THE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF ARCHITECTURE SUMMER ACADEMY IN ARCHITECTURE 2015 Program Application Form 1 EARLY DECISION APPLICATION DEADLINE: MARCH 13, 2015 APPLICATION DEADLINE (with on-campus housing): APRIL 10, 2015 APPLICATION DEADLINE (without on-campus housing): MAY 1, 2015 PLEASE TYPE OR PRINT CLEARLY inside the white boxes on the form below. Applications received after May 1 will be accepted on a space available basis only. PLEASE NOTE: Applicants must be 17 or older, or have completed their junior year of high school by June 8, 2015. For questions about the application process, contact the Summer Academy office at (512) 471-8909 or via e-mail at academy@austin.utexas.edu. PROGRAM APPLICATION MATERIALS: A complete application to the Summer Academy in Architecture consists of the following items. Applications will not be reviewed until all of the below application materials have been received by the Summer Academy office. (1) This Summer Academy Program Application Form to be completed and signed by the applicant; includes personal essay and Parental Authorization Form (page 4) (for applicants under age 18 as of June 8, 2015 only) and optional on-campus housing request. (2) $25.00 application fee in the form of check or money order made payable to. (3) Résumé or CV please include academic and professional experience and achievements How did you learn about the Summer Academy (check one below)? Internet Mailing Poster Friend Ad. Other Please Describe Below UT Electronic I.D. (see attachment for instructions): APPLICANT INFORMATION First Name: Middle Name: Last Name: Date of Birth: (mo/day/year) / / Gender: (check one) male female Country of Citizenship: APPLICANT CONTACT INFORMATION Street Address, Line 1: Street Address, Line 2: Unit or Suite No.: City: State: Zip Code: Country: Primary Phone (with area code): E-mail address: Please send Academy correspondence via: (check one) email regular mail EMERGENCY CONTACT INFORMATION (Applicant s under age 18, please provide Parent/Guardian information.) First Name: Middle Name: Last Name: Street Address, Line 1: Street Address, Line 2: Unit or Suite No.: City: State: Zip Code: Country: Primary Phone (with area code): EDUCATION High Schools, Colleges, and/or Universities attended or currently attending (list below): Secondary Phone (with area code): RELATION TO APPLICANT: Dates of Attendance OR Expected date of graduation: Degrees earned (list below):
2 ESSAY PORTION Please use the below space and/or attach additional pages for your responses to the following questions (preferably typed): 1. Why do you wish to enroll in the Summer Academy? (100-300 words) 2. Describe a compelling social occasion from your personal experience, where the physical environment played an important role in affecting the nature of that occasion. Pay close attention to the particular characteristics of the place. (For example, the event might be a large gathering or an intimate affair, and you might look to how the organization of rooms in a private home or the material presence of a building had a special effect or played a significant role in affecting the nature of the event.) (400 word maximum)
3 OPTIONAL CAMPUS HOUSING REQUEST Complete this section if you are applying for housing for the program duration. Housing at the off-campus dormitory is limited and filled on a firstcome, first-served basis with the submission of a complete program application and a room deposit of $250 (applied toward housing fee) to hold the room space. Housing fee balances are not due until after notification of program acceptance and no later than May 8. Academy residents will be housed in an off-campus dormitory in shared double-rooms. Roommate requests are not accepted and are assigned by the Summer Academy Coordinator. Rooms are assigned 2 students per room with shared baths, common lounge, and laundry areas and small gym. Genders are separated by rooms on co-ed floors, with restricted entry to the dormitory building. Resident check-in takes place Sunday, June 7 (time TBA); check-out is by noon, Saturday, July 11. Unless announced otherwise, dormitory meal plans will begin with breakfast, Monday, June 8 and end with breakfast on Saturday, July 11. Room deposit and program application fee payments may not be combined in one check. It should be made payable to The University of Texas at Austin. The below rates are approximate costs only based on the previous year, with exact 2015 rates to be announced in April 2015. Please contact the Summer Academy office with any questions about accommodations. Please check the below options that apply to you: I will need Housing accommodations. $1000 approx. rate space in double-room with roommate, includes meals HOUSING DEPOSIT INFORMATION Check below to indicate the status of your housing deposit. Room requests submitted without the $250 room deposit will be placed on a waiting list. After May 1, the $250 room deposit is non-refundable. Deposit checks will not be processed until after program acceptance has been verified. My $250 housing deposit is enclosed with this application. Check #: Check date: Name on check: My $250 housing deposit is forthcoming. My signature below indicates that all of the information provided in this application is factually correct and honestly presented: Applicant Signature Date PARENTAL/GUARDIAN STATEMENT OF CONSENT FOR APPLICANTS UNDER AGE 18 ONLY
