Application Form - Cooperative Middle School

Cooperative Middle School SUMMER ENRICHMENT 2015
Application Form
The Cooperative Middle School Summer Enrichment Program offers a variety of one­week teacher­ developed programs that extend beyond the typical school curriculum. Students are provided the opportunity to discover new talents, develop new skills, sharpen established skills, and study topics that they find interesting. Courses are open to students in grades 6­8 and incoming 6th graders. Meeting dates and times are set by the instructor. Classes must have a minimum enrollment of 10 students to run. Financial aid is available. Unless specified, classes will be held at the Cooperative Middle School (CMS). Deadline is May 22, 2015​
. Submit applications to the CMS Main Office or mail to ​
CMS Summer Enrichment,
Attn: Ashlee Lambert, 30 Linden Street. Exeter, NH 03833
_______________________________________________________________________________________________________________________
STUDENT INFORMATION​
:
Student’s Name​
: ______________________________________________
Home Phone:​
(_____) _____-___________
Student’s Email: ______________________________________
​
Cell: ​
​
(_____) _____-___________
School the student currently attends: ___________________________________________________
Student Currently Enrolled in Grade (Circle one): incoming 6, 6, 7, 8
Mailing Address:
Street​
: _______________________________________________________________________
City​
: ____________________________________ State​
: _____________ ​
Zip​
: ____________________
Mother/Guardian Name​
: ___________________________________ ​
Email address: ​
_________________________________________
Home Phone:​
(_____) _____-___________ ​
Work/Cell Phone:​
(_____) _____-___________
Father/Guardian Name​
____________________________________ ​
Email address: __________________________________________
Home Phone:​
(_____) _____-___________ ​
Work/Cell: ​
(_____) _____-___________
CHOICE 1
CHOICE 2
Course(s): _____________________________________________
______________________________________________________
Session Date(s): ______________________________________
______________________________________________________
Fee(s): _________________________________________________
______________________________________________________
**$150.00 per course (plus additional fees if specified) ​
MUST BE INCLUDED​
with Application**
Checks should be made out to ​
ERCSD ​
with “Summer Enrichment” written in the memo area. In the event of
insufficient enrollment, a full refund will be made. Deadline is May 22, 2015. Submit applications to the
CMS Main Office or mail to CMS Summer Enrichment, Attn: Ashlee Lambert, 30 Linden Street. Exeter, NH
03833 ​
Financial aid is available based on a pre­determined formula. Make financial aid requests to Cynthia Freyberger, 6­12 Curriculum Administrator, ​
cfreyberger@sau16.org​
or 775­8604
CK # ________________ Date Rec’d ___________________Amt.______________
2015 Cooperative Middle School Summer Enrichment Ukulele Jam Camp Instructors: ​
Mr. Andy Inzenga and Mr. Brian Beakey Meeting dates​
: June 24­30 & July 1­9 Meeting times​
: 9:00 a.m. ­ 11:00 a.m. Course description​
: Learn the unique sounds of the ukulele, the beloved Hawaiian instrument, that has become incredibly popular. Students will learn the history of the ukulele and how to choose, purchase, and tune the instrument. Students will learn basic chords to play complete songs in a group setting. The instructors will provide ukuleles for the students unless students prefer to bring their own. Join us for a fun summer opportunity and together we be jamin”. Fee:​
$150 Adventures in Japanese Instructor:​
Mr. Nori Ichizawa Meeting dates:​
June 29­July 3 Meeting times:​
9:00 a.m. ­ 1:00 p.m. Course description: Do you want to impress your parents and friends? Do you want to make delicious foods from another country? Are you ready to be immersed in everything Japanese? Then, this is the course for you. Besides learning the Japanese language, you will make Japanese foods such as sushi rolls and encounter many aspects of Japanese culture through games, songs, folk tales, crafts, traditional sports, Anime, and films. You will learn how to write Japanese calligraphy (Japanese brush writing). By the end of the week, you will be able to have a simple conversation in Japanese. ​
This course will be held at Exeter High School. Fee:​
$150 Speak Spanish All Day Long! ​
¡​
Hablamos Español! Instructors​
: ​
Señora Tove Stigum and Señora Tressa Stanizzi Meeting dates: ​
July 20­July 24 Meeting times: ​
9:00 a.m. ­ 1:00 p.m. Course description​
: Spending 4 hours a day speaking Spanish will enhance students’ ability to use their hard won skills. Students will not only practice the language, they will eat tapas, learn salsa dance, listen to Spanish music, put on a play, read stories, sing authentic children’s songs, observe nature, and create a simulation of various real life situations...all in Spanish. Fee:​
$150 + $20 (snacks and cafe activities) = $170 French Enrichment Instructor:​
Monsieur Scott Battey Meeting dates:​
July 20­24 Meeting times:​
8:30 a.m. ­ 12:30 p.m. Course description​
: This one­week course will help students of French improve their skills and give them confidence in speaking French. Students will strengthen their knowledge of French grammar through interactive speaking and writing activities. ​
Students will improve their phonetic skills through listening comprehension and pronunciation coaching. Students will acquire an in­depth knowledge of French culture and gain confidence in their ability to speak French in preparation for next year’s course. ​
This course will be held at Exeter High School​
. Fee:​
$150 + $30 for food and drink = $180 Public Speaking Instructor:​
Mrs. Carol Trecosta Meeting dates:​
August 3­7 Meeting times:​
9:00 a.m. ­ 1:00 p.m. Course description​
: Does anxiety get the best of you when you have to talk in front of others? Have you ever wished you could engage in classroom discussions or give a speech in your class without feeling like you were panicking or going to pass out? In this class you will learn stress management strategies and how to present with more confidence. Fee:​
$150