PROJECT 2015 - The Center for Gifted

PROJECT 2015
Flexible Schedule!
AM-Only
PM-Only
Full-Day
AM
Grades
6 - 12
Complimentar y
bus service
from select
locations!
PM
Advanced Fashion Design
Art on the Edge
Chemical Cacophony!
Creative Writing
Fashion Design Studio
Filmmaking I and II
Genetics
Improv and Sketch Comedy
It’s Magic!
Mysterious Math
Speak Your Mind! The Art of Public and Persuasive Speaking
STEM: Kinetic Energy and Electronics Lab
Theater
Web Design
World War II: Pearl Harbor and 1942
Classes
Chemical Cacophony!
Coding, Electronics, and Microcontrollers
Economics, the Stock Market, and You!
Engineering Escapades
Forensic Science
Humor Writing
Workshops
Artists’ Studio
Fashion Design Workshop
Filmmaking: Adaptations from Stage to Screen
Historic Games of Strategy and Diplomacy
st
Midwe
ivity
More details and online application at www.centerforgifted.org
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* no classes July 3
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Sandburg Middle School
345 E. St. Charles Rd., Elmhurst
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June 29-July 17*
a Northern Illinois University partner
Office use: p________________ $_________________ #_________________ d_________________ sa$_________________ s______________________
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___________________________________________________________________________________________________________
Please print. Please use dark ink. Use a separate application for each child. Mail, fax, or email with at least $150 deposit to: The Center for Gifted,
Box 364, Wilmette, IL 60091; 847-901-0179 (fax); [email protected]; or apply online at www.centerforgifted.org. Telephone: 847-901-0173.
Student’s full name _____________________________________________ Full birth date ________________ Gender: _________ male _________ female
Fall 2015 grade level: 6
7
8
9
10
11
12
Name and city of school _________________________________________________________________
Has this student participated in any previous CFG program? _____ yes _____ no Has any other child in this family ever participated? _____ yes _____ no
Recommendation is _____ enclosed _____ to follow _____ not required (returning student)
Full name(s) of parent(s)/guardian(s) _________________________________________________________ Relationship to student ______________________
Street Address ____________________________________________________________________ City _______________________ Zip _________________
Email for all program info: ____________________________________________________________________________________________________________
Phones: Primary _______________________________ Secondary ________________________________ Other(s) __________________________________
I understand that The Center for Gifted includes camera images of students and of student work on its website, in its publications, and in other media controlled or approved by the CFG. I
hereby give my consent for images of this student and/or his or her work to be included among these images and will make no monetary or other claim against the CFG for its ethical and
appropriate use of these images.
Parent/guardian signature ________________________________________________________________________________ Date ______________________
IMPORTANT! Program selection. Please check one:
___ Morning-Only Program (9:00-12:00)
___ Afternoon-Only Program (12:30-3:00)
(Enclosed $150 or $585 full tuition)
(Enclose $150 or $520 full tuition)
___ Full-Day Program (9:00-3:00)
(Enclose $150 or $995 full tuition)
Course selections: Review the course and workshop offerings carefully. If enrolling in morning courses, list the student’s two favorite morning courses
and one alternate. If enrolling in afternoon courses, first select your preferred afternoon format. If you select the two-class format, list two favorite
afternoon courses and one alternate; if you select the one-workshop format, list your favorite workshop course and one alternate.
Morning: Select courses:
Afternoon:
a.________________________________________
b.________________________________________
1. Select format: ___ Two 75 minute classes OR ___ One 2½ hour workshop
2. Select courses: a.________________________________________
b.________________________________________
c.________________________________________
Transportation:
Please check one:
__ No service requested
c.________________________________________
__ 9:00 arrival only
__ 3:00 departure only
__ Roundtrip
If AM and/or PM bus service is requested, please select a stop below; Chicago and Naperville riders, please also circle a location.
__ Buffalo Grove
__ Chicago
__ Naperville
__ Park Ridge
__ Skokie
__ Wilmette
(Meridian Middle School)
(Museum of Science and Industry;
Harold Washington Library;
Chopin School)
(95th Street Library;
Metra Station)
(Metra Station)
(Niles West High School)
(Metra Station)
Payment: A deposit of at least $150 must accompany application. Your balance of tuition and any lab fees will be due by June 16.
Please complete: I enclose or authorize payment of $_____________.
Please check one:
___ My check or money order for the above amount, payable to The Center for Gifted, is enclosed.
___ Charge the following credit or debit card (Visa or MasterCard only) for the above amount.
Expiration date ________________________ Card account number ___________________________________________________________________
Cardholder name as printed on card ____________________________________________________ Billing address zip code ____________________
Authorized signature _________________________________________________________________ Today's date ____________________________
The Center for Gifted is a not-for-profit education organization under IRC Section 501(c)(3).The Center for Gifted reserves the right to change without notice any statement on its
flyers or website concerning but not limited to policies, tuition, fees, courses, locations, dates, or staff. It is the policy of The Center for Gifted not to discriminate on the basis of
race, color, gender, religion, or national or ethnic origin in matters of admissions or services relating to its programs. The Center for Gifted grants general permission for schools
to reproduce its flyers as needed for distribution to students and staff.