backpacks for back to school
DESCRIPTION
Backpacks for Back to SchoolTRANSCRIPT
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Its time for William Floyd Family Centers Backpacks For Back To School!
Here are some key points and instructions to follow for the 2015 referral process.
The event this year will be held
Wednesday August 26th 9:30am4:00pm & Thursday August 27th from 9:30am7:00pm.
Referral forms are due no later than Friday July 24th. Monday , July 18th
Identify low income families that can benefit from our pro-
gram and live in the William Floyd Family Centers catch-ment area.
Attached is a referral form. Please do not leave
anything blank.
You can return this form ASAP but no later than July 24th
to:
Jessie Caggiano
William Floyd Family Center:
Mail: 338 Blanco Drive, Mastic Beach NY 11951
E-mail: [email protected]
Fax : 631-874-1357
by ASAP but no later than Friday July 24th.
Families will be sent a confirmation letter that they will
need to bring on their assigned time to pick up school sup-
plies.
Although we will try to assist everyone with their back to
school needs, supplies may be limited and forms will be pro-
cessed on a first come first serve basis. Any forms received
after capacity is reached will automatically be put on a wait
list and given supplies if available.
If you have any questions, please call Jessie Caggiano at 631-
874-1323
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BACK TO SCHOOL CHECK LIST
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Parents Name & DOB: ____________________________________________________ Address: ____________________________________________________ ____________________________________________________ Phone Numbers: ____________________________________________________ Race/Country of Origin: ____________________________________________________ Language Spoken: ____________________________________________________
All forms must be turned in by Friday July 24th. Although we will try to assist everyone with their back to school needs, supplies may be limited and forms will be processed on a first come first serve basis. Any forms received after capacity is reached will automatically be put on a wait list and given supplies if available.
PLEASE PRINT CLEARLY
Childs First & Last Name Date Of Birth
Gender Grade (for
upcoming
school
year)
School/School
District
DO NOT go to East Yapank Office at 1490 William Floyd Parkway
New Pick up Location: William Floyd Family Center: 338 Blanco Drive, Mastic Beach NY 11951
Preferred Time to Attend Backpack Program
Wednesday, August 26th !! 9:30 a.m.- 12:00 p.m. (William Floyd Family Center, Mastic Beach) !! 1:00 p.m.- 4:00 p.m. (William Floyd Family Center, Mastic Beach)
Thursday, August 27th !! 9:30 a.m.- 12:00 p.m. (William Floyd Family Center, Mastic Beach) !! 1:00 p.m.- 4:00 p.m. (William Floyd Family Center, Mastic Beach) !! 4:00 p.m.- 7:00 p.m. (William Floyd Family Center, Mastic Beach)
Please be advised that we will be cross-referencing our list with other agencies that will be giving out school supplies. You will only be able to sign up with one agency.
FSL REFERRAL
REFERRED BY:______________________________________________________
PROGRAM/PHONE:__________________________________________________
FOR OFFICIAL USE ONLY Appointment Date: __________________ Appointment Time: __________________ Site: _____________________________
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" You will be sent a confirmation letter that you must bring to the appointment.
" When you receive this letter, please make sure that all information is correct, including
number of children in the family. Incorrect information, such as family size, will not be corrected the day of the event. NO EXCEPTIONS WILL BE MADE.
" Please be advised that you need to keep your appointment time.
DO NOT go to East Yaphank Office at 1490 William Floyd Parkway
New Pick up Location:
William Floyd Family Center
338 Blanco Drive
Mastic Beach NY 11951
(next to PACA Middle School)
Return form to: Jessie Caggiano 338 Blanco Drive
Mastic Beach NY 11951
Email: [email protected] Phone: 631-874-1323 Fax: 631-874-1357