A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS

GOVERNORS SCHOOL
NOMINATION PACKET 2013
Governors School West | Salem College | Winston-Salem, NC
Governors School East | Meredith College | Raleigh, NC
Public Schools of North Carolina
State Board of Education | Department of Public Instruction
Exceptional Children Division
www.ncgovschool.org | 919-807-3986
STATE BOARD OF EDUCATION
The guiding mission of the North Carolina State Board of Education is that every public school student will graduate
from high school, globally competitive for work and postsecondary education and prepared for life in the 21st Century.
NC DEPARTMENT OF PUBLIC INSTRUCTION
June St. Clair Atkinson, Ed.D., State Superintendent
301 N. Wilmington Street :: Raleigh, North Carolina 27601-2825
In compliance with federal law, NC Public Schools administers all state-operated educational programs, employment activities and
admissions without discrimination because of race, religion, national or ethnic origin, color, age, military service, disability, or gender,
except where exemption is appropriate and allowed by law.
Inquiries or complaints regarding discrimination issues should be directed to:
Dr. Rebecca Garland, Chief Academic Ofcer :: Academic Services and Instructional Support
6368 Mail Service Center, Raleigh, NC 27699-6368 :: Telephone: (919) 807-3200 :: Fax: (919) 807-4065

Visit us on the Web :: www.ncpublicschools.org
WILLIAM C. HARRISON
Chairman :: Fayetteville
WAYNE MCDEVITT
Vice Chair :: Asheville
WALTER DALTON
Lieutenant Governor :: Rutherfordton
JANET COWELL
State Treasurer :: Raleigh
JEAN W. WOOLARD
Plymouth
REGINALD KENAN
Rose Hill
KEVIN D. HOWELL
Raleigh
SHIRLEY E. HARRIS
Troy
CHRISTINE J. GREENE
High Point
JOHN A. TATE III
Charlotte
ROBERT TOM SPEED
Boone
MELISSA E. BARTLETT
Roxboro
PATRICIA N. WILLOUGHBY
Raleigh
M0910
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
Table of Contents
Program Description and Tuition ..................................................................................................................... 1
Area I Curriculum Descriptions ........................................................................................................................ 2
Calendar ............................................................................................................................................................ 3
Frequently Asked Questions ..................................................................................................................... 4 & 5
Eligibility Requirements, Selection Criteria, and Nomination Procedures ........................................... 6 & 7
Audition Requirements ..................................................................................................................................... 8
Public School System Nomination Form .............................................................................................. 9 & 10
Charter/Non-Public/Special School Nomination Form ....................................................................... 11 & 12
Student Application ............................................................................................................................... 13 & 14
Experience Form .................................................................................................................................... 15 & 16
Recommendation Form ........................................................................................................................ 17 & 18
Eligibility and Selection Criteria Form .......................................................................................................... 19
Approved Tests/Instruments .......................................................................................................................... 20
Nomination Packet Checklist ......................................................................................................................... 21
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
1
Program Description and Tuition
Program Description
The Governors School of North Carolina is the oldest statewide summer residential program for gifted and talented high school
students in the nation. The program, which is open to rising seniors only, with exceptions made for rising juniors in selected
performing/visual arts areas, is located on two campuses: Governors School West at Salem College in Winston-Salem and
Governors School East at Meredith College in Raleigh. Governors School West began in 1963 and Governors School East
began in 1978. The program is administered by the Public Schools of North Carolina, State Board of Education, Department of
Public Instruction through the Exceptional Children Division. A Board of Governors, appointed by the State Board of Education,
acts as an advisory body.
The program offers a non-credit curriculum for selected students in three areas:
Area I
Area I is the area of the students special interest
and the basis on which he or she is chosen to attend
Governors School. Page 2 presents a summary
description of the eleven Area I disciplines so
that students can envision how they will spend
the majority of their class time at the Governors
School. The academic disciplines include English,
foreign languages (Spanish at Governors School
West and French at Governors School East),
mathematics, and natural and social sciences. The
performing/visual arts disciplines include art, choral
and instrumental music, dance, and theater. The
emphasis in all disciplines is on contemporary texts,
compositions, artistic expressions, issues, and ideas
and the theories that ow from them.
Area II
Each student attends another class comprised of students
from each of the Area I disciplines. Here students and
teachers explore connections between the ideas of these
disciplines. As integrative concepts emerge, the class
attempts to construct an understanding of contemporary
ways of thinking and of the culture that arises from them.
Area III
This third class is also comprised of students from each of
the Area I disciplines. Here students attempt to ground what
they are learning in their Area I and II classes in their own
personal experience. Finally, they apply that understanding to
their social worlds; that is, they try to discover links between
ideas and actions, theory and practice.
The academic environment of the Governors School thrives upon the intellectual curiosity of students and faculty alike.
Students take no tests; teachers assign no grades. Faculty expect students to aspire to be producers of knowledge, problem
solvers, and problem nders (Gallagher, 1994). Classes blend intellectual discussion with practical application of theory. The
faculty and staff at both Governors Schools are selected from public school systems, private schools, colleges and universities,
and private organizations. On each campus, these people serve as teachers, counselors, and health care, recreational,
and ofce personnel. In addition, the campuses are alive with visiting speakers, performances, exhibitions, eldtrips,
demonstrations, optional seminars, and lm series. Social and recreational events complement the academic focus.
Tuition
Governors School traditionally has been fully funded by the General Assembly of North Carolina. Recent economic conditions resulted
in the General Assembly reducing Governors School funding for 2010 and 2011 and eliminating all funding for 2012. During the
2012 legislative session, partial funding was restored for the 2013 Governors School. Beginning with the 2010 Governors School,
a $500 tuition/student was imposed. State funding and tuition will support the 2013 Governors School session. Submission of tuition
payment is the responsibility of the school systems, charter schools and private schools that nominate students. However, these schools/
school systems have great exibility on how they choose to access and collect tuition funds. This may include requesting families
to cover some or all of the tuition costs. Details on tuition payment options and procedures have been sent to schools and school
systems. Scholarships will be available through the NC Governors School Foundation www.ncgsfoundation.org/scholarships/.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
2
Area I Curriculum
Study in each Area I discipline emphasizes theory over the memorization of fact, particularly contemporary and progressive theories
that stimulate innovative thought in a rapidly changing culture. Courses and activities are designed to stimulate student creativity, move
students to question basic assumptions, explore unanswered questions, and develop an acceptance of the process of change.
Classes meet twice a day, Monday through Friday, and once on Saturday. (Area II and Area III classes meet three times a week each.)
Art
In the visual arts curriculum, students study and practice visual
expression consistent with current concepts and styles. Emphasis is
placed on creative expression as students investigate and examine
movements and theories in contemporary art.
Choral Music
The choral music curriculum concentrates on music of 20
th
and 21
st

