Application for Admission CORE ARTS: June 7-20, 2020 Ages 12-18 (Rising 7th graders – high school seniors) All participants must send a current photo and a non-refundable application fee of $75.00 The $75.00 application fee will be deducted from your tuition balance I wish to apply for: _ Residential Track Tuition: $800 _ Non-residential Track: $700 (must be at least 12 years of age by June 7, 2020 to stay in residence hall) A NON-REFUNDABLE DEPOSIT OF $75.00 IS DUE WITH THIS APPLICATION CAMPER INFORMATION FIRST NAME AGE (as of June 7) LAST NAME BIRTHDATE SCHOOL GENDER GRADE COMPLETED (as of June 7) MAILING ADDRESS CITY STATE ZIP PHONE NUMBER EMAIL ADDRESS ROOMMATE PREFERENCE (IF ANY) T-SHIRT SIZE (SELECT): S M L XL XXL XXXL PARENT/GUARDIAN INFORMATION FIRST NAME LAST NAME MAILING ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP PHONE NUMBER EMAIL ADDRESS SIGNATURES IF ACCEPTED TO THE 2020 SUMMER ARTS INSTITUTE, I AGREE TO ABIDE BY THE INSTITUTIONS REGULATIONS AND TO COOPERATE WITH THE ADMINISTRATION ON FURTHERING THE INSTITUTE’S IDEALS I GIVE MSAI PERMISSION TO USE PHOTOS/VIDEOS OF MY CHILD’S LIKENESS FOR EDUCATIONAL & PROMOTIONAL PURPOSES PARENT/GUARDIAN SIGNATURE PARTICIPANT SIGNATURE Mail to: MSAI, DSU Box 3213, 1003 W Sunflower Road, Cleveland, MS 38733 Money orders, checks, cash, and credit cards accepted Make checks payable to Delta State Please call 662-846-4844 to pay via credit card No refunds after May 15, 2020 Contact Cade Holder with any questions: 662-846-4844 or cholder@deltastate.edu Application for Scholarship CORE ARTS: June 7-20, 2020 Ages 12-18 (Rising 7th graders – high school seniors) This scholarship application must accompany the Core Arts general application Scholarship applicants must apply for the Core Arts residential track APPLICANT CONTACT INFORMATION Student Name: School: Grade completed (as of June 7, 2020): Gender (select) M F Parent/ Guardian Name: Mailing address: City, County, State, Zip: Primary Phone: ( ) County: Age (as of June 7, 2020): T-Shirt size (select): S M L XL XXL XXXL Email Address: FINANCIAL NEED SCHOLARSHIP: REQUIRED INFORMATION 1) A copy of the family’s most recent IRS 1040 tax form 2) Essay—on why the applicant wishes to attend MSAI and its importance to their education (min page, max pages) 3) Letter of Recommendation—from someone familiar with the applicant’s artistic background and interests, (may not be a family member, max pages) 4) E-Portfolio—to demonstrate the applicant’s artistic accomplishments and talent, please submit at least one or more of the following to cholder@deltastate.edu: a pictures of visual arts samples (.jpg, doc, or PDF) b original writing examples such as poems, narratives, or newspaper articles (.doc or PDF) c an audio CD or DVD that demonstrates musical, theatrical, or dance skills d programs, playbills, and/or bulletins that show your participation in a performance e copies of award certificates for artistic accomplishments MSAI WILL ACCEPT ROLLING FINANCIAL SCHOLARSHIP APPLICATIONS BEGINNING FEBRUARY 1, 2020 All participants must send a current photo and a non-refundable application fee of $75.00 It is MSAI policy that all participants, even those that receive scholarships, pay an application fee of $75.00 Checks or money orders should be made out to Delta State University Please call 662.846.4844 or visit our website to pay via credit card Applicants will be notified of scholarship decisions by May 1, 2020 MAIL COMPLETED FORM AND ALL ADDITIONAL DOCUMENTS TO: BPAC Arts Ed DSU Box 3213 1003 West Sunflower Road Cleveland, MS 38733 All submitted information is confidential Questions? Contact Cade Holder at 662.846.4844 or cholder@deltastate.edu