CIVIC EDUCATION PROJECT • NORTHWESTERN UNIVERSITY

CivicWeek Spring 2008
Application for Admission


Instructions

1. Review all the information available on the CivicWeek program pages (click to review program information) then complete the fields below and submit your application at the bottom of this page. Fields marked with a * are required.

2. Before you begin your application, be aware that all applicants are required to submit a short essay explaining why they want they want to attend CivicWeek and what they hope to gain from the experience. You may wish to write your essay before starting to complete the online application form. If you experience difficulty completing your essay below, you can also submit the essay by e-mail to cep@northwestern.edu either as the message body or as a Microsoft Word (.doc), Portable Document Format (.pdf), or text (.txt or .rtf) attachment.

3. If you have NOT previously participated in a program of the Civic Education Project or the Center for Talent Development (CTD) and have not tested through the Midwest Academic Talent Search (MATS), you will need to submit a qualifying test score or grade report (Click to see qualification requirements). See Completing Your Application at the end of this form for more details.

4. The tuition deposit and application fee (and late fee if applicable) may be paid by mailed check or credit card taken over the phone. We cannot accept online credit card payments at this time. See Completing Your Application at the end of this form for more details.

5. Students are notified by mail of the status of their application approximately two weeks after receipt of a complete application. Accepted students receive an admissions packet at that time, with all relevant information about the program, including a detailed schedule, travel information, things to bring, program rules and policies, etc.

6. Applications received after February 15, 2008, will be subject to a $25 late fee.

Thank you for your interest in the Civic Education Project's CivicWeek program. With questions about the program, to check on the status of your application, or if you are experiencing difficulties with the online application, please contact us at (847) 467-2572 or cep@northwestern.edu.

APPLICANT INFORMATION


*
     
Date of Birth*
/
/
 
MM
DD
YYYY
  
           
Mailing Address*
  Number and Street Address
 
  City State Zip
       
Home Phone*  Cell Phone E-Mail* 
     
Gender*    Female    Male
     
Race/Ethnicity*

Parent/Guardian Information

Parent/Guardian 1  
First Name*
*
     
Mailing Address
(if different) Number and Street Address
 
  City State Zip
       
Day Phone* Evening Phone*  Cell Phone
     
Email  
     
   
Parent/Guardian 2  
     
Mailing Address
(if different) Number and Street Address
 
  City State Zip
       
Day Phone Evening Phone Cell Phone
     
Email  
     


Program History

Have you previously participated in a program of the Civic Education Project or the Center for Talent Development?*
   Yes
   No
Which Program? Last Year Attended
     
Were you a Midwest Academic Talent Search (MATS) participant?*
   Yes
   No
 
How did you first hear about CivicWeek?*
 
Note


Academic Information

High School
  Name* City* State*
Current Grade*    
       
Please submit either a recent standardized test score or your cumulative grade point average.
(Academic information is optional for returning students.)
Test Date Verbal Composite
or    
Grade Point Average on a scale
     

New Students: In addition to completing the section above, all new students must alsomust submit a copy of the test score or grade report. See Completing Your Application for details.

Students who do not meet the test score or GPA requirements (see Eligibility & Admissions) must also submit a recommendation form. Click here to download a teacher recommendation form.
     


Program Preference

Please indicate the program(s) for which you are applying. If you are available to and interested in attending more than one program option, please select further program preferences.
 
Top Choice* 
Second Choice
Third Choice
Fourth Choice
 


Student Essay

Please submit an essay of approximately 250 words (1 printed page), completely conceived of and written by the applicant, describing his/her reasons for wanting to attend CivicWeek, and what he/she hopes to gain from participating in the program.

It may be easier to type your essay in another word processor (like Microsoft Word) so you can save and review your writing, then copy and paste it in the space provided.

If you experience difficulty completing your essay below, you can also submit the essay by e-mail to cep@northwestern.edu either as the message body or as a Microsoft Word (.doc), Portable Document Format (.pdf), or text (.txt or .rtf) attachment.
 


