21st CCLC Handbook - Slate Run Elementary School€¦ · Web viewNAFC_21st CCLC Student and Parent Handbook_August 2018 18 21st Century Community Learning Centers Bridge to Success

21st Century Community Learning Centers

Bridge to SuccessAfter-School

AndSummer Camp Program

2018-2019Student and Parent Handbook

This program operates in partnership with

New Albany-Floyd County Consolidated School Corporation

New Albany-Floyd County Consolidated School Corporation and YMCA of Greater Louisville

and is generously funded through the Indiana Department of Education

21st CCLC Student and Parent Handbook

Bridge to Success Mission

To surround students with a community of support for bridging opportunities and empowering them to

succeed in school and in life.

Our mission is possible because of collaboration and partnerships with:

YMCA of Greater Louisville

City of New Albany

HUD

Our Place, Inc.

Floyd County Youth Services Bureau

Purdue University Extension

Junior Achievement of Kentuckiana, Inc.

Heart2Heart Wellness Center

New Albany-Floyd County Public Library2NAFC_21st CCLC Student and Parent Handbook_August 2018

TABLE OF CONTENTS

Introduction………………………………………………………………………..................................... 5

Components of the 21st CCLC Program......................................................................5

Statement of Purpose................................................................................................5

Program Goals and Expectations……………………………………………................................6

Parents’/ Guardians’ Expectation of the Program................................................... 6

Program’s Expectation of Parents/Guardians…......................................................6

Program Expectations of the Children --- Code of Conduct...................………………7

Children’s Expectations of the Program..................................................................7

Registration and Enrollment....................................................................................7

Hours/Days of Operation........................................................................................7

Attendance…………………………………………………………………………………………………………8

Arrival......................................................................................................................8

Daily schedule........................................................................................................ 8

Homework..............................................................................................................9

Enrichment..............................................................................................................9

Field Trips...............................................................................................................9

Mentors.................................................................................................................. 9

Dismissal/ Departure and Sign-out…………………………………………………………………10

Bus Transportation......................................................................................... 10

3NAFC_21st CCLC Student and Parent Handbook_August 2018

In Case of Inclement Weather…………………………………………………………………………10

TABLE OF CONTENTS (continued)

Parent Engagement………………………………………......................................................11

Children’s Belongings................................................................................................11

Communication..........................................................................................................12

Emergency Situations and Procedures Plan …………………………………………………….12

Health/Accident Procedures..............……………………………………………………………….12

Health/Medical Issues.........................……………………………………………………………..13

Student Discipline and Suspension.......................................................................13

Discipline Procedures and Plan.............................................................................14

Acceptable Use Practices (Internet, Equipment and Software) ………………………..14

Personnel..............................................................................................................17

Volunteers………………………………………………………………………………………………………..17

Secure and Accessible...........................................................................................17

Evaluation and Confidentiality............................................................................. 18

Partnership and Community Outreach.................................................................18

Application and Signature Section .......................................................................19

Student Application Form: NAFC 21st CCLC After School Program

Parental Permission / Understanding of Agreement Form

Field Trip and Medical Treatment Consent Form

Non-School Foods Permission and Release


Permission and Release for Purposes of Production and Publication

Parental Request to Grant/Deny Internet Access

Handbook Acknowledgement Form

NAFCSC 21st Century Community Learning Centers:

Green Valley Elementary (812-542-5503)S. Ellen Jones Elementary (812-542-5508)

Refer questions to: Denise Barber, Program Director, [email protected] or (812-542-2194)

Introduction

Welcome to Bridge to Success of New Albany Floyd County’s 21st Century Community Learning Centers Program (21st CCLC). This program is a collaborative effort with New Albany Floyd County Schools, community agencies and individuals. The program is funded through the U.S. Department of Education and the Indiana Department of Public Instruction, and is free of charge, complete with transportation, to students who qualify.

This mission of the program is to provide a variety of activities that will enrich the lives of New Albany-Floyd County School’s neediest students and help them achieve academic success and personal growth. While the main focus in the program is academic enrichment, other components will focus on building social, physical, and emotional skills through activities in fitness, sports, arts, culture, science, math and technology.

Components of the 21st CCLC Program include: A Healthy Snack Homework Assistance Tutoring Academic Enrichment Recreation/ Cultural Arts Mentoring

Statement of Purpose


mailto:[email protected]

The purpose of implementing 21st CCLC Bridge to Success Afterschool Programs in New Albany-Floyd County Schools is to improve the lives of students through programs that incorporate and foster independent learning, tutoring, and enrichment activities. The program also offers a safe, structured environment for children. Students will be engaged in activities and ongoing relationships with caring adults that increase confidence and encourage success at home, in school, and in the community.

Program Goals and Expectations To improve the academic performance in English Language Arts and

mathematics by extending the regular school day curriculum using a variety of activities, including the appropriate use of technology based on Indiana College and Career Ready Standards.

To improve the academic performance in Literacy (reading and writing) by extending the regular school day curriculum using a variety of activities, including the appropriate use of technology based on Indiana College and Career Ready Standards.

To offer enrichment and support activities in other subject areas and provide students with opportunities to participate in activities related to science, the arts, recreation, physical fitness and character development that they may not otherwise experience.

To increase Family Engagement by providing families with support services and background knowledge to assist them in supporting their children’s educational endeavors and help them to become self-sufficient.

