APPLICATION for Winston Preparatory School

Summer Enrichment Program 2016

Full Name of Applicant ________________________________________ Date of Birth _______________ Home Address ___________________________________________________________________________ Street ________________________________________________________________________________________ City State Zip Code Country PARENT/GUARDIAN PARENT/GUARDIAN Name __________________________________ Name__________________________________ Home Address Home Address (if different from applicant’s) (if different from applicant’s) ________________________________________ _______________________________________ ________________________________________ _______________________________________ Home Telephone _________________________ Home Telephone ________________________ Cellphone _______________________________ Cellphone ______________________________ Email Address ___________________________ Email Address __________________________ Occupation ______________________________ Occupation _____________________________ Business Tel. ____________________________ Business Tel. ___________________________

Present School _____________________________ School in the Fall ____________________________ Grade in September ________________ School Address ___________________________________________________________________________ School Telephone Number __________________________________________________________________ Name of Principal or Guidance Counselor ______________________________________________________ How did you hear about the Summer Enrichment Program? _______________________________________ ________________________________________________________________________________________

Continue on reverse

Photograph

PROGRAM OPTIONS: Parents have the option to enroll their child in the Morning Academic Program and/or the July One-on-One Program and/or the August One-on-One Program or any combination of our programs. Please specify by checking the appropriate boxes.

Morning Academic Program July 1 – July 29, 2016

9 am – 1:30 pm

! Tuition: $2,500 Within the Morning Academic Program, each student is enrolled in four academic classes each day: Language & Literature, History, Science, and Math as well as art, music, and gym classes. Parent may choose to enroll their child in either Encoding/Decoding class (learning the rules of spelling/ syllabication/reading) or Reading Comprehension class (understanding what is read). Select ONE of these two classes that you feel your child would benefit from most. If you are uncertain, select “undecided” and the admissions committee will place your child as they deem appropriate according to the academic evaluation provided.

___ Encoding/Decoding ___ Reading Comprehension ___ Undecided

July Focus Program July 5 – July 28, 2016

2:00 pm – 2:45 pm or

2:45 pm – 3:30 pm

Within the July Focus Program parents have the option to enroll their child in sessions that meet twice a week, daily sessions Monday-Thursday, or twice daily Monday-Thursday. Please specify by checking the appropriate box. (*If your child is not enrolled in the Morning Academic Program, you may specify a preferred starting time between 9:00 am and 1:00 pm.)

! Tuition: $1,200 (Monday/Wednesday)

or

! Tuition: $1,200 (Tuesday/Thursday)

or

! Tuition: $2,400 (daily Monday-Thursday) or

! Tuition: $4,800 (Monday-Thursday, twice daily)

*Please specify preferred starting time. ___________________________________________________ Also within the July Focus Program, specific skills can be targeted for development (e.g., decoding, written language expression, mathematical computation, organizational skills, etc.) or specific content areas can be specified for study (e.g., American History, Chemistry, Algebra, etc.). Please indicate specific skills and/or content areas below.

______________________________________________________________________________________ ______________________________________________________________________________________

August Program

August 1 – August 18, 2016 9 am – 3 pm

Within the August Program parents have the option to enroll their child in sessions that meet twice a week, daily sessions Monday-Thursday, or twice daily Monday-Thursday in 45-minute sessions any time between 9 a.m. and 3 p.m. Please specify by checking the appropriate box.

! Tuition: $900 (Monday/Wednesday)

or

! Tuition: $900 (Tuesday/Thursday)

or

! Tuition: $1,800 (daily Monday-Thursday) or

! Tuition: $3,600 (Monday-Thursday, twice daily)

*Please specify preferred starting time. ___________________________________________________

Also within the August Program, specific skills can be targeted for development (e.g., decoding, written language expression, mathematical computation, organizational skills, etc.) or specific content areas can be specified for study (e.g., American History, Chemistry, Algebra, etc.). Please indicate specific skills and/or content areas below.

______________________________________________________________________________________ ______________________________________________________________________________________

At the heart of Winston Preparatory School is the belief that all students acquire knowledge differently. In keeping with this spirit and philosophy, please share with us all that may be helpful in getting to know your child by answering the following questions on a separate piece of paper:

1. Describe your child’s school experience, including circumstances surrounding the onset of school-related difficulties and interpersonal skills.

2. Explain the reasons you would like for your child to attend Winston Preparatory Summer

Enrichment Program. Include, why you feel it is an appropriate setting for him/her.

