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2019 Summer Student Application

Dear MOST Families, 

As you know 21st Century Community Learning Center (21CCLC) programs were created to provide academic enrichment opportunities during non-school hours for children. Schools qualify for participation in 21CCLC based on their free & reduced lunch rate or Schoolwide Title status. Through 21CCLC, M.O.S.T. (Meaningful Out of School Time) receives a federal grant to subsidize the cost of fees for families at qualifying schools. MOST is operated by the South East Education Cooperative (SEEC) in partnership with your school district.

APPLICATION

Please complete the application below for your student(s) interested in attending the summer program. Applications are due by April 8.

When your application is received and reviewed, you will then be notified if your student has been accepted into the M.O.S.T. Summer program. Note that submission of the application doesn't mean that your student will be accepted as there are a limited number of spots available. 

FEES

If your student is accepted you will be asked to fill out the rest of the summer paperwork and return it with a registration fee to hold your spot.

In addition to the registration fee, there will be one summer session fee that will cover the entire summer. This fee will be due prior to the first day of the summer session.

Please note that timely payment of fees is crutial for us to be able to continue offering school year and summer programming. Our federal grant does not cover all of the expenses and the program cannot continue without payment of fees. Please note that scholarships are available on the basis of need.

The registration fee and summer session fee are listed below by site location. All fees are per student. If families have multiple students attending the program and are not able to afford the total amount, you may request a scholarship.

We are looking forward to providing quality out of school time programming for your student this summer. 

 

Responsibility for payment: *
Edgeley Program (June 3- July 31) Registration fee $25 plus the summer session fee as marked below: *
LaMoure Program (June 3-28) Registration fee $25 plus the summer session fee as marked below: *
Griggs County Central Program (June 3-28) Registration fee $25 plus the summer session fee as marked below: *
Mapleton Program (May 28- August 2) Closed July 3, 4, & 5th. Registration fee $50 plus the summer session fee as marked below: *
Jamestown Program (June 3- August 2) Closed July 3, 4, & 5th. Registration fee $50 plus the summer session fee as marked below: *
Valley City Program (July 8- August 1) Registration fee $25 plus the summer session fee as marked below: *
Registration for Theater Week (Griggs County Century, Edgeley, and Valley City programs only) *
Theater Week Fee (in addition to summer registration and summer session fees): *
Automatic check withdrawal is an available option. Please indicate whether you would like to receive the forms to sign up to have your checking account automatically debited to pay your monthly fees. *
Scholarship Request:
Special Education or 504 *
Limited English Proficiency: *
Academic Challenges: *
Check all that apply:
Permission to walk home after dismissal: *
Permission to ride a bus for field trips with the MOST program: *
Permission to use the student's name and/or photos in articles, on websites/blog/social media and other materials to promote the 21CCLC/MOST program and share accomplishments *
Add another student: *