SUP Participant Application 2023 学生申请表格

城市夏令营计划

2023年申请表

我们的计划飞利浦·布鲁克斯住房协会城市夏令营计划(The Phillips Brooks House Association’s Summer Urban Program (SUP))12个夏令营计划的综合名称为波士顿到剑桥的少年儿童服务


SUP营地我们的10个夏令营地给700名年龄在6岁和13岁的少年儿童提供学习指导和夏令营娱乐活动。(202391日年满6岁并且完成了一整年幼儿园学习的儿童可以申请)。


SUP营地:(由社区提供)

  • 波士顿青少年难民改进计划(英语学员Dorchester)

  • 剑桥青少年改进计划 (剑桥)

  • 中国城探险计划(波士顿中国城)

  • 富兰克林输入输出计划(Franklin Field & Hill社区)

  • Keylatch夏令营计划(South End, Lower Roxbury)   

  • 使命山夏令营计划(Mission Hill)

  • Roxbury青少年倡议计划(Roxbury)

  • 南波士顿培训计划(South Boston)


社区少年领袖计划(JLINC):该计划为波士顿和剑桥159年级学生服务每周三天提供娱乐活动和学习辅导的机会参与者每周两天得到少年辅导员的培训。青少年可以通过参与该计划获得奖学金(金额待定)。 该计划优先考虑在前一个夏天参加过 SUP 营地活动的青少年。 该计划优先考虑上前几个暑期参加SUP夏令营活动的青少年


近期移民夏令营改进计划(RISE):该计划服务于大波士顿地区的中学生英语学员参加者的年龄必须在14-19岁之间


有何期待:
  • 所有 SUP 项目运行 6 周(7 月 6 日至 8 月 10 日)
  • 每个营地分成几个班级,每班10个夏令营学员。各个班级由一名大学生“高级辅导员“和一名社区青少年员工即“少年辅导员“带领。
  • 计划要素包括:实地考察、露营和游泳、阅读和数学教学、艺术和手工艺以及体育,以及基于学习和课堂活动的计划 [如果健康和安全准则允许]。所有计划的重点在于社交活动和情感学习以及身心健康。
日期/后勤保障
  • 日期:7 月 6 日至 8 月 10 日
  • 夏令营时间为上午 9:00 至下午 4:00。 周五青少年时间为上午 9:00 至下午 1:00,以便员工有时间准备课程。 RISE的活动时间是下午4:00-7:00。大部分计划有一个主要的接送地点,但BRYE, Franklin, RYI, NAYEP and South Boston有带“公共汽车站“的往返车服务[乘坐往返车可能要另外花钱]。
SUP 营地活动的费用为每位儿童 100 美元。 没有兄弟姐妹折扣。 如果您支付费用有困难,请完成免费申请。

登记

  • 我们以滚动审阅的形式查看申请表审阅申请表的第一个部分后我们会通知申请人是否合格并且是否录取

  • 申请表有两个部分

  • 如果在2023515日前提交申请表的第一部分再次参与计划的夏令营学员低收入家庭以及代表提供服务的社区和邻里的学员优先录取

  • 515日是所有营地的优先申请截止期-如果你没能在515日前提交申请的第一部分我们不能保证你家的夏令营学员能在计划开始的头一天得到登记

  • 申请表的第二部分以及所有相关的文件必须在61日交全

  • 夏令营学员必须交全所有的表格后才能参加活动

  • 上传了所有的免疫表

  • 交了费用或获得了奖学金



 

飞利浦·布鲁克斯住房协会的城市夏令营计划符合的M.G.L.c111, ss. 3 and 127A的规定并持有合规检查部的执照所有的信息都会变动






城市夏令营计划

2023

登记检查单


第一部分

  • 登记表(请注明你申请哪个营地)


第二部分

  • 健康状况表

  • 服药表(如果你的孩子需要在营地服药)

  • 准许表

  • 交通和夏令营学员准许表

  • 用于数据的同意表

  • 教师/辅导员的问答表


应附的记录

  • 免疫表(由医生签字)

  • 要参加夏令营活动学员必须有卫生部要求的所有免疫表

  • 病历


学员费用

  • 按指定数额的支票或汇票

  • 可以网上交费

  • 交费计划


SUMMER URBAN PROGRAM


Our Programs: 


The Phillips Brooks House Association’s Summer Urban Program (SUP) is a collection of 12 summer programs serving youth from Boston and Cambridge.


SUP Camps: 10 summer day camps provide both academic instruction and summer recreation to 700 children between the ages of 6 and 13. (Children who turn 6 by September 1, 2023 and have completed a year of full-day Kindergarten may apply). 



SUP Camps (by Community)

  • Boston Refugee Youth Enrichment (English language learners, Dorchester)

  • Cambridge Youth Enrichment (Cambridge)

  • Chinatown Adventure (Boston’s Chinatown) 

  • Franklin IO (Franklin Field & Hill neighborhoods)

  • Keylatch Summer Program (South End, Lower Roxbury)

  • Mission Hill Summer Program (Mission Hill) 

  • Native American Youth Enrichment (indigenous youth  from Greater Boston accepted)

  • Roxbury Youth Initiative (Roxbury)

  • South Boston Outreach Summer (South Boston)


Junior Leaders in Community (JLINC): This program serves 15 rising 9th graders from Boston and Cambridge. The program provides opportunities for recreation, and academic instruction three days per week. Participants serve as junior-counselor-in-training 2 days per week. Teens earn a stipend (amount TBD) for participating. Priority is given to youth who participated in SUP Camps in previous summers.    