Parents’/ Guardians’ Expectation of the ProgramParents/Guardians may expect that: they may visit with the Site coordinator about concerns related to their child

or the program they will be informed about any misbehavior on the part of their child and

meet with the Site Coordinator to bring improvement in the situation they will be regularly informed about the 21st CCLC activities they will be informed promptly if their child is in jeopardy of being dismissed

from the program

Program’s Expectation of Parents/GuardiansThe 21st CCLC Bridge to Success Program expects that parents/guardians will: make every attempt to attend quarterly parent training sessions and special

functions keep the child’s records up to date


pick up their child on time contact the Site Coordinator if the child will not be attending the program for

three or more consecutive days be attentive of correspondence that comes from the 21st CCLC program

Program Expectations of the Children --- Code of ConductThe 21st CCLC Bridge to Success Program expects that children will: attend and participate in the afterschool program and will not miss more than

80% of the program days be responsible for their actions and words using good manners at all times

during the program follow school rules and procedures that guide them and keep them safe and

secure at all times during the program. remain with 21st CCLC program staff at all times until released by the proper

authority

Children’s Expectations of the ProgramChildren may expect: to have a safe and nurturing environment. to receive respectful treatment with discipline that is fair. to have 21st CCLC staff members who are actively involved with them.

Registration and EnrollmentStudents in grades K-4 attending Green Valley or S. Ellen Elementary Schools are eligible to participate in the program based on criteria approved in the grant. Parents/Guardians must register their child with the Program Director or Site Coordinator. The parent/guardian must complete both the required 21st CCLC Enrollment Forms for students to be enrolled in program. Registration must take place with the Program Director or Site Coordinator and be completed along with necessary bus transportation services in place before a child may attend.

Hours/Days of OperationAfterschool ProgramThe Bridge to Success --- 21st CCLC Program is conducted 83 days during the school year and is held Monday; Tuesday; Thursday, from 2:30 pm until 5:00 p.m. The New Albany-Floyd County Schools Child Nutrition Program will provide a light snack based on USDA guidelines. Transportation is provided for students whose parents requested transportation assistance on the registration form. The program will not operate on teacher workdays, school vacation, or holiday


periods. When school is closed due to inclement weather; students will be sent home by the method designated on their registration form. All students in afterschool programs will be sent home as though the day is a non-program day (see In Case of Inclement Weather).

Summer Camp ProgramThe 21st CCLC Summer Camp Program is conducted for 20 days and begins when the regular school year ends (5 weeks, 4-days a week, Monday through Thursday). Hours of operation will be from 9:00 a.m. until 3:00 p.m. The New

Albany-Floyd County Schools Child Nutrition Program will provide a light snack and/or lunch based on USDA guidelines. Transportation is provided for students whose parents requested transportation assistance on the registration form. When school is closed due to facility issues (no water, electricity, etc.), parents and students will be notified by the Bridge to Success “Remind” notification if you are part of the BTS email listings.

AttendanceRegular attendance is essential to meet 21st CCLC-BTS program goals. Excessive absences do not allow the student to receive the program’s full benefit. Additionally, it takes away the opportunity for other students. 21st CCLC attendance is important and students must be present 80% of school days enrolled or the child’s reservation in the program will be cancelled and given to a student on the waiting list.

ArrivalUpon arrival to the program, children will go to the designated area where attendance will be called. If it is necessary for a child to stay late with their regular classroom teacher, the child must report to the program with a note from his/her teacher requesting that the child return to the classroom. Only after permission has been granted from the Site Coordinator can the child return to his/her classroom.

Students must be accompanied back to the program when their session is finished. Staff will not be responsible for escorting a child to or from an extracurricular activity such as gymnastics or special tutoring that is not part of the 21st CCLC Bridge to Success Afterschool or Summer Camp Program, whether it is held on or off the school campus

Daily scheduleStudents may be divided according to grade levels and/or multi-grade levels based on the number of participants at that school. A typical daily schedule will


be:

Time 21st CCLC Afterschool ProgramGreen Valley and S. Ellen Jones Elementary

2:30–5:00 21st CCLC – Bridge to Success 180 min; 3 days/ wk. 90 min; tutoring/ homework help/ support for SEL

strategies 90 min.; ELA/ math focus; small group, guided

instruction7.5 hrs./wk. Bridge to Success -- Total Hours Per Week2:30–5:30 21st CCLC – YMCA (tutoring; homework help;

recreational/ enrichment; childcare)15hrs./wk. YMCA -- Total Hours Per Week22.5hrs./wk. 21st CCLC Program -- Total Hrs/ Wk2 hrs./qtr Parent/ Family Engagement

Time 21st CCLC Summer Camp ProgramGreen Valley and S. Ellen Jones Elementary

9:00-12:00 Academic Enhancement: Intervention, summer skill loss; advancing skills

12:00-3:00 Volunteer/Philanthropy Club; STEM Club; Sports Club; Field & Track Club

20hrs./wk. Summer Camp Program -- Total Hours Per Week2 hrs./ SS Parent/ Family Engagement

Homework21st CCLC staff will provide a limited and appropriate time for homework. They will encourage each child to use this time wisely and assist as much as possible; however, parents are also responsible for ensuring homework is complete and accurate.

EnrichmentEnrichment activities are offered on a rotating basis each week. These activities will support the development of the student and may include: Creative Expression - drawing, painting, interest groups, creative writing Lifetime recreational activities such as physical fitness, sports, dance Wellness activities, character education and development, and service

learning.

Field TripsIn general, field trips during the school year are offered on a limited basis. The 21st CCLC Summer Camp Program offers more opportunities for field trips.


Students must attend the program at an 80% attendance rate in order to participate in a field trip. Parent/Guardian permission is required before a child can participate in a field trip. Also, inappropriate school behavior or failure to comply with program goals can result in denial of field trip privileges.

MentorsStudents in the afterschool program will benefit from a mentor program. The 21st

CCLC team (Heart2Heart, Program Director and Site Coordinators) will obtain student referrals from teachers/ staff through their regularly scheduled Response to Intervention (RTI) meetings. Using a referral/application form provided at each 21st CCLC school, mentors will be selected and receive training at each 21st CCLC site prior to being assigned to a student. Each mentor will submit to a criminal history check.