3. Please list any medication that a doctor has prescribed for your child.

Continue on reverse

APPLICATION PROCEDURE: Please complete, sign, and return this form with a $500 non-refundable deposit made payable to Winston Preparatory School. (Deposit will be applied towards tuition upon enrollment.) Please submit the application and deposit by June 1, 2016 along with the following items:

o Most recent report card

o Educational evaluation (i.e., Psychoeducational Evaluation, IEP, etc.)

*Note: If an educational evaluation is not available, two teacher letters of recommendation describing your child’s academic/learning/social profile are required.

o Parent Survey

o Learning Profile: Teacher Assessment o Recent photograph of your child

o Registration Form for After-School Activities (If registering for After-School Program)

o Financial Aid and W-2 Form (Only if applying for financial aid) o Deposit Check

_____________________________________________________ ___________________ Parent/Guardian Signature Date Please mail completed application to:

Winston Preparatory School Attn: Peter K. Hill 126 West 17th Street New York, NY 10011

If you have any questions regarding admissions, program options, schedules, the after-school program, or financial aid, please contact Peter K. Hill, Summer Program Director at (646) 638-2705 x688 or email: summer@winstonprep.edu. It is the policy of Winston and its Schools to provide programs, services and equal opportunity in administration of educational policies, admissions, financial aid programs, and employment without regard to gender, race, color, creed, religion, national origin, sexual orientation, handicap status, or any status recognized by federal, state and local civil rights and non-discrimination laws.

Winston Preparatory School Summer Enrichment Program 2016

Parent Survey Student name: _____________________________________________________________________________ Name of person completing this form: __________________________________________________________ Relationship with student: ____________________________________________________________________ In order to appropriately group your child with students of similar academic and learning profiles, we ask that you complete the following inventory as accurately as possible. Thank you. Please rate the following categories on a scale of 1 to 4: 1 - Area of significant difficulty 2 - Able to complete challenging tasks with moderate assistance 3 - Able to complete challenging tasks with minimal assistance 4 - An area of strength Ability Rating

Understands the content of what is being read

Reads words fluently and can sound out unfamiliar words

Reads at an average rate

Spells words correctly

Has an age appropriate vocabulary

Uses appropriate punctuation and grammar

Conveys thoughts through written language in an organized manner

Allows sufficient time for homework, papers, studying, etc.

Maintains an organized notebook, book bag, etc.

Is able to prioritize tasks

Utilizes effective and efficient study strategies

Takes adequate notes in class

Maintains attention for extended periods of time

Continue on reverse

Is aware of academic and social strengths and weaknesses

Motivated to do well in school

Completes homework consistently

Understands fundamental math concepts (addition, subtraction, multiplication, division)

Solves mathematical word problems

Proficient at mental math

Negotiates and compromises to settle disagreements

Demonstrates adequate social problem solving

Open to constructive criticism

Demonstrates appropriate conversational skills (turn-taking, topic maintenance)

Makes and maintains friends

Additional comments:

Thank you for your time.

Winston Preparatory School Summer Enrichment Program 2016 Learning Profile: Teacher Assessment

Student name: ____________________________________________________________________________ Name of person completing this form: _________________________________________________________ Relationship with student: ___________________________________________________________________ In order to appropriately group the child with students of similar academic and learning profiles, we ask that you complete the following inventory as accurately as possible.

Ability Always Usually Occasionally Rarely

READING COMPREHENSION

Identifies the main idea

Distinguishes between relevant and irrelevant information

Self-monitors while reading

Summarizes reading

Makes inferences about abstract text

Defines unfamiliar words from context clues

WRITTEN LANGUAGE

Uses sentences of varying length and complexity

Generates ideas easily

Conveys thoughts in an organized manner

Demonstrates adequate grammar usage (i.e., noun-verb agreement, verb tenses, etc.)

Utilizes varied vocabulary in writing

Uses appropriate punctuation (i.e., commas, periods, apostrophes, quotations, etc.)

Continue on reverse

Ability Always Usually Occasionally Rarely

DECODING/ ENCODING

Makes pronunciation errors while reading aloud

Can syllabicate multi-syllabic words

Exhibits difficulty reading, negatively impacting comprehension

Reads at an average rate

ORGANIZATION / STUDY SKILLS

Allows sufficient time for homework, papers, studying, etc.

Maintains an organized notebook, book bag, etc.