century composers. Students learn the ner points of choral
singing blend, diction, tone quality and vocal techniques in rehearsals
and performance. The aim is to take students from music that is relatively
familiar in form and content to repertoire that is quite challenging
aesthetically, intellectually, and technically.
Dance
The dance curriculum embraces and expresses 20
th
and 21
st
century
theories through daily modern technique classes, a survey of recent
pioneers, and the integration of self-expression and abstraction
through improvisation, composition, and choreography.
Theater
The goal of the theater curriculum is to introduce young theater
artists to contemporary and progressive theory, literature, and
technique. The approach is holistic, encouraging the actor to
become a well-rounded, life-long student of the theater.
English
The English curriculum focuses on modern and post-modern
ction, poetry, and drama. The students are encouraged to read
closely, imaginatively, analytically, and empathetically. Some
teachers incorporate creative and analytical writing workshops to
help students improve their writing.
Foreign Language French (East)
French students improve their skills in reading and writing, and
they examine the emerging literature, music, and art of French
cultures. French is the primary language spoken in class.
Foreign Language Spanish (West)
The goal of Spanish is to expose students to contemporary thought,
literature, music, art, and political trends coming from Spain and
Hispanic America. Spanish is the primary language spoken in class.
Instrumental Music
The focus of instrumental music is the study and performance of
signicant 20
th
and 21
st
century repertoire for orchestra (West) or wind
ensemble (East), and the creation and performance of student works.
The aim is to take students from music that is relatively familiar in
form and content to repertoire that is quite challenging aesthetically,
intellectually, and technically.
Mathematics
The mathematics program strives to provide an atmosphere for
students to independently contemplate and investigate problems that
arise in contemporary mathematical elds. In addition, the program
provides many opportunities through student-faculty interaction,
seminars, and invited lecturers, for students to gain an appreciation
for both mathematics and the work of mathematicians.
Natural Science
The natural science curriculum investigates contemporary theories and
topics of modern science by the use of interactive seminars, discussions,
and group and individual problem solving.
Social Science
The social science curriculum examines the major political,
sociological, psychological, and anthropological concepts which
have inuenced the 20
th
and 21
st
centuries from theoretical and
applied perspectives.
Area I Curriculum Descriptions
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
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Governors School Calendar
Calendar
September 2012
Information regarding 2013 session of Governors School mailed to
superintendents, headmasters of non-public schools, charter school
directors, EC program directors, AIG coordinators, high school principals,
high school counselors, and other Governors School contacts.
General information and all necessary forms are posted on the Governors
School website at www.ncgovschool.org.
November 14, 2012
All nominations must be submitted (postmarked) to:
Camilla Roberson, Special Assistant
Governors School
Exceptional Children Division
NC Department of Public Instruction
6356 Mail Service Center
Raleigh, NC 27699-6356
February 9, 2013
Governors School Auditions in Art, Choral Music, Dance and Theater to
be held at Meredith College in Raleigh. All students who are nominated
in these areas and who meet the eligibility requirements for Governors
School will be notied individually and invited to audition.
February 23, 2013
Governors School Auditions in Instrumental Music to be held at
Meredith College in Raleigh. All students who are nominated in this area
and who meet the eligibility requirements for Governors School will be
notied individually and invited to audition.
March 7, 2013
Notication of students selected to attend the 2013 session of the
Governors School is mailed to superintendents, headmasters of
non-public schools, and the directors of charter schools.
March 14, 2013
Notication of selection/non-selection mailed to students
April 4, 2013
Deadline for nominating schools/school systems to submit acceptance
forms on selected students. Submission of an acceptance form
obligates the school/school system to pay a non-refundable tuition of
$500 per student. Details on tuition payment options and procedures
have been sent to schools and school systems.
June 16, 2013
Opening day of the 2013 session of the Governors School
July 4, 2013
Parents Day
July 4 July 7, 2013
Break in session
July 20, 2013
Last day of the 2013 session of the Governors School
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
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1. Where is the Governors School located?
The Governors School has two sites: G. S. West is located on
the campus of Salem College in Winston-Salem and G. S. East
is located on the campus of Meredith College in Raleigh.
2. May students request which campus they would
like to attend and request roommates?
No. Students and roommates are randomly assigned. Students must
attend the campus to which they are assigned.
3. Are the programs the same at Governors
School East and West?
Yes, except that Governors School West offers Spanish and an
orchestra and Governors School East offers French and a wind
ensemble. Otherwise the curriculum of both schools is the same.
4. How are students nominated for the
Governors School?
The nomination process has multiple steps at the school and district
levels. In individual schools, teachers, principals, and counselors
nominate applicants to the local public school superintendent or
private school headmaster. (If a discipline studied at the Governors
School is not offered in an individual high school, a student may
request to be nominated in that discipline. All applicants must meet the
criteria established for the N.C. Governors School.) The Nominating
Entity (i.e., public school system, charter school, non-public school, or
special school) determines which of its nominees will be sent for nal
selection at the state level.
5. How are nominated students selected to attend
the Governors School?
The process varies, depending on the area of nomination.
To ensure statewide representation of students, public school
system superintendents nominate one academic area student.
This student will automatically be invited to attend. The selection
committee chooses the remaining academic students, just as
college admissions committees choose among college applicants.
French and Spanish applications are also reviewed by the
selection committee. In addition, applicants may be contacted for
phone interviews with selection committee members to ensure
adequate language competency, as classes are conducted
entirely in French and Spanish.
Performing and visual arts students selection is determined by
audition before judges complemented by the students applications.
6. Is the number of nominations limited?
Yes. Each Nominating Entity is allotted a certain number of
nominations based on its tenth and eleventh grade student
population, with exceptions in French and certain performing arts
areas. (See page 7 for details of this allocation.)
7. May the performing/visual arts students audition
in more than one area?
No. They may only audition in one area of nomination.
8. How do I get information about auditions?
The Department of Public Instruction will mail specic information
about auditions directly to individual nominees in January, about four
weeks prior to auditions. Those letters will include instructions about
the audition day, audition times and places (buildings), and directions to
Meredith College (the audition site).
9. How is a typical Governors School class conducted?
Highly energized and committed teachers invite students to explore
new and signicant ideas, not principally through lecture but
through discussion. Teachers may use an occasional mini-lecture to
present a formula in math or physics, demonstrate a new movement
in art or music, or explain a recent theory of social groups or literary
texts. But the hallmark of our intellectual work is the interplay
between theory and students responses, between the abstract and
the personal. Without the common burdens of covering a dened
body of material and being tested on it, students and teachers can
forge a safe, non-competitive intellectual environment where ideas
from many disciplines are entertained and all active learners are
taken seriously.
10. What kinds of dance, theater, and music
are performed?
The emphasis throughout the arts (and academic) curriculum is
on modern and contemporary ideas and forms of expression. This
emphasis has been one of the most successful parts of this 50 year old
program for several reasons: it surprises and energizes students with
its often unexpected uniqueness; it alerts students to current ideas; it
encourages students and teachers to become creative explorers of
