Office of Cultural Education

Cultural Education

New York State Archives, Library, Museum and Public Broadcasting

NYSSSA

New York State Summer School of the Arts

Experience it Yourself

School of Media Arts Student Application Form

Please submit your artwork to NYSSSA. Materials must be emailed or postmarked by February 28, 2019

Student Information
Age:
Date of Birth: (mm/dd/yyyy)
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Student's E-mail:
Parent/Guardian's Information
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( ) -
Check this box if Student Address and Parent Address are the same.
I, the parent/guardian of the above named student, consent to the release of the information on this application to NYSSSA. I authorize NYSSSA to use my student's name in association with any news releases, and permit the use of any photographs, digital images or videos taken during the audition for publicity or documentation purposes.
School Information
( ) -
( ) -
How did you hear about NYSSSA?
Yes No

In addition to submitting this online form the applicant acknowledges they must also attach a Student Adjudication Form and Rating Sheet to their portfolio. These forms are available on the NYSSSA Website at:
http://www.oce.nysed.gov/nysssa/media-arts