Dismissal/ Departure and Sign-outParents are asked to pick-up their child by 5:00 p.m. Parents are given the transportation options on the application: walk, car or bus. Please be sure to circle the preferred option on the application. Walkers are required to have a release form on file and the student must be in second grade or higher to walk. Car riders are dismissed by the Site Coordinators when the pickup person is in the foyer and is seen by the Site Coordinator. Bus drivers are given a list of students riding the bus each program day. Any absent students are marked off of the bus driver’s list to avoid wasting travel time.

Children will be released only to persons who are authorized to pick them up as listed on the registration form. The authorized person will be required to show a picture ID and sign the child out on the daily sign out sheet. Students are not permitted to sign themselves out of the program.If no one comes to pick up the child 10 minutes after closing parents will be called. If parents cannot be reached, other authorized persons listed on the registration form will be called. If no one can be reached to pick up the child one hour after the program closes, and 21st CCLC staff has not been notified of an emergency, custody of your child may be turned over to legal authorities.

Bus TransportationBus transportation will be provided by New Albany-Floyd County School Corporation to parents who request transportation assistance on the registration form. The bus will drop your child off as close to their address on record as possible. All NAFC School Board policies governing student discipline and conduct will be observed. Misconduct on the bus or at the bus stop is subject to the same disciplinary measures as misconduct at school. When necessary, the 21st CCLC staff may suspend or revoke riding privileges. In most situations, the


first offense will be a verbal warning. The severity of the offense will be taken into consideration in the administration of these rules. Suspension from the bus may also result if parents/guardians are not at the bus stop at the designated time to pick up their child.

In Case of Inclement WeatherEarly dismissal means that buses will run at an earlier than normal time and will not return to pick up students in the afterschool program. All students in afterschool programs will be sent home as though the day is a non-program day; their regular dismissal plan. If students are in the afterschool program, parents will be responsible for picking up their child at the school no later than 3:30 PM. The school (21st CCLC site) will not/ does not schedule staff to stay beyond the pick-up deadline.

For early dismissal due to weather or other emergencies, the 21st CCLC staff will follow the instructions indicated on the child’s registration form. It is important that this information is up-to-date. Please report any changes to the Site Coordinator.

The New Albany-Floyd County School Corporation will send out Text-Alerts. To sign up, please visit www.nafcs.k12.in.us under the Parent Tab. Bridge to Success will also send out a “Remind” notification if you are part of the BTS email listings.

If parents make different/ other arrangements for their child to go home, they must contact the school office to inform school officials (i.e., Site Coordinator).

Parent Engagement: Programming for Adult Family Members of Participating StudentsParent engagement is a vital part of the 21st CCLC program and ensuring students success. The 21st CCLC program encourages parents to be actively engaged in their child’s education. Program staff will encourage parents to attend regular PTA/PTO meetings, parent teacher conferences, and other events held at the school. Additionally, the program will offer open house parent sessions on an ongoing basis for parents to stop by and see the school/ program and the students work.

Information will be available to all parents on the school website, through conferences and meetings, and through direct mailings (i.e., email; text when applicable). Program Director and Site Coordinators will oversee activities for families and students, providing opportunities for students and families to learn valuable skills together, with common themes including student’s education and academics, parental involvement and volunteering, and literacy. This engages


http://www.nafcs.k12.in.us/

parents in their child’s educational process, including 21st CCLC program activities. Parent(s) and/or families will attend a minimum of 3 family events (including Parent/Teacher Conferences) as required by 21st CCLC enrollment. Not meeting these requirements could result in dismissal from the program.

Children’s BelongingsParents are advised not to allow their children to bring valuables to the program. If they do, it is at their own risk. The Bridge to Success Afterschool and Summer Camp Program is not responsible for lost or stolen items. Please check for child’s belongings each day before leaving the program. All items and belongings should be labeled with the child’s name.

Children’s personal property such as coats, clothing, school bags, etc. must be taken home daily. Any personal property left at the program will be placed in a “Lost and Found” box. Although staff attempts to help children stay organized, the program cannot be responsible for lost personal property.

CommunicationStaff members are expected to maintain regular communication with parent/guardian(s) of enrolled students. Email, text messages, automated messages, newsletters, and flyers are examples of methods the 21st CCLC Bridge to Success Program will notify parents of program updates and upcoming events. Please contact your student’s/ school’s Site Coordinator with any questions or concerns.

Emergency Situations and Procedures Plan All school personnel are trained, along with our students, how to respond to emergency situations. Outside personnel review the emergency guides in every occupied room of the school buildings. Monthly emergency fire drills will be conducted at each school during the school day. BTS conducts an additional drill during the afterschool programs every cycle on a program day.

In the event of an emergency or crisis, the 21st CCLC staff will follow the school’s emergency plan. For early dismissal due to weather or other emergencies, the 21st CCLC staff will follow the instructions indicated on the child’s registration form. It is important that this information is up-to-date. Please report any changes to the Site Coordinator.

Health/Accident ProceduresAll parents of children in the program are required to sign a medical release authorizing the site coordinator /staff to seek medical attention for the child in


case of an emergency. In case of a medical emergency or accident, the following procedures will be used: A 21st CCLC staff member will carry out immediate first aid for minor

accidents and will notify parents when child is picked up that day. In case of serious accidents, a 21st CCLC staff member will notify the parents

immediately. Parents must provide current phone numbers and/ or contact information.

If the parent or designated person cannot be reached, the Site Coordinator /staff will call the local emergency unit for treatment and/or to transport the child to the hospital for treatment. A staff member will remain at the hospital with the child until the parent or guardian arrives. Parents must complete the school’s Parental Permission / Understanding of Agreement Form. Parents understand and give medical authorization for treatment of a

minor (person under 18 years of age): I request and authorize 21st CCLC staff, volunteers, chaperones, and adult leaders to provide all reasonably necessary medical care, including but not limited to medical transport, hospitalization, hospital tests and any and all medical care should illness or accident occur. I will accept responsibility for payment of any medical expenses.

