Application FOR RETURNING SCHOLARS

Program Year

2014-2015 Submission

Deadline Date: September 30th

A SCHOMBURG EDUCATION PROGRAMDeirdre Lynn Hollman, M.S. Ed., DirectorJoel A. Diaz, M.A., Education Associate

Application Information

WHO WE AREWe are the Schomburg Junior Scholars. We are a dynamic group of 100+ NYC

teens, ages 11 to 18, from diverse neighborhoods and backgrounds. We are the

next generation of scholars, artists, activists and social entrepreneurs. We are

independent thinkers. We are explorers. We are storytellers. We are a team.

We are game changers. Join us!

WHAT WE DOWe provide classes, including learning experiences that take place outside of

traditional classrooms, in black history and culture not taught in our schools.

Through these learning experiences we empower ourselves with knowledge

of our history, and create fresh images to deconstruct negative stereotypes

through art and media projects. We learn to define ourselves. We participate in

teen forums about local and national issues affecting youth. We connect current

events in American Society with global issues impacting the African Diaspora.

We advocate on behalf of youth through social activism projects. In short, we

talk and write about what matters to us. We gain confidence and leadership

skills by participating in college style lectures, by travelling to local museums

and cultural institutions, and by producing art and media that impacts our

community. We are the youth of today and we are leaders.

FOR MORE INFORMATION VISIT US AT www.schomburgcenter.org/juniorscholarsEmail: schomburged@nypl.org Phone: (212) 491-2207

Youth, ages 11-18, are welcomed to apply to the program. Applications are

due no later than September 30th. Youth admitted into the program will be

notified by mid-October 2014. The following checklist outlines the paperwork

required to process your application.

RETURNING SCHOLARS CHECKLISTYou have PREVIOUSLY PARTICIPATED in the program.

q 1. General Application

q 2. Returning Scholar Assessment

q 3. Parent Evaluation

q 4. Interview

* Participation in the Junior Scholars Program is contingent upon completion and

submission of required forms.

** Returning students may be required to interview with Junior Scholars Staff.

Application requirements

The 2014-2015 Schomburg Junior Scholars Program is made possible through the generous support of The David Rockefeller Fund and Speaker Melissa Mark-Viverito, Council Member Inez Dickens, and the New York City Council, as well as the Estate of Gwendolyn Knight Lawrence, and other Schomburg supporters.

RETURN APPLICATIONS BY MAIL OR DROP-OFF ONLY TO:The Junior Scholars Program

Schomburg Center/NYPL

515 Malcolm X Blvd, New York, NY 10037(Entrance on the corner of Lenox Avenue & 135th Street)

STUDENT INFORMATION

Name: ______________________________________________________________________________ Age: ___________________

Date of Birth: ______________________________________________________ Gender: q Male q Female (check one)

Address: _____________________________________________________________________________________________________

City: __________________________________________________________ State: ___________ Zip: ________________________

Home Telephone Number: ___________________________________________________________________________________

EDUCATION

School Name: ________________________________________________________________________________________________

Location (Borough or City): __________________________________________________________________________________

Grade: __________________________________ (as of September) Academic Average/G.P.A.: ___________________

What professional career would you like to pursue? Why?

What are your special interests, hobbies, or activities?

What subjects or topics in black history and culture would you like to know more about?

PARENT/GUARDIAN INFORMATION

Name: _______________________________________________________________________________________________________

Relationship: ________________________________________________________________________________________________

Parent Cell Phone Number: __________________________________________________________________________________

Parent Email Address: _______________________________________________________________________________________

NOMINATED BY (See attached Nomination Form)

Name: _______________________________________________________________________________________________________

Contact Phone: _____________________________________ Email: _________________________________________________

1. GENERAL Application

REQUIRED OF ALL APPLICANTS

Junior Scholars Name: _______________________________________________________________________________________

Number of Years in Program: ________________________________________________________________________________

Please answer the following questions in essay form: (You may use additional sheets if necessary.)

1. Why do you wish to continue with the Junior Scholars Program for a second, third, fourth, fifth, sixth, seventh or eighth year?

2. What did you find beneficial about the program?

3. How did the program impact your performance at school?

4. How did the program benefit you personally?

2. SCHOLAR assessment

5. Describe two highlights from the past year.

6. What Special Project group did you select and how did the experience benefit you? What did you learn or enjoy most about the class?

7. Would you be interested in more information to prepare you for college? Any specific ideas you want addressed?

8. Is there anything else you would like to express about your experience as a Junior Scholar last year?

9. Reflect on the previous Junior Scholars themes, how do you continue to carry what you learned forward?

10. What does leadership mean to you, in the context of Junior Scholars?

For Returning Applicant: _____________________________________________________________________________________

Junior Scholars participant for how many years? _____________________________________________________________

EVALUATED BY

Parent/Guardian Name: _____________________________________________________________________________________

Contact Phone: _______________________________________ Email: ________________________________________________

Please evaluate your child’s participation in the Schomburg Center Junior Scholars Program in previous program years. How did the program benefit your child? Why do you wish your child to continue with the program this year?

3. parent evaluation

PLEASE RETURN THIS NOMINATION FORM BY MAIL OR DROP-OFF TO:The Junior Scholars Program

The Schomburg Center/NYPL515 Malcolm X Blvd (at 135th Street)

New York, NY 10037

Name of Student: ____________________________________________________________________________________________

Interviewer: ____________________________________________________________ Date of Interview: __________________

NOTES

4. STUDENT INTERVIEW