uncharted territory; it introduces intellectual inquiries that often do not
come into view until advanced college and graduate study.
Frequently Asked Questions
CONTINUED
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
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11. What do students do after classes end in
the afternoon?
Governors School provides many options for afternoon and
evening hours that complement and extend the work of classes.
Major outside speakers who are active contributors to current
knowledge in their elds address students once a week. Student
performances in dance, theater, and music electrify both
campuses. Daily optional seminars or electives range from the
Aesthetics of Choreography (dance faculty) to a discussion of
Stephen Hawkings A Brief History of Time (natural science faculty).
Several different lm series offer not only substantive lms, but
discussions that deepen the understanding of the particular lm
and sharpen the ability to see and interpret any lm.
12. What kinds of recreational and social
activities are offered?
Each afternoon and evening, swimming pools, gyms, tennis courts,
and elds (for soccer, ultimate frisbee, and softball) are open for
individual and group recreation. Later in the evening, students can
choose social events such as swing dance instruction, ultimate
frisbee tournaments, capture the ag competitions, and scavenger
hunts. For many, the high social moments are the masquerade ball
and, on the nal evening, a semi-formal dance. Others say that their
best free moments are spent in the spontaneous conversations,
gatherings, and activities that students initiate on the benches of
quads and by fountains, at meals and on dormitory halls.
13. How strict are the rules at the Governors School?
Governors School is clearly situated between high school and
college a highly ambitious residential school for high school
students. It grants students many freedoms associated with
university study, especially the freedom of choice between
many different intellectual and community experiences. It is also
governed by a number of rules and regulations associated with
residential life for high school students. These are enumerated in
an honor code and the Student Handbook documents mailed with
acceptance letters so that students will know what is expected of
them before they decide to attend. The Governors School is not a
rule-bound place, but those few rules that exist are taken seriously.
Strict adherence to them exercises student self-discipline and
responsibility, insures student safety, and frees the community to
focus on vital and essential new ideas and experiences.
14. Do students have to attend the Governors School
the entire ve weeks?
Yes. If a student accepts the invitation to attend the Governors
School, he/she must agree to attend for the entire ve weeks.
(NOTE: Any student who does not stay until the closing session on
the last day will not receive a Governors School certicate, nor be
permitted to use the Governors School experience on college and
scholarship applications.) Students are not excused to attend school,
family, or community events (i.e., camps, competitions, reunions, etc.).
On rare occasions students may be excused for events of great
urgency that cannot be rescheduled. Such requests may only be
submitted after the student selection process.
15. May students go home on weekends?
No. Students must remain at the Governors School through the
weekends except the third weekend of the session when all students
go home on Thursday and return on the following Sunday evening.
16. What is the cost to students to attend the
Governors School?
Tuition is $500 per student. Submission of tuition payment is the
responsibility of the school systems, charter schools and private
schools that nominate students. However, these schools/school
systems have great exibility on how they choose to access and
collect tuition funds. This may include requesting families to cover
some or all of the tuition costs. Details on tuition payment options and
procedures have been sent to schools and school systems. Families
are responsible for the transportation costs to and from the campuses
and for their childrens spending money.
17. Are scholarships available?
Yes. Scholarship information can be found at
www.ncgsfoundation.org/scholarships/.
18. Is tuition refundable?
No.
Frequently Asked Questions
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
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Eligibility Requirements, Selection Criteria,
and Nomination Procedures
The Governors School of North Carolina offers a unique residential
experience to gifted and talented high school students. Students are
nominated/selected in the following disciplines:
Art Choral Music Dance
English French Spanish
Instrumental Music Mathematics Natural Science
Social Science Theater
In addition to Area I classes (addressing the discipline in which a
student is nominated), students also participate in Area II and Area III
classes. See page 1 for a brief description of the three areas.
Eligibility Requirements
1. Only those students who are legal North Carolina residents (exchange
students are not eligible) or attend federal schools in the state, and are
presently enrolled in the eleventh grade in North Carolina public schools
(e.g., local school districts, charter, federal) or non-public schools (e.g.,
private, homeschools, etc.) may be nominated. Exceptions for rising junior
nominations are made in choral music, dance, and instrumental music.
2. A student must be a legal resident of North Carolina at the time
of attendance.
3. No former Governors School student is eligible. However, students
who are nominated as rising juniors, but are not selected, may be
renominated as rising seniors.
4. All students must meet the aptitude/achievement criteria as established
by the Board of Governors for North Carolina Governors School.
a. Most recent aptitude test scores: composite or subtest scores
documenting percentile ranges from 92% through 99%.
b. Achievement test scores: composite, subtest, or End-of-Course
scores in appropriate area of nomination shall be used documenting
percentile ranges from 92% through 99%. Scores other than EOCs
must have been given in the 9th, 10th, or 11th grade. Scores from EOC
tests taken in the 6th, 7th, and 8th grades will be accepted.
Notes:
National percentile scores must be used for all aptitude and
achievement tests with the exception of EOC tests (state
percentile scores).
Any EOC test may be used for students nominated in Spanish, French,
or the Performing/Visual Arts. Score must be 92 percentile or higher.
Any EOC test in the students area of nomination may be used for
students nominated in Math, English, Natural Science, or Social
Science. See notes on page 19. Score must be 92 percentile or higher.
End of Grade (EOG) tests will not be accepted.
Selection Criteria
Multiple criteria are used in the selection process for all Governors
School nominees.
Scholastic performance: most recent grade in area of nomination
(if applicable), class rank (if available), and the most recent transcript
Personal data:
Two Recommendation Forms*
Two essays
Lists of school and community activities, awards, and honors
* At least one recommendation must be from a high school teacher,
preferably in the area of nomination.
Nomination Procedures
1. STUDENT
Fully completes a Governors School Student Application, with
all attachments, and submits it to school personnel.
2. SCHOOL PERSONNEL
High School Staff (often in coordination with the local Governors
School Contact Person):
a. Completes the Eligibility and Selection Criteria Form on
each nominee and has it signed by the high school principal/
headmaster.
b. Assembles a complete application (Application Form,
essays, Experience Form, Eligibility and Selection Criteria
Form, transcript, and Recommendation Forms removed
from envelopes) on each nominee and submits it to the high
school principal/school director/headmaster.
High School Principal/School Director/Headmaster (often in
coordination with the local Governors School Contact Person):
a. Veries and signs the Eligibility and Selection Criteria Form
on each nominee.
b. Recommends (often through a school-based committee) and
submits complete applications of the outstanding nominees
to the Superintendent, when applicable.
Superintendent/Director/Headmaster (often involving the local
Governors School Contact Person):
a. Consults the Nomination Chart to determine the total number
of nominees allowed. See the following exceptions.
(1) French These nominations are unlimited and do not
count against the number of academic nominations.
However, the number of students selected in French is
quite small. Consider nominating only those students
who are very strong in French and can speak it uently.
(2) Instrumental Music and Choral Music Nominations
for students who play double-reed instruments (oboe
and bassoon), brass instruments (trumpet, French
horn, trombone, euphonium, and tuba), percussion
instruments, or string instruments (violin, viola, cello,
bass, and harp), or whose vocal ranges are alto, tenor or
bass/baritone, are unlimited and will not count against
the number of performing/visual arts nominations.

