PS 107 After-school Program
Community Service 2009-2010 

Download the Details/Registration as a .pdf file

Community Service in PS 107 Afterschool Program

The PS 107 Parents’ Advisory Committee announces Community Service in the After‐school Program. Middle school students who are PS 107 graduates may apply to volunteer for Community Service to help the After‐school teachers and staff. 

 

Middle school students participating in the Community Service Program will learn through experience about the responsibilities and benefits of public service in a safe and fun atmosphere.  Community Service activities may include reading to younger students, playing board games or sports, and assisting teaching artists with their classes.

 

Qualifications

Community Service students serve as excellent role models in the PS 107 school community.  Candidates for the Community Service Program should be good at helping younger children and must be willing to take direction from After‐school Program staff. 

 

Registration

There is no cost to participate in the After‐school Community Service Program.  All Community Service student volunteers must apply by completing a registration form (see page 2). Registration is required to ensure that volunteers have parental permission to be at PS 107 and to ensure that the After‐school Program staff has current contact information in case of an emergency. Only registered middle school students are permitted to be at the PS 107 After-school Program.

 

Schedule

Community Service volunteers will be asked to commit to a set schedule of days and times of service. Attendance will be recorded.  Volunteer students will sign in and sign out of the Community Service log book each day.  The log book will be located in the school office.

 

Behavior

The PS 107 Community Standards of behavior will apply to the Community Service volunteers. Failure to uphold the standards will result in dismissal from the program and notification of the parent/guardian.

 

More information

If you would like more information regarding Community Service in the PS 107 After‐school Program or have questions, please contact Alison Hess at ps107afterschool@gmail.com or Pat Mannino, Parent Coordinator, at school 718.330.3450 ext. 1.


PS 107 After-school Community Service Registration Form for 2009-2010

 

 Note: Please complete a separate registration form for each child volunteering for Community Service.

 

Child’s Last Name

 

 

Child’s First Name

Nickname

Grade

Middle School

 

 

Address (incl. Apt. #)

 

 

Zip Code

 

Allergies or Other Special Information

 

 

 

Parent or Guardian’s Full Name

 

 

 

Home Phone

Relationship to Child

E-mail   

  • day
  • evening

 

 

Cell Phone

Business or Other Daytime Phone

2nd Parent or Guardian’s Full Name

 

 

 

Home Phone

Relationship to Child

E-mail 

  • day 
  • evening

 

Cell Phone

Business or Other Daytime Phone

Emergency Contact Name

 

Cell Phone

Business or Other Daytime Phone

Days and Hours of Community Service

 

 

 

 

Parent/Guardian Agreement

 

By signing, I certify that I am a custodial parent or legal guardian of the child I am enrolling.  I grant permission for my child to leave PS 107 unescorted (i.e., without an adult) at the end of his/her Community Service for the day.

 

Medical. I represent that the child I am enrolling in Community Service is healthy and fully able to participate in After-school Program activities. I understand that no medications will be administered by the After-school Program unless specifically authorized and in compliance with school requirements.  In the case of a medical emergency, I hereby give permission to the physician selected by the After-school Program to hospitalize, secure proper treatment for, including ordering injections, anesthesia or surgery, for the child named above. The After-school Program will contact the parent/guardian as soon as possible in the event of an emergency.

 

Behavior.  The After-school Program seeks to uphold the Community Standards established as the code of conduct at PS 107.  if my child cannot live within the PS 107 Community Standards, or if my child’s behavior adversely affects the experiences of other children, I understand that my child may be dismissed from the After-school’s Community Service  Program.  I have discussed the policies of the After-school Program with my child, and my child understands that a consequence of his or her unacceptable behavior could be dismissal from the After-school’s Community Service  Program.  I have discussed in detail with my child my expectations and have stated that we, as parent/guardian and After-school Program staff, are in agreement with respect to the consequences for failure to uphold the PS 107 Community Standards. 

 

I represent that I have read and understand this Agreement, and agree to its terms.

                                                           

                                                                                    Return the completed registration form to the black 

____________________________________________________             After-school mailbox in the school office. 

Please print your name                                                           

                                                                                    Thank you!

                                                                                   

_____________________________________________________                                                      

Your signature                                                                                                                                                                       

_____________________________________________________                                      

Relationship to Child                                                      Date