Junior Curator Program Application

Published on North Carolina Museum of Natural Sciences (http://naturalsciences.org)

Junior Curator Program Application [1]

Application deadline: May 15, 2013

Full Name *

Your name will be used to identify your recommendation forms, so please be sure to give your teacher and other adult reviewer the same name you use here to use on their recommendations.

Street Address *

City *

Zip *

Home Phone

Birth Date *

Month

Day

Year

Your email address *

School Attending 2013-2014 School Year *

Grade Next Year 2013-2014 *

Current Science Teacher's Name *

School Phone *

Parent/Guardian Name *

Parent/Guardian Phone *

Parent/Guardian email

Second Parent/Guardian Name

Second Parent/Guardian Phone

Second Parent/Guardian email

Why do you want to be a Junior Curator? *

What do you think you could contribute to the program? What do you wish to receive from the program? *

Describe the specific areas of the natural sciences in which you are interested and why they interest you. *

List your academic interests outside of the natural sciences *

What is your favorite way to spend your free time? Why? *

Have you ever kept a nature log or systematically recorded your observations concerning some aspect of nature or animal care? *

Yes

(If yes, please bring your journal(s) with you if you are chosen for an interview.)

If yes, when did you start doing this?

If yes, what do you most commonly record in your nature log?

Do you read books or magazines about nature? *

Yes

If yes, list the names of some that you have read recently.

Have you kept and cared for domestic animals at home? *

Yes

If yes, describe your care for them.

Have you caught and kept wild animals at home or kept an exotic animal not native to NC? *

Yes

If yes, please list the types of animals, how you obtained them and cared for them, how long you kept them, and what happened to them.

Have you ever made a collection of anything? *

Yes

If so, describe the collection and how the collection was identified and organized.

With what activities, clubs or school groups are you presently involved? *

How much time do you spend on each activity per week? *

What work or volunteer experience do you have?

What were your duties?

What do you consider to be your best personal qualities? *

Is this your first time applying to the Junior Curator Program? *

Yes

If not, please use the space below to tell us about the new, exciting things that you have learned, seen, done or read about related to the natural sciences since the last time you applied.

You must be able to participate in an interview for the Junior Curator Program if selected. Interviews will be held during the weeks of May 28-31 and June 3-7. Please list any of these weeks during which you would be available. *

Exact dates and times will be emailed to selected applicants later.

Please upload a picture of yourself enjoying the outdoors.

Acceptable formats are .jpg, .gif and .png. Files should be under 4MB. YOU MUST CLICK THE UPLOAD BUTTON after choosing your photo, or we won't be able to see it!

All Junior Curators must have and maintain an overall "B" academic average each semester to maintain membership in the program.

This certifies that the applicant has maintained an overall "B" average for the current school year. *

Certifying parent/guardian name

Parent/Guardian check to sign *

Yes

Source URL: http://naturalsciences.org/form/junior-curator-program-application

Links:
[1] http://naturalsciences.org/form/junior-curator-program-application