Parents are responsible for any medical care charges in case of an accident involving a student, as 21st CCLC does not carry medical insurance on students in the After School or Summer Camp Program. Parents must complete the school’s Parental Permission / Understanding of Agreement Form .

Parents understand and agree to release all staff and volunteers from any and all liability which may be incurred that is in any way related to my child’s participation in the 21st CCLC – Bridge to Success program. This release of liability is given voluntarily in consideration of the time, effort, and financial outlay contributed by 21st CCLC – Bridge to Success after school program.

Health/Medical IssuesIn consultation with parents and site staff, accommodations for students with health or medical issues will be developed on a case-by-case basis. Parents/guardians are asked to contact the school nurse regarding medication requests. 21st CCLC staff will follow district procedures in the event of an emergency.

If a child becomes ill, parents will be notified. Parents are responsible for picking up sick children as soon as possible. Students will be isolated from the other participants until a parent arrives. The child will be under the supervision of a


staff member.

Parents must complete the school’s Non-School Foods Permission and Release form.

Student Discipline and SuspensionAppropriate behavior is expected of all children at all times. Students are expected to follow school procedures, district policies, and the Code of Student Conduct. Participation in the 21st CCLC Program is a privilege. It is our desire to serve all students who need program services; however, certain situations may require that a child be removed from the program either on a temporary or permanent basis. Reasons for suspension include, but are not limited to the following:

Specific incidences, or repeated behavior problems that endanger the child, others or property

Conditions that cause health and safety concerns for the child (i.e. children who are not signed in and out daily by their parents/guardians, parents who are chronically late for student pickup, etc.)

Students who display chronically disruptive behavior require constant attention from staff inflict physical or emotional harm on self, other children or staff threaten the safety of others through actions prohibited under School

guidelines Ignore or repeatedly disobey the rules which guide behavior during

the school day and program time, thus endangering self and others or disrupting learning.

If a child cannot adjust to the program setting and behave appropriately, then the child may be dismissed from the program.

Discipline Procedures and PlanThe 21st CCLC program’s philosophy of discipline is based on respect for the child’s self-esteem, setting reasonable limits and consequences, and encouraging increased self-discipline. The staff and key partners with the expertise will work with students and strive to cooperate with parents to increase students use of self-regulating strategies and problem solving and character development. The staff, and when appropriate, expert specialists, will work with the child and strive to cooperate with parents to resolve any problems that may arise. 1st offense : Site Coordinator talks to student and notifies the parent both

verbally and in writing through an incident letter. At the discretion of the Site Coordinator and 21stCCLC Program Director, the student may be suspended from the program for one day.


2nd offense : Site Coordinator talks to the student, notifies the parent both verbally and in writing through an incident letter. At the discretion of the Site Coordinator and 21stCCLC Program Director, the student may be suspended from the program for a period of one week.

3rd offense : Site Coordinator conferences with student and parent in person regarding the situation. An incident letter will be drafted, and Site Coordinator notifies and consults with School Principal and 21stCCLC Program Director to determine whether or not the student should be withdrawn from the program for the remainder of the year.

Acceptable Use Practices (Internet, Equipment and Software) (Title XVII, The Children’s Internet Protection Act; 15 USC §Chapter 91, The Children’s Online Privacy Protection Act of 2013)

Acceptable Internet UseThe 21st CCLC After School and Summer Camp program operates within the New Albany-Floyd County Consolidated School Corporation school buildings and has use of computer labs which meets State and federal guidelines for the use of the equipment. The schools provide appropriate electronic information resources available for the use of web-based curriculum to the 21st CCLC participants with the goal of providing academic supplemental and enrichment support. The use of electronic information resources during the after school and summer camp program follows the New Albany County Schools (NAFCS) Internet Policies and defines students’ proper conduct and responsibilities while using any NAFC electronic information resources. Electronic information resources are defined as all computer equipment, including any desktop or laptop computers, iPad, 1:1 device or other hardware that is used within the school buildings, used on the network; and any computer software licensed to the New Albany-Floyd County Consolidated Schools.

The New Albany-Floyd County Consolidated Schools provides Internet access to students as an educational resource. In accordance with federal law, the school system uses appropriate measures, including the use of advanced software for Internet content filtering and has procedures in place where necessary to further block accessibility to language and visual descriptions that are harmful to minors. Although it is the intent of the board that school system electronic information resources be used only to pursue educational goals and objectives, filters may not block all offensive material and/or students may find ways to access inappropriate materials.

The benefits to students from access to the Internet in the form of information resources such as web- based academic programs exceed any disadvantages; but


ultimately, parents and legal guardians of children are responsible for setting and conveying the behaviors that their child should follow when using media and information resources. The NAFC 21st CCLC Afterschool and Summer Camp program supports and respects each family’s right to decide whether or not to deny their child’s Internet access.

Students are granted access to research-based instruction, such as, MyOn Reader, Reflex Math, IXLMath and other differentiated instructional, web-based curriculum via the Internet. However, Internet access is considered a privilege and may be withdrawn at any time by school administration or the afterschool staff. Parents or legal guardians may deny access to their child at any time through completion of a Parental Request to Deny Access Form.School administrators and afterschool staff are responsible for enforcing this policy for all students in the school which they supervise. District level technology services personnel are responsible for the use, implementation, and monitoring of Internet content filtering software.

Administrators and staff must supervise student use of electronic information resources in a manner that is appropriate to instruction.

Acceptable System/ Equipment UseUsers/ students of New Albany-Floyd County School computers are expected to respect school system property and be responsible in using the equipment. Users/ students are to follow all instructions regarding maintenance or care of

the equipment. Users/ students may be held responsible for any damage caused by intentional or negligent acts in caring for computers while under their control.