4 Applicants under age 18 as of June 8, 2015 must submit the below parental authorization acknowledging the below program policies. PROGRAM POLICIES REGARDING THE SUPERVISION AND PERSONAL LIABILITY OF MINOR-AGE STUDENTS The Summer Academy is an academically focused course that officially meets Monday through Friday from 9:00a.m. - 5:00 p.m. over a five-week session. Summer Academy classes meet regularly in Goldsmith Hall on campus, with periodic field trips scheduled to local area sites and one optional weekend trip to the Dallas/Fort Worth area. Transportation to local area field trip sites occurs via city shuttle buses; transportation for the Dallas/Fort Worth area field trip occurs via charter buses independently contracted by the Summer Academy. Outside of official class time, there are generally no official program activities scheduled. Academy students can expect to spend a large amount of time in the design studio during the evening and weekend hours in order to successfully complete program assignments. However, design studios are NOT strictly supervised outside of class time. Minor-age students will not be authorized to be in studio after 6:00p.m. without the parental authorization included below. A majority of class time is unstructured, with studio instructors and teaching assistants rotating between several classes to allow students time to work on their individual design projects. During official class time, if students choose to leave class or campus at their own discretion, they must accept personal responsibility for their safety and for notifying their parent/guardian of their whereabouts. Academy students must take responsibility for their own personal safety if/when traveling off-campus for any purpose other than official program activities or when traveling to and from the design studios both during class and during evening and weekend hours. All Summer Academy students are expected to show personal responsibility, maturity, caution, discipline, self-supervision and integrity while in attendance at. On-campus residents will be subject to nightly roll-call at 10:00 p.m.; however, dormitories are not subject to nightly lock-down or curfews. Residents choosing to leave the dormitory after 10:00 p.m., do so at their own risk. Class absences are recorded on a daily basis. Courtesy follow-up calls to parent/guardians of minor-age students will be made following successive student absences, unless parental authorization has been given prior to each absence. Any students found to be in violation of Student Standards of Conduct, Rule 50101, Section 2 (included with this application) at any time face the possibility of bar from campus and immediate expulsion from the Summer Academy without refund of tuition, housing, or other program fees. Parents/Guardians must be prepared to remove their student from the program within 24 hours of their expulsion from the program. I am the legal Parent/Guardian of the above-named Student, who is under eighteen years of age, and I am fully competent to sign this Statement of Consent. I have read and acknowledge Summer Academy in Architecture's above stated Program Policies Regarding the Supervision and Personal Liability of Minor-Age Students, and hereby give consent for (Insert Student Full Name: First, Last) to participate in the program with the understanding that these policies will be enforced during the time of his/her participation. Parent/Guardian Full Legal Name (Please Print) Parent/Guardian Signature Date Summer Academy Application: APPENDIX B, Page 1 of 1 required of all accepted students by May 23, 2015 to authorize program attendance. THE UNIVERSITY OF TEXAS AT AUSTIN PRE-ACTIVITY CLEARANCE EXAMINATION FORM AND PHYSICIAN AUTHORIZATION
