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    Please print the following form and return, along with letters of recommendation by May 30, 2004 to: Education Department, The Jewish Museum, 1109 Fifth Avenue, New York, New York 10128, Attention: Michal Kushnir - SA or fax to 212.423.3232.



Name
Home Telephone Number

Date of Birth
E-mail Address

Grade
School

Home Address
School Address

City
City

State/Zip Code
State/Zip Code

    Space at SummerArts is limited. Applicants must have a demonstrated interest in art.

    Applicants must submit two letters of recommendation, a slide or photo of an original work of art or an essay (typed, no longer than 500 words, describing the role art plays in their lives) in addition to completing the application by May 30, 2004. Recommendation letters must be in sealed envelopes - one from a teacher familiar with your experience and interest in art, and one from a teacher, community leader or advisor.

    No prior Jewish educational experience is required. The course fee is $900, which includes all supplies. Scholarships are available and will be awarded on the basis of financial need. Housing is not available. Breakfast will be provided. Participants will be notified of their acceptance upon receipt of all materials.

    For more information, please call 212.423.3256.