UNM STARTALK 2017 Student Application Form
Arabic in New Mexico: A Common Past and Shared Future

Important Dates:
Mandatory Orientation: Monday, June 12, 5:30-7:30 pm
Summer Program: June 26-July 14, 2017 (no class on Tuesday, July 4), 9am-3:30 pm (includes lunch)
Closing Ceremony: Friday, July 14, 2:30-3:30 pm

**Students who miss more than 13 hours of the program will not be permitted to continue, as consistent attendance is crucial to success in an intensive program.**

**Admissions will be conducted on a rolling basis until the program is full.**

About the program:
STARTALK is a federally funded program to encourage the development of critical language skills. The UNM Arabic STARTALK program is an intensive Arabic class that focuses on connections between New Mexico and Arab communities past and present. Thirty students of varying ages and Arabic proficiency levels will be selected to participate in the program. Selection will be based on evidence of interest in the program, prior academic performance, and teacher/counselor letters of recommendation. All program activities, including lunch, will be free of charge for students. Further information can be found at fll.unm.edu. Contact Dr. Emma Trentman, etrentman@unm.edu, with questions.

Email address
Applicant Data
Name (First, Middle, Last)
Your answer
Birthdate
MM
/
DD
/
YYYY
Gender
Your answer
Are you of Hispanic or Latino origin?
Race
Your answer
School (Spring 2017)
Your answer
GPA (Spring 2017)
Your answer
School (Fall 2017)
Your answer
Grade (Fall 2017)
Your answer
Prior Arabic Study
Your answer
Prior Language Study
Your answer
T-shirt Size (Adult)
Will the applicant drive herself/himself to campus for the program?
Describe any dietary restrictions for the applicant or write "none".
Your answer
Describe any accessibility accommodations needed by the applicant or write "none".
Your answer
Contact Information
Please list below the contact information for all parties whom you would like to receive official UNM STARTALK communications (including the applicant). Email will be used for the majority of communications, and the emails listed should be checked regularly. Phone numbers will be used for emergency situations.
Name #1
Your answer
Email #1
Your answer
Phone Number #1
Your answer
Mailing Address #1
Your answer
Relationship to Applicant #1
Your answer
Name #2
Your answer
Email #2
Your answer
Phone Number #2
Your answer
Mailing Address #2
Your answer
Relationship to Applicant #2
Your answer
Name #3
Your answer
Email #3
Your answer
Phone Number #3
Your answer
Mailing Address #3
Your answer
Relationship to Applicant #3
Your answer
Application Essay
In 200-250 words describe your interest in learning the Arabic language and participating in this program. Include information about why you will excel in an intensive summer language program. Please note that there is no option to save this form as you go, so you may wish to type your essay in another program and then copy and paste it before submission.
Your answer
Signature and STARTALK Policies
I acknowledge and understand the following STARTALK policies for myself/my child
Yes
Students who miss more than 13 hours of the program will not be permitted to continue.
Students must arrive between the following hours: 8:40-8:55 am, when a STARTALK staff member is present. Tardiness will count towards the overall hours absent, and parents will need to escort their child to the classroom.
Students must be picked up between 3:30-3:45pm. STARTALK staff will not be responsible for students after 3:45 pm.
Signature (of parent/guardian if applicant is under 18)
Your answer
Teacher Recommendation
Please send the following recommendation link to two teachers to complete your application: https://goo.gl/forms/NIQ2OvMej1LvhpB72
Please complete the captcha before submitting the form.
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