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))是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。(到2023年9月1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15个9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2023年5月15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。

  • 5月15日是所有营地的优先申请截止期-如果你没能在5月15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6月1日交全。

  • 夏令营学员必须交全所有的表格后才能参加活动，及

  • 上传了所有的免疫表，及

  • 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