Appropriately prioritizes assignments

Utilizes effective and efficient study strategies

Requests clarification when needed

Takes notes from lectures and readings

Maintains attention for extended periods of time

Is aware of academic strengths and weaknesses

Motivated to do well in school

Independently completes homework

Ability Always Usually Occasionally Rarely

MATHEMATICS:

Mental Math

Long division

Mixed operations (i.e., 3+2 x 5 = )

Adding and Subtracting Fractions

Dividing and Multiplying Fractions

Adding and Subtracting Decimals

Multiplying and Dividing Decimals

Adding and subtracting mixed numbers

Working with improper fractions (i.e., 9/5 + 17/3)

Converting fractions to decimals

Ratios and percentages

Finding the perimeter of various figures

Finding the area of various figures

Finding the circumference and areas of circles

Continue on reverse

Ability Always Usually Occasionally Rarely

MATHEMATICS (cont.):

Word problems

Variables (i.e., 8x + 23 = 320)

Exponents

Charting

Algebra

SOCIAL BEHAVIOR

Interprets and uses appropriate body language

Adapts voice and language to suit varying situations and people

Demonstrates appropriate conversational skills (turn-taking, topic maintenance)

Identifies and repairs conversational breakdowns

Demonstrates adequate social problem solving

Open to constructive criticism

Negotiates and compromises to settle disagreements

Makes and maintains friends

Is aware of social strengths and weaknesses

Additional comments:

Thank you for your time.

Winston Preparatory School Summer After-School Program 2016

July 5 – July 28, 2016

Acting Workshop Students will develop their acting techniques by taking risks to explore ideas as well as exercising their creative expression and self-confidence through scene study and monologue. Art & Minds This course is designed to encourage intellectual curiosity and develop creativity by producing multi-dimensional works of visual art, including portraits, landscapes, and sculptures.

Basketball The class will focus on the fundamentals of basketball while also emphasizing sportsmanship and teamwork. Ball-handling, passing, and defensive drills will be balanced with shooting activities and games.

Computing 101 Students will acquire fundamental computing skills and programming basics. The class will also learn about how computers work and the art of using technology to accomplish computational tasks. Creativity in Music Students will discover and explore music through critical listening, improvisation, and musical composition. Cross Training This body-conditioning course offers activities that focus on coordination and body awareness, as well as cardiovascular and muscular fitness. Activities include soccer, basketball, running, and weightlifting. Dance Students will learn dance routines from musical theater incorporating contemporary, jazz, and Latin dance elements combined with elements from Zumba, providing a balance of dance and aerobic workout. Digital Photography Students explore basic photographic concepts, gaining hands-on experience with digital cameras, G5 iMac computers, and Adobe’s Photoshop™ software. Sightseeing Excursions In this life-skills class, students will learn to plan and undertake excursions (on foot and via the subway) to such iconic New York City locations as the Empire State Building; Grand Central Station; and the Intrepid Sea, Air, and Space Museum. Sketch Comedy Writing Students will learn how to write 2-4 page comedy scenes, revise their work based on classmate feedback, and transform their scripts from the page to the stage.

Continue on reverse

Monday/Wednesday 2:00 – 2:45

or 2:45 – 3:30

Digital Photography Basketball Arts & Minds Sketch Comedy

Writing Dance

Tuesday/Thursday 2:00 – 2:45

or 2:45 – 3:30

Computing 101 Cross-Training Creativity in Music

Acting Workshop

Sightseeing Excursions

REGISTRATION FORM for Winston Preparatory School Summer After-School Program 2016

July 5 – July 28, 2016

Student’s Full Name: _________________________________________________________________________

ACTING WORKSHOP _______ ARTS & MINDS ______ BASKETBALL ______ COMPUTING 101 ______ CREATIVITY IN MUSIC_____ CROSS-TRAINING ______ DANCE _____ DIGITIAL PHOTOGRAPHY ______ SIGHTSEEING EXCURSIONS_____ SKETCH COMEDY______

! Tuition: $300 (one activity)

or

! Tuition: $600 (two activities Directions: Please select the after-school activities for your child by placing a 1 next to your first choice, a 2 next to your second choice, a 3 next to your third choice, and so on. NOTE: Enrollment is based on availability. Activities are subject to cancellation due to low enrollment. Students will be placed in either the 2:00-2:45 or 2:45-3:30 time slot dependent upon scheduling decisions and the discretion of the school. Please explain any physical restrictions, injuries, or allergies of your child. ______________________________________________________________________________________ ______________________________________________________________________________________ LUNCH: Students are to bring lunch and will be supervised from 1:30-2:00 pm unless permission is granted by the parent for the student to leave school premises. I give my child permission to leave school during lunch. Yes ____ No_____ _________________________________________________________ __________________ Parent Signature Date Please enclose a check payable to Winston Preparatory School by June 1, 2016.

PLEASE NOTE: Students will not be permitted to begin classes until tuition has been paid in full.