Ohio Wesleyan University | Ohio Wesleyan Junior League (OWjL)

Camp Dates
June 13-18, 2010 (Grades 6 & 7)
June 20-25, 2010 (Grades 7 & 8)
June 27 - July 2, 2010 (Grades 6 & 7)

School Form

The student listed below is applying for admission to the OWjL Program, a week-long enrichment camp held each summer at Ohio Wesleyan University for selected gifted and talented middle school students from Central Ohio. Specifically designed recreational, social, and cultural activities supplement the broad-based liberal arts curriculum.

Note: Required fields are marked with an asterisk (*).

Information about student who is applying:

* Student Name:
(last, first, M.I.)

Parent Name:
(last, first, M.I.)

Parent Phone:

Parent E-mail Address:

* School:

* Grade:

* List the areas this student has been identified as gifted according to the State of Ohio’s guidelines. For each area, list the test used to identify, scores, and dates of the test:

Area Identified	Name of Test	Score	Date of Test
Superior Cognitive
Reading / Writing
Math
Science
Social Studies

* Grade Point Average on a 4.0 Scale:

* Score on 2007 Ohio Achievement Tests:

Math:
Reading:

If standardized test scores are not available, or if you believe the test scores do not accurately represent this student’s qualifications, please explain here:

Note any special recognitions received by this child:
(art, music, creative thinking)

Please feel free to add other comments about the student:

* Your Name:
(last, first, M.I.)

* Your E-mail Address:

* Retype Your E-mail Address:
(for verification purposes)

* Your Position:

* Your School and District: