Florence Township Preschool Program

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1 Florence Township Preschool Program The Florence Township Preschool program is a tuition based program housed at the Riverfront School. Classes meet 5 days a week for 2 ½ hours per day. No transportation is provided. The preschool program will follow the Florence Township School District schedule with the exception of early dismissal days. There will be no preschool program (a.m. or p.m.) held on one session days. Teachers are fully certified and serve to prepare children for Kindergarten with state approved curriculum aligned with each child s progress monitored. PROGRAM OVERVIEW The Florence Township Public Schools Preschool Program is designed to provide developmentally ageappropriate experiences in a safe and nurturing environment. The intention of program is to address the individual needs of each child by providing experiences that promote physical, emotional, social and cognitive development within curricular activities for all children. Through our preschool program, children gain the confidence and self esteem necessary to meet challenges encountered daily. The Florence Township Public Schools Preschool Program seeks to enable children to reach their potential regardless of abilities. Children with disabilities and typical preschoolers will serve as role models for one another in this preschool program. PROGRAM GOALS To provide a curriculum for each preschool child based on individual differences and abilities To provide experiences that meet each child s needs, to stimulate learning in all developmental areas (physical, emotional, social and cognitive) and curricular areas (language literacy, mathematics, social/emotional development, social studies, science, world languages, creative arts and health, safety and physical development) To provide opportunities to develop relationships, interactions and activities designed to develop children s self esteem and to engender positive feelings towards learning and towards other students To provide opportunities for the children to participate in small and large group activities to the best of their abilities To provide opportunities in all areas of language development listening, speaking, reading, thinking and expressing themselves in various ways To provide experience in gross motor skills (running, skipping, climbing) as well as fine motor activities (writing, cutting, coloring) PROGRAM DETAILS Half Day Preschool Program with state approved curriculum This multi age class (three and four years of age) is capped at 16 children State certified teachers Tuition rates are subject to change year to year. For information about tuition rates please contact Nancy Naprawa at , x2016.

2 FLORENCE TOWNSHIP SCHOOL DISTRICT NEW STUDENT REGISTRATION FORM STUDENT INFORMATION: Date: Grade: Student Name: Place of Birth: Date of Birth: HomeAddress: Phone #: Citizenship: Male Female Previous School/Preschool Attended: Address: Phone #: Primary Language Spoken: Place a check mark next to the services your child is currently receiving: Speech ESL Basic Skills (Math) Basic Skills (Reading Basic Skills (Writing) Special Education Physical Therapy Occupational Therapy None AFFIRMATIVE ACTION INFORMATION: Please check one: White/Caucasian Black/African American Hispanic/Latino Native American/Alaskan Native Asian/Pacific Islander PARENT/GUARDIAN INFORMATION: Marital Status: Single Married Separated Divorced Primary Address: Name of Mother/Guardian Home Phone #: Home Address: Cell Phone #: Employer:Work Phone #: Name of Father/Guardian Home Phone #: Home Address: Cell Phone #: Employer:Work Phone #: RESIDENCE INFORMATION: Did you establish residency in Florence Township by: Purchasing: Date of Possession: Renting: Date of Rental to Landlord Phone #: Living with a friend/relative: Name/relationship/date Living in a motel/hotel: Name of motel/hotel/date I am currently homeless SIBLING INFORMATION:

3 NEW STUDENT REGISTRATION FORM PAGE 2 OF 2 EMERGENCY INFORMATION: (Contact if parents/guardians are not home) Name: Phone #: Relation: Doctor s Name: Phone #: CUSTODIAL RIGHTS: My child CANNOT be released to: Relation: Signature: I hereby certify that all the above information is true and correct PLEASE ATTACH THE CUSTODIAL RIGHTS, GUARDIANSHIP, OR CUSTODY DOCUMENTS SCHOOL USE ONLY Date of Registration Locker No. Student ID No. Homeroom #: State ID No. Transportation YES NO AM Bus No Bus Stop Pickup Time PM Bus No Bus Stop Destination School Distance from Home: Miles Tenths Home Address

4 FLORENCE TOWNSHIP SCHOOL DISTRICT HOME LANGUAGE SURVEY Dear Parent/Guardian: We are required by the New Jersey State Department of Education to determine the home language of all public school students. Collecting this information will help us to know more about the language diversity of our community, and to provide support for students who are in need of English language services. This form needs to be returned to the main office as soon as possible. Student s Name: Grade: Homeroom: Date: School: (Please Circle) Roebling Elementary Riverfront School Florence Township Memorial High School Language information: 1. What language did your child speak first? 2. What language do you speak most often to your child? 3. What language does your child use when speaking at home? 4. Do you/did you read to your child in his/her first language? Signature of Parent/Guardian Thank you for completing this questionnaire.