A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
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Eligibility Requirements, Selection Criteria,
and Nomination Procedures
b. Selects the best candidates from the school/school system
for nomination to the Governors School. NOTE: Nominations
should strive to reect the racial, ethnic, gender and
socioeconomic diversity of the school/school system.
(1) Completes and signs the appropriate Nomination Form
(Public School System or Charter/Non-Public/Special
School Nomination Form)
(2) Superintendent Choice Public school system
superintendents indicate their one academic choice.
This student will automatically be invited to attend.
All other academic applications will be reviewed by a
Selection Committee. The Exceptional Children Division
recommends that this student be the top student
nominated from the school system (see Public School
System Nomination Form). NOTE: Nominees in French
and Spanish cannot be superintendent choices.
c. Assembles and submits one Nomination Packet, which
includes: one Nomination Form for the entire Nominating
Entity and a complete application for each student listed on
the Nomination Form.
All nomination packets must be assembled according to the
checklist on page 21, mailed and postmarked by November 14, 2012.
Send to: CAMILLA ROBERSON, SPECIAL ASSISTANT
FOR GOVERNORS SCHOOL
EXCEPTIONAL CHILDREN DIVISION
NC DEPARTMENT OF PUBLIC INSTRUCTION
6356 MAIL SERVICE CENTER
RALEIGH, NC 27699-6356
Nomination Chart
1. Each Nominating Entity can nominate eligible students
according to the chart below.
2. Superintendent Choice Each public school system can choose
one eligible academic student (English, Mathematics, Natural
Science, or Social Science) as their superintendent choice. This
student will automatically be invited to attend. All other academic
applications will be reviewed by a Selection Committee.
a. Nominees in French, Spanish or the Performing/Visual
Arts cannot be Superintendent Choices.
b. The allotted number of academic nominations should
include the one Superintendent Choice.
Nomination Chart
10
th
11
th
Grade Total Student Population
(Excluding Extended Day Enrollment)
Number of Academic
Nominations*
Number of Performing/
Visual Arts Nominations**
Up to 125
126-250
251-500
501-800
801-1100
1101-1400
1401-1800
1801-2100
2101-2500
2501-3000
3001-3500
3501-4000
4001-5000
5001-6000
6001-8000
8001-10000
10001-15000
OVER 15000
1
2
3
4
5
6
8
10
12
14
17
20
23
26
29
32
35
38
2
4
6
8
10
12
16
20
22
24
26
28
30
32
34
36
38
40
* Limits on academic nominations
only pertain to English, Mathematics,
Natural Science, Social Science,
and Spanish. Nominations in
French are unlimited.

