Caleb Dustin Hunking School

  • Title I Extended Learning Time & Intensive Intervention – Grades 1-6 2019 Summer Program APPLICATION

    Haverhill Public Schools
    Title I Extended Learning Time & Intensive Intervention – Grades 1-6
    2019 Summer Program
    APPLICATION
    Location: Hunking School – 480 So. Main St.
    Dates: Monday – Thursday July 8 – August 1, 2019
    Time: 8:30am to 11:30am
    Dear Parents and Families,
    We would like to invite your child to participate in a great summer program at no cost to you. The Title I Extended Learning Time & Intensive Intervention Summer Program is designed to extend learning time for students by providing supplemental intensive intervention, as well as engaging enrichment opportunities. The program is open to students who will be entering grades 1-6 in the fall of 2019. In order to maximize the benefits of this program for your child, attendance for the entire 16 days is required.
    Transportation
    Transportation is available to and from the program. Parents are welcome to provide their own transportation. Bus stops are determined by the address listed on the application, if your child will be at another address or a before/after school program this summer, please list that address so the correct bus stop information can be provided to you.
    Application Process
    In order to secure one of the limited seats available, complete the application form and return it to your child’s classroom teacher or email it to cqueenan@haverhill-ps.org. Enrollment is on a first come, first serve basis.
    Snack
    Students are provided a morning snack at no cost to you.
    You will be notified of your child’s registration confirmation the week of May 20, 2019.
    Transportation information and the name of your child’s summer school teacher will be sent home with your child the last week of school. Please direct any questions you may have to your child’s classroom teacher or you can contact Cheryl Queenan @ Central Office at 978-420-1941.
    We look forward to an exciting and productive 4 weeks this summer working with your child!!
    TURN OVER Chief Academic Officer
    Haverhill Public Schools
    Title I Extended Learning Time & Intensive Intervention – Grades 1-6
    2019 Summer Program – APPLICATION
    Student Name: __________________________________ Current Grade: _______
    School: _____________________________ Teacher: ____________________
    Parent or Guardian: ____________________________________________________________
    Phone #1: _________________ #2: ________________email:__________________________
    Address:_____________________________________________________________________
    Do any other adults have your permission to pick this child up from school? If so, please list them:
    Name: _____________________________________Phone: ________________________
    Allergies: Does your child have any allergies to food, bee stings or medications? _________________________________________________________________________________
    Medical Issues / Medications: Does your child have any medical issues that we should be aware of? Is this child taking any medications? If so, please list them:
    ___________________________________________________________________________
    Transportation: Please choose one option from each section.
    Morning Arrival to School:
    Please add my child to the bus route: ————————
    or
    I will deliver my child to the program by 8:30 a.m. ———————–
    Morning Pick up from School:
    Please add my child to the bus route home: ————————
    or
    I will pick up my child promptly at 11:30 a.m. ————————
    ——————————————————————————————————————————- By signing below, I agree that my child will attend the entire 4 week/16-day program.
    Signature of Parent /Guardian: ________________________________ Date: _______

(978) 374-3400
Copyright © 2013 Haverhill Public Schools. All Rights Reserved.
PageLines