2015-16 Summer School

3rd Grade Camp S’mores E 

 

21st Century  

Title I & III

ST. LUCIE PUBLIC SCHOOLS

 

Senior Summer School ESY 

ESY ESE

2015-16 Summer School Implementation Manual

St. Lucie Public

E. Wayne Gent, Superintendent

Schools 4204 Okeechobee Road Fort Pierce, FL 34947

Dr. Jonathan Prince, Deputy Superintendent Dr. Helen Wild, Chief Academic Officer

www.stlucie.k12.fl.us Begins June 6th   

Page | 1    

Saint Lucie County Public Schools Mission Statement Our mission is to ensure all students graduate from safe and caring schools, equipped with the knowledge, skills, and desire to succeed. Vision Statement St. Lucie Public Schools, in partnership with parents and community, will become premier centers of knowledge that are organized around students and the work provided to them. Our name will be synonymous with the continuous improvement of student achievement and the success of each individual. Our promise is to move from good to great focusing on our core business, the creation of challenging, engaging and satisfying work for each child, every day. This is the St. Lucie Way!

School Board Members Kathryn Hensley, Chairman Troy Ingersoll, Vice Chairman Debbie Hawley, Member Carol A. Hilson, Member Dr. Donna Mills, Member Superintendent of Schools Mr. E. Wayne Gent

Page | 2    

Table of Contents

Table of Contents Contact Information..................................................................................................................5 Summer Program Sites ............................................................................................................6 Summer Program Descriptions ...............................................................................................7 SECTION I HR and Payroll Procedures ...................................................................................................11 CTA Contract Language for Summer School ........................................................................12 Payroll Procedures and Dates ............................................................................................... 14 SECTION II 3rd Grade Camp S’mores ........................................................................................................15 Program Facts and PD Schedules ........................................................................................ 16 Schedule for Testing and Daily Instruction ............................................................................17 School Based Responsibilities .............................................................................................. 18 Flowchart for School Responsibilities .................................................................................... 19 Forms, Applications, and Parent Letters (English, Spanish, & Creole) .................................. 20 SECTION III 21st Century Community Learning Centers ..........................................................................42 Program Facts and PD/Schedule for Daily Instruction .......................................................... 43 Program Applications (English, Spanish, & Creole) .............................................................. 45 SECTION IV Title 1 ESY Grade K, 1st, and 2nd ..........................................................................................87 Program Facts and PD Schedules ........................................................................................ 88 SECTION V Camp Invention for English Language Learners .................................................................89 Program Facts and PD Schedules ........................................................................................ 90 Schedule for Daily Instruction ................................................................................................91

Page | 3    

Table of Contents

Table of Contents Continued… SECTION VI Senior Summer School ..........................................................................................................92 Program Facts and PD Schedules ........................................................................................ 93 SECTION VII ESE Extended School Year....................................................................................................94 Program Facts and PD Schedules ........................................................................................ 95

Page | 4    

Contact Information SUMMER SCHOOL/EXTENDED SCHOOL YEAR CONTACTS INSTRUCTIONAL SUPPORT TEAM LEADERS Program

Contact Person

Telephone/Email

Camp S’mores- 3rd Grade Summer School ESE Extended School Year Senior Summer School Title I- Primary (K-2) Reading Program Title III- Camp Invention for ELL 21st Century Summer Program

Jane Whitaker

429-3640

Bill Tomlinson Lynda Octavi Yvonne Johnson

429-4577 429-7566 429-4639

Clarissa Duskin Kimberly Roberts Terrence Platt

429-5537 429-3957 429-3617

Support Team Leaders Area Budget/Payroll Curriculum Custodial Services Food Service Graduation Ceremony Health Services Instructional Technology Personnel Security Site Maintenance and Operations Transportation

Contact Person Barbara Audette Nick Zrallack Carolyn Rarrieck Deborah Wuest Dr. Kevin Perry Kim Pennington Terence O’Leary Marla Grant Brian Reuther Marty Sanders Don Carter

Telephone 429-3996 429-7546 340-7176 429-6224 429-3909 429-4536 429-7556 429-3973 429-4644 340-7105 429-6206- North 344-4474- South

Page | 5    

Summer Programs Sites Location

Address

Programs

Administrator

Oak Hammock K-8

1251 S.W. California Blvd. Port St. Lucie, FL 34953 Phone: 772-344-4490 Fax: 772-204-7211 2250 S. Jenkins Road Ft. Pierce, FL 34947 Phone: 772-462-8888 Fax: 772-468-5004 1400 Avenue Q Fort Pierce, FL 34950 Phone: 772-468-5330 Fax: 772-468-5334 1806 Avenue I Fort Pierce, FL 34950 Phone: 772-468-5474 Fax: 772-468-5485 1900 South 23rd Street Fort Pierce, FL 34950 Phone: 772-468-5740 Fax: 772-468-5204 1501 S.E. Floresta Drive Port St. Lucie, FL 34983 Phone: 772-340-4755 Fax: 772-340-4756 2420 S.E. Morningside Blvd Port St. Lucie, FL 34952 Phone: 772-337-5900 Fax: 772-337-5903 250 N.W. Floresta Drive Port St. Lucie, FL 34983 Phone: 772-340-4700 Fax: 772-340-4716

 Camp S’mores  ESE ESY

Mrs. Michelle Herrington

Samuel S. Gaines Academy K-8

Francis K Sweet Elementary

Fort Pierce Central High School

Lawnwood Elementary

Floresta Elementary

Southport Middle

Northport K-8

 Camp Smores  ESE ESY  Camp Invention for ELL  21st Century Title I ESY – K, 1, 2

Mr. Alex Oge

Mrs. Lauren Gieseler

Senior Summer School Ms. Megan Guyer 21st Century  Lawnwood Program  C.A. Moore Program

Kimberly Roberts (21st CCLC Project Director)

21st Century

Kimberly Roberts (21st CCLC Project Director)

21st Century

Terrence Platt (21st CCLC Project Director)

21st Century

Terrence Platt (21st CCLC Project Director)

Page | 6    

Program Descriptions Camp S’mores – 3rd Grade St. Lucie Public Schools is providing an opportunity for eligible third grade students to attend a reading camp, entitled CAMP S’MORES. The camp is an opportunity for students who are AT RISK for Retention to receive additional intensive instruction for reading. This is a twenty day program. Students may only miss two days throughout the camp session. More than two absences will result in dismissal from the program. There are three classifications for program eligibility: 1. Student meeting criteria for Good Cause: A student being considered for “good cause” promotion to fourth grade will be promoted regardless of their participation in summer school. However, the student will greatly benefit from the additional summer reading instruction to maintain reading skills to be successful in fourth grade. 2. Student not yet meeting criteria for Good Cause: Promotion to the next grade will be determined by the student’s SAT 10 score. Students that score in the 27th percentile or higher at the end of Camp S’mores will be promoted. Should the score be below the 27th percentile, the student will be retained. 3. Students new to the District: Students new to St. Lucie Public Schools who have not taken the Florida Standards Assessment must demonstrate a level of proficiency in reading prior to being promoted to fourth grade. Promotion to the next grade will be determined by the student’s SAT 10 score. Students that score in the 27th percentile or higher at the end of Camp S’mores will be promoted. Should the score be below the 27th percentile, the student will be retained.

21st Century Community Learning Centers Programs The 21st Century Community Learning Centers summer programs, which are offered at no cost to students or families, provide a safe environment during non-school hours for additional educational opportunities. Each school operates a unique program of services based on the needs of the community, with the same set of goals as its premise using project based learning: Academic Enrichment in Reading and Language Arts, Academic Enrichment in Science and Mathematics, Personal Enrichment, and Educational Services to Adult Family Members. Priority of services is offered to students of Title I eligible schools, with academic needs in Reading and/or Math (Level 1 or 2 on FSA). Each school is limited as to the number of students that can be served and continued funding is contingent on student attendance each day of the program. The summer program is for 20 days from 7:30 to 12:30 p.m. With breakfast and lunch provided for each student.

Title I Extended School Year – K, 1st, 2nd Grade Title I ESY Summer Program is an innovative summer reading camp targeted at current Kindergarten, 1st, and 2nd grade students who are level 1 or 2 and attend a Title I school. Students are invited to participate in the extended school year activities based on their assessment data. The program is designed to assist students in overcoming reading loss that Page | 7    

research has shown occurs during the summer. Small class sizes will be combined with small group instruction and the curriculum is designed to increase their depth of understanding of the concepts presented during the regular school year. The extended summer program will use American Reading 100 Book Challenge Theme Kits. The material is an intervention using close reading of informational text with nonfiction writing to develop academic vocabulary, background knowledge, and test preparedness and proficiency. The program is a six week program.

Camp Invention for English Language Learners Camp Invention for ELLs is a one week summer enrichment program that provides English Language Learners with the opportunity to participate in hands-on Science, Technology, Engineering and Math (STEM) activities. Students will participate in inquiry-based activities with the language support of a bilingual teacher and a bilingual paraprofessional.

Senior Summer School Summer School Instruction: Summer school instruction will be conducted in a computer lab setting where students will work at their own pace to satisfactorily earn credits for completion towards graduation. Summer School Graduation: After successful completion of required credits, summer school students will be eligible to attend a district wide graduation ceremony. The graduation commencement will take place at Fort Pierce Central High School on July 13, 2016. Eligibility Criteria and Special Provisions for Credit Student’s eligiblility to graduate in the July 13, 2016 graduation is determined by the May senior credit check. The students will be able to take core subject area courses such as mathematics, English, social studies/history, and science. Counselors should advise students of the opportunity to attend summer school and make up credits in the credit retrieval labs as needed to graduate in the July 13, 2016 graduation. Students will pace their work and the attempted credit(s) will be earned when the student satisfactorily completes the course(s) for a July 13, 2016 graduation goal. Registration Process Each school’s guidance department will complete their eligible seniors’ applications and deliver the completed applications to the senior summer school principal. Late applications will be accepted after this day, however because of limited space in the labs, registration will be on a first come first served basis. If there are more applicants than available seats, a waiting list will be established by the summer school principal. Page | 8    

Attendance and Discipline 

 

Due to the limited space available and the shortened time frame for completion, students must be in regular attendance to maintain their seat. Therefore, a student who signs up and does not report for the first two (2) days of the session will be dismissed from summer school. Students will be marked tardy after being 15 minutes late to their assigned lab. Students later than 30 minutes will be marked absent for that day’s class. Students are expected to behave appropriately during senior summer school. The principal may immediately dismiss any student from senior summer school for inappropriate behavior.

Graduation of students at the end of summer school Students who satisfactorily earn their required credits for graduation and are cleared by their home school counselor as having met the needed graduation requirements, will participate in the July 13th Summer Graduation.

