Empire State After-School Program                                      Scholar Application 2021 - 2022
*Please note: If you have already registered for the Empire program, you do not need to submit another form. If you have questions about a program, please email the Empire administrator at your school OR kelli sciarra at ksciarra@necsd.net*

The Empire State After-School Program offers enrichment and academic opportunities for middle and high school scholars in an after-school setting within the Newburgh Enlarged City School District.
 
The program offers scholars the opportunity to work with and talk to teachers and peers in a small group setting. The program provides opportunities for scholars to learn a new skill or engage in a new activity based on their interests. The program also provides academic enrichment and programs, activities, and services to enhance the growth and development of our scholars and families. The program focuses on the academic improvement, social and emotional learning, enrichment opportunities, and the health and well-being of our secondary scholars.
 
Empire is available to scholars in grades 6 - 12 attending the following schools: Meadow Hill Global Explorations Magnet School, Temple Hill Academy, Heritage Middle School, South Middle School, Newburgh Free Academy Main, Newburgh Free Academy North, and Newburgh Free Academy West.
 
All secondary schools will offer programs in-person on Tuesday and Thursday for 1.5 hours each day. Virtual programming options, including academic enrichment, may be offered in the future. There also may be opportunities for programs on Saturdays, including Regents Review sessions and enrichment programs.
 
Unfortunately, due to the national bus driver shortage, transportation for scholars participating in Empire is currently unavailable. In-person programming for scholars who have their own transportation is anticipated to begin on November 16, 2021. If this date changes, information will be provided as soon as possible.

Information regarding a virtual option for scholars who rely on transportation will be provided once if it is approved by the grant and the district.
 
For the 2021 - 2022 school year, the Empire State After-School Program will offer three sessions:
★ Fall Session: November 16, 2021 - December 16, 2021
★ Winter Session: January 11, 2022 - February 10, 2022
★ Spring Session: March 1, 2022 - March 31, 2022 and April 19, 2022 - May 26, 2022
 
In-person programs will begin immediately after regular dismissal time and an after school snack will be available. Virtual programs (if approved) will begin one hour after regular dismissal time to allow for all scholars to leave campus and have the opportunity to participate.
 
The application for the Empire State After-School Program includes demographic information, information regarding policies and procedures, including selection policy, attendance policy, transportation information (if available), behavior and discipline policies; and anticipated program offerings at each campus and an opportunity for scholars to select his/her top program choices. There also may be field trips and guest speakers offered through the program.
 
Please answer all of the applicable questions so we can work to provide a successful program for our scholars.
 
Section 1 must be completed for all scholars (regardless of school and grade level). To apply for a specific program, please go to the appropriate section for your school.
Placement in a program is based on enrollment, the availability of required staff and appropriate funding. Program placement will be filled on a first come, first serve basis. If your scholar is enrolled in the program, you will receive a welcome email and additional information. Submitting the application does NOT guarantee placement in the program.
 
Thank you so much for your interest and for taking the time to apply to the Empire State After-School Program.
kelli sciarra | Empire State After-School Program Grant Facilitator | ksciarra@necsd.net
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Email *
Student Last Name *
Student First Name *
Student ID #
Please include all six digits. If you do not know your student ID number, you may leave it blank.
Student Date of Birth *
MM
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YYYY
Parent/Guardian Email Address *
Any Additional Email Address
At this time, transportation is NOT available for after-school programs. If and when available, will your scholar need transportation home or to an alternate drop off location? *
Selection Criteria for the Empire State After-School Program
The Empire State After-School Program is open to all scholars at the selected school sites regardless of race, gender, or economic status. All scholars are encouraged to apply and actively participate.  

Please note: There is a limited number of available spaces in each program as per the terms of the grant. If scholar enrollment exceeds available capacity, scholars may be placed on a waiting list or be offered a space in another program.

Do you understand and agree to the selection criteria for the Empire State After-School Program? *
Required
Attendance Policy
I understand that the Empire State After-School Program operates days days per week for 1.5 hours after-school. I understand that my child/children are expected to attend days each week. I understand that if my child is going to be absent that I will notify his/her school as soon as possible.
Do you understand and agree to the attendance policy for the Empire State After-School Program? *
Required
Behavior and Discipline Agreement
In an effort to provide a productive learning environment, all scholars will be expected to follow the rules and procedures of the 2021 - 2022 NECSD Code of Conduct.

2021 – 2022 Code of Conduct (English):
https://www.newburghschools.org/files/district/documents/2021-2022%20Code%20of%20Conduct_print%20version.pdf

Do you understand and agree to the behavior and discipline agreement for the Empire State After-School Program? *
Required
Transportation Policy (when available) / Política de transporte (cuando available)
At this time, transportation is NOT available for after-school programs. I understand that if I need a different afternoon drop-off location than my current address that I need to contact the Transportation Department at 845-568-6833 or e-mail Transportation@necsd.net.  I understand that my child will ride the bus or other approved school transportation to approved functions or activities in the program, and I will be notified in writing for field trips outside of the program location. I understand that if I need to pick up my child, but I am not at the school by dismissal, my child will be placed on the late bus to go home.
Do you understand and agree to the transportation policy for the Empire State After-School Program? *
Required
Rights and Responsibilities / Derechos y responsabilidades
Empire State After-School Program agrees to:
* Provide a high quality, comprehensive, after-school program for all scholars
* Treat all scholars and parents with respect and provide grievance procedures in case of unresolved conflicts
* Provide opportunities for scholar and parent feedback and suggestions
* Provide parents with contact information and program rules and expectations upon enrollment

As a Parent/Guardian, I agree to:
* Complete all required enrollment and authorization forms
* Comply with program procedures set forth by the Empire State After-School Program Grant
* Encourage my child to abide by the program rules
* Make every effort to attend all student and parent events scheduled by the program
* Understand that the virtual after-school program does not provide supervision of my scholar(s)

As a student, I agree to:
* Follow the rules of the Newburgh Enlarged City School District and the Empire State After-School Program
* Attend all program days per week and any additional program-related events
* Respect all adults and fellow scholars
* Do my best in all activities
Do you understand and agree to the rights and responsibilities for the Empire State After-School Program? *
Required
Current Grade *
Current School *
I am registering for Empire at: *
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