Note: See page 6 for more information
on French nominations.
** Limits on performing/visual arts
nominations do not include students who
play double-reed instruments (oboe and
bassoon), brass instruments (trumpet,
French horn, trombone, euphonium, and
tuba), percussion instruments, or string
instruments (violin, viola, cello, bass, and
harp), or whose vocal ranges are alto,
tenor, or bass/baritone.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
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Audition Requirements
Students are allowed to audition in one area only and will receive information about audition procedures
(location, time, date, preparations, etc.) several weeks prior to audition day.
Art
All nominees must bring three of their best works of art in any medium
that show drawing, painting, sculpting, ceramic, or printmaking skills.
The three pieces may be in the same medium. Each piece is limited to
36 inches in width and height. Framed artwork will not be accepted;
matting is allowed. Space is limited; therefore, no easels or props are
permitted. During the judging, nominees must stand by their artwork
to answer questions about their work. Informal questions may be
asked to help the nominee feel at ease. Any other questions asked
will be related to the students artwork. Nominees must stay until
dismissed by the judges.
Dance
All nominees will audition together in a modern dance class; therefore,
a prepared routine is not necessary. Dance nominees should wear
practice clothing only (leotards and tights for females; dance or yoga
pants and t-shirt or tank for males). All clothes should be form tting.
Ballet shoes are not to be worn; nominees will be auditioning in their
bare feet. No costumes will be necessary. Nominees should put
their hair up and not wear jewelry. Informal questions may be asked
to help the nominee feel at ease. Any other questions asked will be
performance related. Nominees must stay until dismissed by the judges.
Theater
You should be prepared to present a memorized selection not to exceed
two minutes either from classical material (prose or poetry) or from a
modern play. You do not need to bring a copy of the selection. Select
material which is best suited to your particular ability and demonstrates
your range. (The judges will be interested in seeing more than a one-
dimensional monologue.) If you are portraying a character, choose
someone close to your own age and gender. No costumes or props
are necessary. You will be auditioning in a classroom not on a stage.
Students who also have an interest in theater tech should bring a
resum or portfolio of lighting or set design/building achievements to
share with the judges. Informal questions may be asked to help you feel
at ease. Any other questions asked will be performance related.
Choral Music
Choral music nominees should be prepared to sing a piece of their own
choosing not to exceed two minutes. Nominees should consult with
their music teacher for a piece suitable for their voice. Nominees must
bring two originals of their selection to auditions. One original will
be used by the nominee and the second original will be used by the
judge. Photocopies will not be allowed under any circumstance due to
copyright laws. Nominees arriving for auditions with only one original
of their selection must be prepared to sing their selection by memory.
NO EXCEPTIONS CAN BE MADE. All nominees will be asked to sight-read
a selection chosen by the judge and may be asked to perform scales
to determine vocal range. If a nominee wishes to use an accompanist,
he/she should bring someone. Parents may not accompany their
children. If a nominee wishes to use recorded music, he/she must
bring the recording and any equipment necessary to play it, including
speakers. (Note: Internet access will not be available.) Informal
questions may be asked to help the nominee feel at ease. Any other
questions asked will be performance related.
Instrumental Music
Instrumental music nominees should be prepared to play a piece of their
own choosing not to exceed two minutes. Nominees should consult with
their music teachers or band directors for a piece which displays their
technical and musical abilities. Nominees must bring two originals of their
selection to auditions. One original will be used by the nominee and the
second original will be used by the judge. Photocopies will not be allowed
under any circumstance due to copyright laws. Nominees arriving for
auditions with only one original of their selection must be prepared to play
their selection by memory. NO EXCEPTIONS CAN BE MADE. All nominees
will be asked to sight-read a selection chosen by the judge. No scales are
required. Nominees must bring their own instrument except those nominees
auditioning on the mallet percussion and timpani. Instrumentalists are
expected to perform unaccompanied. The following instruments will be
auditioned: Flute/Piccolo, Oboe/English Horn, Clarinet (E-at, B-at, Alto,
Bass, Contralto, and Contrabass), Saxophone (Alto, Tenor, and Baritone),
Bassoon, Trumpet, French Horn, Trombone, Euphonium, Tuba, Percussion,
Violin, Viola, Cello, Bass, and Harp. No other instruments will be auditioned.
Informal questions may be asked to help the nominee feel at ease. Any other
questions asked will be performance related.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
9
Public School System Nomination Form
Public School System
Contact Name Title
Mailing Address
Telephone Fax Email