Extended School Year (ESY) for Students With Disabilities What Are ESY Services? Special education and related services provided to students with disabilities beyond the regular 180-day school year are called extended school year (ESY) services. Under the Individuals with Disabilities Education Act (IDEA), school districts must provide ESY services if the student requires those services in order to receive a free appropriate public education. The most common reason why a student receives ESY services is because it is feared that the student will regress (or lose progress) in critical life skills during time off from school. School districts are not required to provide ESY services to all students with disabilities—only to those who require ESY services. Every student with disabilities has an individual educational plan (IEP) that lists the student’s goals and objectives and the special education and related services that will be provided to help the student succeed. The IEP team decides whether or not the student needs ESY services in or order to receive a free appropriate public education. The IEP team must make their decisions based on the following criteria:  Will the student regress substantially in a critical life skill related to his or IEP goals if ESY services are not provided?  Is the student at a crucial stage in mastering a critical life skill, when a lapse in services would substantially harm the child’s chances of learning that skill?  Is the nature or severity of the student’s disability such that the student will not receive a reasonable level of benefit from his or her educational program during the regular school year if ESY services are not provided?  Are there extenuating circumstances that make it unlikely that the student will receive a free appropriate public education without ESY services? Page | 9    

Services Provided The IEP team determines which services the student will receive during the extended school year period. The team may determine the child needs to continue receiving the same services or only a specific service during the ESY period. The IEP team will determine the type of service, the amount of services provided and the initiation and duration for those services. ESY Services ESY services are provided in a variety of ways for students with disabilities. They may be provided in a school, at a job site, at the public library, or any location that the IEP team determines is most appropriate for the individual student. Teachers may also work with families to develop Extended School Year packets with activities for skill building that the student can work on during the summer. The IEP must always consider the Least Restrictive Environment for the student when making the determination about ESY services. ESY services are provided at no cost to the parent. Specialized transportation is provided to the student to attend ESY services when they are offered on a public school campus. ESY Services as part of Summer School If the IEP team determines that the student with disabilities can participate in an extended school year program aligned with the district’s summer school schedule, the student will receive instruction in the areas specifically outlined in the IEP. These services will also include any related services identified by the IEP team. The IEP team will also determine whether or not the child will follow the proposed daily schedule aligned with the summer school calendar. Contractual Agreements for Teachers during ESY Article IX of the CTA contract for teachers (ratified 12/09/10; 6/27/13) identifies the specific guidelines for the appointment of instructional staff for Extended School Year for Students with Disabilities. Extended School Year Eligibility for teachers is prioritized as follows:  Submittal of an Extended School Year application to the Personnel Office within the advertisement period.  Teachers currently assigned to the students identified as eligible for ESY services.  Recent classroom experience in academic area of certification within the most recent five year period.  Seniority in the district. Contractual Agreements for CU Employees during ESY Classified Unit (CU) employees will be selected on a rotating eligibility system wherein a CU employee who is offered a summer school or Extended School Year position will be placed at the bottom of the eligibility list for the following year. However, in the case of Extended School Year, priority will be given to the paraprofessional’s current work assignment as appropriate. Page | 10    

SECTION I Human Resources and Payroll Procedures

 

Page | 11    

ARTICLE IX  SUMMER SCHOOL AND EXTENDED SCHOOL YEAR 

A. Teachers (Ratified 12/09/10; 6/27/13)

1

Certification and/or Endorsement in the appropriate area required for assignment. Instructional Staff applications and appointments to Summer School Programs are contingent upon the employee being recommended for re-appointment for the upcoming school year. Instructional staff not recommended for reappointment will be removed from the Summer School Programs eligibility lists.

2 3 4 5 6

1. Eligibility

7

a.

8

Extended School Year eligibility will be prioritized as follows:

i. Submittal of an Extended School Year application to the Personnel Office within the advertisement period. ii. Teachers currently assigned to the students identified as eligible for ESY service. iii. Recent classroom experience in academic area of certification within the most recent five year period. iv. Seniority in the district. b. Title 1 Extended School Year eligibility will be prioritized as follows:

9 10 11 12 13 14 15

i. Submittal of a Title I Extended School Year application to the Personnel Office within the advertisement period. ii. Recent classroom experience in grades VPK, K, 1, 2, or 3 within the most recent five year period. iii. Seniority in the district.

16 17 18 19 20 21

c. Camp S’mores eligibility will be prioritized as follows: i. Submittal of a Camp S’mores application to the Personnel Office within the advertisement period.

22 23

ii. Teachers with recent classroom experience with students in grades 2, 3, 4, and 5. Recent experience is defined as within the most recent five year period.

24 25

iii. Seniority in the district.

26 27

d. VPK Summer School Year eligibility will be prioritized as follows: i. Submittal of an Extended School Year application to the Personnel Office within the advertisement period.

28 29

ii. Teachers with recent classroom experience in VPK or K within the most recent five year period. iii. Seniority in the district.

30 31 32 33

e. Senior Summer School eligibility will be prioritized as follows: i. Submittal of an Extended School Year application to the Personnel Office within the

34

Page | 12    

advertisement period. ii. Recent classroom experience in the course(s) offered within the most recent five year period. iii. Seniority in the district.

35 36 37 38 39

f. Twenty-First Century Summer Camp Programs i. Submittal of a 21st Century Summer Camp application to the Personnel Office within the advertisement period. ii. Recent experience with the 21st Century Program within the current grant cycle. iii. Seniority in the district.

40 41 42 43

2. Teachers will be selected on a rotating eligibility system wherein a teacher who is offered a summer school or Extended School year position will be placed at the bottom of the eligibility list for the following year. 3. Teachers shall be notified in writing as to the status of their employment for Summer School of Extended School Year as soon as possible prior to the beginning of Summer School or Extended School Year.

44 45 46 47 48 49

4. If student enrollment requires a reduction in staff at an elementary, middle or high school those lowest in time of service in the district at the affected grade level at the site will be reduced first. Those teachers who are impacted and who taught less than half of the summer school session shall be placed above those who taught for the full summer session on the eligibility list for the following year.

50 51 52 53 54

5. In the event that the District changes the terms under which summer school was negotiated both parties agree to reconvene a summer school subcommittee for collaborative bargaining.

55 56

B. School Psychologists

57

1. School Psychologists who are interested in summer or extra work shall sign up on the extra/summer work list. Psychologists will be selected for extra/summer work based on countywide seniority and those psychologists who did not work summer/extra work assignments the previous year will be given first consideration based upon seniority on the eligibility list. Assignments for extra/summer work will be based on two-day increments where budget permits.

58 59 60 61 62 63

2. School Psychologists who have not completed their mentoring program are not eligible for extra/summer work list until the mentoring process is completed.

64 65

3. If a School Psychologist accepts an extra work assignment and then declines he/she will be placed at the bottom of the eligibility list for the following year. (Ratified 12/2008)

66 67

Page | 13    

PAYROLL SCHEDULE

DATES

PAY DATE

June 2- June 30

Paid on July 15

July 1 – July 15

Paid on July 29

Site administrators will share sign in procedures as it relates to payroll. Substitute Teachers In the event of an emergency requiring a substitute, teachers should notify the summer school principal. Teachers should not contact a substitute independently. An approved substitute list will be provided by Human Resources. Only substitute teachers from this list can be utilized.

Page | 14    

SECTION II Camp S’mores

 

Page | 15    

Program Facts – Camp S’mores 3rd Grade students at risk for retention/ Retention from all elementary schools and Good Cause Oak Hammock K-8 / Samuel S. Gaines Academy K-8 Sites Week 1 – June 2nd & 3rd (Professional Development and classroom Dates Preparation) Week 2 – June 6th – 10th Week 3 – June 13th – 17th Week 4 – June 20th 24th Week 5 – June 27th – July 1st (July 1st-Extended for teachers for closure procedures) Students: 8:30 am – 12:00 pm Times Teachers: 8:00 am – 12:30 pm Pupil-Teacher Ratio 15:1 Buses provided Transportation Breakfast and lunch provided Food Service SAT 10 and other benchmark assessments for fluency and Assessment comprehension Pre-test May 23-27 Post-test June 30 Assessments and instructional program Teacher Professional Development Target Population

Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ OAK K – 8 Welcome, Housekeeping, Instructional Materials, Daily Schedule, 8:00 – 11:30 Summer Reading Program Training (@ District Office) Lunch on your own 11:30 – 12:30 i-Ready, Materials Checkout, and Classroom Prep 12:30 – 3:30 Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ SGA K - 8 Welcome, i-Ready, Materials Checkout, and Classroom Prep 8:00 – 11:30 Lunch on your own 11:30 – 12:30 Housekeeping, Instructional Materials, Daily Schedule, 12:30 – 3:30 Summer Reading Program Training (@ District Office) Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ OAK K – 8 and SGA K - 8 Welcome, Copier and Attendance Procedures (Faculty and Staff) 8:00 – 8:30 Overview of Emergency Procedures 8:30 – 9:00 CHAMPS 9:00 – 10:30 General Q & A 10:30 – 11:00 Lunch on your own 11:00 – 12:00 Classroom Prep 12:00 – 3:30

Page | 16    

Schedule for Testing:

May 23rd or 24th: Administer Pre-test (Summer Resource) June 29th: Administer SAT-10 June 30th: Administer SAT-10 (Make-up) Schedule for the Final Day (July 1st): Follow the regular daily schedule. Teachers will be paid for two hours beyond the regular work day for classroom clean up and inventory of materials.

Schedule for Daily Instruction: CAMP S’MORES Time

Reading Instruction

8:15-8:30 8:30-8:40

BREAKFAST  Word Work (Phonics & Phonemic Awareness)

8:40-8:50



Fluency

8:50-9:30

 

Language Development Reading Comprehension

9:30-11:00



Small Group Rotation  Teacher-led Instructional Reading/Writing to Learn  Independent Reading Skills Practice/Independent Reading  i-Ready Reading (Technology)

11:00-11:20



Independent Reading with Conferencing

11:20-12:00 12:00

Read Aloud/Think Aloud Group 1 – 11:45 – 12:00 Group 2 – 11:20 – 11:35

Lunch (Cafeteria) Group 1 – 11:20 – 11:40 Group 2 – 11:40 – 12:00 Dismissal

Page | 17    

SCHOOL BASED RESPONSIBILITIES for CAMP S’MORES Steps to Ensure Success 1. Review electronic spreadsheet of test scores sent by Kathy Dailey, and identify all students who scored Level 1 on the FSA ELA. 2. Of these identified students, determine who is eligible for Good Cause. Complete Good Cause Registration Forms and submit to Kathleen Dailey and approval by the Superintendent. 3. For the remaining identified students, schedule students to sit for the May SAT 10 test administration. (Any student receiving a score of 45 percent or better on SAT 10 will also be a Good Cause candidate.) 4. Send Parent Letter and Registration Form home to the following students: a) Good Cause students b) FSA Level 1 (Retained) who did not take or pass the May SAT 10 c) New to District and have not taken FSA 5. Schools will collect all registration forms and input data into Skyward no later than Friday, May 27, 2016. 6. Transportation routes will be completed by Thursday, June 2, 2016. 7. The Transportation department will communicate routes to parents via ConnectEd. The primary phone number listed in Skyward will used for this communication.

If you have questions, please call Jane Whitaker @ 429-3640 or email [email protected]

Page | 18    

Flowchart depicting these steps  Review electronic spreadsheet and identify all students who are At Risk for Retention and recommended  for ELA support.      For students  who ARE eligible  for Good Cause…  Cause 

For students  NOT eligible for  Good Cause… 

Good  Cause  approved 

Complete and send  Good Cause form  to Kathleen Dailey  in the Assessment  Office  

Good Cause  NOT  approved 

Deadline  5/26/2016  

Schedule  the May  SAT 10 and  complete  Portfolio  tests  

Send “Good Cause”  Parent Letter and  Registration forms  home 

Students who  pass the SAT  10 at the 45th  percentile or  better of the  portfolio at  65% or better 

Retained  3rd graders  and 3rd  graders  new to the  District  without a  score for  FSA ELA 

Send Parent  Letter and  registration  forms home. 

Students  who do not  pass or who  are new to  District with  no score 

School sites inform  parents of summer  school site and bus  route information  prior to Thursday,  June 2, 2016. 

Transportation routes built  based on registration  forms. Route information  provided to parents via  ConnectEd and to  individual schools. 

Schools will  collect all  registration  forms and input  data into  Skyward  Deadline  5/24/16  Page | 19  

 

St. Lucie County School Board  Good Cause Exemption Form    Student Identification # _________________________ 

School ______________________________ 

Student Name: _____________________________________________ has been promoted for one or more of the following good cause exemptions.  The principal should complete this form and make 2 copies; 1 copy is sent to the Superintendent with supporting documentation for his signature; 1 copy is sent to the parent and the original kept on file at school. Superintendent’s copy with supporting documentation should be sent to the Assessment and Accountability Department, Attention: Kathleen Dailey.    1.  The student is a Limited English Proficient (LEP) student who has had less than 2 years of instruction in an English for Speakers of Other Languages (ESOL) program.    2.  The Individual Education Plan (IEP) indicates that participation in the statewide assessment program is not appropriate for the student.    3.  The student has demonstrated an acceptable level of performance on an alternative standardized reading assessment approved by the State Board of Education (SAT-10).    4.  The student has demonstrated, through a student portfolio, that the student is reading on grade level as evidenced by demonstration of mastery of the content standards in reading equal to at least a Level 2 performance on the FSA ELA.    5.  The student participated in the FSA ELA and has an IEP or a Section 504 plan that reflects the student has received intensive remediation as required by Florida law for more than two years but still demonstrates a deficiency in reading and has been retained once in either kindergarten, first, second, or third grade.    6.  The student has received the intensive remediation in reading as required by Florida Statute for two or more years but still demonstrate a deficiency in reading and was previously retained in kindergarten, first, second, or third grade for a total of two years.    7.  The student has received intensive reading intervention for two or more years but still demonstrates a deficiency in reading and was previously retained in kindergarten, first, second, or third grade for a total of two years. A student may not be retained more than once in third grade.  [ 

 

] Accept 

[ 

] Reject 

Additional Comments: __________________________________________________________________  _____________________________________________________________________________________    ________________________________________  Principal’s Signature 

________________________________  Superintendent’s Signature 

Date: __________________________ 

Date: __________________________ 

 

 

Page | 20    

Dear Parent/Guardian of a “Good Cause” Student:     The St. Lucie County School Board is providing an opportunity for eligible third grade students to  attend a reading camp, entitled CAMP S’MORES. The camp is an opportunity for students who are At  Risk for Retention to receive additional intensive instruction in reading. This opportunity is being  offered to students who are also being promoted with “good cause” to fourth grade. While your child  will be promoted, your child would benefit by the additional reading instruction to maintain reading  skills to be successful in fourth grade.     The SAT 10 will be administered the last week of summer school to students who are being retained in  third grade. Since your child will be promoted to fourth grade, he or she will not take the SAT 10;  however, your child MUST attend Camp S’mores on the date the test is given. Your child will continue  to receive instruction on that day.    

