2014-2015 REVERSE MAINSTREAM PROGRAM PARENT PACKET GREAT BRIDGE PRIMARY Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 Reverse Mainstream Program Parental Information Chesapeake Public Schools offer a Reverse mainstream Program. This program allows non-disabled children the opportunity to attend preschool classes that are designed for children with developmental delays. Space is limited and tuition will be a flat fee based upon the days of attendance. Payment will be expected at the time of registration. The child will NOT be permitted to start until FULL payment is received. Checks or money orders should be made payable to Chesapeake Public Schools, Accounting Department. If you are interested in submitting an application for your child, please review the attached information sheet. An application is attached for your convenience. If you have any questions, please contact the principal of the school to which you are applying. Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 Chesapeake Public Schools Reverse Mainstream Program Information Definition: Reverse Mainstream brings non-disabled children into preschool classes serving children with developmental delays. Purpose: This program allows all children the opportunity to learn and play together. This program builds self-esteem. This program provides age-appropriate activities. This program provides the opportunity to develop acceptance of others. This program provides age-appropriate peer models. Reverse Mainstreaming does not affect existing special education services of the IEP process. Overview: Tuition will be a flat fee based upon the days of attendance. Please make checks or money orders payable to Chesapeake Public Schools, and mail to: Edwards-Wilson Center, 2107 Liberty Street, Chesapeake, VA 23324, Attention: Linda Nichols. In the memo portion of the check please write the child’s name and the words “Reverse Mainstream”. Please refer to the chart below for the payment schedule. Please contact Edwards-Wilson Center at 494-7600 if you have any questions or concerns regarding payment schedule. REVERSE MAINSTREAM TUITION 2014-2015 Days per Week 5 4 3 2 1 Total tuition due 600.00 479.58 359.70 239.82 119.94 Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 Parents may choose days of attendance as outlined on the application form. The flat fee is applicable regardless of the child’s attendance. Students’ acceptance is determined each school year. Bus transportation will be provided within the school zone. Parents are responsible for providing transportation outside the school zone. The program may or may not follow the kindergarten schedule at each school. Participants may be removed from the program if discipline becomes a concern or if the child has been found eligible for special education services (Developmental Delays or Speech/Language Impairment). Parents of participants can contact their individual school to pick up a packet and schedule a screening. Application Procedures Applicants must be 3 or 4 years old by the first day of school, September 2, 2014. Applicants turning 5 years old before September 30 are not eligible for this program. Applicants must be completely toilet trained and demonstrate ageappropriate developmental skills. Applications can be obtained from any elementary school in the City of Chesapeake. The non-disabled children of Chesapeake Public School employees will be given priority. A developmental screening will be administered to all applicants. Results will be shared with parents. A screening committee will review applications and screening results. Those applicants not selected may be referred to another school if an opening exists. Linda Nichols, at the Edwards-Wilson Center, may be contacted at 494-7600 to determine which schools have openings. Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 Reverse Mainstream Program Application/Enrollment Form (Please Print) Child’s Name_____________________________, __________________________, ____ (Last) DOB___/___/___ (First) Male__________ (Mi) Female__________ Address_______________________________________________Zip Code__________ Home Phone (___) _______-___________ Cellular Phone/Pager (___) _____-_______ Applicant will attend _______________________________________________school. Mother’s/Guardian’s Name________________________________________________ Address (if different from child) ____________________________________________ Home Phone (if different from child) (____) ______-_______ Place of Employment_____________________________________________________ Work Phone (____) ______-________ Father’s Name___________________________________________________________ Address (if different from child) ____________________________________________ Phone (if different from child) (____) _____-__________ Place of Employment_____________________________________________________ Work Phone (____) _______-__________ Emergency Contact – Name________________________________________________ Phone (____) ________-_________ Relationship to Child________________________ Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 Has your child previously attended or is your child currently attending a preschool or daycare facility? Yes______ No______ If yes, please list name of school and dates attended____________________________ Please read and initial. _____ I understand that my child’s admission as a role model student in the Chesapeake Public Schools classroom is dependent upon my child’s successful completion of the school’s developmental screening prior to starting preschool. _____ I understand my child must turn 3 or 4 by the first day of school. Role model students must be able to independently take care of their toileting needs. _____ I understand that I am responsible for my child’s tuition fee, in spite of absences. The program’s budget is based upon full enrollment; therefore, compensations cannot be given for absences. _____ I understand that my child’s tuition payment is due prior to his/her first day of attendance. If the payment is not received, my child will not be allowed to attend and a replacement may be selected at the discretion of the administration. The program will follow all school holidays and early release days. In the event of a weather related delay, the program may follow the kindergarten schedule. _____ I understand that a prorated refund will be given only if I choose to withdraw my child from the Reverse Mainstream Program. _____ I understand that acceptance is for one school year only and my child may be removed from the program if discipline becomes a concern. Please list below those people who may pick your child up from school. Your child will not be released to anyone who is not on this list and does not have a matching salmon/green bus card. NAME PHONE Relationship to Child Mother Father Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016 I have received and understand the Reverse Mainstreaming Program Information Sheet. I understand that my child will received a developmental screening and the results will be shared with me, and if my non-disabled child is selected for the program, I will provide all enrollment information requested on this form. I further understand that acceptance is for one school year only, and my child may be removed from the program if discipline becomes a concern, tuition becomes past due, or if my child has been found eligible for special education services (Developmental Delays or Speech/Language Impairment). The school will notify me if my child has been selected for the program. I understand I must select an attendance schedule for my child and that a flat fee will be applicable regardless of my child’s attendance. Confidentiality requirements will be upheld. Parent Signature ____________________________________Date______________ Please check the days your child will attend if selected. You will be responsible for tuition based on this schedule. Hours for Great Bridge Primary Pre-School are as follows: AM – 7:50 a.m. – 10:30 a.m. PM – 11:30 a.m. – 2:19 p.m. If accepted, my child will attend: One day per week Two days per week Three days per week Four days per week Five days per week Mondays Tuesdays Wednesdays Thursdays Fridays The following information must be provided after being accepted into the program when enrolling in Chesapeake Public Schools: ______Birth Certificate (legal document issued from the state in which child was born) ______Record of Immunizations (DTP, Polio, MMR, Hepatitis B) ______Physical Form (less than one year old) ______Verification of Residency (current utility bill-gas, water or electric) ______Blue Emergency Card ______Early Release Form ______Transportation Shared: Reverse Mainstream/2014-15 Reverse Mainstream Program-Parent Packet 2/18/2016