This policy is applicable to all student users of New Albany-Floyd County School computers and refers to all electronic information resources whether individually controlled, shared, stand alone, or networked. Disciplinary action, if any, for students and other users shall be consistent with board policies and practices, including the Code of Student Conduct. Violations may constitute cause for cancellation/ withdrawal of access privileges, suspension of access to school system computers, and/or other disciplinary action. Specific disciplinary measures will be determined on a case-by-case basis.

Acceptable Software UseStudent use of electronic information resources (software) is related to 21st CCLC educational goals and objectives. The research web-based curriculum software used in afterschool- and summer camp programming is licensed to New Albany-


Floyd County Consolidated School Corporation and for use under the provision of the 21st CCLC grant. All software is legally licensed by the New Albany-Floyd County Consolidated Schools prior to request of loading onto school system equipment. The unauthorized use of and/or copying of software is illegal.

Compliance with this Student Acceptable Use policy is required of all New Albany-Floyd County Consolidated Schools 21 st CCLC After school and Summer Camp participants.Training is in accordance with Title XVII (The Children’s Internet Protection Act) as well as other federal, State or School Board policies consistent with Internet Protection Measures that block access to obscene, pornographic or material harmful to minors, as well as guidelines on copyright infringement and plagiarism.

The New Albany-Floyd County Consolidated Schools 21stCCLC After School and Summer Camp program complies with 15 USC §Chapter 91, The Children’s Online Privacy Protection Act of 2013 as well as all school and/or district policies and procedures regarding electronic communications.

The New Albany-Floyd County Consolidated School 21stCCLC After School and Summer Camp program has obtained parental consent for E-mail and/or Internet communication with students as per 15 USC §Chapter 91, The Children’s

Online Privacy Protection Act of 2013.

Parents must complete the school’s Internet access agreement.

PersonnelAll 21st Century Community Learning Center staff members are employees of NAFCCSC. Site staff consists of the Site Coordinator, teachers, tutors, teacher assistants and enrichment leaders. The Program Director will provide supervision for the overall program and staff through the guidance of New Albany-Floyd County Schools. The Academic Coordinators, Site Coordinators, teachers, teacher assistants and enrichment staff are responsible for the day-to-day operation of the program. The staff is composed of highly qualified individuals selected to provide the best educational intervention, care and guidance.

The staff has been carefully chosen for their character and experience with children, special talents and creativity. All staff has been thoroughly screened with a complete background check.


VolunteersNAFC 21st CCLC Program encourages and supports parent involvement in the program. Volunteers are needed in many capacities, such as helping children with homework, providing programs, providing snacks and other donations, chaperoning field trips, and recruiting other volunteers. If you have a few free hours during the week after school and enjoy working with children, please notify the site coordinator. All volunteers must participate in an orientation session and have a background clearance on file in order to participate in the program. Please notify the Program Director if you are interested in volunteering.

Secure and AccessibleAll public-school buildings in the New Albany-Floyd County Consolidated School Corporation have a security system (Raptor Security System) in place to screen visitors before admission to the building. Any student who is not leaving on the bus must be signed out by an adult that has permission to take the student from school property. Before removing a student from the property, this adult’s ID is checked and verified.

All of 21st CCLC buildings are handicapped accessible. The Policy Against Discrimination and Harassment on the Basis of Race, Sex and Other Protected Characteristics is located on page 45 of the Student Guide portion of the Student/Parent Handbook. A copy will be made available upon request.

Evaluation and ConfidentialityThe 21st CCLC program must annually be evaluated for program quality. Information about the quality of the program is collected through the year about student progress, teacher instruction and how the program is meeting expectations and quality standards. This information is shared with the Indiana Department of Education, IDOE contracted statewide evaluator, and the United States Department of Education under the 21st Century Community Learning Centers grant. The purpose of this data collection is to calculate the impact 21st CCLC has on student performance. All records and information are protected and kept in confidence by specific Bridge to Success personnel. Confidentiality (identity is always concealed) is addressed in the school’s student handbook and on the FERPA form attached to each BTS application. Parents must complete the school’s Parental Permission / Understanding of Agreement Form.


By signing the form (application), parents understand and give permission for the collection of demographic information, assessment data, student grades, survey data, free and reduced lunch status, and attendance data.

Partnership and Community OutreachThe 21st CCLC Program administrators and staff collaborate with community partners who have a deep commitment in supporting the students in NAFC Schools. Parents must complete the school’s Release for Photographic Reproduction Form.

By signing the form (application), parents understand and give permission for their child/children’s activities/ photographs, artwork and quotes to be used in any outreach, publicity and publication that the 21st Century Community Learning Centers (21st CCLC) Bridge to Success program may produce. Students names are concealed.

By signing the form (application), parents understand and also give permission for their child/children’s activities/ photograph, artwork and quotes to be used on New Albany-Floyd County Schools’ and Bridge to Success program’s website, social media, and 21st CCLC partner’s/ sponsor’s websites. Students name are concealed.


