SUMMER 2015 STUDENT APPLICATION

Form Login Account (optional)

New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish the form. The account you establish is only for this form.

First Name *

Middle name or Initial

Last Name *

Your Email Address *

Retype Email Address *

ESSENTIAL for 2015 applicants: Please click here to join our mailing list. You may opt out at any time.

Date of Birth (Month/Day/Year) *

Gender *

What grade will you be entering in the upcoming school year? (2015-2016)? *

10th grade

11th grade

12th grade

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Residence Status *

U.S. Citizen

U.S. Permanent Resident

International Student

Race/Ethnicity (optional)

For which NBTB strand are you applying? (Please see our website for a description of our Year 1 and Year 2 programs.) *

Year 1

Year 2

Please write a brief but thoughtful essay about why you want to attend Newsroom by the Bay. While journalism experience is not required, we read your essay to see if you have purpose and passion, which are definitely required. Why do you want to spend part of your summer with us? (250 words) *

0/250 words

Residential/Commuter Package Information

We will not be requesting payment until after you have been accepted to our program, but we would like to know now, so we can reserve your place, if you anticipate needing one of our 40 residential beds, or if you will be commuting to Newsroom by the Bay each day. *

Residential Standard ($2,195; early bird deadline offer of $1995 if you apply and pay by Feb. 17) — please reserve a bed for me!

Commuter with parking pass ($995) — please reserve a weekly parking pass for me!

Commuter ($995) — no thanks, I don't need a parking pass.

A note about financial aid

Newsroom by the Bay is committed to ensuring diversity in the classroom so that the newsrooms of tomorrow reflect our society as a whole. A limited amount of financial aid is available for students who qualify for the federal free and reduced price lunch program. Details are available here. Applications for campers requesting financial assistance are due March 1.

Billing Contact Information

Billing Contact First Name *

Billing Contact Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Billing Contact Email Address *

Retype Email Address *

School Information

Applicant's High School *

High School Principal First Name *

High School Principal Last Name *

High School Guidance Counselor First Name *

High School Guidance Counselor Last Name *

Email of Guidance Counselor or Contact *

Retype Email of Guidance Counselor or Contact *

Address of High School *

Address 2 *

City *

State/Province/Region *

Zip/Postal Code *

Country *

Phone Number *

School Journalism Program

We are interested in learning about your school's journalism program. We sometimes contact school journalism advisers to learn more about their programs and offer opportunities to collaborate with NBTB. Please note that you do not need to be involved in a journalism program at your school to participate in Newsroom by the Bay.

First Name of Journalism Adviser *

Last Name of Journalism Adviser *

Journalism Adviser Email Address *

Retype Adviser's Email Address *

Which best describes your school's journalism program? *

Class

Club

None

How many students participate in your school's journalism program? *

What type(s) of publishing opportunities are available in your school's journalism program? *

If your school has an online journalism publication, what is its URL?

What role, if any, do you have in your school's journalism program? Please describe your duties and experience.

Honors, Awards and Activities

Please list any awards or honors that you have received. *

Please list any sports, extracurricular, or community service activities that you have participated in.

Parents/Guardians

Parent/Guardian #1 First Name *

Parent/Guardian #2 Last Name *

Relation

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Home Phone Number *

Cell Phone Number *

Parent/Guardian #1 Email address *

Retype Email Address *

ESSENTIAL for 2015 parents/guardians: Please click here to join our mailing list. You may opt out at any time.

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Relation

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Home Phone Number *

Cell Phone Number *

Parent/guardian #2 Email Address *

Retype Email Address *

ESSENTIAL for 2015 parents/guardians: Please click here to join our mailing list. You may opt out at any time.

Emergency Contacts while you are at Stanford (can be a local contact in addition to parents/guardians above)

Emergency Contact #1 First Name *

Emergency Contact #1 Last Name *

Relation *

Home Phone *

Cell Phone *

Emergency contact #1 Email Address *

Retype Email Address *

Emergency Contact #2 First Name *

Emergency Contact #2 Last Name *

Relation *

Home Phone *

Cell Phone *

Emergency contact #2 Email address *

Retype Email Address *

Letter of Recommendation

In addition to this application, please ask your journalism adviser, guidance counselor or a teacher to write a short (250 words) letter of recommendation for you. Have him/her mail your recommendation on school letterhead to Newsroom by the Bay, P.O. Box 20105, Stanford, CA 94309. Alternately, he/she may send the recommendation to newsroombythebay@gmail.com using an official school email address. Applications are not complete until the recommendation is received. Clips of your work are not required unless we ask for them. If you are requesting financial aid, please ask your recommender to address this in his/her letter to us.

Information about your recommender

Recommender's First Name *

Recommender's Last Name *

Title *

Phone *

Recommender's Email Address *

Retype Email Address *

How did you hear about Newsroom by the Bay? *

Thank you for applying to Newsroom by the Bay

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