Signature of Superintendent Date
CONTINUED
PAGE 1 OF 2
Total Tenth and Eleventh Grade Enrollment
(Omit Extended Day Enrollment) _____________________
Tenth and Eleventh Grade
Racial Composition _____% white; _____% nonwhite
Total Nominations ________ ( _____% white; _____% nonwhite)
Please list below all students from your administrative unit nominated for the Governors School. The superintendent is to indicate the one Superintendent Choice by
placing the students name by the * below. The Superintendent Choice cannot be a French or Spanish nominee. The remaining nominations in academics need not be
listed in rank order. Beside each name indicate gender, race, nomination area for academics, voice part for choral music, and instrument for instrumental music.
* Automatically invited to attend.
LIMITED ACADEMICS (Rising Seniors Only)
English, Mathematics, Natural Science, Social Science, Spanish
name gender/race nomination area
*
UNLIMITED ACADEMICS (Rising Seniors Only)
French (These are in addition to the number allowed on p. 7.)
name gender/race nomination area

ART (Rising Seniors Only)
name gender/race
Number of Academic Nominations _________ _________ Number of Performing/Visual Arts Nominations _________ _________
limited limited unlimited unlimited
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
10
Public School System Nomination Form
PAGE 2 OF 2
DANCE (Rising Juniors or Seniors)
name gender/race

LIMITED CHORAL MUSIC (Rising Juniors or Seniors)
soprano I and II only
name gender/race voice part

LIMITED INSTRUMENTAL MUSIC (Rising Juniors or Seniors)
ute/piccolo, clarinet, and saxophone only
name gender/race instrument
THEATER (Rising Seniors Only)
name gender/race

UNLIMITED CHORAL MUSIC (Rising Juniors or Seniors)
alto, tenor, and bass/baritone voices
(These are in addition to the number allowed on page 7.)
name gender/race voice part

UNLIMITED INSTRUMENTAL MUSIC (Rising Juniors or Seniors)
double-reed instruments (oboe and bassoon), brass instruments
(trumpet, French horn, trombone, euphonium, and tuba), percussion
instruments, or string instruments (violin, viola, cello, bass, and harp)
(These are in addition to the number allowed on page 7.)
name gender/race instrument
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
11
Charter/Non-Public/Special School
Nomination Form
CONTINUED
Please list below all students from your school nominated for the Governors School. The nominations need not be listed in rank order. Beside each
name indicate gender, race, nomination area for academics, voice part for choral music, and instrument for instrumental music.
LIMITED ACADEMICS (Rising Seniors Only)
English, Mathematics, Natural Science, Social Science, Spanish
name gender/race nomination area


UNLIMITED ACADEMICS (Rising Seniors Only)
French (These are in addition to the number allowed on p. 7.)
name gender/race nomination area

ART (Rising Seniors Only)
name gender/race
Charter/Non-Public/Special School
Contact Name Title
Mailing Address
Telephone Fax Email

Signature of Headmaster/Director Date

PAGE 1 OF 2
Total Tenth and Eleventh Grade Enrollment
(Omit Extended Day Enrollment) _____________________
Tenth and Eleventh Grade
Racial Composition _____% white; _____% nonwhite
Total Nominations ________ ( _____% white; _____% nonwhite)
Number of Academic Nominations _________ _________ Number of Performing/Visual Arts Nominations _________ _________
limited limited unlimited unlimited
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
12
PAGE 2 OF 2
Charter/Non-Public/Special School
Nomination Form
DANCE (Rising Juniors or Seniors)
name gender/race

LIMITED CHORAL MUSIC (Rising Juniors or Seniors)
soprano I and II only
name gender/race voice part

LIMITED INSTRUMENTAL MUSIC (Rising Juniors or Seniors)
ute/piccolo, clarinet, and saxophone only
name gender/race instrument
THEATER (Rising Seniors Only)
name gender/race

UNLIMITED CHORAL MUSIC (Rising Juniors or Seniors)
alto, tenor, and bass/baritone voices
(These are in addition to the number allowed on page 7.)
name gender/race voice part

UNLIMITED INSTRUMENTAL MUSIC (Rising Juniors or Seniors)
double-reed instruments (oboe and bassoon), brass instruments
(trumpet, French horn, trombone, euphonium, and tuba), percussion
instruments, or string instruments (violin, viola, cello, bass, and harp)
(These are in addition to the number allowed on page 7.)
name gender/race instrument
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
13
Student Application
STAPLE NO PAPER CLIPS
PAGE 1 OF 2
FORM MAY BE COPIED
1. BASIC INFORMATION AND DEMOGRAPHIC DATA
Name ____________________________________________________________________________________________________________
First Middle Initial Last
Preferred Name ______________________________________________________ Age _______ Sex _______ Race _______
Mailing Address __________________________________________________________________________________________________
Street or Box No. City Zip Code
Telephone ( _______ ) ____________________________ Last Four Digits of Social Security Number ______________________
Public County or City School System ________________________________________________________________________________
Public High School ______________________________________________________________________________ Grade _________
Charter or Non-Public High School County ____________________________________________________________________________
Charter or Non-Public High School ________________________________________________________________ Grade _________
2. NOMINATION AREA Indicate only one area
Academics (Rising Seniors only; check one specic area)
___ English
___ Mathematics
___ Natural Science
___ Social Science
___ Spanish
___ French
Performing/Visual Arts (Check one specic area)
___ Art (Rising Seniors only)
___ Dance (Rising Juniors or Seniors)
___ Theater (Rising Seniors only)
___ Choral Music (Rising Juniors or Seniors)
List Voice Part _______________________________
(Soprano I, II; Alto; Tenor; Bass/Baritone List only one)
___ Instrumental Music (Rising Juniors or Seniors)
List Instrument ______________________________
3. STATEMENT OF INTENT
My signature indicates my wish to be considered as a Governors School nominee. I understand that I will be identied
as a Governors School nominee only if determined by the local nominating committee. I understand that if I am selected
by the State, and if I accept, I will attend the entire ve-week program. I further understand that no exceptions will be
made for family reunions, cheerleading camps, sports activities, and the like.
____________________________________________________ ____________________________________________________
Signature of Student Date Signature of Parent/Guardian Date
Notes Students in Mathematics must have completed
Algebra II or Integrated Math III before the
2013 session begins.
Students in Spanish and French must have completed
at least two years of study in these courses before
the 2013 session begins.
Academics Performing/Visual Arts
Notes Instruments offered are: Flute/Piccolo, Oboe/English
Horn, Clarinet (E-Flat, B-Flat, Alto, Bass, Contralto, and
Contrabass), Saxophone (Alto, Tenor, and Baritone),
Bassoon, Trumpet, French Horn, Trombone, Euphonium,
Tuba, Percussion, Violin, Viola, Cello, Bass, and Harp.
Piano and guitar are not offered.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
14
Student Application
PAGE 2 OF 2
FORM MAY BE COPIED
4. ESSAYS
Please write two essays as directed below. Type each essay on a separate page and clearly label each page with your
name and the essay topic and, for Essay Two, the Area you have chosen. Please limit each essay to one page only,
single or double spaced.
Essay One
Identify and discuss one signifcant problem or issue in contemporary culture that concerns you: some of the dimensions
of this issue, why it matters to you, and what possible solutions you or others might propose to deal with it.
Essay Two
In this essay, local and state selection committee members hope to gain a clearer insight into an applicants interest in
the Area I eld of nomination. If you know your Area I eld of nomination, choose the topic for that discipline. If you do
not yet know your Area I eld of nomination, choose the topic that is closest to your deepest interests.
Nominees in English and Performing/Visual Arts: Describe the relevance of a 20th or 21st century work of art or
literature and detail how it has inuenced your thoughts and/or action.
Nominees in Natural Science and Social Science: Discuss an important 20th or 21st century idea in natural science
or social science and explain how it has inuenced your thoughts and/or action.
Nominees in Mathematics: Describe your response to the following quote: The true spirit of delightis to be
found in mathematics as surely as in poetry. Bertrand Russell
Nominees in Spanish and French: Describe your interest in the Spanish or French language. Please include any
personal experiences specically related to foreign language and culture and how they inspired you to explore the
Spanish or French-speaking world.
5. EXPERIENCE
Please respond to the following requests. Type responses on the Experience Form and clearly label each page with your name.
1. List school and community activities, awards, and honors you have participated in or received during the past
three years, and tell why any two are important to you.
2. List residential schools (such as Summer Ventures, NC School of Science and Math) you have attended and when.
6. RECOMMENDATIONS
Two Recommendation Forms (pages 17 and 18) must be completed by persons who know the nominees strengths in the
area of nomination and can address the nominees intellectual curiosity, love of learning, and potential to prot from the
Governors School experience. No parent or student should submit a recommendation.