Students may only miss two days throughout the camp session.   More than two absences will result in dismissal from the program. Please  plan vacation dates accordingly.     Please complete the registration form and return it to your child’s teacher immediately. Forms must be  turned in no later than May 26, 2016.        IMPORTANT INFORMATION AND DATES:  WHAT: Third Grade Reading Camp S’mores  WHEN: Monday, June 6, 2016 ‐ Friday, July 1,  2016    Monday ‐ Friday, 8:30 a.m. to 12:00 p.m.  WHERE: School site is assigned by zones. Bus transportation will be provided.  The site for your child will be assigned by transportation depending on the following: 

  

Green Zone Schools – Samuel S. Gaines Academy K‐8  Red Zone Schools – Oak Hammock K‐8  Blue Zone Schools – Oak Hammock K‐8 

Sincerely,           Principal   

  Page | 21    

CAMP S’MORES  2016  Elementary Reading Camp Registration Form  “Good Cause” Student   

Please return registration by May 26, 2016.    Student Name: ______________________________School: ______________________   Home Address: __________________________________________________________                                         Street                                                        City                                            State Zip Code  

  Phone Number Where Parent Can Be Reached:   Home__________________ Work __________________ Cell _________________   Will your child need transportation for reading camp?         Yes           No     (circle one)     If yes for transportation, you must provide the same pick‐up and drop‐off address:     Address for morning pick up/afternoon drop off:   ______________________________________________________________________   Please check one:     _______Option 1: My child will attend summer reading camp, but will not take the SAT 10.   I understand my child is being promoted with “good cause” to fourth grade.     _______Option 2: My child will not attend the reading camp.     Parent Name (Print)_____________________________________________________________     Parent Signature: ________________________________________ Date: __________________  

  Students may only miss two days throughout the camp session.  More than two absences will result in dismissal from the program. Please plan vacation dates accordingly.   

 

Page | 22    

Dear Parent/Guardian:   

The St. Lucie County School Board is providing an opportunity for eligible third grade students to attend a reading camp entitled CAMP S’MORES.  The  camp  is  an  opportunity  for  students who are At Risk for Retention to receive additional intensive instruction in reading. However, attendance does not result in automatic promotion to the next grade.   

State law allows students who are At Risk for Retention to be promoted if they can demonstrate reading proficiency on another State-approved reading test. The State of Florida has approved the SAT 10, a nationally recognized reading test, to meet this requirement of the law.   

Promotion to the next grade will be determined by your son’s/daughter’s score on the SAT  10. If your child scores in the 27th percentile or higher, he/she will be promoted. Should he/she score below the 27th percentile, he/she will be retained. Our hope is that with the additional instruction, your child will then take the SAT 10 and meet the state required 27th percentile or better score.   

Students may only miss two days throughout the camp session. More than two absences will result in dismissal from the program. Please plan vacation dates accordingly.  Please complete the registration form and return it to your child’s teacher immediately. Forms must be turned in no later than May 26, 2016.   

IMPORTANT INFORMATION AND DATES:  WHAT: Third Grade Reading Camp S’mores  WHEN: Monday, June 6, 2016 ‐ Friday, July 1, 2016    Monday ‐ Friday, 8:30 a.m. to 12:00 p.m.  WHERE: School site is assigned by zones. Bus transportation will be provided.  The site for your child will be assigned by transportation depending on the following: 

  

Green Zone Schools – Samuel S. Gaines Academy K‐8  Red Zone Schools – Oak Hammock K‐8  Blue Zone Schools – Oak Hammock K‐8 

 

Sincerely,   Principal 

Page | 23    

CAMP S’MORES  2016  Third Grade Reading Camp Registration Form   

Please return registration by May 26, 2016.      Student Name: ____________________________  School: _________________________    Home Address:_________________________________________________________________    Street  City, State  Zip Code    Phone Number Where Parent Can Be Reached:    Home __________________  Work __________________  Cell__________________      Will your child need transportation for reading camp?  Yes  No  (circle one)      If yes for transportation, you must provide the same pick-up and drop-off address:      Address for morning pick up/afternoon drop off:        Please check one:        Option 1: My child will attend summer reading camp and take the SAT 10.  This option is highly recommended. I understand my child must score in the 27th percentile or higher on the SAT 10 to be promoted.        Option 2: My child will not attend the reading camp nor will my child take the SAT10.   I understand that this will result in my child being retained.      Parent Name (Print) _____________________________________________________________      Parent Signature: ____________________________________  Date: ___________________  Dear Parent/Guardian of a New Student:  Page | 24    

  State law requires all 3rd grade students to demonstrate reading proficiency based on specific assessment criteria. Students new to the district who have not taken the FSA assessment must also demonstrate a level of proficiency in reading prior to being promoted to fourth grade. State law allows students who are At Risk for Retention to be promoted if they can demonstrate reading proficiency on another state-approved reading test. The State of Florida has approved the SAT 10, a nationally recognized reading test, to meet this requirement of the law.  Since your child is new to the district, your child is eligible to attend a reading camp, CAMP S’MORES. The camp is an opportunity for students to receive additional intensive instruction in reading and take the state-approved reading test to demonstrate proficiency.  Promotion to the next grade will be determined by your son’s/daughter’s score on the SAT 10. If your child scores in the 27th percentile or higher, he/she will be promoted. Should he/she score below the 27th percentile, he/she will be retained. 

Students may only miss two days throughout the camp session. More than two absences will result in dismissal from the program. Please plan vacation dates accordingly.  Please complete the registration form and return it to your child’s teacher immediately. Forms must be turned in no later than May 26, 2016.    IMPORTANT INFORMATION AND DATES:  WHAT: Third Grade Reading Camp S’mores  WHEN: Monday, June 6, 2016 ‐ Friday, July 1, 2016    Monday ‐ Friday, 8:30 a.m. to 12:00 p.m.  WHERE: School site is assigned by zones. Bus transportation will be provided.  The site for your child will be assigned by transportation depending on the following: 

  

Green Zone Schools – Samuel S. Gaines Academy K‐8  Red Zone Schools – Oak Hammock K‐8  Blue Zone Schools – Oak Hammock K‐8 

  Sincerely,   Principal 

Page | 25    

CAMP S’MORES  2016  Third Grade Reading Camp Registration Form  NEW STUDENT   

Please return registration by May 26, 2016.      Student Name: ____________________________  School: _________________________    Home Address:_________________________________________________________________    Street  City, State  Zip Code    Phone Number Where Parent Can Be Reached:    Home __________________  Work __________________  Cell__________________    Will your child need transportation for reading camp?  Yes  No  (circle one)    If yes for transportation, you must provide the same pick-up and drop-off address:    Address for morning pick up/afternoon drop off:        Please check one:      Option 1: My child will attend summer reading camp and take the SAT 10.  This option is highly recommended. I understand my child must score in the 27th percentile or higher on the SAT 10 to be promoted.      Option 2: My child will not attend the reading camp nor will my child take the SAT10.   I understand that this will result in my child being retained.      Parent Name (Print) _____________________________________________________________      Parent Signature: ____________________________________  Date: ___________________   

Students may only miss two days throughout the camp session. More than two absences will result in dismissal from the program. Please plan vacation dates accordingly.   

 

Page | 26    

 

Transportation Letter   

Dear Parent/Guardian:   

Your child,  has been assigned to ________________________ for the  St. Lucie County School District’s third grade reading camp, entitled Camp S’mores. It begins on  Monday, June 6th and ends on Friday, July 1st.    Third Grade reading camp is for:   all third graders who are At Risk for Retention   all “Good Cause” promoted students    The summer reading program is an opportunity to meet your child’s individual learning needs and to enhance and maintain his or her reading skills.   

Students must be in regular attendance to maintain progress due to the shortness of the session. A student may miss only two days throughout the camp session. More than two absences will result in dismissal from the program. Please plan vacation dates accordingly.      If you have any questions, please contact me at 

_. 

Sincerely,     

Principal       

TRANSPORTATION INFORMATION 

 

Student Name:      Bus #   

    

 

will pick him/her up at   

The pickup time is   

. 

AM. 

He/she will be returned to this bus stop at   

PM. 

 

 

Page | 27    

Estimados(as) Padres/Madres/Encargados(as) de Estudiante de “Good Cause”:

El Departamento de Educación del Condado de St. Lucie estará proveyendo la oportunidad de asistir al programa de Verano “CAMP S’MORES” a estudiantes del tercer grado que cualifiquen. Este campamento es una oportunidad para recibir instrucción intensiva en la lectura para estudiantes a riesgo de ser retenidos. Esta oportunidad está siendo ofrecida a estudiantes que están siendo promovidos al cuarto grado con el estatus de “good cause” (“buena causa”). Su hijo(a) se beneficiará de enseñanza adicional que le ayudará a mantener destrezas de lectura que promoverán el éxito de su hijo(a) en cuarto grado. El SAT 10 será administrado la ultime semana del campamento a estudiantes que serán retenidos en el tercer grado. Ya que su hijo(a) será promovido al cuarto grado, él o ella no tomará el SAT 10 sin embargo su hijo(a) debe asistir la escuela en ese día. Los(as) estudiantes sólo pueden ausentarse dos días a través de toda la sesión del campamento. Más de dos ausencia traerá como consecuencia el despido del programa. Por favor planifique vacaciones con esto en mente. Por favor complete el formulario de registración y devuelva inmediatamente al/la maestro(a) de su hijo(a). El formulario de registración debe ser devuelta en o antes del 26 de mayo, 2016.

INFORMACION Y FECHAS IMPORTANTES: QUE: Camp S’MORES – Programa de Verano de Lectura para Tercer Grado  CUANDO: lunes, 6 de junio – viernes, 1 de julio, 2016  lunes‐ viernes, 8:30 a.m. a 12:00 p.m.   DONDE: La escuela será asignada por zonas. Se proveerá transportación.  La escuela será asignada por la transportación dependiendo de lo siguiente:    

Escuelas en la Zona Verde – Samuel Gaines Academy K‐8  Escuelas en la Zona Roja – Oak Hammock K‐8  Escuelas en la Zona Azul – Oak Hammock K‐8 

Sinceramente, Administrador de Escuela de Verano

Page | 28    

CAMP S’MORES  2016  Formulario de Inscripción Elemental del Campamento de Lectura Estudiantes   Promovidos con “Good Cause” Buena Causa   

Favor de devolver en o antes del 26 de mayo, 2016.    Nombre del Estudiante ______________________________ Escuela: ________________________   Dirección: ______________________________________________________________________  

Calle 

Ciudad, Estado 

Código Postal 

  Teléfono donde el padre/madre pueda ser contactado(a):  Hogar ____________________ Trabajo _____________________ Celular ____________________   ¿Necesitará su niño(a) transporte para el campamento?  Si  No  (circule uno)    Si contestó Si, usted debe proveer la misma dirección para recoger y devolver a su hijo(a).    Dirección en la mañana (recogido) y medio día (devuelta):  ______________________________________________________________________________   Marque la opción deseada:      Opción 1: Mi hijo(a) asistirá al campamento de lectura de verano, pero no tomará SAT  10. Entiendo que será promovido para el cuarto grado con buena causa “good  cause.”      Opción 2: Mi hijo(a) no asistirá al campamento de lectura    Padre/Madre: ____________________________________________________________________________    Firma del Padre/Madre: ____________________________________________ Fecha: _________________ 

  Los(as) estudiantes sólo pueden ausentarse dos días a través de toda la sesión del campamento. Más de dos ausencia traerá como consecuencia el despido del programa. Por favor planifique vacaciones con esto en mente.     

