Bill of Rights Institute: Constitutional Academy

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2013 Constitutional Academy Application

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Please complete the application below to apply for the 2013 Constitutional Academy. For more information on the program, visit www.BillofRightsInstitute.org/Academy.
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Contact Academy@BillofRightsInstitute.org if you have any questions.

Student Information

First Name

Middle Name

Last Name

Address

City

State

Zip Code #####

Gender

MaleFemale

Cell Phone Number ###-###-####

Home Phone Number ###-###-####

Primary Email Address

Alternate Email Address

School Name

School Address

School City

School State

School Zip Code

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number ###-###-#####

Parent/Guardian Email Address

Referring Teacher Information

Please include the contact information for a Social Studies teacher (History, Government, Civics, Economics, Etc.) that we can contact to provide a reference for you.

Teacher First and Last Name

Teacher Phone Number ###-###-####

Teacher Email Address

Essay Questions

We recommend that you type your responses in another program and then copy and paste each essay in the appropriate text box so that the page does not time out.

What do you hope to gain by participating in the 2013 Constitutional Academy? Explain your reasoning in 200 words or less.

Please give an example of a time where you exhibited leadership skills in your school or community. Be sure to explain the specifics of the project, your role, the outcomes/results of the project, and any lessons you learned in 200 words or less.

You’ve been elected to your state legislature. You’ve received several phone calls from your constituents because a group known for picketing at soldiers’ funerals has announced it will be coming to your state for a protest. Explain how you would handle this situation in 100 words or less.

You are the president of a public university. You’ve been notified that some students are planning a peaceful protest of state-mandated budget cuts which will affect the amount of student aid available. Explain how you would respond to this information in 100 words or less.

The principle of equality means that there is no class of citizen that possesses the natural or inherited right to rule over any other class of citizen. Explain the importance of equality in 100 words or less.

More Information About You

High School Graduation Year

If your High School Graduation Year is not listed above, please explain:

Grade Point Average (on a 4.0 scale)

What sources do you use to get news? (Choose all that apply by holding CTRL when selecting the options.)

If you chose "other" under news sources, please explain:

Which (if any) of the following groups or activities you have been involved in since you started high school? (Choose all that apply by holding CTRL when selection the options.)

If you chose "other" under groups and activities, please explain:

In which (if any) of these groups have you held a leadership position? (Choose all that apply by holding CTRL when selecting the options.)

If you chose "other" in leadership positions, please explain:

Have you taken Advanced Placement (AP) or Dual-Credit courses in any of the following? (Choose all that apply by holding CTRL when selecting the options.)

If you chose "other" under Advanced Placement/Dual-Credit, please explain:

Are you interested in receiving the We The Students newsletter (monthly email)?

YesNo

Are you interested in learning about other programs and scholarship opportunities?

YesNo

How did you hear about the Constitutional Academy?

If you chose "other" under how you heard, please explain:

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