BARD COLLEGE Clemente Course Application

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BARD COLLEGE Clemente Course Application Thank you for your interest in joining the Bard Clemente Course in the Humanities at the Kingston Public Library, 55 Franklin Street, Kingston, NY 12401. Classes will begin on February 4 th, 2016 at 6pm on the second floor. Applications are due by February 3 rd, 2016. The Clemente Course provides college level instruction in the humanities, with the award of college credits, to individuals at no cost and in an accessible and welcoming community setting. Participants study literature, art history, moral philosophy, and American history. Students explore great works of fiction, poetry, drama, painting, sculpture, architecture, and philosophy, while learning also about the events that define America as a nation. The course also offers instruction in writing and critical thinking, and is run in a convivial, conversational style, encouraging an appreciation for lively and vital dialogue. Your professors love what they teach and will demonstrate how learning is a natural part of life. There are no grades, but participation is essential. If you complete the full year successfully, you are eligible for 6 college credits from Bard College. The course is free and Daycare is provided. The minimum age of applicants is 17 years of age. Clemente classes will be held there on Tuesday and Thursday evenings 6-8 pm, beginning February 3 rd, 2016 and running through May 2016. If your current schedule cannot accommodate these times, unfortunately you cannot apply. Admission to the Clemente Course requires your participation in our application process. Please fill all the following sheets. 1

2015-16 Clemente Course for the Humanities Last Name: First Name: Date: Address: No. & Street Apt. No. City/Town State Zip code Daytime Phone #: Evening Phone #: E-Mail Address: Date of Birth: Gender: Female Male Transgender/other Race/Ethnicity: American Indian or Alaska Native Asian Black or African American Non Hispanic Hispanic or Latino Native Hawaiian or Other Pacific Islander White Non Hispanic Multiracial Other Primary Language: Chinese French Creole Portuguese Creole French 2

English Italian Somali Other Filipino Polish Spanish Portuguese Vietnamese Did not Report Employment Status: Employed Full-time Not Employed Other Employed Part-time Retired Self-Employed Student Education: None Some college Graduate degree Grade 1 8 Trade school Bachelor Degree Grade 9 12 Associate degree Did not Report High School graduate/equivalent Marital status: Divorced Married Single Domestic Partner Separated Widowed Housing Status: Rent Homeless, in shelter Living with family or friends Own Homeless, no shelter Other Did not Report Insurance Status: Name of insurance: No insurance Income Number of people supported by this income Number of children 18 years or younger living in household Regular Source of Healthcare: 3

Name of carrier: Emergency Department No regular source of healthcare Private practice Referral Source: How did you hear about us? Agency (please specify): School Other Family/friend -------------------------------------------------------------------------------------------- ESSAY Please write a page on one of these two questions (essential to be admitted) Select one of these two questions: 1. Why is education important to you? 2. What do you value most in the world? (Over) Essay (continued) 4

(Over) Upon submitting the completed application, we will contact you to schedule an appointment for an interview as soon as possible. 5

You will not be accepted into the Clemente Course unless you submit a complete application, with essay, and participate in the interview process. All admitted students will receive a full scholarship to the program including tuition and books. Please drop off applications at the front desk of the Kingston Library, 55 Franklin Street. You may also email them to: Attn: Marina Van Zuylen Email: civic@bard.edu 6