 

Page | 29    

Estimados(as) Padres/Madres:

El Departamento de Educación del Condado de St. Lucie estará proveyendo la oportunidad de asistir al programa de Verano “CAMP S’MORES” a estudiantes del tercer grado que cualifiquen. Este campamento es una oportunidad para recibir instrucción intensiva en la lectura para estudiantes a riesgo de ser retenidos. Sin embargo, el asistir no tendrá como resultado la promoción para el siguiente grado. Leyes estatales permiten promover estudiantes en riesgo de ser retenidos si demuestran competencia en la lectura en otra prueba reconocida por el estado. El Estado de Florida ha aprobado el SAT 10, prueba nacionalmente reconocida que cumple este requisito de la ley. La promoción al próximo grado será determinada por la puntuación de su hijo(a) en la prueba del SAT 10. Si su niño(a) obtiene un percentil de 27 o más alto, él/ella será promovido(a). Si el/ella obtiene un percentil por debajo de 27, él/ella será retenido(a). Nuestra esperanza es que con la instrucción adicional, su niño tomará el SAT 10 y obtendrá un percentil 27 o mejor. Los/as estudiantes sólo pueden ausentarse dos días a través de toda la sesión de campamento. Más de dos ausencia conducirá al despido del programa. Por favor planifique vacaciones con esto en mente. Por favor complete el formulario de registración y devuelva inmediatamente al/la maestro(a) de su hijo(a). El formulario de registración debe ser devuelta en o antes del 26 de mayo, 2016.

INFORMACION Y FECHAS IMPORTANTES: QUE: Camp S’MORES – Programa de Verano de Lectura para Tercer Grado  CUANDO: lunes, 6 de junio – viernes, 1 de julio, 2016   lunes‐ viernes, 8:30 a.m. a 12:00 p.m.   DONDE: La escuela será asignada por zonas. Se proveerá transportación.    La escuela será asignada por la transportación dependiendo de lo siguiente:   Escuelas en la Zona Verde – Samuel Gaines Academy K‐8   Escuelas en la Zona Roja – Oak Hammock K‐8   Escuelas en la Zona Azul – Oak Hammock K‐8  Sinceramente, Administrador de Escuela de Verano

Page | 30    

CAMP S’MORES  2016  Formulario de Inscripción para el Campamento de Lectura para Tercer Grado   

Favor de devolver en o antes del 26 de mayo, 2016.      Nombre del Estudiante: ____________________________  Escuela: ___________________    Dirección:_____________________________________________________________________    Calle  Ciudad, Estado  Código Postal    Teléfono donde el padre/madre pueda ser contactado(a):    Hogar __________________  Trabajo __________________  Celular ________________    ¿Necesitará su niño(a) transporte para el campamento?  Si  No  (circule uno)    Si contestó Si, usted debe proveer la misma dirección para recoger y devolver a su hijo(a).    Dirección en la mañana (recogido) y medio día (devuelta):        Marque la opción deseada:       Opción 1:  Mi hijo(a) asistirá al campamento de lectura de verano, y tomará SAT 10.  Se recomienda esta opción. Entiendo que mi hijo(a) debe obtener una puntuación  de percentil de 27 o mas alto en el SAT 10 para ser promovido(a).       Opción 2:  Mi hijo(a) no asistirá al campamento de lectura de verano, y no tomará SAT   10.  Entiendo que esto tendrá como resultado el que mi hijo(a) será retenido.    Padre/Madre _________________________________________________________________________    Firma del Padre/Madre: ____________________________________  Fecha: __________________      Los estudiantes sólo pueden ausentarse dos días a través de toda la sesión de campamento. Más  de dos ausencia conducirá al despido del programa. Por  favor planifique vacaciones con esto en  mente.   

Page | 31    

Estimados Padres/Madres de Estudiantes Nuevos(a): 

  Leyes estatales requieren que todos(as) los(as) estudiantes en tercer grado demuestren competencia en la lectura basada en criterios específicos de evaluación. Los(as) estudiantes nuevos(as) al distrito que no han tomado el examen FSA también deben demostrar un nivel de competencia en lectura antes de ser promovidos al cuarto grado.  Leyes estatales permiten promover estudiantes en riesgo de ser retenidos si demuestran competencia en la lectura en otra prueba reconocida por el estado. El Estado de Florida ha aprobado el SAT 10, prueba nacionalmente reconocida que cumple este requisito de la ley.  Ya que su niño(a) es nuevo(a) en el distrito, su niño(a) tiene derecho a asistir al campamento de lectura, CAMP  S’MORES. Este campamento es una oportunidad para recibir instrucción intensiva en lectura y tomar la prueba aprobada por el estado para demostrar competencia en lectura.  La promoción al próximo grado será determinada por la puntuación de su hijo(a) en la prueba del SAT 10. Si su niño(a) obtiene un percentil de 27 o más alto, él/ella será promovido(a). Si el/ella obtiene un percentil por debajo de 27, él/ella será retenido(a). 

Los/as estudiantes sólo pueden ausentarse dos días a través de toda la sesión de campamento. Más de dos ausencia conducirá al despido del programa. Por favor planifique vacaciones con esto en mente.  Por favor complete el formulario de registración y devuelva inmediatamente al/la maestro(a) de su hijo(a). La forma de registración debe ser devuelta en o antes del 26 de mayo, 2016. 

  INFORMACION Y FECHAS IMPORTANTES:  QUE: Camp S’MORES – Programa de Verano de Lectura para Tercer Grado  CUANDO: lunes, 6 de junio – viernes, 1 de julio, 2016  lunes‐ viernes, 8:30 a.m. a 12:00 p.m.  DONDE: La escuela será asignada por zonas. Se proveerá transportación.  La escuela será asignada por la transportación dependiendo de lo siguiente:  •  Escuelas en la Zona Verde – Samuel S. Gaines K‐8  •  Escuelas en la Zona Roja – Oak Hammock K‐8  •  Escuelas en la Zona Azul – Oak Hammock K‐8    Sinceramente,  Administrador de Escuela de Verano 

Page | 32    

CAMP S’MORES  2016  Formulario de Inscripción Elemental del Campamento de Lectura  ESTUDIANTES NUEVOS   

Favor de devolver en o antes del 26 de mayo, 2016.      Nombre del Estudiante: ___________________________  Escuela: _________________________    Dirección:___________________________________________________________________________    Calle  Ciudad, Estado  Código Postal    Teléfono donde el padre/madre pueda ser contactado(a):    Hogar  ____________________  Trabajo ___________________  Celular  ____________________    ¿Necesitará su niño(a) transporte para el campamento?  Si  No  (circule uno)    Si contestó Si, usted debe proveer la misma dirección para recoger y devolver a su hijo(a).    Dirección en la mañana (recogido) y medio día (devuelta):        Marque la opción deseada:      Opción 1:  Mi hijo(a) asistirá al campamento de lectura de verano, y tomará SAT 10.  Se recomienda esta opción. Entiendo que mi hijo(a) debe obtener una puntuación de  percentil de 27 o mas alto en el SAT 10 para ser promovido(a).      Opción 2:  Mi hijo(a) no asistirá al campamento de lectura de verano, y no tomará SAT 10.  Entiendo que esto tendrá como resultado el que mi hijo(a) será retenido.      Padre/Madre _______________________________________________________________________    Firma del Padre/Madre: ____________________________________  Fecha: ___________________     

Los estudiantes sólo pueden ausentarse dos días a través de toda la sesión de campamento. Más de dos ausencia conducirá al despido del programa. Por favor planifique vacaciones con esto en mente.   

  Page | 33    

Carta para la Transportación  Estimado Padre/Madre o Encargado(a): 

  Su hijo(a),   ha sido asignado a ________________________  para  campamento de verano para el tercer grado Camp S’mores del condado de St. Lucie. El campamento  comenzará el lunes, 6 de junio y terminará el viernes, 1 de julio del 2016. 

  El campamento de tercer grado es para: 

 todos los(as) estudiantes de tercer grado a riesgo de ser retenidos   estudiantes que están siendo promovidos por Buena Causa “Good Cause”  Este programa de verano es una oportunidad para satisfacer las necesidades académicas individuales de  su hijo(a) y para mejorar y mantener sus habilidades en la lectura. 

  Debido a la duración del campamento, los(as) estudiantes deben asistir regularmente y mantener un  progreso adecuado. Los/as estudiantes sólo pueden ausentarse dos días a través de toda la sesión de  campamento. Más de dos ausencia conducirá al despido del programa. Por favor planifique vacaciones  con esto en mente. 

  Si tiene preguntas por favor comuníquese con nosotros al 

_. 

Sinceramente,  Administrador de Escuela de Verano 

Información para la Transportación  Nombre del Estudiante:    Autobús #   

 

  

recogerá a su hijo(a) en    

_. 

La hora de recogido es    

AM.   

El/ella regresará a la parada del autobús a _____________PM. 

Page | 34    

Chè Paran de yon Elèv ki gen “Bon Kòz” pou pwomosyon:

Konsèy Edikasyon Lekòl nan Kanton St. Lucie ap founi yon opòtinite a elèv-yo ki nan twazyèm grad ki elijib pou ale nan yon kan de lekti ki rele “CAMP S’MORES”. Kan sa-a se yon opòtinite pou elèv-yo ki Nan Risk pou Retansyon pou resevwa enstriksyon entansif adisyonèl nan lekti. Y- ap ofri opòtinite sa-a a elèv-yo ke y-ap pwomote nan katryèm grad avèk “bon kòz”. Pandan y-ap pwomote pitit ou-a, pitit ou-a ta benefisye de enstriksyon adisyonèl nan lekti pou mentni abilite-l nan lekti pou li ka gen siksè nan katryèm grad. Yo pral administre tès SAT 10 nan dènye semèn lekòl-la a elèv-yo ke y-ap retni nan twazyèm grad. Piske yo pral pwomote pitit ou-a nan katryèm grad, li p-ap gen pou-l pran tès SAT 10 a, sepandan pitit ou-a DWE ale nan Camp S’mores nan dat sa-a. Pitit ou-a pral resevwa enstriksyon nan jou sa-a. Elèv-yo andwa manke sèlman yon jou toutokou de sesyon kan-an. Plis pase yon absans pral lakòz yo ranvwaye-l de pwogram nan. Tanpri fè plan pou dat vakans-ou kòmsadwa. Tanpri konplete fòm rejistrasyon-an epi retounen-l bay pwofesè pitit ou-a imedyatman. Fòm-yo dwe retounen pa pita ke 26 Me 2016.

ENFÒMASYON AK DAT ENPÒTAN: KI SA:   Kan de Lekti pou Twazyèm Grad “Camp S’mores”  KI LÈ:   Lendi, 6 jen, 2016 –Vandredi, 1 Jiyè, 2016  Lendi ‐ Vandredi, 8:30 a.m. a 12:00 p.m.  KI KOTE: Yo asiyen lekòl pa zòn. Yo pral founi transpòtasyon.  Lekòl pou pitit ou‐a  pral asiyen  pa transpòtasyon epi depann de bagay sa‐yo:    

Lekòl‐yo ki nan Zòn Vè – Samuel Gaines Academy K‐8  Lekòl‐yo ki nan Zòn Rouj – Oak Hammock K‐8  Lekòl‐yo ki nan Zòn Ble – Oak Hammock K‐8 

Sensèman, Administratè Lekòl d’Ete

Page | 35    

CAMP S’MORES 2016  Fòm Rejistrasyon pou Kan de Lekti pou Klas Elemantè Elèv ki gen “Bon Kòz”   

Tanpri retounen anvan 26 Me 2016     

Non Elèv-la: __________________________________ Lekòl-li: _____________________________     Adrès Lakay:   Non Ri-a 

 

Vil, Eta 

Sipkòd 

 

Nimewo Telefòn Kote Yo Kapab Jwen Paran:    

Lakay ______________________ Nan Travay __________________Mobil ______________________    Èske pitit ou-a pral bezwen transpòtasyon pou ale nan kan lekti-a ?  Wi 

Non 

(Sèke youn) 

 

Si ou di wi pou transpòtasyon, ou dwe founi menm adrès pou monte ak desann otobis-la:   

Adrès pou monte nan matin/desann nan aprèmidi:     

  Tanpri tcheke youn:   

  

Opsyon 1: Pitit mwen-an p ral ale nan kan d e lekti d ’ét é -a, men p-ap pran tès SAT 10 Mwen konprann ke y-ap pwomote pitit mwen-an nan katryèm gradpou “bon  kòz”. 