5 Physician Name (Please Print): Office Address: City, State, Zip: Phone: I hereby certify that I have examined (Student Name First, Last) and have found him/her fit to attend and participate in the Summer Academy in Architecture 2015 at The University of Texas at Austin. I know of no impairments or conditions, which would limit his/her participation in all camp activities except those that I have listed below. I further certify that he/she is free from any and all contagious diseases. Restriction and/or Comments: Date of Physical Examination (must have been completed within the last 12 months): Date of last Tetanus Booster: Physician s Signature: Date: Return this completed form to: 1 University Station B7500 Summer Academy Application: APPENDIX A, Page 1 of 2 To be retained by the Program Applicant. THE UNIVERSITY OF TEXAS SYSTEM RULES AND REGULATIONS OF THE BOARD OF REGENTS: STUDENT CONDUCT AND DISCIPLINE
6 Sec. 1 Sec. 2. Institutional Rules The institutions shall adopt rules and regulations concerning student conduct and discipline. Such rules shall be in compliance with the Regents' Rules and Regulations and shall become effective upon review and approval by the Executive Vice Chancellor for Health Affairs or the Executive Vice Chancellor for Academic Affairs. Each student is responsible for notice of and compliance with the provisions of the Regents' Rules and Regulations and the rules of the institution. Rules and Regulation Standards of Conduct. All students are expected and required to obey federal, State, and local laws, to comply with the Regents' Rules and Regulations, with The University of Texas System and institutional rules and regulations, with directives issued by an administrative official of the U. T. System or institution in the course of his or her authorized duties, and to observe standards of conduct appropriate for an academic institution. 2.1 Who is Subject to Discipline. Any student who engages in conduct that violates the Regents' Rules and Regulations, the U. T. System or institutional rules and regulations, specific instructions issued by an administrative official of the institution or the U. T. System acting in the course of his or her authorized duties, or federal, State, or local laws is subject to discipline whether such conduct takes place on or off campus or whether civil or criminal penalties are also imposed for such conduct. 2.2 Scholastic Dishonesty. Any student who commits an act of scholastic dishonesty is subject to discipline. Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts. 2.3 Drugs. Any student who is found responsible for the illegal use, possession and/or sale of a drug or narcotic on the campus of an institution is subject to discipline. If a student is found responsible for the illegal use, possession, and/or sale of a drug or narcotic on campus, the sanction assessed shall be suspension from the institution for a specified period of time and/or suspension of rights and privileges. 2.4 Health or Safety. Any student who engages in conduct that endangers the health or safety of any person on the campus of an institution or on any property, or in any building or facility owned or controlled by the U. T. System or institution is subject to discipline. 2.5 Disruptions. Any student who, acting singly or in concert with others, obstructs, disrupts, or interferes with any teaching, educational, research, administrative, disciplinary, public service, or other activity or public performance authorized to be held or conducted on campus or on property or in a building or facility owned or controlled by the U. T. System or institution is subject to discipline. Obstruction or disruption includes but is not limited to any act that interrupts, modifies, or damages utility service or equipment, communication service or equipment, university computers, computer programs, computer records or computer networks accessible through the university's computer resources. 2.6 Inciting Lawless Action. Any student who engages in speech, either orally or in writing, which is directed to inciting or producing imminent lawless action and is likely to incite or produce such action is subject to discipline. 2.7 Unauthorized Use of Property. Any student who engages in the unauthorized use of property, equipment, supplies, buildings, or facilities owned or controlled by the U. T. System or institution is subject to discipline. 2.8 Hazing. Any student who, acting singly or in concert with others, engages in hazing is subject to discipline. Hazing in State educational institutions is prohibited by State law (Texas Education Code Section 51.936). Hazing with or without the consent of a student whether on or off campus is prohibited, and a violation of that prohibition renders both the person inflicting the hazing and the person submitting to the hazing subject to discipline. Initiations or activities of organizations may include no feature that is dangerous, harmful, or degrading to the student, and a violation of this prohibition renders both the organization and participating individuals subject to discipline.
