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Central Arkansas' Premier Summer Enrichment Program
June 17-28, 2013
Half Day Sessions 8 a.m. - 12 p.m. /1 p.m. - 5 p.m.
Ages 12 - 18 or 6th - 12th grade

Application
  • Please complete and return this form to Arkansas Teen College
    Pulaski Technical College, 3000 West Scenic Drive, North Little Rock, 72118
  • Application Deadline: June 7, 2013.
  • $240 – Lunch provided daily
  • Deposit of $50 due with each application (nonrefundable).
  • Final payment due on or before first day of class.
  • Make payable to Pulaski Technical College with "Arkansas Teen College" in the memo line.
  • Student Release Form must accompany Application.
  • Supervised Drop-Off and Pick-Up. A $5 charge per minute for late pick up.
* required fields

* Student Information

First Name:Last Name:
Address:
City:Zip:
E-Mail:Home Phone:
Cell Phone:
Birthdate:Next year grade level:
School Name:
Student's T-shirt Size:
(each student will receive a free Teen College T-shirt)


* Parent Information

Mother Full Name: Father Full Name:
Mother Cell: Work: E-Mail:
Father Cell: Work: E-Mail:

Support for Arkansas Teen College is provided, in part, by the Arkansas Arts Council, an agency of the Department of Arkansas Heritage, and the National Endowment for the Arts.

Track Preferences

Three Different Tracks are being offered this year. You must choose one. You then have choices in those Tracks which you will follow the whole week. Please rank your preference. 1 most favored - 7 least favored. Only rank one track.

Track I – Performing Arts
Dance Your Way to Broadway, Baby!!
So You Wanna Be a Star!!
Stage Combat
Stagecraft/Construction Techniques
From Page to Stage/Playwriting

Track II – Visual Arts
Comics U
Digital Photography
Print It!
Journey into Writing
Art-Drawing/Design
Video Game Design
Ink Inc

Track III
Film/Television and Cinematography


* Payment Choice

I will pay the full $240 per session now.
I will pay the deposit of $50 per session with the remaining $190 due on or before first day of class.

* Name on the card
First Name: Last Name:

To better help us place the students, please list special talents, interest, experiences or any information of student information.


Once this application has been received, we will notify you after closing application date of what track/class your child has been selected to attend and any additional information he or she may need before the start of Arkansas Teen College. Included is a student release and emergency information form that must be completed and returned on or before the first day of Arkansas Teen College.

Arkansas Teen College will do everything it can to place the student in the class(es) he or she ranks as his or her first choice. If (in a rare case) a class does not make because of lack of enrollment or has not reached its capacity. Enrollment in classes that are in high demand will be based on the date the student’s application is received. If you have any questions, feel free to contact sglasscock@pulaskitech.edu or cnesmith@pulaskitech.edu.