Applicationand

Signature SectionForms in this section must be signed

and returned to the 21st Century Community Learning Center’s Site

Coordinator

Student Application Form: NAFC 21st CCLC After School Program

FERPA – Parent Release of Records and Information Consent Form

Field Trip Consent Form

Non-School Foods Permission and Release

Permission and Release for Purposes of Production and Publication

Parental Request to Grant/Deny Internet Access

Handbook Acknowledgement Form

NAFC_21st CCLC Student and Parent Handbook_August 2018

Student’s Name: ____________________________________________ Parent/Guardian Name: _______________________________________________ Student’s Address: ______________________________________________________________Best Phone #:______________________________ Text Yes No Work Phone #:_____________________Date of Birth: _________________ Student’s School _________________________Gender: Male FemaleAge ____________ Current Grade _____________ Language Spoken at Home ______________Teacher: _________________________________________

Race (If multi-racial, please check all that apply) ____Asian ____American Indiana or Native Alaskan____White or Caucasian ____Middle Eastern____Black or African American ____Other (Specify) ________________________Native Hawaiian or Pacific Islander

Ethnicity _________Hispanic (A person of Cuban, Mexican, Puerto Rican, South or Central American, or other

Spanish Culture or origin, regardless of race.) _________ Not Hispanic Describe any disabilities or chronic illnesses (including food allergies) your child may have: ______________________________________________________________________________Is your child on any medications on a daily basis that we should know about? Please list them: ______________________________________________________________________________

Number of persons in household ____ Are you a female head of household? YES NOHow many children (under the age of 18) live in your household? _____ (Information is required for grant reporting only) Please circle the number closest to your annual income level without going over or enter your annual household income: ______________________

Is your child eligible for free or reduced-price school lunches? YES NO How will your child go home? Please circle one


21st Century Community Learning CentersBridge to Success Afterschool Program

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Walk Home (release form required) Bus Car Day Care will pick up

BOTH SIDES OF THIS APPLICATION MUST BE FILLED IN COMPLETELY

In case of an emergency and you are unavailable, who else can we contact?Name: __________________________________Relationship:________________________________Address: ___________________________________ Home Phone: ____________________________ Cell Phone: _________________________________Work Phone: _____________________________*If someone other than those listed above or yourself will be picking up your child, a NOTE or PHONE CALL to the school is REQUIRED OR WE WILL NOT RELEASE YOUR STUDENT.

I understand and consent to the following:1. I agree to complete surveys that may be required for the effective execution and /or evaluation of

this program and its activities. (I understand that survey results will be published so that my child will not be personally identified to anyone except program staff.)

2. I agree to permit the release or exchange of demographic and academic information of my child to program staff and partnering agencies; some of which are, but not limited to, the Indiana Department of Education, HUD, City of New Albany, New Albany-Floyd County Consolidated School Corporation, Our Place, Inc., Floyd County Youth Services Bureau, and the YMCA of Louisville.

3. I give permission for my child/children’s photographs, artwork and quotes to be used in any publicity and publication that the Bridge to Success program may produce. Also, I give permission for my child/children’s photograph, artwork and quotes to be used on the school corporation website and our sponsor’s websites.

4. Bridge to Success/ New Albany-Floyd County Consolidated School Corporation medical authorization for treatment of a minor (person under 18 years of age): I request and authorize Bridge to Success staff, volunteers, chaperones, and adult leaders to provide all reasonably necessary medical care, including but not limited to medical transport, hospitalization, hospital tests and any and all medical care should illness or accident occur. I will accept responsibility for payment of any medical expenses.

5. Further, I agree to release staff and volunteers from any and all liability which may be incurred that is in any way related to my child’s participation in the Bridge to Success program. This release of liability is given voluntarily in consideration of the time, effort, and financial outlay contributed by the afterschool program.

6. I agree that my child will be present for 80% of the scheduled program days during the school year. If my child’s attendance falls below the 80%, I will allow another student to take my child’s academic and enrichment place in the program. Parent(s) and/or families will attend a minimum of 3 family events (including Parent/Teacher Conferences) as required by 21st CCLC enrollment. Not meeting these requirements could result in dismissal from the program.

7. In signing this application, I certify that all information is accurate to the best of my knowledge as parent/guardian.

_______________________________________________ ______________________________Parent/Guardian Signature Date

Do you have an email address to receive communication from the afterschool program? NAFC_21st CCLC Student and Parent Handbook_August 2018

Email __________________________________________________________________

**** STUDENTS MUST BE PICKED UP AND SIGNED OUT BY AN ADULT **** RETURN THIS FORM

21st Century Community Learning CentersParent Release of Records and Information Consent Form

The Indiana Department of Education (“IDOE”) would like to collect data on activities and events taking place in classrooms, schools, and school related programs throughout the state. The Family Educational Rights and Privacy Act (“FERPA”) requires the IDOE and 21st Century Community Learning Center (“21st CCLC”) to obtain prior written consent from the parent, guardian, or eligible student before releasing any personally identifiable information about a student. The information requested will be used to calculate the impact the 21st CCLC has on student performance and to meet reporting requirements as a result of receiving state and federal funds.

New Albany-Floyd County’s Bridge to Success Camps are dedicated to establishing a community learning center designated to provide students with academic and enrichment opportunities, as well as additional activities to complement their regular academic programs. Quality programs are those that demonstrate a high daily attendance rate and engagement with family members of active participants. Programs that demonstrate these characteristics are more likely to have higher student growth, increased passage rates of local and state assessments, and students pursue post-secondary education.

I understand that this authorization is made pursuant to the Family Educational Rights and Privacy Act (“FERPA”), set forth in 20 USC §1232g and its regulation in 34 CFR Part 99 (as amended in 2012). Furthermore, I understand that this consent is made pursuant to 34 CFR 99.30(a), which requires that (1) the parent or eligible student’s consent specify the records to be disclosed, (2) state the purpose of the disclosure, and (3) identify the party or parties to whom the disclosure may be made. By signing this form, I grant the school my student attends permission to disclose to the 21st CCLC the following information. I also grant permission to the 21st CCLC to re-disclose the following information to the re-disclosure parties.

1. Records Disclosure: School Registration Information/Demographic Data, Assessment Data, Student Grades, School Day Attendance, Survey Data, Free and Reduced Lunch Status, Attendance Data Student Grades, Assessment Data, Demographic Data

2. Disclosure Parties: 21st CCLC3. 21st CCLC Re-disclosure Parties:

a. Indiana Department of Educationb. IDOE contracted statewide evaluatorc. United States Department of Education


PLEASE SIGN THIS FORMOne form per student is required

4. Purpose of Each Disclosure: Collect data to calculate the impact 21st CCLC has on student performance.

All records and information regarding services will be protected by FERPA, which governs the exchange of confidential information. The exchange of information will be limited to the authorized staff of the 21st CCLC and the aforementioned re-disclosure parties. No individual student data will be released beyond that which is specified in this authorization.