Summer Academy Application: APPENDIX A, Page 2 of 2 to be retained by the Program Applicant. THE UNIVERSITY OF TEXAS SYSTEM RULES AND REGULATIONS OF THE BOARD OF REGENTS: STUDENT CONDUCT AND DISCIPLINE 7 2.9 Altering of Official Documents. A student who alters or assists in the altering of any official record of the U. T. System or institution or who submits false information or omits requested information that is required for or related to an application for admission, the award of a degree, or any official record of the U. T. System or institution is subject to discipline. A former student who engages in such conduct is subject to bar against readmission, revocation of degree, and withdrawal of diploma. 2.10 Vandalism. Any student who defaces, mutilates, destroys, or takes unauthorized possession of any property, equipment, supplies, buildings, or facilities owned or controlled by an institution or the U. T. System is subject to discipline. 2.11 Prohibited Conduct. A student is subject to discipline for prohibited conduct that occurs while participating in off-campus activities sponsored by an institution or the U. T. System including field trips, internships, rotations, or clinical assignments. 2.12 Use of Explosives, Weapons or Hazardous Chemicals. Unless authorized by federal, State, or local laws, a student who possesses or uses any type of explosive, firearm, imitation firearm, ammunition, hazardous chemical, or weapon as defined by State or federal law, while on campus or on any property or in any building or facility owned or controlled by the U. T. System or institution, is subject to discipline. 2.13 Prohibited Conduct During Suspension. A student who receives a period of suspension as a disciplinary penalty is subject to further disciplinary action for prohibited conduct that takes place on campus during the period of suspension. Sec. 8 Disciplinary Record. Each institution shall maintain a permanent written disciplinary record for every student assessed a sanction of suspension, expulsion, denial or revocation of degree, and/or withdrawal of diploma. A record of scholastic dishonesty shall be maintained for at least five years unless the record is permanent in conjunction with the above stated penalties. A disciplinary record shall reflect the nature of the charge, the disposition of the charge, the penalty assessed, and any other pertinent information. This disciplinary record shall be maintained by the Office of the Dean of Students. It shall be treated as confidential, and shall not be accessible to or used by anyone other than the Dean or university officials with legitimate educational interests, except upon written authorization of the student or in accordance with applicable State or federal laws or court order or subpoena. THE UNIVERSITY OF TEXAS AT AUSTIN SCHOOL OF ARCHITECTURE
SUMMER ACADEMY IN ARCHITECTURE 2015 8 INSTRUCTIONS FOR OBTAINING A UT EID Academy students will require an official University Electronic Identification number (EID) for the program duration. EIDs will be authorized for use in University Libraries and other facilities. EIDs are also necessary to obtain full access to the University s internet service via both the general student computer labs and wireless connections on campus. Your EID will be linked to the UT ID card which you will receive on the first day of the program. For this reason, the Summer Academy office will need your EID in advance of the program. Should you already have a UT EID, please provide this in the EID field on the first page of the program application. If you do not already have a UT EID, please follow the instructions below to obtain one. Academy applicants must create their EIDs by following the below online procedure. * We recommend that students read through the complete information below before attempting first-time log-on, in order to meet the rather strict requirements of the password system. To obtain a UT EID please visit: www.utexas.edu/eid 1. follow the link titled, Get a UT EID 2. answer no to the 4 questions listed 3. fill in your information and follow the prompts 4. after setting your password and personal reminder questions, click Get my EID 5. Once completed, please include your EID in the EID field on the first page of the program application UT EID passwords must meet ALL of the following parameters: Be between 8 and 20 characters in length Consist of some combination of letters, numbers AND special characters. The special characters that are permitted are! @ # $ % & * ( ) - + = < > : :.. Your password cannot contain any of the following: - Blank spaces - Your UT EID - Your first or last name - Your birthday in any form - Any words found in the English dictionary or proper nouns of four letters or longer - Common letter transpositions (for example @ for a,! for i, or zero for O) Passwords are case sensitive, meaning that if your password contains lowercase and/or uppercase letters, you must enter it the same way every time you log on.. ***Please remember your UT EID & password***