Norman Jordan African American Arts & Heritage Summer Academy
Reside on the campus of West Virginia State University in Institute, WV for one week of activities in the Arts!!! 3 meals per day in campus dining hall, guest artist performances, field trips, talent show & more
July 10-15 2023 Monday through Saturday
Application Form
The following artistic disciplines are available for you to choose from: Vocal Music, Instrumental Music, Dance, Theater, Creative Writing (songs & Hip Hop expressions). Identify your choice, expand your knowledge, interact with other students, instructors, guest performers, and if interested, participate in the student/faculty Talent Show.
Applicant’s Name: ____________________________________ Date of Birth: __________________
Address: ____________________________________________________________________________
_____________________________________________________________________________
Phone Number: Home_______________________Cell_________________ Grade completed_______
Name of School applicant attends: _______________________________________________________
Contact information of Parent or guardian: Name___________________________________________
Address___________________________________________________Phone# _____________________
Email address: ___________________________________________________________
*Artistic Interests: Indicate your 1st choice by circling #1 and your 2nd choice by circling # 2.
Vocal Music: 1 – 2 Dance: 1 – 2 Creative Writing (songs/hip hop) 1 – 2
Instrumental Music: 1 – 2 Theater: 1 – 2 Visual Arts: 1 2
The Registration Fee for the week is $300.00, which covers the cost of dorm rooms, meals, and activities. The fee or a deposit must be paid when registering. Also, payment plans may be arranged. Late registrations (after June 25th) will increase to $350.00. Partial Scholarships may be available for students who qualify, feel free to inquire. Make Checks or Money Orders payable to: African American Arts & Heritage Academy or simply AAAHA .
What is your Tee-shirt size: _____ Small _____Medium _____ Large _____Ex-Large _____Other
Mail Application and fee to: Dr. Brucella Jordan, P.O. Box 369, Ansted, WV 25812
Signature of Applicant: __________________________________________Date: _________________
Signature of Parent/ Guardian____________________________________ Date: ________________
New students should submit a letter of recommendation with their Application
If you have questions call: Dr. Brucella Jordan (216) 290-8564 or Eric Jordan (304)685-4059