 

Opsyon 2: Pitit mwen-an pa prale nan kan de lekti-a. 

     

Paran:  

 

 

Dat:  

Siyati de Paran: 

 

 

Elèv‐yo andwa manke sèlman yon jou toutokou de sesyon kan‐an. Plis  pase yon absans pral lakòz yo ranvwaye‐l de pwogram nan. Tanpri fè plan  pou dat vakans‐ou kòmsadwa. 

Page | 36    

Chè Paran: Konsèy Edikasyon Lekòl nan Kanton St. Lucie ap founi yon opòtinite a elèv-yo ki nan twazyèm grad ki elijib pou ale nan yon kan de lekti ki rele “CAMP S’MORES”. Kan sa-a se yon opòtinite pou elèv-yo ki Nan Risk pou Retansyon pou resevwa enstriksyon entansif adisyonèl nan lekti. Sepandan, pa gen rezilta de pwomosyon otomatik nan grad ki vini aprèa. Lalwa Eta Florida pèmèt pou pwomote elèv-yo ki Nan Risk pou Retansyon si yo kapab demontre abilite lekti-yo nan yon lòt tès ke Eta Florida apwouve. Eta Florida apwouve SAT 10, yon tès de lekti ke yo rekonèt nasyonalman, pou jwen demand sa-a de lwa-a. Pwomosyon nan grad ki vinn aprè-a pral detèmine pa eskò de pitit gason oubyen pitit fi-ou nan tès SAT 10. Si pitit ou-a eskò nan ranj de 27 pousan oubyen pi wo, yo pral pwomote-l. Si li ta eskò anba ranj 27 pousan, yo pral retni-l. Espwa nou se ke avèk enstriksyon adisyonèlla, pitit ou-a pral alò pran tès SAT 10 epi jwen 27 pousan oubyen meyè ke Eta Florida mande. Elèv-yo andwa manke sèlman yon jou toutokou de sesyon kan-an. Plis pase yon absans pral lakòz yo ranvwaye-l de pwogram nan. Tanpri fè plan pou dat vakans-ou kòmsadwa. Tanpri konplete fòm rejistrasyon-an epi retounen-l bay pwofesè pitit ou-a imedyatman. Fòm-yo dwe retounen pa pita ke 26 Me 2016.

ENFÒMASYON AK DAT ENPÒTAN: KI SA: Kan de Lekti pou Twazyèm Grad “Camp S’mores” KI LÈ: Lendi, 6 jen, 2016 –Vandredi, 1 Jiyè, 2016 Lendi - Vandredi, 8:30 a.m. a 12:00 p.m. KI KOTE: Yo asiyen lekòl pa zòn. Yo pral founi transpòtasyon. Lekòl pou pitit ou-a pral asiyen pa transpòtasyon epi depann de bagay sa-yo:  Lekòl-yo ki nan Zòn Vè – Samuel Gaines Academy K-8  Lekòl-yo ki nan Zòn Rouj – Oak Hammock K-8  Lekòl-yo ki nan Zòn Ble – Oak Hammock K-8

Sensèman Administratè Lekòl d’Ete

Page | 37    

CAMP S’MORES  2016  Fòm de Rejistrasyon Kan de Lekti Twazyèm Grad    Tanpri retounen anvan 26 Me 2016     

Non Elèv-la: __________________________________ Lekòl-li: _____________________________     Adrès Lakay:   Non Ri-a 

 

Vil, Eta 

Sipkòd 

 

Nimewo Telefòn Kote Yo Kapab Jwen Paran:    

Lakay ______________________ Nan Travay __________________Mobil ______________________    Èske pitit ou-a pral bezwen transpòtasyon pou ale nan kan lekti-a ?  Wi 

Non 

(Sèke youn) 

 

Si ou di wi pou transpòtasyon, ou dwe founi menm adrès pou monte ak desann otobis-la:   

Adrès pou monte nan matin/desann nan aprèmidi:     

  Tanpri tcheke youn:   

  

Opsyon 1: Pitit mwen-an p ral ale n an kan de lekti d ’ét é -a epi ap pran tès SAT 10 a.  Opsyon sa-a trè rekòmande. Mwen konprann ke pitit mwen-an dwe jewn yon eskò de 27 pousan oswa pi wo nan SAT 10 pou yo pwomote-l. 

 

Opsyon 2: Pitit mwen-an pa prale n an kan de lekti d ’ét é -a ni pa pral pran tès SAT 10 .  Mwen konprann ke sa pral lakoz yo retni pitit mwen-an. 

 

   

Paran:  

 

 

Dat:  

Siyati de Paran: 

 

 

Elèv‐yo andwa manke sèlman yon jou toutokou de sesyon kan‐an. Plis  pase yon absans pral lakòz yo ranvwaye‐l de pwogram nan. Tanpri fè plan  pou dat vakans‐ou kòmsadwa.  Page | 38    

Chè Paran de yon Elèv ki Nouvo: Lalwa Eta Florida egzije ke pou tout elèv-yo ki nan twazyèm grad demontre konpetans-yo nan lekti baze sou kritè evalyasyon espesifik. Elèv-yo ki nouvo nan distrik-la epi ki poko pran tès FSA dwe demontre tou yon nivo de konpetans nan lekti anvan pou yo pwomote nan katryèm grad. Lalwa Eta Florida pèmèt pou pwomote elèv-yo ki Nan Risk pou Retansyon si yo kapab demontre abilite lekti-yo nan yon lòt tès ke Eta Florida apwouve. Eta Florida apwouve SAT 10, yon tès de lekti ke yo rekonèt nasyonalman, pou jwen demand sa-a de lwaa. Piske pitit ou-a nouvo nan distrik-la, pitit ou-a elijib pou-l ale nan yon kan de lekti ke yo rele, “CAMP S’MORES”. Kan sa-a se yon opòtinite pou elèv-yo resevwa enstriksyon entansif adisyonèl nan lekti epitou pran tès de lekti ke Eta Florida apwouve pou demontre konpetans. Pwomosyon nan grad ki vinn aprè-a pral detèmine pa eskò de pitit gason oubyen pitit fi-ou nan tès SAT 10. Si pitit ou-a eskò nan ranj de 27 pousan oubyen pi wo, yo pral pwomote-l. Si li ta eskò anba ranj 27 pousan, yo pral retni-l. Elèv-yo andwa manke sèlman yon jou toutokou de sesyon kan-an. Plis pase yon absans pral lakòz yo ranvwaye-l de pwogram nan. Tanpri fè plan pou dat vakans-ou kòmsadwa. Tanpri konplete fòm rejistrasyon-an epi retounen-l bay pwofesè pitit ou-a imedyatman. Fòmyo dwe retounen pa pita ke 26 Me 2016.

ENFÒMASYON AK DAT ENPÒTAN: KI SA: Kan de Lekti pou Twazyèm Grad “Camp S’mores” KI LÈ: Lendi, 6 jen, 2016 –Vandredi, 1 Jiyè, 2016 Lendi - Vandredi, 8:30 a.m. a 12:00 p.m. KI KOTE: Yo asiyen lekòl pa zòn. Yo pral founi transpòtasyon. Lekòl pou pitit ou-a pral asiyen pa transpòtasyon epi depann de bagay sa-yo:  Lekòl-yo ki nan Zòn Vè – Samuel Gaines Academy K-8  Lekòl-yo ki nan Zòn Rouj – Oak Hammock K-8  Lekòl-yo ki nan Zòn Ble – Oak Hammock K-8 Sensèman Administratè Lekòl d’Ete

Page | 39    

CAMP S’MORES  2016  Fòm de Rejistrasyon Kan de Lekti Twazyèm Grad  ELÈV-YO KI NOUVO  Tanpri retounen anvan 26 Me 2016     

Non Elèv-la: __________________________________ Lekòl-li: _____________________________     Adrès Lakay:   Non Ri-a 

 

Vil, Eta 

Sipkòd 

 

Nimewo Telefòn Kote Yo Kapab Jwen Paran:    

Lakay ______________________ Nan Travay __________________Mobil ______________________    Èske pitit ou-a pral bezwen transpòtasyon pou ale nan kan lekti-a ?  Wi 

Non 

(Sèke youn) 

 

Si ou di wi pou transpòtasyon, ou dwe founi menm adrès pou monte ak desann otobis-la:   

Adrès pou monte nan matin/desann nan aprèmidi:     

  Tanpri tcheke youn:   

  

Opsyon 1: Pitit mwen-an p ral ale n an kan de lekti d ’ét é -a epi ap pran tès SAT 10 a.  Opsyon sa-a trè rekòmande. Mwen konprann ke pitit mwen-an dwe jewn yon eskò de 27 pousan oswa pi wo nan SAT 10 pou yo pwomote-l. 

 

Opsyon 2: Pitit mwen-an pa prale n an kan de lekti d ’ét é -a ni pa pral pran tès SAT 10 .  Mwen konprann ke sa pral lakoz yo retni pitit mwen-an. 

 

   

Paran:  

 

 

Dat:  

Siyati de Paran: 

 

 

Elèv‐yo andwa manke sèlman yon jou toutokou de sesyon kan‐an. Plis  pase yon absans pral lakòz yo ranvwaye‐l de pwogram nan. Tanpri fè plan  pou dat vakans‐ou kòmsadwa.  Page | 40    

Lèt de Depatman Transpòtasyon Chè Paran-yo oswa Gadyen Legal: Pitit ou-a, te asiyen nan pou kan de lekti pou elèv-yo ki nan twazyèm grad nan Distrik Lekòl nan Kanton St. Lucie, ki rele “Camp S’mores”. L-ap kòmanse Lendi, 6 jen, 2016 epi pral tèmine – Vandredi, 1 Jiyè, 2016. Kan de lekti twazyèm grad se pou tout elèv-yo ki nan twazyèm grade ki eskò nan nivo 1 nan tès de lekti FSA ELA oswa pou elèv-yo ke y-ap pwomote pou “Bon Kòz”oswa pou elèv-yo ki nouvo ki pa genyen yon eskò FSA ELA. Pwogram de lekti pandan étè-a se yon opòtinite pou satisfè bezwen individyèl pitit ou-a nan aprann epitou pou amelyore ak mentni konpetans li nan lekti. Elèv-yo dwe nan atandans regilyèman pou mentni pwogrè akòz ke sesyon-yo trè kout. Yon elèv andwa manke sèlman yon jou toutokou sesyon kan-an. Plis ke yon absans pral ken rezilta yo ranvwaye-l de pwogram-nan. Tanpri planifye vakans kòmsadwa. Si ou genyen nenpòt kesyon, tanpri kontakte-m nan

_.

Sensèman,

Administratè Lekòl d’Ete ENFÒMASYON SOU TRANSPÒTASYON Non Elèv-la: _______________________________________________________ Otobis # __________ pral asepte-l nan otobis nan__________________________. Lè l-ap monte otobis-la

AM.

Li pral retounen nan estòp otobis-la a

PM.

Page | 41    

SECTION III st

21 Century Community Learning Centers

Page | 42    

Program Facts – 21st Century Community Learning Centers Target Population Sites Dates

Times Pupil-Teacher Ratio Transportation Food Service Assessment Teacher Professional Development

Title 1 students in K-8th grade who are who demonstrate academic need of summer support Floresta Elementary/Lawnwood Elementary/Southport Middle /Northport K-8 / Samuel S. Gaines Academy K-8 Week 1 – June 2nd & 3rd (Professional Development and classroom Preparation) Week 2 – June 6th – 10th Week 3 – June 13th – 17th Week 4 – June 20th 24th Week 5 – June 27th – July 1st (July 1st-Extended for teachers for closure procedures) Students: 7:30 am – 12:30 pm Teachers: 7:30 am – 1:00 pm 12:1 Elementary 15:1 K-8 & Middle NO transportation provided Breakfast and lunch provided Project Rubrics for academic and enrichment activities Mindworks Curriculum and Project Based Learning overview

Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ FLO, LAWN, NPK-8, SGAK-8, SPM Overview of Policies and Procedures 8:00 – 10:00 a.m. 10:00 – 12:00 p.m.

