2023 Cornerstone Summer Institute Camper Application

2023 Cornerstone Summer Institute Camper Application

The Cornerstone Summer Institute is an eye-opening weeklong summer program for high school students (rising sophomores, juniors, and seniors) that takes place at the University of Virginia. In the intimate and enriching setting of the University’s Academical Village, students will learn and develop thinking skills that prepare them for success in college and beyond. The program focuses on uncovering the hidden history of the area through historical investigation, archaeological excavation, and community engagement in Charlottesville, Virginia. Guided by top faculty and a team of UVA students, participants will explore both the University’s past and the modern-day legacies of slavery. The Institute will take place from June 23-30, 2023.

Camper Information

Applicant First Name

Applicant Last Name

Preferred Name (if different)

Preferred Pronouns

Date of Birth

Applicant Phone Number

Applicant Email Address

Applicant Mailing Address

I identify my gender as:

I identify my race/ethnicity as:

High School

Location of High School (city, state)

In September 2023, what grade will you be entering

Select

Parent/Guardian 1 Information

Parent/Guardian 1 Name

Parent/Guardian 1 Email Address

Parent/Guardian 1 Phone Number

Parent/Guardian 1 Address

Parent/Guardian 2 Information

Parent/Guardian 2 Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Address

Short Answer Questions

Please answer the questions below in 250 words or less.

Why do you want to attend CSI?

List extra-curricular activities

You may include community service, leadership experience, or any other activity that is meaningful to you.

Describe the importance of diversity and inclusion

Please describe a circumstance or community where you have noticed diversity and inclusion (or lack thereof) play an important role.

Personal Identity

How has your personal identity influenced the way you interact with others and approach problems?

Interest in History

Using a specific example, explain how historical context helps us understand a contemporary social issue.

Letter of Recommendation

File Upload

Please submit one (1) letter of recommendation from a teacher, counselor, or mentor. You can upload the file below:

Drag and drop files here or

We do offer limited financial aid. The distribution of financial aid for this program will be based solely on financial need. Anyone at any income level may apply for financial aid, but due to limited funds, only those demonstrating the greatest need will be eligible. **You must email aks8rn@virginia.edu for the full financial aid form. Financial Aid Applications must be received in our office by April 1, 2023**

Check this box if you are going to apply for financial aid

Preliminary Financial Need Questions

***You must email aks8rn@virginia.edu to receive the full financial aid form. You will print the financial aid form and submit it to the mailing address below to be considered for financial aid. Financial Aid Applications must be received in our office by April 1, 2023***

Cornerstone Summer Institute

(c/o Dean von Daacke, 101 Monroe Hall)

University of Virginia

P.O. Box 400133

Charlottesville, VA. 22904-4133

Income Statement for 2022

Total family income (BEFORE DEDUCTIONS) including welfare payments, wages of all working members, social security, dividends, child support payments, interest, veterans benefits, and all other income for 2022.

Parent/Guardian 1 Occupation

Parent/Guardian 2 Occupation

What type of aid will you need?

Select or enter value

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