Saturday Success School Student Application 2017 2018
Saturday Success School Student Application 2017– 2018
Student’s Name:Today’s Date:
HR:Grade:Student ID #:
Parent/Guardian(s) Name(s):
Home Address:
Apt. #:City:Zip:
(Please indicate if home, work or cell phone number/e-mail)
Primary Phone #:Secondary Phone #:
Parent E-Mail(s):
Emergency Contact Information:
NamePhone NumberRelationship
Saturday Success School
Saturday Success School will begin on SATURDAY, NOVEMBER 18. Students are asked to report to the second floor of the Latin School (Room #213) at 9am. The morning consists of 3 – 45minute long tutoring sessions with the last session ending at 11:30am.
SUBJECT SELECTION (Students must select three (3) subjects)
Which three (3) subjects would you like to receive assistance with at Saturday Success School?
One of the 3 subject sessions may be replaced with the new “Executive Functioning Workshops” that we have added to Saturday Success School. If that is one of your choices, write Exec. Func. In the subject box and leave the Teacher’s name blank.
FIRST SUBJECT / SECOND SUBJECT / THIRD SUBJECTTEACHER’S NAME / TEACHER’S NAME / TEACHER’S NAME
Please Complete the Backside of This Sheet!!
SATURDAY SUCCESS SCHOOL
Parent – Student Contract & Information Sheet
Parents & Students must sign below indicating that they have read, understand and agree to adhere to the following rules and expectations. Failure to do so will delay the student’s start date.
Saturday Success School begins promptly at 9:15am and ends at 11:30am. Students are required to leave the building at dismissal time. On Saturday mornings, students should report directly to the second floor. Students also need to be aware of signs that may indicate special instructions for entering the building when there are special events in the building. Students will not be able to enter the building until 8:45am at the earliest.
Students who have extracurricular activities to attend on Saturday mornings which conflict with the program times, should speak with Mr. Giordano regarding whether or not they should register for SSS.
*** Students Are Not Allowed To Access Their Lockers At Any Time During the Saturday Success School ***
Unruly conduct, chronic tardiness, cutting class and/or absences will not be tolerated and will result in dismissal from the program. Students will be held responsible for obeying the same rules as during the week. For a complete list, please refer to the Student Agenda Book, this may include serving disciplinary detention during the week for behavior that occurred on Saturday.
Students are expected to come prepared to all tutoring sessions with books, notebooks, agendas, homework and pencils. We encourage students to bring tests and quizzes from the previous week(s). Students should come prepared with 3 periods of work to do. If they repeatedly do not, parents will be contacted. PLEASE TAKE NOTE: ALL STUDENTS MUST COME PREPARED TO ALL SESSIONS.
I understand the importance of information about grades to aid tutors in working with my child. By signing below, I give permission for such information to be shared with my child’s tutors.
Excessive absences may put a student in danger of being dropped from the program.
In case of inclement weather or other reasons which question whether or not Saturday School is being held, a cancellation announcement will be made by the end of the school day on Friday or you may call:
Mr. Giordano’s Office (McCarthy Institute)
671-635-8895 x130
By 7:30am on Saturday morning; the voicemail will have an updated recording about cancellations.
By signing below, I acknowledge that I have read, understand and agree to abide by the stated rules and expectations of the Saturday Success School Program.
Student Signature:Date:
Parent/Guardian Signature:Date:
Please return this application to Mr. Giordano’s Office (Room #213)
no later than the end of the school day on Thursday.
You will not receive a confirmation.
If your application has been delivered, you may start immediately.