HEAL Film Camp with Joey Travolta You Want to Make a Movie? Who: 50 kids/teens, ages 10 to 17, with and without an ASD. When: June 15-26, 2009 Monday Friday from 10:00 am 3:00 pm Where: University of North Florida, 1 UNF Drive, Jacksonville, FL 32224 What: All Campers will have the opportunity to learn hands-on filmmaking skills including directing, producing, scriptwriting, acting and be part of the film team to make a 30-minute collaborative group film! Guest Film Director, Joey Travolta and his professional film production crew will help your campers create a short film. Enrollment for the HEAL Film Camp is by Nomination Only Nomination Packets are available to educators and therapists in Duval and St. Johns counties. For more information about the HEAL Film Camp, contact producer Karen Sadler, Info@FilmLabProductions.com (904) 249-9333 or www.filmlabproductions.com Please note, there is a $100 registration fee for accepted participants, to be paid in full at the time of registration, there are no other costs.
Dear Educators and Therapists, There is an exciting opportunity available this summer, June 15 26 th, for young people on the autism spectrum. A hands-on filmmaking camp taught by Hollywood film professionals will be sponsored by the HEAL Foundation (www.healautismnow.org). We are encouraging you to nominate students who are on the autism spectrum and are high functioning. This could be a student who has an interest in filmmaking or the components involved such as acting, dancing, singing, music, filming, cinematography and set design. He/she is able to take direction, work in large and small groups, has clear receptive and expressive language abilities and minimal behavioral challenges. Please take student s skills into careful consideration when nominating as the camp will require movement, break out sessions and activities involving working closely with others on projects. Please send the enclosed information to a prospective parent. Upon receipt of their completed application, please fill out the attached educator/therapist recommendation form, and include your own contact information on school or company letterhead. Return to: HEAL Film Camp 2009 c/o FilmLab Productions PO Box 330192 Atlantic Beach, FL 32233 All nominees are welcome and will be reviewed and awarded through an anonymous screening team. In addition, all applications and recommendations will be held in the strictest of confidence and reviewed ONLY by the enrollment committee. Thank you for your time and consideration of this wonderful opportunity, without your nomination and support this experience might not be possible. Sincerely, Karen Sadler, Producer FilmLab Productions
Recommendation Form From: (your name/school/contact) Please attach extra pages as needed. Briefly, but specifically, describe what makes this student a candidate for film camp. The completed parent application form may have added information to reference in your recommendation. Be sure to include student s strengths and interests, in filmmaking, and as listed below: Student Name: Acting, singing, dancing, set design, photography, writing, storytelling Social skills Ability to work in small and large groups Communication Following verbal and written instructions Any other information we should know, to help this child have a successful and enjoyable experience?
Dear Parents, A unique opportunity is available for a limited number of participants in a wonderful, summer filmmaking camp! Your child s teacher/therapist would like to nominate him/her as a potential candidate for this camp. Because of the nature of this groundbreaking program, there are a limited number of spots available. All applicants will be considered for enrollment by an anonymous committee. Families will be contacted directly by the camp coordinator to confirm the list of campers, who will be accepted for this year--on or before May 15 th. Please complete the attached information application and return it to your child s teacher/therapist for submission, as soon as possible. Applications for siblings and peer participants are also attached. Please feel free to share information about this opportunity within your community. Thank you, The HEAL Film Camp Organizers and FilmLab Productions
Parent Questionnaire for Camper Application Applicant s name: Date of Birth Parent Name Parent Name Address Phone Numbers Phone Numbers Grade/Educational Level Name of School Is your child diagnosed with an exceptionality? Please describe: Name/age/grade of any sibling or peer applying with your child? What is challenging for your child in large group? attending asking questions asking for help compromising contributing to a group accepting feedback listening to others opinions staying on track with task adapting to new situations flexibility in transitions Other/describe: What, if any, of the following behaviors does your child experience? (aggression towards classmates/adults, leaving areas without permission, tantrums, verbal abuse, refusing to complete tasks, calls out words or phrases, does not like close proximity with others) Describe:
Parent Questionnaire for Camper Application (continued) Conversational Skills: Does your child ask questions stay on topic of other people s interests discuss topics of own interest ask for more information make comments about what others say other: In what situations is your child most comfortable? What situations make your child uncomfortable or upset your child? What happens? What makes the situation worse? What helps at those times? Does your child have any medical issues? Take any medications? Have any allergies? Have any physical limitations? Describe your child s interests in the arts: (favorite activities, topics of interests, school program, community program, therapies, if any (both in school system and privately): How does your child understand and interpret information? (reads, uses written notes to assist with auditory understanding, writes, uses picture schedule or written schedule, etc. How does your child communicate? Conversational Phrases What supports help your child communicate better? Describe briefly:
Parent Questionnaire for Sibling/Peer Application Sibling or Peer Name: Date of Birth Parent Name Parent Name Address Phone Number Phone Number Grade/Age/School Name Is child a sibling or peer to another applicant? If yes, please list name of applicant: Describe your child s interests in the arts: (favorite activities, topics of interests, school programs, community programs--both in school system and privately) Please explain why your child wants to participate in this camp: Please list any of your child s experiences, activities or skills that are relevant to this camp: How does your child show any or all of the following? (leadership, good citizenship, helping others)
Parent Questionnaire for Sibling/Peer Application (continued) How does your child feel about working in a group setting? Please give an example of your child s participation in working with a team or in a group environment: What are your child s goals and interests in attending this camp? In what situations is your child most comfortable? What situations make your child uncomfortable or upset your child? What happens? Does your child have any medical issues? Take any medications? Have any allergies? Have any physical limitations? Is there anything else you would like us to know to help make this a successful experience for your child?