II; Alto;Tenor; Bass/Baritone – List only one) ___ Instrumental Music (Rising Juniors or Seniors) List Instrument ______________________________ 3. STATEMENT OF INTENT My signature indicates my wish to be considered as a Governor’s School nominee. I understand that I will be identified as a Governor’s School nominee only if determined by the local nominating committee. I understand that if I am selected by the State, and if I accept, I will attend the entire five and one-half week program. I further understand that no excep- tions will be made for family reunions, cheerleading camps, sports activities, and the like. ____________________________________________________ ____________________________________________________ Signature of Student Date Signature of Parent/Guardian Date Notes • Students in Mathematics must have completed Algebra II or Integrated Math III before the 2014 session begins. • Students in Spanish and French must have completed at least two years of study in these courses before the 2014 session begins. Academics Performing/Visual Arts Notes • Instruments offered are: Flute/Piccolo, Oboe/English Horn, Clarinet (E-Flat, B-Flat, Alto, Bass, Contralto, and Contrabass), Saxophone (Alto,Tenor, and Baritone), Bassoon,Trumpet, French Horn,Trombone, Euphonium, Tuba, Percussion,Violin,Viola, Cello, and Bass. • Harp, piano and guitar are not offered.
- 2. A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS GOVERNOR’S SCHOOL 2014 14 Student Application PAGE 2 OF 2 FORM MAY BE COPIED 4. ESSAYS Please write two essays as directed below.Type each essay on a separate page and clearly label each page with your name and the essay topic and, for EssayTwo, the Area you have chosen. Please limit each essay to one page only, single or double spaced. Essay One Identify and discuss one significant problem or issue in contemporary culture that concerns you: some of the dimensions of this issue, why it matters to you, and what possible solutions you or others might propose to deal with it. EssayTwo In this essay, local and state selection committee members hope to gain a clearer insight into an applicant’s interest in the Area I field of nomination. If you know your Area I field of nomination, choose the topic for that discipline. If you do not yet know your Area I field of nomination, choose the topic that is closest to your deepest interests. • English and Performing/Visual Arts: Describe the relevance of a 20th or 21st century work of art or literature and detail how it has influenced your thoughts and/or action. • French: Describe your interest in the French language. Please include any personal experiences specifically related to French language and culture and how they inspired you to explore the French-speaking world. Please respond in French. • Mathematics: Describe your response to the following quote: “The true spirit of delight…is to be found in mathematics as surely as in poetry.” – Bertrand Russell • Natural Science: Discuss a recent scientific topic that interests you, how you would go about studying it and its importance in the field and in society as a whole. • Social Science: Discuss an important 20th or 21st century idea in social science and explain how it has influenced your thoughts and/or action. • Spanish: Describe the linguistic and cultural role that Spanish plays in North Carolina today, and discuss one issue that affects the Spanish-speaking community in your area. Please respond in Spanish. 5. EXPERIENCE Please respond to the following requests.Type responses on the Experience Form and clearly label each page with your name. 1. List school and community activities, awards, and honors you have participated in or received during the past three years, and tell why any two are important to you. 2. List residential schools (such as Summer Ventures, NC School of Science and Math) you have attended and when. 6. RECOMMENDATIONS Two Recommendation Forms (pages 17 and 18) must be completed by persons who know the nominee’s strengths in the area of nomination and can address the nominee’s intellectual curiosity, love of learning, and potential to profit from the Governor’s School experience. No parent or student should submit a recommendation. At least one recommendation should be from a high school teacher, preferably in the area of nomination.