Info... - Prince Georges Arts and Humanities Council

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Enjoy a unique summer music and education program that strengthens
academic performance using music as a basis for engagement. This
program is designed for students entering grades 8 through 12. Students
will have the opportunity to:
• Explore cutting edge recording software, i.e. Pro Tools, Sibelius &
Garage Band
• Enjoy a Songwriter’s workshop conducted by a Grammy nominated
National Recording Artist
• Participate in master classes, lectures and demonstrations
• Develop proficiency in computer technology
• Produce finished CD and MP3 files to share digitally and publish online
• Be introduced to Financial Literacy
• Prepare a college portfolio
• Participate in a mock music audition
• Learn proper use of social media and other online tools, and Much More!
Program Dates - Nine Days:
Friday, June 26
Song writing Workshop with
National Recording Artist
Recital Hall, Bowie State University
(Bus transportation provided from Oxon Hill High
School to Bowie State)
June 29 - July 2 & July 6 - 9
Oxon Hill High School
6701 Leyte Drive
Oxon Hill, MD 20745
Registration Deadline:
April 24, 2015
Registration & Information:
www.fameorg.org
[email protected] • 301.805.5358
Full scholarships are available for
Prince George’s County students.
Nomination Form required.
This program made possible in part by funding from: Prince George’s County Community Partnership Grant; Prince
George’s County Council Chair, Mel Franklin (District 9); Prince George’s County Council Vice Chair, Derrick Leon Davis
(District 6), Prince George’s County Council Members: Deni Taveras (District 2), Todd Turner, (District 4), Andrea Harrison
(District 5), Karen Toles (District 7), Obie Patterson (District 8) and United Way of the National Capital Area.
APPLICATION
The Beats Books & Hooks Summer Program is open to students entering grades 8 through 12. For information
Visit: www.fameorg.org or Call 301-805-5358. A teacher nomination form is required for each applicant.
Application closes April 10, 2015. Extended to April 24th
PROGRAM DATES (9 days): June 26, 2015 – Song Writing Workshop at Bowie State University;
June 29 – July 2 and July 6 – 9, 2015 at Oxon Hill High School. See Website for details.
PART I: STUDENT & PARENT INFORMATION
Last Name:
First Name :
Birth Date (Month/Date/Year):
Home Phone:
U.S. Citizen?
State
County
Guardian 1:
Relationship to Student:
E-Mail Address
Home Phone:
Guardian 2:
Relationship to Student:
E-Mail Address
Home Phone:
Is either parent/guardian on active duty in the military?

Female 
E-Mail Address:
Home Address:
City
Male
Age
 Yes
 No
Zip/Postal Code
Business Phone
Cell Phone
Business Phone
Cell Phone
If yes, which Branch of Service:
EMERGENCY CONTACT (complete if different from Guardian)
Name(s):
Cell Phone:
Work:
Email Address:
Home:
Relationship to Student:
Special instructions:
PART II: SCHOOL & MUSIC TRAINING INFORMATION
Name of Current School:
City
Grade Level:
State
Primary Instrument or Voice part:
Other Instruments:
County
Current GPA:
Zip/Postal Code
What music software have you used?
Please describe your musical background:
How are you involved in your school’s music program?
What would you like to learn during this program?
How did you hear about this program? _____________________________________________
MEDICAL, FIELD TRIP & PHOTOGRAPHY CONSENT
1. I authorize FAME, when I cannot be reached, to take my child to the emergency room of the nearest hospital, at my expense, and the
hospital has my authorization to provide treatment that a physician deems necessary for the well-being of my child.
2. I give permission for my child to be taken on field trips, off the Campus supervised by staff, whether by foot, metro, van or bus. I
hereby release and hold harmless the school, its agents and employees, from all claims, damages or other liabilities for injuries to the
student that are not the result of gross negligence by the school, its agents or employees.
3. I hereby authorize and give full consent to FAME to publish and copyright all photographs in which my child appears while enrolled. I
agree that FAME may use photographs, videos, written extractions, and voice recordings of my child for the purpose of illustrations,
publications and websites.
4. I hereby approve the foregoing and affirm that I have the legal right to issue such consent.
Parent/Guardian Signature ____________________________________Phone # ____________________
Date: __________________
Please return your application and nomination form by March 31, 2015 April 24th via Email: [email protected],
Mail: FAME, P O Box 2228, Bowie, MD 20718-2228 or Fax: 240-554-1555.
NOMINATION FORM
FAME’s Beats Books & Hooks Summer Program is designed for students entering grades 8 through 12.
Nomination form should be completed by applicant’s music teacher.
Nominations are due by April 10, 2015
NOMINEE/APPLICATNT INFORMATION:
(Please submit a separate form for each student)
Nominee’s Name: ____________________________________________________________________________________
First
Middle Initial
Last
School Name ______________________________________________ Current Grade Level: __ 7___ 8 ___9 ___10___ 11
School Address ____________________________________________ City/State/Zip: ______________________________
NOMINATOR’S INFORMATION:
Nominator’s Name ____________________________________________________________________________________
Job Title / Relationship to Nominee: _____________________________. I have known the nominee for _____ years/Months.
School/Organization (if different from nominee) __________________________________________________________________
Address: _____________________________________________________ City/State/Zip: __________________________
Email ____________________________________ Office/School Phone________________ Cell ____________________
Musical Ability Excellent
Technical Skill
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Good
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Average
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Below Average Unable to rate
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Rhythm
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Musicality
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Sight Reading
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Creativity
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Personal Qualities
Timeliness
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Focus/Discipline
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Cooperation
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Social Maturity
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Leadership
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Additional Comments? _____________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
(Please continue on back if needed)
Is the nominee aware that you are submitting this information? ________
What is the best time to call you if we need to discuss the applicant ____________
Nominator’s Signature ______________________________________________
Date ____ / _____ / ________
______________________________________________________________________________________________________
Email nomination form to: [email protected], put “Summer Nomination Form” on subject line;
or Mail form to: FAME Summer Program, P O Box 2228, Bowie, MD 20718
If you require more information, please visit our website, www.fameorg.org, or call us at 301-805-5358.