At least one recommendation should be from a high school teacher, preferably in the area of nomination.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
15
School and Community Activities during the past three years.
____________________________________________________
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____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
Awards and Honors during the past three years.
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
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PAGE 1 OF 2
FORM MAY BE COPIED
Name of Student
_______________________________________________________________________________________________________________________
Experience Form
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
16
Name of Student
_______________________________________________________________________________________________________________________
Tell why any two of these activities, awards or honors are important to you.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Residential Schools attended and where:
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
PAGE 2 OF 2
FORM MAY BE COPIED
Experience Form
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
17
Recommendation Form
Students Name ____________________________________ Nomination Area ___________________
School _______________________________ School System _________________________________

Subjects you have taught this nominee if you are a teacher: ____________________________ __________
(preferably in the students area of nomination)
9
th
grade ___________________ 10
th
grade ____________________ 11
th
grade ____________________
How long have you known this student? ________________
DIRECTIONS: In Sections A & B choose the numbers that indicate your perception of this student. Please elaborate in the space
provided. We are interested in knowing what is unique about this student. In Section C answer the questions and elaborate.
N/A=Not Applicable 1=Poor 2=Acceptable 3=Good 4=Very Good 5=Superior
A. What do you consider this students particular strengths, weaknesses, and potential as a student?
To what degree does this student demonstrate:
1.
2.
3.
4.
5.
6.
7.

8.
9.
10.
11.
High level of interest in and commitment to the subject of nomination
High level of ability in this subject
Openness to new ideas and challenging material
Ability to synthesize ideas
Ability to grasp underlying principles
Capacity to examine multiple ideas or solutions to problems or questions
Ability to work constructively on a task with independence and commitment
for an extended period of time
Capacity and willingness to examine assumptions
Work of high quality
Creativity
Motivation
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5

N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
Please elaborate on the information above:
AT LEAST ONE RECOMMENDATION MUST BE FROM A HIGH SCHOOL
TEACHER, PREFERABLY IN THE AREA OF NOMINATION
PAGE 1 OF 2
CONTINUED
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
18
N/A=Not Applicable 1=Poor 2=Acceptable 3=Good 4=Very Good 5=Superior
B. How would you evaluate this students stability, character, maturity, and attitude towards peers, teachers, and others?
To what degree does the student demonstrate:
1
1.
2.
3.
4.
1
5.
6.
7.
8.
Cooperation with teachers and others
Honesty, helpfulness, and consideration of others
Ability to listen to and interact with classmates
Empathy for other classmates
Social and emotional maturity
Individual responsibility
Potential for growth
Adaptability in new situations
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
N/A 1 2 3 4 5
Please elaborate on the information above:
C. Are you condent that this student:
is inquisitive, serious, and fexible enough to entertain speculative questions YES NO
and to push intellectual boundaries?

can independently function at a high level for fve weeks away from home YES NO
in a challenging academic and residential environment?
Please elaborate on the information above:
____________________________________________________ ____________________________________________________
Signature Date Title

The information provided is condential and will be read only by persons responsible for student selection and faculty and staff of the Governors School.
Recommendation Form
PAGE 2 OF 2
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
19
Eligibility and Selection Criteria Form
FORM MAY BE COPIED
To be Completed by School Personnel
Refer to page 20 for Approved Tests/Instruments. (Do not use abbreviations when indicating test. Use full test name.)
Name of Student _________________________________________________________________________________________
Academic Aptitude Criteria (Most recent test data are required)
1. Indicate most recent Aptitude Test name: ____________________________________________________________________________
2. Indicate Type of Score: Composite _______________________________ or Subtest (specify) _______________________________
3. Write year test was given: _____________________________
4. Indicate national percentile score: 92, 93, 94, 95, 96, 97, 98 or 99
Academic Achievement Criteria (Must use test data from 9
th
, 10
th
or 11
th
grade*)
1. Indicate Achievement Test name: __________________________________________________________________________________
2. Indicate Type of Score: Composite _______________________________ or Subtest (specify) _______________________________
or End-of-Course Test (see Acceptable EOC Tests below) (specify) _______________________________
3. Write year test was given: _____________________________
4. Indicate national percentile score: 92, 93, 94, 95, 96, 97, 98 or 99
(Use state percentile score for EOC tests.)
ACCEPTABLE EOC TESTS:
English English I
Mathematics Algebra I, Algebra II, & Geometry
Natural Science Biology, Physical Science, Chemistry, & Physics
Social Science Civics and Economics & US History. If scores are not available, English I EOC test score is allowed.
Any EOC test may be used for students nominated in French, Spanish, or the Performing/Visual Arts.