Student Honor Code

The Civic Education Project takes every reasonable step to ensure the safety of our students and staff. However, students must willingly follow certain guidelines to contribute to a safe working and learning environment. We ask that students act responsibly and maturely at all times, and follow a strict code for student conduct. In order to create a safe and successful learning community, I agree to:

• Attend all CivicWeek activities, be on time, and participate fully
• Always act with honesty and personal integrity
• Treat all students, staff, and community members with respect, regardless of their race, culture, religion, age, gender, ability, or sexual orientation
• Treat all facilities and property with respect and care
• Observe all program rules and cooperate with staff

I understand that if I fail to live up to these expectations for behavior, I may be dismissed from the program, and sent home at my own expense. Infractions that may result in dismissal from the program are detailed in the Student Handbook.


Certification

We have read the CivicWeek brochure and fully understand the nature of the program, admission criteria, refund, and financial aid policies. We agree to abide by the rules and policies stated in this brochure, in the student handbook, and established during the session by staff. As a parent/guardian, I give permission for my child to participate in CivicWeek and all related activities and field trips. As a student, I give CivicWeek representatives permission to contact my parent(s), guardian(s), and/or emergency contact(s) to discuss academic, health, administrative, or disciplinary matters related to my enrollment in the program. The signatures below also grant Northwestern University the right to reproduce the student’s image, likeness, or student work in public relations publications and other media. We will make no monetary or other claim against Northwestern for such use. We certify that all statements and materials presented in the application process are correct and complete, and agree that the knowing submission of inaccurate, incomplete, or misleading statements or materials constitutes grounds for revocation of admission or dismissal from the program.

Both a parent/guardian and the student applicant must type their name and the current date below to certify the above statement.
     
Certified by:
  Student Full Name* Date*
     
Certified by:
  Parent/Guardian Full Name*  Date*
     

Completing Your Application

In addition to the information provided above, all new applicants MUST submit the following. (For returning students and MATS participants a test score or grade report is optional)

1. A qualifying test score or grade report
       
  OR
       
  A teacher recommendation
       
 

 

Test scores, grade reports, or teacher recommendations may either be faxed, attention CivicWeek Admissions, to (847) 491-3394 or mailed to:

Civic Education Project
CivicWeek Admissions
617 Dartmouth Place
Evanston, IL 60208-4175
       
2. Payment for Tuition & Fees
     
    $130 Deposit* ($30 application fee plus $100 tuition deposit)
    $25 Late Fee (for applications received after 2/15/08)
       
    Please select one of the two payment methods below.*
       
   

I will pay by check payable to the Civic Education Project. Note the name of the applicant on the check. Checks must be mailed to:

Civic Education Project
CivicWeek Admissions
617 Dartmouth Place
Evanston, IL 60208-4175
       
    I will pay by credit card (Visa or Mastercard). Please call the Civic Education Project at (847) 467-2572 to provide payment information. We cannot accept online credit card payments at this time.
       
Students who wish to apply for financial aid should download and mail a Financial Aid Application included in the program application (click to download), along with all supporting documentation. Financial aid applicants are expected to pay the application fee and tuition deposit. Applicants will not be considered for financial aid until all admissions and financial aid materials have been received. An award letter reflecting the amount of financial aid granted and balance due will be sent with the acceptance packet.

A four-month payment plan option is available to all students. Families who do not apply for financial aid, or apply for but do not receive financial aid, will be assessed a service charge of $25 for using the payment plan. Students who wish to apply for the payment plan should download and mail a Payment Plan Application included in the program application (click to download). The first payment is due upon the student's acceptance to the program, and subsequent payments are due on the 15th of each month following.

Please Note: When you click on the "Confirm Application" button below, your completed Application for Admission will be sent via email to cep@northwestern.edu, and a screen confirming the information you submitted will appear. If you need to revise or edit any parts of your application after sending, please contact CEP at (847) 467-2572 or cep@northwestern.edu.

Civic Education Project
617 Dartmouth Place, Evanston, Illinois, 60208-4175
Phone: (847) 467-2572, Fax (847) 491-3394, E-mail: cep@northwestern.edu