5 Florence Township School District Pre Kindergarten Speech & Language Screening Permission Form Child s Name (first & last) Dear Parent/Guardian: All children who will be enrolling in Kindergarten are recommended to receive a speech screening. This screening is designed to identify any possible speech or language developmental delays so that they can be promptly addressed, if necessary. By the age of five, there are certain sounds that should be mastered and produced correctly. If errors are found to exist in several of the developmental sounds, your child may be recommended for a speech therapy evaluation during their Kindergarten year. Other sounds such as R, S, Z, L, TH and blends are more advanced and are not acquired in normal speech development until approximately seven years of age. These sounds may also be impacted by dentition and may take until second grade to fully develop. Therefore, students may be re screened at any time during their enrollment at Roebling Elementary school based upon the developmental norms for each grade. Kindergarten children will also be screened for possible language difficulties, including vocabulary, and concept knowledge. If the screening indicates that your child does not need additional testing, then no further action will be required by you or the school system. If the screening indicates that your child presents error patterns that are developmentally appropriate at this time, then the Speech Language Pathologies will provide you and/or your child s teacher with information to assist in fostering continued appropriate development. This information may be incorporated into the classroom s intervention program. If the screening indicates that your child needs a more in depth speech or language evaluation, you will receive a notice to request that you attend a meeting to discuss the need for an evaluation to determine if your child needs special education and related services. If you have any questions, please feel free to contact Caitlin Cavagnaro, Director of Special Services, at (609) , ext The following screenings will be conducted: Speech screening (articulation, fluency, voice) Language screening Classroom teacher checklist Please check one of the responses listed below and sign and date the form in the space provided: Yes, I give permission for the screening(s). No, I do not give permission for the screening(s). Parent/Guardian Signature Date

6 FLORENCE TOWNSHIP SCHOOL DISTRICT MEDICAL HISTORY To be completed by Parents/Guardian (for student) Name Grade Date Address Phone # Date of Birth Place of Birth (City) (State) Notify of Emergency Phone # Family Physician Address Phone # Explain Yes answers in the space provided on page 2. Please circle Yes or No answer. 1. Have you ever been hospitalized?. Yes No Have you ever had surgery? Yes No 2. Are you presently taking any medications or pills (including inhalers)? Yes No 3. Do you have any allergies (to medicine, insect bites, foods, etc.)?. Yes No 4. Have you ever passed out during or after exercise? Yes No Have you ever felt dizzy during exercise?. Yes No Have you ever had chest pain during exercise? Yes No Do you tire more quickly than your friends during exercise?. Yes No Have you ever had high blood pressure? Yes No Have you ever been told you have a heart murmur? Yes No Have you ever had racing of your heart or skipped heart beats? Yes No Has anyone in your family died of heart problems or a sudden death before age 50? Yes No 5. Do you have any skin problems (itching, rashes, acne)? Yes No 6. Have you ever had a head injury (concussion)?. Yes No Have you ever been knocked out or unconscious?. Yes No Have you ever had a seizure or epilepsy?. Yes No Have you ever had a stinger, burner or pinched nerve?. Yes No 7. Have you ever had heat or muscle cramps?. Yes No Have you ever been dizzy or passed out in the heat? Yes No 8. Do you have trouble breathing or do you cough during exercise? Yes No Do you have asthma or exercised induced asthma?. Yes No 9. Have you ever sprained/strained, dislocated, fractured, or had repeated swelling or other injuries to any bones or joints? Yes No Head Shoulder Thigh Neck Ankle Chest Back Wrist Knee Hand Foot Elbow Hip Shin/Calf Forearm Have you ever had a bone infection? Yes No

7 Medical History Page 2 of Do you now, or have you ever had: Diabetes? Yes No Problems with your eyes or vision? (retina tear, corneal tear).. Yes No Do you wear glasses or contact lenses?. Yes No Hearing loss? Yes No Frequent ear infections?. Yes No Perforated ear drum? Yes No Sinus infections? Yes No Dentures or braces? Yes No Kidney problems?. Yes No Anemia?. Yes No Tendency to bleed or bruise easily? Yes No Weight problem?. Yes No Hay fever?. Yes No Athletes foot?. Yes No Recurrent boils or fever blisters?. Yes No Hernia?. Yes No 11. Have you had any other medical problems (mononucleosis, lyme disease, etc.)? Yes No 12. Are you presently under a physician s care?. Yes No Explain "Yes answers: I hereby state that, to the best of my knowledge, my answers to the above questions are true and correct. Date: Signature of Student Date: Signature of Parent/Guardian

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