Project Based Lesson Planning and Classroom Setup

Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ FLO, LAWN, NPK-8, SGAK-8, SPM Project Based Lesson Planning and 8:00 – 12:00 p.m. Classroom Setup Schedule for Daily Instruction Time 7:30 to 8:00 60 minutes 40 minutes 30 minutes 45 minutes 45 minutes 12:00-12:30

Instruction Students arrive and breakfast Project Based Learning Enrichment Reading review/intervention Mathematic review/intervention Contracted Services Lunch and Dismissal

Page | 43    

(This Page Intentionally Left Blank)

Page | 44    

Application for Chester A. Moore Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  772.468.8888 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 45    

CAP0067.1A Rev. 3/16 

Application for Chester A. Moore Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program     

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 46    

CAP0067.1A Rev. 3/16 

  Application for Floresta Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

  This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Floresta Elementary  1501 S.E. Floresta Drive  Port St. Lucie, FL 34983  772.340.4755 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 47    

CAP0067.2A Rev. 3/16 

  Application for Floresta Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program     

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 48    

CAP0067.2A Rev. 3/16 

Application for Lawnwood Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

  This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  772.468.5740 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 49    

CAP0067.3A Rev. 3/16 

Application for Lawnwood Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program     

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 50    

CAP0067.3A Rev. 3/16 

Application for Northport K-8 Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

  This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Northport K-8  250 N.W. Floresta Drive  Port St. Lucie, Fl  772.340.4700 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 51    

CAP0067.4A Rev. 3/16 

Application for Northport K-8 Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program     

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 52    

CAP0067.4A Rev. 3/16 

Application for Samuel S. Gaines Academy Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  772.468.8888 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 53    

CAP0067.5A Rev. 3/16 

Application for Samuel S. Gaines Academy Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 54    

CAP0067.5A Rev. 3/16 

Application for Southport Middle Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Southport Middle  2420 S.E. Morningside Blvd.  Port St. Lucie, Fl  772.337.5900 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 55    

CAP0067.6A Rev. 3/16 

Application for Southport Middle Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 56    

CAP0067.6A Rev. 3/16 

Application for Weatherbee Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    This program is being offered to your child to help maintain his/her math, reading, writing, and science skills. The summer program will consist of academics, enrichment and extracurricular activities. Academics will be comprised of the basic core curriculum studies. Each student will participate in both academics and extracurricular activities.   Summer camp will begin June 6th and run through July 1st. The summer sessions will run Monday through Friday 7:30 AM till 12:30 PM.   We will offer the program at this summer school site:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  772.468.5740 

Each student will be provided with breakfast upon arrival and lunch prior to dismissal. Meals will be served at no cost to the parent/student(s). Seats in our program are limited and are offered on a first come first serve basis. If our numbers are more than we are able to accommodate, your child will be placed on a waiting list.  Please note the rules that are listed below:  ‐

Transportation is not provided for students participating in the Summer Program. If your child walks home, please send in a note stating this.

‐

If your child signs up, attendance is mandatory for all four weeks. A note from the parent must be brought in when absent.

‐

No student will be allowed to leave campus without written notification (from the parent) to the site coordinator. Parents will need to sign students out in the office if picking up early.

‐

Students are bound to the St Lucie Public Schools Code of Student Conduct during their participation in the 21st CCLC. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Disruptive behavior will result in termination from the program – no exceptions. Students must respect their peers, faculty and staff.

Students must be picked up by 12:30 p.m. each afternoon. After 3 late pickups, they will be terminated from the program. Please fill out the back side of this form completely and return with your child to the school’s front office.   ‐

Page | 57    

CAP0067.7A Rev. 3/16 

Application for Weatherbee Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Make sure this application is filled out completely before turning it in. If not, it will not be processed.   Student Name: _____________________________________________________ Date of Birth: _____________________  School Enrolled In: _________________________________ Grade: ______________ Student ID# __________________  Siblings Attending This School: ___________________________________________________________________________  Student Lives With: Student Receives:

Mom _____

Dad _____

Free Lunch _____

Student Receives Services In: _____ 

Both ______

Other _________________________________ 

Reduced Price Lunch _____

Exceptional Student Education (ESE) _____

Student Will Be Parent Pick-up _____

Full Price Lunch _____  English as Second Language (ESOL)

Student Walks Home _____ 

Home Address: ________________________________________________________________________________________  Parent Home Phone: ______________________ Cell: _______________________ Work: _________________________  Emergency Contact Name: ______________________________________________ Phone: ________________________  Special Comments Regarding Medications or Health Issues: ____________________________________________________  Persons Authorized to Pick Student Up: ____________________________________________________________________  St. Lucie Public Schools / 21st Century Community Learning Center  RELEASE OF INFORMATION

I agree that the following information may be released for my child (Failure to check “NO” may result in the release of information):  □ Yes □ No - My child’s name, photo, voice & video to the press for recognition or news purposes.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable school or district websites or broadcast.  □ Yes □ No - My child’s name, photo, voice & video for publicly assessable Florida Department of Education or 21st CCLC websites or broadcast.  □ Yes □ No - My child’s name, photo, and contact information to the yearbook photographers’.  □ Yes □ No - My child’s directory information (student’s name and grade)   

Name (Please Print) _________________________ Signature _____________________ Date ____/____/____  If you wish to receive communication by email, provide email address: 

Page | 58    

CAP0067.7A Rev. 3/16 

Solicitud Para Chester A. Moore Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.  

Este programa de verano se ofrece en la Escuela:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  (772)468-8888   

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.  Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

  Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 59    

CAP0067.1B Rev. 3/16 

Solicitud Para Chester A. Moore Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: _______________________________________________ Fecha de Nacimiento: _____________  Escuela Matriculado: _________________________________ Grado:______ Estudiante ID# ___________________  Hermanos Matriculados en esta Escuela: ______________________________________________________________  Estudiante Vive Con: Estudiante Recibe:

Mama _____

Papa _____

Ambos ______

Otro __________________________ 

Almuerzo Gratis _____ Almuerzo Precio Reducido _____ Almuerzo Precio Completo _____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepcionales (ESE)___ Inglés como Segundo Idioma (ESOL)___  Estudiante será Recogido: ________________

Estudiante Camina a Casa _______________ 

Domicilio de Casa: ________________________________________________________________________________  Teléfono de casa: ______________________ Cell: ______________________# Trabajo:______________________  Nombre de Contacto/Emergencia: _________________________________________ Teléfono _________________  Comentarios especiales acerca de los medicamentos o asuntos de salud: ____________________________________  Personas Autorizadas para Recoger el Estudiante: _______________________________________________________ 

 Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información  Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):  □ Si □ No – El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No – El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No – El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No – El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No – La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante).  Nombre (Imprimir) ___________________________ Firma __________________________ Fecha____/____/____ 

Si desea recibir comunicación por correo electrónico, proporcione su direción:______________________ Page | 60    

CAP0067.1B Rev. 3/16 

Solicitud Para Floresta Elementary Verano 2016  Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.  

Este programa de verano se ofrece en la Escuela:  Floresta Elementary  1501 S.E. Floresta Drive  Port St. Lucie, FL 34983  (772) 340-4755     

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota aescrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.      

Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 61    

CAP0067.2B Rev. 3/16 

Solicitud Para Floresta Elementary Verano 2016  Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: ___________________________________________ Fecha de Nacimiento:_______________  Escuela Matriculado: _________________________________ Grado:______ Estudiante ID #__________________  Hermanos matriculados en esta escuela: ______________________________________________________________  Estudiante Vive Con: Estudiante Recibe:

Mama _____

Papa _____

Almuerzo Gratis____

Ambos ______

Otro _____________________________ 

Almuerzo Precio Reducido____

Almuerzo Precio Completo____  

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE)___ Inglés como Segunda Idioma (ESOL)___  Estudiante será Recogido: ________________

Estudiante Camina a Casa _____________ 

Domicilio de Casa: ________________________________________________________________________________  Teléfono de Casa: ____________________ Cell: ______________________ # Trabajo: ______________________  Nombre de Contacto/Emergencia: __________________________________________Teléfono: ________________  Comentarios especiales acerca de los medicamentos o asuntos de salud: ____________________________________  Personas Autorizadas para Recoger el Estudiante: _______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información  Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):   

 

□ Si □ No – El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No – La información de mi hijo/a puede ser liberado (nombre de estudiante y grado).    Nombre (Imprimir) __________________________ Firma_________________________ Fecha____/____/____  Si desea recibir comunicación por correo electrónico, proporcione su direción:_______________________

Page | 62    

CAP0067.2B Rev. 3/16 

Solicitud Para Lawnwood Elementary Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.    

 

Este programa de verano se ofrece en la Escuela:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  (772) 468-5740 

 

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

  Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 63    

CAP0067.3B Rev. 3/16 

Solicitud Para Lawnwood Elementary Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante:_______________________________________________ Fecha de Nacimiento:____________  Escuela Matriculado : __________________________________Grado _____ Estudiante ID # ___________________  Hermanos Matriculados en esta Escuela:_______________________________________________________________  Estudiante Vive Con: Estudiante Recibe:

Mama _____

Papa _____

Almuerzo Gratis ____

Ambos _____

Otro __________________________ 

Almuerzo Precio Reducido ____ Almuerzo Precio Completo ____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE)___ Inglés como Segundo Idioma (ESOL)___  Estudiante sera Recogido: _______________

Estudiante Camina a Casa ________________ 

Domicilio de Casa:________________________________________________________________________________  Teléfono de Casa: ________________________ Cell: ____________________# Trabajo: ______________________  Nombre de Contacto de Emergencia:________________________________________Teléfono: __________________  Comentarios especiales acerca de los medicamentos o asuntos de salud: ____________________________________  Personas Autorizadas para Recoger el Estudiante: _______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información   

Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No - La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante).  Nombre (Imprimir) ___________________________ Firma_______________________ Fecha___/____/____   

 

Si desea recibir comunicación por correo electrónico, proporcione su direción: _____________________ Page | 64    

CAP0067.3B Rev. 3/16 

Solicitud Para Northport K-8 Verano 2016  Escuelas Públicas de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.    

Este programa de verano se ofrece en la Escuela:  Northport K-8  250 N.W. Floresta Drive  Port St. Lucie, FL  (772) 340-4700     

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 65    

CAP0067.4B Rev. 3/16 

Solicitud Para Northport K-8 Verano 2016  Escuelas Públicas de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: _____________________________________________Fecha de Nacimiento:_____________  Escuela Matriculado: ______________________________________ Grado:_____ Estudiante ID # ______________  Hermanos Matriculados en esta Escuela:_______________________________________________________________  Estudiante Vive Con:

Mama _____

Papa _____

Estudiante Recibe: Almuerzo Gratis _____

Ambos ______

Otro ___________________________ 

Almuerzo Precio Reducido_____ Almuerzo Precio Completo____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE)___ Inglés como Segundo Idioma (ESOL)___  Estudiante sera Recogido ____________

Estudiante Camina a Casa _____________ 

Domicilio de Casa:_______________________________________________________________________________  Teléfono de Casa: ______________________ Cell: ___________________# Trabajo: _______________________  Nombre de Contacto de Emergencia:__________________________________________Teléfono: _______________  Comentarios especiales acerca de los medicamentos o asuntos de salud:____________________________________  Personas Autorizadas para Recoger el Estudiante:_______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información     

Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):   

□ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No - La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante). 

Nombre (Imprimir) _________________________ Firma _______________________ Fecha____/____/____  Si desea recibir comunicación por correo electrónico, proporcione su direción:______________________  

Page | 66    

CAP0067.4B Rev. 3/16 

Solicitud Para Samuel S. Gaines Academy Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaja Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.  

