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