Bill of Rights Institute: Constitutional Academy

Programs & Events>Students Programs & Events>Constitutional Academy>Constitutional Academy – Application

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First Name *

Middle Name

Last Name *

Address *

City *

State *

Zip Code *

Cell Phone Number *

Email Address *

Confirm Email Address *

Date of Birth (MM/DD/YYYY) *

School Name *

School City *

School State

High School Graduation Year *

Grade Point Average *

How many clubs, student groups, or volunteer groups have you been involved with since you have started high school (not including sports teams)? *

How many leadership positions have you held since starting high school (Student-Government Association, student-club officer, sports-team captain, manager or supervisor at work, etc.)? *

Please enter scores for all of the tests you have completed. If you have not taken the test, please leave the score blank.

PSAT Score (####)

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ACT Score (##)

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Relationship (Mother/Father/Etc) *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

You will need to have a teacher provide a recommendation for you to attend the Constitutional Academy. It’s your responsibility to ask your teacher to fill out and submit the form. The form can be found on our website. Your application will not be considered complete until we receive both the application and recommendation forms.

Recommending Teacher First and Last Name *

Recommending Teacher Phone Number *

Recommending Teacher Email Address *

We suggest that you type your essay responses in another program and then copy and paste in the text boxes, so that the page does not time out. Please keep responses under 200 words for each box.

Why do you want to participate in the Bill of Rights Institute Constitutional Academy? (200 words or less) *

How would you respond to the following quote? “The conventional view serves to protect us from the painful job of thinking.” (200 words or less) *

Please give one example of when you have taken on a leadership role in high school or your community. Be sure to mention what results you achieved. (200 words or less) *

How did you hear about this opportunity? *

If you selected "other" above, please explain.

Through private funding, the Bill of Rights Institute’s Constitutional Academy is open only to students in the following cities and states: Anchorage, Alaska; Phoenix, Arizona; California; Florida; Atlanta, Georgia; Chicago, Illinois; Kansas; Lexington and Louisville, Kentucky; Detroit, Michigan; Billings, Montana; New Mexico; Oklahoma; Portland, Oregon; Pittsburgh area, Pennsylvania; Puerto Rico; Nashville, Tennessee; Texas; Virginia; and Seattle, Washington.

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