This authorization, to receive services from the 21st CCLC and to exchange confidential information, shall remain in effect for the period of my student’s enrollment in the 21st CCLC, or until rescinded in writing. I understand that this release may be revoked by me at any time with a written request dated and signed by me, except to the extent that the 21st CCLC has already acted in reliance upon this consent. Written revocations shall be sent to:

Denise Barber, Project DirectorNew Albany-Floyd County’s Bridge to Success

600 East 11th Street, New Albany Indiana 47150812-542-2194

[email protected]

I understand the 21st CCLC program requires ten (10) business days to process my request. I understand that personal records are protected by FERPA and any additional disclosure or re-disclosure, not authorized by this consent or otherwise permissible pursuant to federal or state law, is prohibited.

I have read this authorization before signing and I fully understand the contents, meaning, and impact of this release.

Student Name: (Please Print) __________________________________

Parent/Guardian Name/Eligible Student: (Please Print) __________________________________

Signature of Parent/Guardian: __________________________________ Date: ___________

Relationship to Student: __________________________________


PLEASE SIGN THIS FORMOne form per student is required

RETURN THIS FORM

New Albany-Floyd County Schools21st Century Community Learning Centers – Bridge to Success

Field Trip Consent Form

As parent/legal guardian of ___________________________________, has my

permission to ride the bus and attend the field trip on ___________________________.(day), (date)

Destination:

Time of departure: Time returning to school:

Sponsors/Chaperones: 21st Century Community Learning Centers – Bridge to Success Staff and YMCA staff.

___________________________________ _______________ _____________________ Signature of Parent/Guardian Date Phone Number

New Albany-Floyd County Schools21st Century Community Learning Centers – Bridge to Success

As parent/legal guardian of ___________________________________, has my

permission to ride the bus and attend the field trip on ___________________________.(day), (date)

Destination: ____________________________________________________________________________

_________________________________________________________________________________

Time of departure: Time returning to school:


Sponsors/Chaperones: 21st Century Community Learning Centers – Bridge to Success Staff and YMCA staff.

___________________________________ _______________ ____________________ Signature of Parent/Guardian Date Phone Number

NON-SCHOOL FOODS PERMISSION AND RELEASEThe New Albany-Floyd County Schools Child Nutrition Program will provide a light snack, including a drink, based on USDA guidelines. If your child chooses not to eat the snack provided for the day, it is the parent’s responsibility to provide a healthy snack in place of the afterschool snack. Some suggestions: yogurt, fruit cups, vegetables (carrots, celery, etc.), fruit (apples, bananas, etc.), animal crackers, fig newtons, sunflower seeds, low-fat string cheese, vanilla wafers, beef jerky and water. For more suggestions, please visit https://foodplanner.healthiergeneration.org/calculator/

We have a significant number of students with food allergies. For the safety of all, please avoid nuts, fish products and shellfish products.

PERMISSION AND RELEASE FOR PURPOSES OF PRODUCTION AND PUBLICATIONI agree to complete surveys that may be required for the effective execution and /or evaluation of this program and its activities. (I understand that survey results will be published so that my child will not be personally identified to anyone except program staff.)I agree to permit the release or exchange of demographic and academic information of my child to program staff and partnering agencies; some of which are, but not limited to, the Indiana Department of Education, HUD, City of New Albany, New Albany-Floyd County Consolidated School Corporation, Our Place, Inc., Floyd County Youth Services Bureau, and the YMCA of Louisville.

I give permission for my child/children’s photographs, artwork and quotes to be used in any publicity and publication that the Bridge to Success program may produce. Also, I give permission for my child/children’s photograph, artwork and quotes to be used on the school corporation website and our sponsor’s websites.

Student Name __________________________________ Grade ____________________

Your signature at the bottom of this notification will indicate your approval or disapproval of the publication of your child’s photograph, voice, and/or work.

____ I DO give permission for photographs, voice, and/or work of my child to be used in any available media format.

____ I DO NOT give permission for photographs, voice, and/or work of my child to be used in any available media format.


https://foodplanner.healthiergeneration.org/calculator/

Parent Signature ____________________________________________ Date______________

Printed Name ____________________________________________

NOTE: It is the responsibility of the parent to notify the school in the event you want to change this information.

New Albany-Floyd County SchoolsInternet and Network Acceptable Use Policy Board Policy –

Section 8.380 (Adopted by the Board of School Trustees, April 24, 2001) 8.381

The New Albany-Floyd County Consolidated School Corporation firmly believes that there is a wealth of information and interaction on the Internet providing valuable resources for our students. With access to computers and people from all over the world through the Internet, it is impossible to control access to all materials found on the Internet, and an industrious user may discover controversial information. BTS staff will instruct and supervise their students in acceptable use of the Internet and proper Internet etiquette. The smooth operation of the School Corporation’s Wide Area Network (the Network) and the Internet relies upon the proper conduct by users who must adhere to strict guidelines. Access to the Network and Internet through school machines and afterschool programming requires responsible, efficient, ethical, and legal utilization of resources. Users violating any of these provisions may be disciplined, and their access to Network and Internet services terminated and future access denied.

.1) Acceptable Use – Internet and Network access must be in support of education and research, and consistent with the educational objectives of this school corporation. Transmission of any material in violation of any U.S. or state regulation is prohibited. This includes, but is not limited to, infringement of any copyrighted material, threatening or obscene material, or material protected by trade restrictions. You may not access, upload, or download sexually explicit materials. Internet and Network access may not be used for commercial activities.

