ConnCAT Safe Space Learning Hub Fall Program-2020-2021 6th-9th grade
Welcome to ConnCAT's Safe Space Learning Hub now at TWO LOCATIONS 4 Science Park and 95 Hamilton Street in New Haven. Space in this program is limited and selection will be based as evenly as possible by grade and gender. WE WILL RESUME ACCEPTING APPLICATIONS FOR 6TH AND 7TH GRADE UPON APPROVAL FROM THE CT OFFICE OF EARLY CHILDHOOD. Please fill out the application and note the details below:
DETAILS
- Program Start Date: ROLLING ADMISSIONS (follows NHPS calendar)
- Hours: Mon - Fri 8:00 am-3:30 pm
- Parents must arrange transportation for drop-off/pick-up
APPLICATION GUIDELINES
- Parents/Guardians must submit 1 application PER CHILD.
- Our program heavily relies on text and email to contact parents. Please provide us with ACTIVE phone numbers and/or email addresses that you check regularly.
- Please click on "SUBMIT" at the very end of the online form to ensure delivery.
*Open enrollment. Parents will be notified via email of their acceptance status within one week of the application submission. All other applications will be placed on a Wait-List.
*Realizing the ever-changing current events regarding the COVID-19 virus, ConnCAT reserves the right to adjust program dates and times accordingly as deemed necessary.
Questions? Contact Steve Driffin (
sdriffin@conncat.org
); Stephanie Mallard (
smallard@conncat.org
)
* Required
Child Last Name
*
Your answer
Child First Name
*
Your answer
Address
*
Street, Unit, City, State, Zip
Your answer
What location are you applying for your child to attend?
4 Science Park, New Haven, CT
95 Hamilton Street, New Haven, CT
Clear selection
Grade
*
GRADE DURING FALL 2020 We will resume processing applications for grades 6 and 7 upon approval from the CT Office of Early Childhood.
Choose
6
7
8
9
10
11
12
Age
*
Your answer
School Name
*
Your answer
Date of Birth (Please manually enter the year)
*
MM
/
DD
/
YYYY
Gender
*
Choose
Female
Male
Does your child have a sibling applying for the ConnCAT Safe Space Learning Hub?
*
If your answer is YES, please type their sibling's name(s) in the space provided. A separate application MUST be completed for each child.
Yes
No
Required
Sibling Name(s)
Your answer
Do you consider your child to be Hispanic or Latino?
Yes
No
Clear selection
Ethinicity/Race
Black or African American
White/Caucasian
American Indian or Alaskan Native
Multi-Racial
Asian/Pacific Islander
How did you first hear about the ConnCAT Safe Space Learning Hub?
*
Facebook, Instagram, or other social media
TV Advertisement
School Announcement
Family member/friend
Existing ConnCAT participant
ConnCAT Adult Program Info Session
ConnCAT website
Other:
Required
Parent 1 Last Name
*
Your answer
Parent 1 First Name
*
Your answer
Parent 1 Street Address
*
Street and (Unit #)
Same as child
Other:
City
*
Same as child
Other:
Zip Code
*
Your answer
Parent 1 Cell Phone Number (Example: (203) 111-1111)
*
Your answer
Parent 1 Daytime Phone Number (Example: (203) 111-1111)
*
Your answer
Parent 1 Email Address (please ensure email is correct)
*
Your answer
Would you like to receive text notifications for emergencies/occasional updates?
*
Remind 101 is a free text message system and is our primary form of mass communication during the summer program. You will NOT be enrolled automatically, but will need to follow a set of instructions on your phone to be enrolled once your child has been admitted to the program. This is MANDATORY for ALL accepted parents.
Choose
Yes
No
Parent 2 Last Name
Your answer
Parent 2 First Name
Your answer
Parent 2 Cellphone Number (Example: (203) 111-1111)
Your answer
Parent 2 Daytime Phone Number (Example: (203) 111-1111)
Your answer
Parent 2 Street Address
Street and (Unit#)
Your answer
City
Your answer
Your answer
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