Recent Immigrant Summer Enrichment (RISE): This program serves students from Greater Boston area high schools who are English Language Learners. Participants must be between the ages of 14-19.

What to Expect: 

  • All SUP programs run for 6 weeks (July 6 - August 10) 

  • Each camp is divided into classes of 10 campers. Classes are led by college-student "senior counselor" and a teen employee from the community, "junior counselor." 

  • Programming includes: field trips, camping, swimming, field trips, project based learning & classroom activities* [health and safety guidelines permitting].

  • Socio-emotional learning and restorative practices are the focus of all programs


Dates/Logistics 

  • Dates: July 6 - August 10th

  • Camp hours will be from 9:00 AM to 4:00 PM. Each Friday the hours will be 9:00 AM to 1:00 PM for youth, to allow time for staff and curriculum development. RISE hours are 4:00pm-7:00pm.

  • Most programs have a central pick up and drop off location, but BRYE, Franklin, RYI, NAYEP and South Boston have some “bus stop” shuttle service.* [Shuttle use may incur an extra fee].

  • SUP Camps costs $100 for one child. There is no sibling discount. If this fee presents a challenge to you please fill out a fee waiver request form. RISE is free and JLinC comes with a stipend to youth.


Registration


  • Applications are reviewed on a rolling basis. Applicants will be notified of eligibility and acceptance upon review of completing Part I of the application. 


  • The application has 2 parts 


  • Returning campers, income-eligible families, and children representing the communities/ neighborhoods that each camp serves are given priority for enrollment if you submit Part I of the application before May 15, 2022. 


  • May 15 is the priority application deadline for all campers- if you do not complete Part I of the application before May 15, we cannot guarantee that your camper will be able to enroll in camp by the first day of program. 


  • Part II of the application and all associated documents are due on June 1. 

    • Campers MAY NOT attend camp until all forms are submitted AND

    • Immunizations uploaded AND

    • Payment has been received or a scholarship awarded


  • You must fill out one application for each participating child. If you have any questions at all, don’t hesitate to call us at (617) 249-3293 or email sup@pbha.org. We look forward to meeting and working with you.



Registration Checklist


Part I: 

  • Registration Form (please indicate which camp you are applying for)


Part II: due June 1, 2023

  • Form #1: 

    • Release Form

    • Consent for data collection

  • Form #2:

    • Health information, medical insurance and emergency contacts

    • Immunization Record (SIGNED BY A DOCTOR) 

Campers must have all immunization required by the department of public

health to participate in camp

  • Medical History and Medication Form (if your child needs to take medication at camp) 


  • Form #3: Pick-up Transportation Form  


  • Teacher/Counselor Questionnaire Form


Participant Fee 

  • Check or money order in the amount specified

  • Online payments can be made at: 

  • Payment Plan



Please submit completed Registration Packets by email to Owen Ebose  (sup@pbha.org) or mail to:

Summer Urban Program

℅  Owen Ebose 

Phillips Brooks House

Harvard University, Harvard Yard

Cambridge, MA 02138-6565


_______________________________________________________________________________________________________

Phillips Brooks House Association’s Summer Urban Program complies with M.G.L.c111, ss. 3 and 127A and is licensed by the Inspectional Services Department. 

All information is subject to change.

Please select a program

Child information/孩子的信息















School information/Información de escuela




Grade in school entering this Fall / 您孩子今年秋季要上的年级




Parent/Guardian 1 / 家长/监护人 1








This should be an email you check regularly. Confirmation of this application and follow up materials and notifications will be sent to this address./此邮件地址应该是您经常查看的。我们将把申请表的确认以及另外的资料和信息发到这个地址。 
Parent/Guardian 1 Address / 地址 (Address information should also be the primary residence for the child/此地址也应该是孩子的主要居所)





(e.g. on my home phone from 7pm-10pm Monday through Thursday)

Parent/Guardian 2 /家长/监护人 2












(e.g. on my home phone from 7pm-10pm Monday through Thursday)
Household Information / 家庭信息




*** Parents may be asked to provide proof of income and benefits. / 我们可能会请求查看收入证明(比如账单)或者补助证明核实您的收入和您接受的补助。
Sibling Information / 同胞信息

Please list their names and birth dates if they will be attending program/ 请填写要参加夏令营的孩子的名字和生日:



Activities information / 活动信息



Optional - Send a message about SUP to other families! / 

可选的 - 跟另外人分享SUP的信息!


Emails you type below will be sent a message about SUP and not added to any other lists. / 

您在下面填写的电邮地址只会收到一封关于SUP夏令营的电子邮件,不会收到另外的电邮。








Thank you for applying! Press submit below/

感谢您的申请!请按下面的提交(“submit”)。


You will receive a confirmation email that your information has been recorded successfully. Please check your email for further details about the application process.


(It may take a few seconds to submit).


您将收到一封确认电子邮件;此电邮会确认您的信息已成功记录。请检查您的电子邮件以

收到更多关于申请过程的信息