REGISTRATION FORM Complete and return with $100 Registration Fee plus Tuition To register for the Homework Help Program, please check the sessions you want to enroll your child in: Mondays Tuesdays (3:15pm - 5:45pm**) Wednesdays Thursdays Tuition for four sessions - 1 day/week for a month ($155); 2 days/week for a month ($235); 3 days/week for a month ($310); or 4 days/week for a month ($375) PLUS a Registration Fee ($100) which includes a After-School math and reading assessment. Snacks are included in all programs! Academic Program Individual Educational Program Services, Name:______Homework Assistance, Enrichment Age: Date of Birth: Grade:______(Including Core Curriculum) School ______After-School for Girls & Boys Does your child have an IEP? q Yes q No Academic Program Parents’ Names:______Homework Assistance, Enrichment Grades 1 - 6 Mom’s Cell ______(Including Core Curriculum) Dad’s Cell ______2780 Schurz Avenue Address______Bronx, New York 10465 (Preston Center of Compassion is located ______on the campus of Preston High School) Home Phone ______Executive Director Mom’s Work Phone ______Patricia Warner, RDC, MA Dad’s Work Phone ______For inquiries contact: Emergency Contact______(718) 892-8977 Emergency #______www.prestoncenterofcompassion.org Parent’s [email protected] Projected Starting Day and Date to BEGIN at PCC for your child:______Please return this registration form with full payment to secure your child’s place in the program.

Mail to: Preston Center of Compassion 2780 Schurz Avenue 2780 Schurz Ave., Bronx, NY 10465 Attention: After School Programs Bronx, New York 10465 (Preston Center of Compassion is located (Make checks payable to Preston Center of Compassion) on the campus of Preston High School) My child has my permission to participate in the Homework Assistance Program and/or IEP Program. I understand that I must provide the previous academic For inquiries contact: Report Card of my child and a copy of the latest IEP. In case of an emergency, I can be reached at the phone number(s) listed above. I agree to allow Preston (718) 892-8977 Center of Compassion to use any photographic image of my child taken at the PCC tutoring programs. These images may be used in promotions, newspaper The mission of Preston Center of Compassion is to be a presence of compassion in the Bronx [email protected] articles, brochures, newsletters or other related materials. where hearts connect and lives are transformed. Grounded in a spirit of compassion and www.prestoncenterofcompassion.org empowerment, PCC is a welcoming community that addresses critical community needs by Parent’s Signature:______providing counseling, mentoring, leadership, empowerment, spirituality, and educational support facebook.com/prestoncenterofcompassion services and programs for women, children and families who are most in need. Date: ______• TRANSPORTATION AVAILABLE • PCC is a 501(c)(3) organization, separate from Preston High School. PRESTON CENTER OF COMPASSION - AFTER SCHOOL ACADEMIC PROGRAM Programs: Preston Center of Compassion offers students TWO Homework Help / Study Skills / Preston Center of Compassion’s After-School Tutoring Programs. Test Taking Strategies program provides: 1) Homework Help/Study Skills/Test Taking This program is operated by teachers, college students, and Strategies/Computer Skills/Enrichment/School advanced high school students. 1) Strong academic focus, led by licensed and Projects This program is designed to assist students in understanding experienced teachers 2) Individual Educational Program (IEP) Services their schoolwork and applying the concepts learned in 2) Social/emotional development - for students who have been evaluated and approved the classroom to their homework assignments. Tutoring in We are an inclusive program whereas children are with a NYS SETSS P-4 Referral Form from NYC CSE 2 homework includes: given a sense of belonging and community and do not receive services during school day. • Working with students’ questions regarding homework • Engaging students in research and working to complete Snacks are included in all sessions! These programs are designed to address the child’s various school projects including book reports, essays, science projects, current events assignments, etc individual academic needs and to offer support Registration: in all subject areas following NYS standards. • Developing strategies to increase organizational skills which can be utilized in doing homework assignments and To register and secure a place in the program, a one- time non-refundable $100 fee, which covers a math and NEW: Upon registering, each student will be can also apply to classroom work and leads to academic reading assessment, is due along with tuition at time of assessed in reading and math, which includes success registration. a personalized assessment for individualized • Computers available for students to use for various homework learning. assignments and projects, as well as increasing computer skills. Tuition Fees are paid on a monthly basis: Schedule for Homework Help Program: 1 day each week - $155 per month Transportation: Mondays 2 days each week - $235 per month Free transportation is available on a limited Tuesdays 3 days each week - $310 per month (3:15pm - 5:45pm**) basis for students who attend local Throggs Neck Wednesdays * 4 days each week - $375 per month BEST VALUE elementary schools and who register for any Thursdays Snacks are included in all sessions! program 4 days per week. **Late pickup policy: A 15 minute grace period until 6:00pm is granted to parents who are late picking up their child. A late fee of $15 per 15 minutes will be charged to parents and billed the following month.

IEP PROGRAM (Grades 1-6) Individual Educational Program (IEP) Services As an approved New York City Individual Educational Plan (IEP) tutoring program, Preston Center of Compassion provides educational support services funded by NYC Board of Education for students who have been evaluated and approved with a NYS SETSS P-4 Referral Form from NYC CSE 2 and do not receive services during school day. (CSE 2 Office 3450 East remontT Ave, *Free transportation is available on a limited basis for Bronx 10465 phone: 718-794-7428) students who attend local Throggs Neck elementary schools Call Preston Center of Compassion at 718-892-8977 to and who register for this program 4 days per week. schedule an interview for IEP services.