Pathways 2 Success After-School Program Registration Form 2024-2025 High School
Please complete the form below to register your student in the FREE Pathways 2 Success/21st CCLC After-School Program operated by Indiana Parenting Institute Inc. of St. Joseph County (IPISJC). This program is available to South Bend Community School Corporation students in grades 9th, 10th, 11th, and 12th attending Adams High School, Riley High School, Washington High School, and South Bend Virtual School. All registered participants will receive free after-school transportation and a free after-school meal. 

Please be aware that transportation details are still being finalized. In the meantime, parents/guardians will need to arrange transportation until further notice. However, if the school provides an after school activity bus, your student may use it to get home.

The Pathways 2 Success (P2S) after-school program operates from August 19, 2024, to May 29, 2025, Monday through Thursday, from 3:30pm to 6:00pm at Adams High School, Riley High School, and Washington High School. South Bend Virtual School students will meet at one of the three locations. Students will meet in the Library. 

The Pathways 2 Success (P2S) after-school program is currently available at Riley High School and Washington High School. However, we expect to open additional high school and middle school locations soon and will send an email with updates. In the meantime, please register your student at the appropriate location that corresponds to their current school.

Please contact the program director at p2success@sbcsc.k12.in.us with any questions about the Pathways 2 Success after school program.

Students with special needs will be given equal access to participate in the Pathways 2 Success/21st CCLC after-school program. For all students with special needs who participate, the Pathways 2 Success/21st CCLC staff will receive a copy of the student’s required accommodations and/or modifications at enrollment. The special education director and/or the Pathways 2 Success/21st CCLC program director will review modifications in the Individualized Education Program (IEP) to determine what is feasible in the program setting. No student shall be excluded from participation in, denied the benefits of, or subjected to discrimination in any program or activity because of gender, race, religion, belief, national origin, age, disability, or ethnic group.
Sign in to Google to save your progress. Learn more
Email *
Student Information
You must complete a separate registration form for each student you wish to register.
Student First Name *
Student Last Name
*
Students Street Address *
City, State *
Zip Code *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Gender *
Student Age *
What school does your student attend for 2024-2025? *
Grade level for 2024-2025 school year. *
Student School ID Number (same as student lunch number).
Student Test Number (STN). Please contact guidance counselor for this information.
Does your student receive Free/Reduced Lunch? *
Does your student participate in Limited English Proficient (LEP)? *
Does your student participate in Special Education? *
Student Ethnicity. *
Student T-Shirt Size *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Indiana Parenting Institute Inc. of St. Joseph County. Report Abuse