Este programa de verano se ofrece en la Escuela:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  772.468.8888       

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

  Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 67    

CAP0067.5B Rev. 3/16 

Solicitud Para Samuel S. Gaines Academy Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaja Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: ___________________________________________ Fecha de Nacimiento:_______________  Escuela Matriculado:____________________________________Grado: _____ Estudiante ID # __________________  Hermanos Matriculados en esta Escuela: ______________________________________________________________  Estudiante Vive Con:

Mama _______

Estudiante Recibe: Almuerzo Gratis _____

Papa ________

Ambos _______

Almuerzo Precio Reducido _____

Otro ______  

Almuerzo Precio Completo _____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE) ___ Inglés como Segundo Idioma ESOL) ___  Estudiante será Recogido: ___________________

Estudiante Camina a Casa _________________ 

Domicilio de Casa: ________________________________________________________________________________  Numero de Teléfono de Casa: ______________________ Cell: _________________# Trabajo:_________________  Nombre de Contacto de Emergencia:________________________________________ Teléfono: _________________  Comentarios especiales acerca de los medicamentos o salud: ______________________________________________  Personas Autorizadas para Recoger el Estudiante: _______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información  Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de  

reconocimiento o de noticias.   □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No - La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante).   

 

Nombre (Imprimir) ___________________________ Firma ______________________ Fecha ____/____/_____  Si desea recibir comunicación por correo electrónico, proporcione su direción:________________________  

Page | 68    

CAP0067.5B Rev. 3/16 

Solicitud Para Southport Middle Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.  

Este programa de verano se ofrece en la Escuela:  Southport Middle  2420 S.E. Morningside Blvd.  Port St. Lucie, FL  (772) 337-5900    Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

  Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 69    

CAP0067.6B Rev. 3/16 

Solicitud Para Southport Middle Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: ______________________________________________Fecha de Nacimiento: ____________  Escuela Matriculado: ___________________________________ Grado: ____ Estudiante ID # __________________  Hermanos Matriculados en esta Escuela: ______________________________________________________________  Estudiante Vive Con:

Mama _____

Estudiante Recibe: Almuerzo Gratis _____

Papa _____

Ambos ______

Almuerzo Precio Reducido _____

Otro ____________________  Almuerzo Precio Completo _____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE)___ Inglés como Segundo Idioma (ESOL)___   Estudiante será Recogido______________________

Estudiante Camina a Casa _______________________ 

Domicilio de Casa: ________________________________________________________________________________  Teléfono de Casa: ______________________ Cell: _____________________# Trabajo: ______________________  Nombre de Contacto de Emergencia:___________________________________________Teléfono:_______________  Comentarios especiales acerca de los medicamentos o asuntos de salud:_____________________________________  Personas Autorizadas para Recoger el Estudiante:_______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 Centro de Aprendizaje Comunitario   Divulgación de Información   

Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):   

□ Si □ No - - El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No -- El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No - La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante). 

Nombre (Imprimir) ________________________Firma____________________________Fecha____/____/____  

Si desea recibir comunicación por correo electrónico, proporcione su direción: _____________________ Page | 70    

CAP0067.6B Rev. 3/16 

Solicitud Para Weatherbee Elementary Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Este programa se ofrece a su hijo/a para ayudar a mantener sus habilidades matemáticas, lectura, escritura y ciencias. El programa de verano estará formado por académicos, enriquecimiento y actividades extracurriculares. Académicos estarán compuestos por los estudios básicos del currículo. Cada estudiante participará en los académicos y actividades extracurriculares.   El campamento de verano comenzará el 6 de junio al 1 de julio 2016. Las sesiones de verano funcionarán de lunes a viernes de 7:30 am a 12:30 pm.  

Este programa de verano se ofrece en la Escuela:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  (772) 468-5740     

Cada estudiante será proporcionado con el desayuno y el almuerzo a su llegada y antes de la salida. Las comidas se servirán sin costo alguno para el padre o estudiante (s). Asientos en nuestro programa son limitados y se asignan por orden de llegada de las solicitudes. Si nuestros números son más de lo que somos capaces de acomodar, su hijo/a será puesto en una lista de espera.   

Tenga en cuenta las reglas que se indican a continuación:  ‐

No se proporciona transporte para los estudiantes que participan en el programa de verano. Si su hijo/a camina a casa, por favor envíe una nota que indica esto.

‐

Si inscribe a su hijo/a, la asistencia es obligatorio las cuatro semanas. En caso de ausencia una nota escrita de los padres debe ser llevado al coordinador de sitio.

‐

A ningún estudiante se le permitirá salir de la escuela sin notificación escrita (de los padres) al coordinador de sitio. Los padres necesitan firmar en la oficina si recoge al estudiante temprano.

‐

Los estudiantes están obligados al Código de Conducta Estudiante de las Escuelas Públicas de St. Lucie durante su participación en el 21º CCLC http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

El comportamiento disruptivo dará lugar a la terminación del programa - no hay excepciones. Los estudiantes deben respetar a sus compañeros, profesores y personal.

‐

Los estudiantes deben ser recogidos a las 12:30 pm todo los días. Después que el estudiante es recogido tarde 3 veces, se dará por terminado del programa.

  Por favor llene la parte de atrás completamente y devolverlo con su hijo/a a la oficina de la escuela.  

Page | 71    

CAP0067.7B Rev. 3/16 

Solicitud Para Weatherbee Elementary Verano 2016  Escuelas Pública de St. Lucie   Programa Siglo 21 Centro de Aprendizaje Comunitario  Asegúrese que la solicitud este completamente llena antes de entregarlo. Si no es así, no será procesado.   Nombre de Estudiante: ____________________________________________Fecha de Nacimiento: _____________  Escuela Matriculado: ________________________________ Grado: ______Estudiante ID #___________________  Hermanos Matriculados en esta Escuela: ______________________________________________________________  Estudiante Vive Con:

Mama _____

Estudiante Recibe: Almuerzo Gratis _____

Papa _____

Ambos ______

Almuerzo Precio Reducido _____

Otro__________________  Almuerzo Precio Completo _____ 

Estudiante Recibe Servicios: Educación de Estudiantes Excepciónales (ESE)___ Ingles como Segundo Idioma (ESOL)___  Estudiante será Recogido ______________________

Estudiante Camina a Casa ______________________ 

Domicilio de Casa: ________________________________________________________________________________  Teléfono de Casa: ______________________ Cell: _____________________# Trabajo:______________________  Nombre de Contacto/Emergencia: ___________________________________________Teléfono: _______________  Comentarios especiales acerca de los medicamentos o asuntos de salud: ____________________________________  Personas Autorizadas para Recoger el Estudiante: _______________________________________________________   

Escuelas Pública de St. Lucie  Programa Siglo 21 de Centro de Aprendizaje Comunitario   Divulgación de Información  Estoy de acuerdo que la siguiente información puede ser divulgada de mi hijo/a (Si no marca "NO" puede resultar en la liberación de información):   

□ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado a la prensa para el proposito de reconocimiento o de noticias.   □ Si □ No - El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para la escuela pública o sitios web del distrito o de emisión.  □ Si □ No - – El nombre, foto, voz y video de mi hijo/a puede ser liberado para uso público valorable para el Departamento de Educación de Florida o al Programa Siglo 21 CCLC sitio web o emission.   □ Si □ No - El nombre, foto, y la información de contacto de mi hijo/a puede ser liberado al fotógrafo del libro anuario.   □ Si □ No - La información del directorio de mi hijo/a puede ser liberado (nombre y grado del estudiante).   

Nombre (lmprimir) _________________________Firma _____________________ Fecha____/____/____   

Si desea recibir comunicación por correo electrónico, proporcione su direción:______________________ Page | 72    

CAP0067.7B Rev. 3/16 

Application for Chester A. Moore Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  772.468.8888 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 73    

CAP0067.1C Rev. 3/16 

Application for Chester A. Moore Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program     

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 74    

CAP0067.1C Rev. 3/16 

Application for Floresta Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Floresta Elementary  1501 S.E. Floresta Drive  Port St. Lucie, FL 34983  772.340.4755 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 75    

CAP0067.2C Rev. 3/16 

Application for Floresta Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 76    

CAP0067.2C Rev. 3/16 

Application for Lawnwood Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  772.468.5740 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou‐a siyen pou pwogram nan, prezans‐li obligatwa pou tout kat semèn‐yo.  Elèv‐yo dwe  pote yon nòt ki sòti de paran‐yo lè yo absan. 

‐

Okenn elèv pa gen dwa kite lakou lekòl‐la san yon notifikasyon alekri de paran‐l pou koòdonatè‐ a.  Paran‐yo pral bezwen pou siyen elèv nan ofis‐la pou sòti avèk li pi bonè. 

‐

Elèv‐yo mare avèk Kòd de Kondwit  Elèv ki nan Lekòl Piblik‐yo nan St Lucie pandan patisipasyon  yo nan “21st CCLC”.  http://stlucie.k12.fl.us/pdf/codeofconduct.pdf  

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan ‐‐ pa gen okenn eksepsyon.   Elèv‐yo dwe respekte kamarad‐yo, manm fakilte ak anplwaye. 

‐

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi.  Aprè twa (3) vin chèche anreta, yo  pral tèmine‐yo de pwogram nan.     Tanpri ranpli lòt bò fòm sa‐a konplètman epi fè pitit ou‐a retounen‐l nan ofis lekòl la.  

Page | 77    

CAP0067.3C Rev. 3/16 

Application for Lawnwood Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa‐a ranpli konplètman anvan ou retounen‐l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv‐la:  _____________________________________________________   Dat Nesans li:  _____________________  Lekòl li Anrole:  _________________________________   Grad: ______________ #ID Elèv‐la ____________________  Frè ak Sè ki nan Lekòl‐la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 78    

CAP0067.3C Rev. 3/16 

Application for Northport K-8 Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Northport K-8  250 N.W. Floresta Drive  Port St. Lucie, Fl  772.340.4700 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 79    

CAP0067.4C Rev. 3/16 

Application for Northport K-8 Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 80    

CAP0067.4C Rev. 3/16 

Application for Samuel S. Gaines Academy Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Samuel S. Gaines Academy  2250 S. Jenkins Road  Ft. Pierce FL 34947  772.468.8888 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 81    

CAP0067.5C Rev. 3/16 

Application for Samuel S. Gaines Academy Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 82    

CAP0067.5C Rev. 3/16 

Application for Southport Middle Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Southport Middle  2420 S.E. Morningside Blvd.  Port St. Lucie, Fl  772.337.5900 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 83    

CAP0067.6C Rev. 3/16 

Application for Southport Middle Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan : _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 84    

CAP0067.6C Rev. 3/16 

Application for Weatherbee Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program    Y-ap ofri pwogram sa-a bay pitit ou-a pou ede-l mentni eskil li nan matematik, lekti, ekriti ak syans. Pwogram ete-a pral gen ladan akademik, aktivite anrichisman ak lòt aktivite andeyò pwogram regilye yo. Akademik-yo pral konpoze de etyd sou kourikoulòm debaz-yo. Chak elèv pral patisipe nan toulède aktivite akademik ak aktivite andeyò pwogram regilye-yo.  Kan pandan ete-a pral kòmanse le 6 Jen epi ap dire jiska 1ye Jiyè. Sesyon ete-yo pral fonksyone de Lendi jiska Vandredi 7:30 AM jouk 12:30 PM.   Nou pral ofri pwogram nan nan lokasyon pou lekòl ete sa-a:  Lawnwood Elementary  1900 South 23rd Street  Ft. Pierce FL 34950  772.468.5740 

Yo pral founi manje maten bay chak elèv osito ke yo rive ak manje midi anvan lekòl lage. Yo pral sèvi repa ki pa-p koute paran/elèv-yo anyen. Plas-yo nan pwogram nou-an limite epitou yo ofri nan baz de moun ki vini an premye sèvi an premye. Si kantite elèv ki aplike plis ke sa nou kapab akomode, non pitit ou-a pral plase nan yon lis rete tann.  Tanpri pote atansyon a règ-yo ki nan lis anba-a:  ‐

Yo pa-p founi transpòtasyon pou elèv-yo k-ap patisipe nan Pwogram Ete-a. Si pitit ou-a ap mache vinn lakay, tanpri voye yon nòt ki endike sa.

‐

Si pitit ou-a siyen pou pwogram nan, prezans-li obligatwa pou tout kat semèn-yo. Elèv-yo dwe pote yon nòt ki sòti de paran-yo lè yo absan.

‐

Okenn elèv pa gen dwa kite lakou lekòl-la san yon notifikasyon alekri de paran-l pou koòdonatèa. Paran-yo pral bezwen pou siyen elèv nan ofis-la pou sòti avèk li pi bonè.

‐

Elèv-yo mare avèk Kòd de Kondwit Elèv ki nan Lekòl Piblik-yo nan St Lucie pandan patisipasyon yo nan “21st CCLC”. http://stlucie.k12.fl.us/pdf/codeofconduct.pdf

‐

Konpòtman endisipline pral lakòz tèminasyon ou de pwogram nan -- pa gen okenn eksepsyon. Elèv-yo dwe respekte kamarad-yo, manm fakilte ak anplwaye.

