#CHMTeen @ChicagoMuseum CHM TEEN SUMMER RESIDENCY: CLICK, TAG, SHARE | APPLICATION Applications are being accepted from teens in the Chicagoland area who would like to participate in a summer residency exploring documentary photography at the Chicago History Museum. • Applications must include a nomination from a teacher, group leader, or other adult advocate. • Selected participants should be able to attend weekly meetings at the Museum starting the last full week of June and continuing through the first week of August (indicate availability in Step 4 of application). • Selected participants must supply their own image-taking device, whether a cell phone, iPad, or camera. • Ventra cards will be provided for transportation to and from the Museum. • This program is FREE to selected teens. Return your completed application by Monday, May 18, 2015 through one of the following options: • Email: [email protected] • Mail: Chicago History Museum, Education Department, 1601 N. Clark Street, Chicago, IL 60614 • Fax: 312-799-2458 Questions? Email [email protected] Step 1) To be completed by nominating teacher, group leader, or other adult advocate Nominator’s Name _________________________________________________________________ Nominator’s Email Address __________________________________________________________ Nominator’s Phone Number __________________________________________________________ Step 2) To be completed by nominating teacher, group leader, or other adult advocate Please type or clearly print your response in the space below. You may attach additional paper if necessary. Why do you think the teen you are nominating would be a good fit for the Chicago History Museum’s Teen Summer Residency and how would he/she benefit from the program? How have you seen him/her demonstrate commitment to a project, reliability, and follow-through? Step 3: To be completed by the teen applicant and his/her guardian Teen’s Name _____________________________________________________________________ Teen’s Email Address ______________________________________________________________ Teen’s Phone Number ______________________________________________________________ Guardian’s Name __________________________________________________________________ Guardian’s Phone Number ___________________________________________________________ Step 4) To be completed by teen applicant Please type or clearly print your response in the space below. You may attach additional paper if necessary. Why you are interested in CHM’s Teen Summer Residency and what do you hope to gain from it? Describe a project, assignment, or experience that demonstrates your creativity and/or interest in capturing the world around you. You may choose to include examples of your work. What type of camera or image capturing device (phone, iPad, etc.) do you plan to use? Please circle ALL of the times during which you are available to meet weekly starting the last full week of June through the first week of August. Tuesdays: 11am-2 pm 2-5pm 4-7pm Thursdays: 11am-2 pm 2-5pm 4-7pm