.2) Privileges - The use of the New Albany-Floyd County Consolidated School Corporation’s Network and Internet services is a privilege, not a right, and inappropriate use will result in a cancellation of all privileges. Assignments that require Internet access will have a faculty sponsor who will instruct and monitor student activity on the Internet. The sponsor and the Network administrators will deem what is inappropriate use and their decision is final. Parents, faculty sponsors, administration, faculty, or staff may request that further account privileges be denied, revoked or suspended for any violation of this policy.

.3) Etiquette - You are expected to abide by the generally accepted rules of Internet and Network etiquette. These include, but are not limited to, the following: (a) Be polite. Do not be abusive in messages to others. (b) Use appropriate language. Offensive or vulgar


messages, such as messages that contain sexual or racial comments are strictly prohibited, in conformity with the School Corporation’s existing policies, rules and regulations governing harassment and discrimination. Illegal activities are strictly forbidden. (c) Do not reveal your personal address or telephone number, or those of other students or colleagues. (d) E- mail is not guaranteed to be private. System Operators may access e-mail. Users have no expectation of privacy or confidentiality in any of their email. Messages 29 relating to, or in support of, illegal or improper activities will be reported to the proper authorities. (e) Enrolling in or participating in Chat Rooms is prohibited. (f) Do not use the Internet or Network in such a way that would disrupt the use of the Internet or Network by other users. (g) All communications and information accessible via the Internet should be assumed to be private property and safeguarded by copyright laws. (h) Word your messages carefully and be brief (i) Passwords may not be shared except with the teacher/supervisor and the System Operator. (j) You may not access another person’s account without their permission.

.4) Warranties - The New Albany-Floyd County Consolidated School Corporation makes no warranties of any kind, whether expressed or implied, for the service it is providing. The New Albany-Floyd County Consolidated School Corporation will strive to provide error free, dependable access to the computing resources associated with Network and Internet use. However, this school corporation and afterschool program is not responsible for any damages suffered due to loss of data resulting from delays, non-delivery, missed deliveries, or service interruptions. Use of any information obtained via the Internet is at your own risk. The New Albany-Floyd County Consolidated School Corporation and Bridge to Success specifically denies any responsibility for the accuracy or quality of information obtained through these Internet services.

.5) Security - Security on any computer system is a high priority, especially when the system involves many users. If you feel you can identify a security problem on the Network, you must notify a sponsoring teacher or system administrator. Do not demonstrate the problem to other users. Do not use another individual’s account without written permission from that individual. Attempts to log on to the Network as a system administrator will result in disciplinary action. Any user identified as a security risk or having a history of problems with other computer systems will be denied access to Network and Internet services.

.6) Vandalism - Vandalism will result in cancellation of privileges and possible disciplinary action. Vandalism is defined as any malicious attempt to harm or destroy data of another user or other Networks that are connected to The New Albany-Floyd County Consolidated School Corporation’s Wide Area Network. This includes, but is not limited to, the uploading or creation, or distribution of computer viruses. Users shall not intentionally seek information on, obtain copies of, or modify files, other data, or passwords belonging to other users, or misrepresent other users on the Internet or the Network.


.7) Computer Use - Computers, Chrome Books, and iPads are available for students to use in the afterschool program. Bridge to Success uses technology to enhance learning and teaching, not replacing it. With the use of technology, students have the responsibility to use it appropriately. If students damage technology, a financial bill for repair or replacement will be issued.

As a parent or guardian of this student, I have read this Internet and Network Acceptable Use Policy. I understand that this access to the Internet and the Network is designed for educational purposes. I recognize that it is impossible for the New Albany-Floyd County Consolidated School Corporation and Bridge to Success to restrict access to all controversial materials and I will not hold the sponsoring program or the school responsible for materials acquired on the Internet. I accept full responsibility for supervision if and when my child’s use is not in a school setting, and I certify that the information contained on this form is correct.

Signature ________________________________________________Date ___________

Printed name ____________________________________________________

As the parent or guardian of this student, I do not authorize the school to make Internet access available to this student. Alternate activities of a suitable educational nature not requiring Internet access should be assigned to this student. Signature ________________________________________________ Date __________

Printed name __________________________________________________

Sponsoring Staff: I have read this Internet and Acceptable Use Policy and agree to sponsor this student. Use of the Internet will be in support of educational research and consistent with the curricular goals and objectives of the New Albany-Floyd County Consolidated School Corporation. I agree to instruct this student on acceptable use of the Internet and proper Internet etiquette. I understand that this student may use this privilege for individual work, and I will not be held responsible for inappropriate Internet use that is out of my control or in violation of this Agreement.

Signature ________________________________________________ Date ___________

Printed name __________________________________________________


As Parent/Guardian of ______________________________________________, I agree to release staff and volunteers from any and all liability which may be incurred that is in any way related to my child’s participation in the Bridge to Success program. This release of liability is given voluntarily in consideration of the time, effort, and financial outlay contributed by the afterschool program.

I agree that my child will be present for 80% of the scheduled program days during the school year. If my child’s attendance falls below the 80%, I will allow another student to take my child’s academic and enrichment place in the program. Parent(s) and/or families will attend a minimum of 3 family events (including Parent/Teacher Conferences) as required by 21st CCLC enrollment. Not meeting these requirements could result in dismissal from the program.

I hereby acknowledge receipt of the Bridge to Success Student and Parent Handbook. I understand that it is my continuing responsibility to read and know its contents.

Signature _____________________________________________

Print Name ____________________________________________

Date ________________________



Documents

21st CCLC Handbook - Slate Run Elementary School€¦ · Web viewNAFC_21st CCLC Student and Parent Handbook_August 2018 18 21st Century Community Learning Centers Bridge to Success