Yo dwe vin chèche elèv yo vè 12:30 PM chak aprèmidi. Aprè twa (3) vin chèche anreta, yo pral tèmine-yo de pwogram nan. Tanpri ranpli lòt bò fòm sa-a konplètman epi fè pitit ou-a retounen-l nan ofis lekòl la. ‐

Page | 85    

CAP0067.7C Rev. 3/16 

Application for Weatherbee Elementary Summer 2016  St. Lucie Public Schools 21st Century Community Learning Center Program   

Asire ke aplikasyon sa-a ranpli konplètman anvan ou retounen-l. Si se pa sa, yo pa pral pran swen de li.   Non Elèv-la: _____________________________________________________ Dat Nesans li: _____________________  Lekòl li Anrole: _________________________________ Grad: ______________ #ID Elèv-la ____________________  Frè ak Sè ki nan Lekòl-la: ___________________________________________________________________________  Elèv-la abite avèk: Elèv-la ap Resevwa:

Manman _____

Papa _____

Manje Gratis _____

Elèv-la ap Resevwa Sèvis nan: _____ 

Toulède ______

Lòt Moun ___________________________ 

Manje Pri Redui _____

Edikasyon Eksepsyonèl pou Elèv (ESE) _____

Paran Ap Vin Chèche Elèv-la _____

Peye pou Manje _____  Anglè Kòm Dezyèm Langaj (ESOL)

Elèv-la Ap Mache Pou Ale Lakay _____ 

Adrès Lakay: ________________________________________________________________________________________  Telefòn Paran Lakay: ______________________ Mobil: _________________ Nan Travay: _________________________  Non Moun Pou Kontakte Nan Ka Emèjensi: ____________________________________Telefòn: _____________________  Kòmantè Espesyal Konsènan Medikaman oswa Pwoblèn Lasante : ______________________________________________  Moun ki Otorize pou Vin Chèche Elèv-la: ___________________________________________________________________  Lekòl Piblik‐yo nan St Lucie/Sant Kominotè D’aprantisaj “21st Century”  OTORIZASYON POU BAY ENFÒMASYON

Mwen dakò pou yo bay enfòmasyon sa-yo sou pitit mwen-an (Si mwen pa tcheke NON sa ka lakòz yo bay enfòmasyon sou pitit mwen-an):  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo bay la pwès pou rekonesans oswa rezon de nouvèl.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “websites” lekòl oswa distrik-la ki aksesib piblikman oswa pou difizyon.  □ Wi □ Non - Non pitit mwen-an, foto, vwa ak videyo pou “Websites” Depatman Edikasyon Eta Florida oswa 21st CCLC ki aksesib piblikman oswa pou difizyon .  □ Wi □ Non - Non, foto, ak kontak enfòmasyon pitit mwen-an pou fotogwaf nan liv souvni lekòl.  □ Wi □ Non - Enfòmasyon anyè pitit mwen-an (non ak grad elèv)   

Non (Tanpri Prente) _________________________ Siyati _____________________ Dat ____/____/____  Si ou ta vle resevwa kominikasyon pa imèl, tanpri founi adrès imèl-ou: 

Page | 86    

CAP0067.7C Rev. 3/16 

 

SECTION IV Title I Extended School Year Grades K, 1, and 2

Page | 87    

 

Program Facts – Title I ESY / K, 1st & 2nd Students in K, 1st or 2nd grade testing at risk or some risk on the Target Population easyCBM benchmark exam Francis K. Sweet Elementary Sites Week 1 – June 2nd & 3rd (Professional Development and Dates classroom Preparation) Week 2 – June 6th – 10th Week 3 – June 13th – 17th Week 4 – June 20th 24th Week 5 – June 27th – July 1st Week 6 – July 5th – 8th (July 4th – holiday for all) Week 7 – July 11th – 15th (July 15th-Extended for teachers for closure procedures) Students: 8:30 am – 12:00 pm Times Teachers: 8:00 am – 12:30 pm Pupil-Teacher Ratio 12:1 Buses provided Transportation Breakfast and lunch provided Food Service Weekly fluency check and ongoing conferencing for Assessment comprehension American Reading instruction and assessment Teacher Professional Development Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ FKS Welcome 8:00 – 11:30 American Reading Company – Research Labs Training Lunch on your own 11:30 – 12:30 American Reading Company – Research Labs Training 12:30 – 3:30 Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ FKS Welcome and Housekeeping 8:00 – 10:00 Materials Check-Out and SchoolPace Overview 10:00 – 11:30 Lunch on your own 11:30 – 12:30 Work in rooms 12:30 – 3:30

Page | 88    

 

SECTION V Camp Invention for English Language Learners

Page | 89    

 

Program Facts – Camp Invention for ELL Target Population Site Dates Times Pupil-Teacher Ratio Transportation Food Service Assessment Teacher Professional Development

English Language Learners K-5 Samuel S. Gaines Academy K-8 Week 1 – June 2nd & 3rd (Professional Development and classroom Preparation) Week 2 – June 6th – 10th Students: 8:30 am – 12:00 pm Teachers: 8:00 am – 12:30 pm 20 Per Teacher & ESOL Paraprofessional Buses provided Breakfast and lunch provided SAT 10 and other benchmark assessments for fluency and comprehension Camp Invention curriculum overview, lesson planning and safety/security procedures.

Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ SGA K - 8 Registration 8:00 – 8:30 Camp Invention Lessons and Projects Overview/Planning 8:30 – 11:30 Lunch on your own 11:30 – 12:30 Materials and Classroom Prep 12:30 – 3:30 Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ SGA K - 8 Registration 8:00 – 8:30 Camp Invention Schedule Discussion 8:30 – 11:30 Lunch on your own 11:30 – 12:30 Camp Invention Safety and Security Procedures 12:30 – 1:30 Final Classroom Prep 1:30 – 3:30

Page | 90    

 

Schedule for Daily Instruction: Title III Camp Invention for ELLs - June 6- 10 June 6 Time 8:00 – 8:30 8:30 – 9:45 9:45 – 11:00 11:00 – 11:30 11:30 – 12:00 12:00

Instruction Morning Meeting Attendance Boulder Builder Module 1 Boulder Builder Module 2 Lunch Camp Invention Games Dismissal

June 7 Time 8:00 – 8:30 8:30 – 9:45 9:45 – 11:00 11:00 – 11:30 11:30 – 12:00 12:00

Instruction Morning Meeting Attendance Boulder Builder Module 3 Boulder Builder Module 4 Lunch Camp Invention Games Dismissal

June 8 Time 8:00 – 8:30 8:30 – 9:45 9:45 – 11:00 11:00 – 11:30 11:30 – 12:00 12:00

Instruction Morning Meeting Attendance Boulder Builder Module 5 Castles, Catapults and Coats of Arms Module 1 Lunch Camp Invention Games Dismissal

June 9 Time 8:00 – 8:30 8:30 – 9:45 9:45 – 11:00 11:00 – 11:30 11:30 – 12:00 12:00

Instruction Morning Meeting Attendance Castles, Catapults and Coats of Arms Module 2 Castles, Catapults and Coats of Arms Module 3 Lunch Camp Invention Games Dismissal

June 10 Time 8:00 – 8:30 8:30 – 9:45 9:45 – 11:00 11:00 – 11:30 11:30 – 12:00 12:00

Instruction Morning Meeting Attendance Castles, Catapults and Coats of Arms Module 4 Castles, Catapults and Coats of Arms Module 5 Lunch Camp Invention Closure Dismissal

Page | 91    

 

SECTION VI Senior Summer School

Page | 92    

 

Program Facts – Senior Summer School Target Population Sites Dates

Times Transportation Food Service Assessment Teacher Professional Development

Seniors who do not meet graduation requirements for the May 2016 graduation Fort Pierce Central High School Week 1 – June 3rd (Professional Development and classroom Preparation) Week 2 – June 6th – 10th Week 3 – June 13th – 17th Week 4 – June 20th - 24th Week 5 – June 27th – July 1st (July 1st-Extended for teachers for closure procedures) Summer Graduation: July 13th Students: 8:30 am – 12:00 pm Teachers: 8:00 am – 12:30 pm NO transportation provided Food services are not provided Individualized student assessments through Edgenuity course path Management of the Edgenuity instructional program

Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ FPCHS Welcome 8:00 – 12:00 Edgenuity Training 12:00 – 1:00

Lunch on your own

1:00 – 3:30

Copier and Attendance Procedures (Faculty and Staff) Dress Code Duty Assignments Evaluations and Payroll Overview of Emergency Procedures General Q & A

Page | 93    

 

SECTION VII ESE Extended School Year

Page | 94    

 

Program Facts – ESE/ESY Students identified through an IEP for ESY services Oak Hammock K-8 / Samuel S. Gaines Academy K-8 Week 1 – June 2nd & 3rd (Professional Development and classroom Preparation) Week 2 – June 6th – 10th Week 3 – June 13th – 17th Week 4 – June 20th 24th Week 5 – June 27th – July 1st (July 1st-Extended for teachers for closure procedures) Students: 8:30 am – 12:00 pm Times Teachers: 8:00 am – 12:30 pm Pupil-Teacher Ratio Typical class size is no more than 12 students in each class Buses provided Transportation Breakfast and lunch provided in the classroom. The same food Food Service served in the cafeteria should be provided to students in ESY unless specific dietary needs must be met. Individualized data collection throughout ESY is used to measure Assessment progress towards IEP goals. The teacher completes an Annual Goal Progress Report at the end of ESY. A copy of the report is provided to the parent. CHAMPS, Unique-Summer Curriculum, Social Skills, and Think Teacher Through Math. Individualized training for teachers who have Professional students with a Behavior Intervention Plan and/or Individualized Development Health Care Plan. Data Collection. Differentiated Instruction. We also provide Paraeducator training. Students identified through an IEP for ESY services Target Population Target Population Sites Dates

Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ OAK K – 8 ESY Overview, Staff Assignments, Message from the Principal 8:00 – 9:00 Unique and Differentiated Instruction with Bennett Buckles 9:00 – 11:30 LUNCH on your own 11:30 -12:30 Setting up classroom 12:30 – 1:30 CHAMPS with Sandy Akre 1:30 – 3:30 Schedule for Professional Development & Classroom Prep Friday, June 3 2016 @ OAK K - 8 Roles, Responsibilities and Team Building 8:00 – 9:00 IHP with Mea Hulme 9:00 – 9:30 Cafeteria Manger Presentation 9:30 – 9:45 Classroom set-up 9:45 – 12:00 LUNCH on your own 12:00 – 1:00 Continue to work in the classroom 1:00 – 3:30

Page | 95    

 

Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ SGA K – 8 ESY Overview, Staff Assignments, Message from the Principal 8:00 – 9:00 Roles, Responsibilities and Team Building 9:00 – 10:00 IHP with Mea Hulme 10:00 – 10:30 Cafeteria Manger Presentation 10:30-10:45 Classroom set-up 10:45-12:00 LUNCH on your own 12:00-1:00 Unique and Differentiated Instruction with Bennett Buckles 1:00 – 3:30 Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ SGA K - 8 CHAMPS with Sandy Akre 8:00-10:00 Classroom set-up 10:00 -12:00 LUNCH on your own 12:00-1:00 Classroom set-up 1:00-3:30 Schedule for Professional Development & Classroom Prep Thursday, June 2, 2016 @ FPCHS Welcome from the Principal then travel to SGA 8:00 – 9:00 Roles, Responsibilities and Team Building 9:00 – 10:00 IHP with Mea Hulme 10:00 – 10:30 Travel back to FPC 10:30-10:45 Classroom set-up 10:45-12:00 Lunch on your own then return to SGA 12:00-1:00 Unique and Differentiated Instruction with Bennett Buckles 1:00 – 3:30 Schedule for Professional Development & Classroom Prep Friday, June 3, 2016 @ FPCHS Classroom set-up 8:00-11:30 Cafeteria Manger Presentation 11:30 -12:00 LUNCH on your own 12:00-1:00 Copier and Attendance Procedures (Faculty and Staff) 1:00-3:30 Dress Code Duty Assignments Evaluations and Payroll Overview of Emergency Procedures General Q&A

Page | 96