Application for 4 Week Session (2024) Before you start the application, please be sure that you have read the “Before Your Apply” page which contains important financial details, certain expectations, and timelines for the application process. ONCE YOU START THE ONLINE APPLICATION IT IS NOT SAVED UNTIL IT IS SUBMITTED Teacher Recommendation FormRM_StatsPage 1Student InformationStudent First Name *Student Last Name *Student Preferred NameStudent Date of Birth *Gender IdentityPreferred PronounsStudent Email Address *Student email please, not parent emailStudent Phone Number *Student Home Address Address Line 1 * Address Line 2 City * State or Region * Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Zip * Current Grade (2023-24)Select an option891011OtherCurrent School *Anticipated High School Graduation YearSelect an option2025202620272028Attach a photo of yourself so that we can begin to get to know youPage 2Parent/Guardian 1 InformationParent/Guardian 1 will serve as the first point of contact for the program.Parent/Guardian 1 Name (First & Last) *Relationship to Student *Parent/Guardian 1 Email Address *Parent/Guardian 1 Primary Phone Number *Mailing Address (if different from student) Address Line 1 Address Line 2 City State or Region Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Zip Parent/Guardian 2 InformationParent/Guardian 2 Name (First & Last)Relationship to studentParent/Guardian 2 Email AddressParent/Guardian 2 Primary Phone NumberMailing Address (if different from student) Address Line 1 Address Line 2 City State or Region Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Zip Page 3Workshop ChoicePlease select the top six workshops that you would like to take this summer. We will place you in two of these, based on availability. Please note some workshops are only offered once daily. If not indicated otherwise, workshop is offered both AM and PM. If workshop cancellations occur due to low enrollment, families will be notified by May 31st, and students will be placed in their next highest choice based on availability. Please note that workshop selection is limited to what is available as of 4/12/24.Workshop Choice 1 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Choice 2 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Choice 3 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Choice 4 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Choice 5 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Choice 6 *Select an optionActing for Stage & Screen (AM)Animation (PM)Audio Arts & Production (AM)Dance (AM)Farm (AM)Fashion Design (PM)Filmmaking (AM)Graphics Novels & Illustration (AM)Painting (PM)Poetry Writing (PM)Printmaking (PM)Songwriting (AM)Storytelling (AM)Weaving & Fiber Arts (PM)Workshop Waitlist I am applying to be a: * Boarding Student Day Student As per our housing policy, we provide all-gender and single-gender dorms. Please indicate your preference for gender and dorm size here. You will receive a detailed dorm assignment questionnaire closer to the start of the program, and are welcome to change your preferences at that time.Page 4Please provide two samples of creative work, performance materials, or creative writing (.jpeg, .pdf, or YouTube links). If you are unable to upload your samples of work here, please email the samples to summer@putneyschool.org with your full name in the subject line.Sample of WorkSample of WorkLink to Website, Video sample or Audio sampleLink to Website, Video sample or Audio sampleShort Answer question - Please respond to the following questions to the best of your ability.Describe something you created, wrote, or participated in that was meaningful to you. What about it made it so meaningful?1- *What does community mean to you? Which community do you currently feel closest to and what makes it special?2 - *At Putney we learn by doing. In what ways do you learn best? Do you prefer to work individually or collaboratively?3 - *What excites you most about The Putney School Summer Arts program?4 - * Teacher ReferencePlease choose a teacher you’ve enjoyed working with and who knows you well. Let them know that you’re applying to attend The Putney School Summer Arts, the workshops you’ve requested, and why you want to come to Putney. Ask them to please answer the questions on the teacher recommendation form and submit it to us at summer@putneyschool.org. The recommendation form is linked at the top of this page.Page 5For International Students Only.Student country of citizenship/passportStudent country of birthName & phone number of contact in the United StatesPlease list the name of a family member/friend/guardian in the United States, who can be contacted in case of emergency.English is the language of instruction at The Putney School Summer Arts. We may require an English language proficiency test score prior to attending.Page 6Billing InformationThere is a non-refundable fee of $100 upon submission of this application. Program fees are detailed on our website.Full name of person responsible for paying tuition *Relationship to student of person responsible for paying tuitionPhone number of person responsible for paying tuitionEmail address of person responsible for paying tuition *Application FeeHow did you hear about The Putney School Summer Arts?You will be redirected to submit payment for the $100 application fee. You have reached the end of the application form. Please remember to request the Teacher Recommendation. Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.