Rank your FIRST CHOICE of classes: *

(It is possible to take two classes on opposite days)

Darkroom Photography

Design Studio

Printmaking

Illustration + Music Production

Fashion Design

Dance

Rank your SECOND CHOICE of classes: *

Darkroom Photography

Design Studio

Printmaking

Illustration + Music Production

Fashion Design

Dance

Student Name: *

First Name

Last Name

Student Cell Phone: *

If the student does not have a phone, write 000-000-0000

(###)

###

####

Housing Status: *

Permanent

Transitional

Other

Do you live in public or section 8 housing?

Yes

No

Birthday: *

MM

DD

YYYY

2021-2022 Grade Level: *

9

10

11

12

Graduation Year: *

2022

2023

2024

2025

Race/Ethnicity (check all that apply, and then specify in following question) *

Black/African-American

East Asian (i.e., Chinese, Japanese, Korean)

Latinx (i.e., Mexican, Honduran, Puerto Rican)

Indigenous/Native American

White/Caucasian/European

Pacific Islander/Polynesian

Filipino

South Asian (i.e., Indian, Pakistani)

Southeast Asian

Middle Eastern

Two or more

Other

Do you receive free or reduced lunch at school? *

Yes

No

What is your annual household income? *

Under $25,000

Between $25,000 and $50,000

Between $50,000 and $75,000

Between $75,000 and $100,000

Over $100,000

Are you fully vaccinated against COVID-19? *

Students enrolling in the Darkroom Photography class will have to show proof of vaccination to use the facilities.

Yes

No

Parent/Guardian Name: *

First Name

Last Name

Parent/Guardian Home Phone:

(###)

###

####

Parent/Guardian Cell Phone: *

(###)

###

####

Have you taken a class with us before? *

Yes

No

Have you applied and not gotten in before? *

Yes

No

What are your learning styles? *

Check all that apply

Visual

Kinesthetic

Auditory

Reading/Writing

Other