Family Services and Education Summer Academy

Monday, June 8, 2026 at 9:30 AM until Friday, June 12, 2026 at 12:00 PMCentral Daylight Time UTC -05:00

John Brown University
2000 W University St
Siloam Spgs, AR 72761
United States

Step into the classroom and discover if teaching is your calling. Work with experienced educators to develop lesson planning and teaching techniques. Your main project will be creating and filming a 5-10 minute lesson video, allowing you to put your new skills into practice. Experience firsthand what it takes to inspire the next generation.

A $100 deposit is required to submit this form and secure your registration.

Student Information

Student First Name

Student Last Name

Student Mailing Address

Country

Street

City

Region

Postal Code

Student Sex

Student Birthdate

Student Email Address

Student Mobile Phone Number

High School Name

High School Graduation Year

What would be your first semester of college? Summer Academies are open to rising 10-12th graders.

Student T-shirt Size

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Mobile Phone

Parent/Guardian Relationship Type

Emergency Contact

First Name

Last Name

Phone Number

Registration Information

How will you be traveling to Summer Academy?

Student Travel Policy – Summer Academy

We welcome international and out-of-state students to participate in the Summer Academy. To ensure a smooth and safe experience, please review the following policies:

Chaperone Requirement for Minors
- International students under 18 years old must be accompanied by a designated chaperone if traveling as part of a group.
  - The chaperone will be responsible for the students’ supervision and conduct throughout the duration of the academy and travel.
  - Chaperones will be provided a townhouse room for their stay, but need to arrange for their own vehicle if they wish to travel during the week off campus.
Travel and Arrival Information
- The academy will provide airport pick-up and drop-off only from Northwest Arkansas National Airport (XNA).
- Students or groups flying into any other airport, such as Tulsa International Airport (TUL), must arrange their own transportation to and from the academy.
- Official pick-up will occur on the Sunday before the event and Friday afternoon after the event concludes. Detailed arrival times and flight information must be submitted in advance.
Housing and Amenities
- Bedding and towels can be provided if requested ahead of time.
- A welcome dinner will be served on Sunday evening, and lunch will be provided on Friday after the event concludes.
- Students are responsible for all other meals outside of scheduled academy activities.
Visa Documentation
- Upon acceptance, each international student will receive an official Letter of Acceptance from the academy.
  - This letter may be used to support visa applications and entry into the United States.

Summer Academy attendees stay on campus in JBU-provided housing, which will be facilitated and monitored by a Resident Director and campus staff. However, if your circumstances prevent you from staying on campus, please indicate that below.

Where will you be staying during Summer Academy?

Would you like to request a specific roommate during Summer Academy?

Yes

If you wish to request a roommate, please realize that both Summer Academy registrants must make the request. Roommate requests should be submitted by May 19.

Preferred Roommate First Name

Preferred Roommate Last Name

Would you like to indicate any other housing requests, including additional roommates or suitemates?

Yes

Please explain your additional housing request(s) below.

Please explain your off campus accommodations.

Do you have dietary restrictions or require other such accommodations? (Vegan, vegetarian, gluten and dairy restrictions can be accommodated)

Yes

Please describe any dietary restrictions.

Do you have accessibility/mobility restrictions or require other such accommodations?

Yes

Please describe any accessibility/mobility restrictions or accommodations.

Event Information

Why did you choose this track/subject and what do you hope to get out of it?

Please choose a music and theatre department track.

What is your primary instrument?

Specify "other" instrument:

How many years have you studied your primary instrument?

What is your voice part?

Provide a brief summary of your musical/performance activities (ex., choir, band, orchestra, musical theatre, etc.)

Provide the name of your current private lesson teacher.

Provide a link to a video of a recent performance on your primary instrument.

Provide a brief summary of your theatre/performance activities (ex., plays, musicals, competitions, choir or other ensembles, etc.)

Provide the name of your current theatre teacher/director.

Please share what experience you have had so far with computer programming or computer science.

Please explain how you see computer programming fitting into your career.

What aspects of computer science (or computer engineering, software development, cybersecurity, robotics, artificial intelligence, etc) do you personally find most interesting and wish to learn more about?

What area(s) of the medical field are you interested in investigating as a career?

Please list the specialty or other choice.

Because you chose "Other," please quickly explain where you heard about JBU's Summer Academy.

Medical Information and Acknowledgement

To attend Summer Academy, the parent/guardian of the Summer Academy registrant (of minors) or Summer Academy registrant (18 and over) must read and acknowledge JBU Medical and Mental Health Policies (link will open in a new tab).

The parent/guardian (for minors) or student (18 and over) has read and acknowledge the JBU Medical and Health Policies

To attend Summer Academy, you must submit a completed and signed JBU Summer Academy Medical Information Form/Waiver and Release of Liability (link will open in a new tab). You do not need to print and sign this version, it is for viewing only. Upon completion of this event registration form, you will receive an email containing instructions for completing a digital version of this waiver.

I have reviewed and agree to sign the JBU Summer Academy Medical Information Form/Waiver and Release of Liability

Code of Conduct Acknowledgement

To attend Summer Academy, the parent/legal guardian of the Summer Academy registrant (for minors) or Summer Academy registrant (18 and over) must read, acknowledge and agree that the student will abide by the JBU Summer Academy Code of Conduct (link will open in a new tab). Failure to abide by this Code of Conduct during the Summer Academy could result in disciplinary action.

The parent/guardian (for minors) or student (18 and over) has reviewed and agreed that the student will abide by the JBU Code of Conduct

Payment

Please note: John Brown University Summer Academy reserves the right to cancel a Summer Academy track if circumstances prevent that track from hosting a Summer Academy as planned. JBU Summer Academy will notify all registrants of that track by May 19 if their track is cancelled.

Registrants of cancelled tracks will be given the opportunity to register for another track if event vacancy exists. Registrants of cancelled tracks will be given a full refund, including deposit, should they choose not to register for another track.

Are you the child or dependent of a current JBU faculty/staff member?

Yes

Do you have a Summer Academy waiver code?

Yes

Please type your waiver code here (case sensitive):

A $100 deposit is required to register, and the remaining balance is due by May 18. Upon registration, you will receive a personalized, secure link to pay the remaining balance.

The $100 deposit is non-refundable. The remaining balance ($400) is refundable until May 18.

A $100 deposit is required to register, and the remaining balance is due by May 18. Upon registration, you will receive a personalized, secure link to pay the remaining balance.

The $100 deposit is non-refundable. The remaining balance ($550) is refundable until May 18.

A $100 deposit is required to register, and the remaining balance is due by May 18. Upon registration, you will receive a personalized, secure link to pay the remaining balance.

The $100 deposit is non-refundable. The remaining balance ($200) is refundable until May 18.

Amount Due
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Amount Due

Remaining balance due by May 18: $550

Remaining balance due by May 18: $400

Remaining balance due by May 18: $200