EOC test scores must be 92 percentile or higher.
* If the student has taken an EOC test, but does not have a readily accessible percentile score, contact the LEA Testing Coordinator.
* Tests other than EOCs must have been given in the 9
th
, 10
th
, or 11
th
grade. Scores from EOC tests taken in the 6
th
, 7
th
, and 8
th
grades will be accepted.
* End of Grade test scores will not be accepted.
Scholastic Performance Criteria
1. Indicate most recent grade in area of nomination: (if applicable) ____________
2. Indicate class rank (if available) ____________ of ____________
3. Transcript (most current)
_____________________________________________________________________________ ___________________________
Signature of Principal/Headmaster Date

_________________________________________________________________________________________________________________
Public School Administrative Unit/Non-Public/Special School
NOTE: Applications with aptitude scores below
92 percentile will not be considered for selection.
NOTE: Applications with achievement scores below
92 percentile will not be considered for selection.
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
20
Approved Tests/Instruments
Aptitude
Cognitive Abilities Test (CogAT)
Comprehensive Test of Non-Verbal Intelligence II
(CTONI-2)
Differential Ability Scales 2 (DAS-II)
InView
Kaufman Assessment Battery for Children II (KABC-II)
Naglieri Nonverbal Ability Test I & II (NNAT & NNAT 2)
Otis-Lennon School Ability Test (OLSAT-8)
Ravens Progressive Matrices
Reynolds Intellectual Assessment Scales (RIAS)
Scholastic Abilities Test for Adults, Aptitude
Portion (SATA)
Stanford-Binet 5
Universal Non-Verbal Intelligence Test (UNIT)
Wechsler Scales:
Wechsler Intelligence Scale for Children III
(WISC III) Note: Accepted date ranges for the
WISC III are administrations before 2005. Any use
of the WISC III after 2004 will not be accepted.
Wechsler Intelligence Scale for Children IV (WISC IV)
Wechsler Adult Intelligence Scale III (WAIS III)
NOTE: Accepted date ranges for the WAIS III are
administrations before 2010. Any use of the WAIS III
after 2009 will not be accepted.
Wechsler Adult Intelligence Scale IV (WAIS IV)
Woodcock-Johnson Tests of Cognitive Ability (WJ-III Cog)
Achievement
American College Test (ACT)
Comprehensive Testing Program (CTP4/ERB)
End-of-Course (North Carolina)
Iowa Test of Basic Skills (ITBS)
Iowa Test of Educational Development (ITED)
Kaufman Test of Educational Achievement II (KTEA 2)
Metropolitan Achievement Test 8
PLAN (Preliminary ACT Assessment)
Preliminary Scholastic Assessment Test (PSAT)
Scholastic Abilities Test for Adults, Achievement
Portion (SATA)
Scholastic Assessment Test (SAT)
Stanford Achievement Test 10
TerraNova
Wechsler Individual Achievement Test II (WIAT II)
Wechsler Individual Achievement Test III (WIAT III)
Woodcock-Johnson Tests of Achievement (WJ-III ACH)
NOTES:
The latest editions of these tests should be used. The Exceptional Children Division
of the NC Department of Public Instruction must be contacted for approval of any tests
not listed here.
National percentile scores must be used for all aptitude and achievement tests with
the exception of EOC tests (state percentile scores).
A SUMMER PROGRAM FOR GIFTED AND TALENTED HIGH SCHOOL STUDENTS
GOVERNORS SCHOOL 2013
21
Nomination Packet Checklist
This checklist is included for your convenience. Check off each item as it is completed.
1. PUBLIC OR CHARTER/NON-PUBLIC/SPECIAL SCHOOL NOMINATION FORM (ONE FORM PER NOMINATING ENTITY)

signature of Superintendent or Headmaster/Director

school unit name

contact name, address and phone number

Superintendent Choices (public school systems & federal schools only)

race and gender

nominated students coincide with Nomination Chart
2. APPLICATION FORM (FOR EACH NOMINEE)

signatures (statement of intent)

identifying information

school unit and high school

nomination choice

two typed essays
3. EXPERIENCE FORM (FOR EACH NOMINEE)

school and community activities

awards and honors

residential schools
4. ELIGIBILITY AND SELECTION CRITERIA FORM (FOR EACH NOMINEE)

signatures

school name

approved academic aptitude test/instruments using most recent test scores

approved academic achievement test/instruments

grade in area of nomination and class rank

transcript attached
5. RECOMMENDATION FORMS (FOR EACH NOMINEE)

two recommendation forms (removed from envelopes and stapled to application)
6. ORDER FOR EACH STUDENT APPLICATION

Each application stapled (no paperclips) and presented in the following order:
1. Application Form
2. typed essays
3. Experience Form
4. Eligibility and Selection Criteria Form
5. transcript
6. two Recommendation Forms (removed from envelopes)

7. DEADLINE

Each nomination packet (Nomination Form and Applications) assembled and postmarked by November 14, 2012.

Mail to: Camilla Roberson, Special Assistant for Governors School
Exceptional Children Division | NC Department of Public Instruction
6356 Mail Service Center | Raleigh, NC 27699-6356
DO NOT SEND THIS CHECKLIST WITH APPLICATIONS.