S.T.E.P.S. Gifted Summer Learning Institute:

StudentsThinkingExploringProblem-SolvingSucceeding

Hanes Middle SchoolJuly 8-July 12, 2013

Student Name: _________________________________________________________ LAST FIRST MI

Parent/Guardian Name: __________________________________________________ LAST FIRST MI

Address:________________________________Home Phone: ( ) _______________

_______________________________________Work Phone: ( ) _______________City State Zip Code

E-mail Address: ____________________Best way to contact: ____________________

Current School: ___________________________Teacher: ______________________ FIRST & LAST NAME

Grade Entering in fall 2013: _____________ T-SHIRT SIZE: CHILD q S q M q L q XL ADULT q S q M q L q XL q XXL

My child will need: q before program care ($35) q after program care ($70) q before/after program care ($100) q I do NOT need before/after program care

EMERGENCY CONTACTSName___________________________ Name _______________________________ Relationship to student ______________ Relationship to student ________________Phone Number ( )!________________Phone Number ( ) __________________ Is your child currently on medication? q YES q NOIf yes, what? IS THERE ANY MEDICAL/HEALTH INFORMATION WE SHOULD KNOW ABOUT YOUR CHILD? (e.g. allergy, illness, physical disability, etc.)

IS THERE OTHER INFORMATION YOU WOULD LIKE US TO HAVE ABOUT YOUR CHILD? (use additional paper if needed)

MEDICAL INFORMATIONBy signing below you are indicating that (1) you have adequate health/accident insurance coverage for the above-named child, (2) that you give permission for WSFCS S.T.E.P.S. Gift-ed Summer Learning Institute permission to seek emergency medical treatment in the event that you cannot be reached to authorize treatment.Parent Signature: ___________________________Date: _______________________ REGISTRATION FEE AND REGISTRATION FORM ARE DUE BY FRIDAY, MAY 3, 2013.

Send your application and payments to:S.T.E.P.S. Gifted Summer Learning Institute

Attn: Paula B. Wilkins P. O. Box 2513

Winston Salem NC, 27102

S.T.E.P.S. Summer Learning InstituteP. O. Box 2513

Winston Salem, NC 27102

For more information, contact:Paula B. Wilkins

Phone (336) 748-3426Email: pbwilkins@wsfcs.k12.nc.us

A summer learning opportunity for academically gifted students

wsfcs.k12.nc.us//domain/10

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WSFCS S.T.E.P.S SUMMER LEARNING INSTITUTE APPLICATION

Rising 4th-6th Grade Enrichment Course Selections

_______ A Girl, A Winged Horse, and an Epic War _______ A Picture is Worth a Thousand Words_______ Chinese Take-Out _______ Creation Squared _______ Destination Innovation_______ From Here to There _______ Gross Science _______ It’s OK to play with your food!_______ Learn from the Doctor_______ Let’s Barbecue!_______ Scratch the Surface—create your own animations!_______ Spies, Lies, and the Ultimate Disguise!_______ So you think you are right? Prove it! _______ What’s the Story?

Rising 7th-8th Grade Enrichment Course Selections

_______ Can you Handle the Truth?_______ Conflict and Protest in U.S. History_______ Creation Squared_______ How does it really end?_______ News as “We” See It!_______ Re-think Run-off_______ Scratch the Surface—create your own animations!_______ Spies, Lies, and the Ultimate Disguise! _______ Sounds of the Time_______ They will be right back after OUR commercial”_______ 2 thumbs up or 2 thumbs Down?_______ Vampires, Werewolves, Zombies…Oh My!

DAILY SCHEDULEThis will be alternated to adjust for

lunch/breaks8:30-8:45…… Morning Group Cluster

8:45-10:15……Enrichment Course #110:15-10:30……Morning Break10:30-11:30……Enrichment Course #1 cont.11:30-12:00……Lunch12:00-1:45……Enrichment Course #21:45-2:00……Afternoon Break2:00-3:15……Enrichment Course #2 cont.

3:15-3:30 ……Afternoon Group Cluster

Parents have until Friday, May 31 to make final tuition payments for S.T.E.P.S. If parent/guardians have NOT made tuition payments for S.T.E.P.S. by May 31 their student will NOT be guaranteed to participate in the program and their space will be offered to students on the waiting list.

FEESIn order to reserve your space for

S.T.E.P.S. summer learning institute, you will need to pay a $50.00 registration fee that must be submitted with your student’s application. The registration fee reserves your space for S.T.E.P.S. 2013.

The registration fee is non-refundable. The S.T.E.P.S. tuition fee is $200.

The S.T.E.P.S. tuition fee must be paid in full by May 31, 2013.

PaymentsMoney orders/Cashiers checks

should be made payable to Winston Salem/Forsyth County Schools in the note column please indicate S.T.E.P.S. Summer Institute. Parents will be allowed to make incremental payments to pay the tuition fee for S.T.E.P.S. as long as ALL fees are paid by May 31, 2013.

Also, fees may be paid online by accessing the S.T.E.P.S. website at http://wsfcs.k12.nc.us/Page/69346 and selecting the S.T.E.P.S. Academically Gifted Summer Institute link. Please note that there is a 4% processing fee for each transaction completed online. This processing fee is a percentage of the total payment that you are paying for the summer Institute. You can pay online and make payments but you will incur a processing fee of 4% of the total amount you are paying each time. Also, online payments options for S.T.E.P.S. will not be available after May 3, 2013 or whenever the Learning Institute reaches space capacity.

If you submit your registration fee and your child is not one of the first 150 students registered for S.T.E.P.S., your name will be placed on the wait list. Should a space become available after May 31 you will be contacted to determine if you are interested in your child participating in the program. You will be required to pay the tuition fee at that time. Students that are waitlisted due to space availability and do not receive the opportunity to attend the camp, will receive a refund for the camp registration and any other fees that have been paid.

Students eligible for free/reduced lunch will have the registration fee waived. They will also receive a reduced S.T.E.P.S. tuition rate of $75. In order to verify student eligibility, parents will need to complete the required paperwork with the application.

FAMILY INVOLVEMENTWe encourage family involvement and

have provided opportunities for parents to touch basis with S.T.E.P.S. staff members and also find out what their child is learning. On Sunday, July 7, 2013 there will be a S.T.E.P.S. open house from 2:00-4:00pm. This will be an opportunity for families to meet the institute staff and ask any questions or concerns. Parents/guardians will meet with teachers at this time to provide information on how they might best meet student needs and provide appropriate levels of challenge.

On Friday, July 12, 2013 there will be a Closing S.T.E.P.S. Exhibition/Ceremony. During this time students will receive recognition for participation in the Learning Institute. Also, there will be a student exhibition portion which will provide parents/guardians an opportunity to listen, hear, and see what students have learned in their S.T.E.P.S. courses

PHOTOGRAPHING OF STUDENTS

WSFCS schools and school district supported programs use photographs and audio, digital, video and other recordings of students to publicize school activities in a variety of outlets. You are asked to review the Photo opt-out form and determine if you will NOT allow your student to participate in photographs, audio, digital or video recordings during the S.T.E.P.S. summer institute. If you choose NOT to allow your child to be photographed, etc. you should complete the Opt-Out photo form and submit it with your child’s application for participation. This information will be kept on file and used to determine if students can be photographed during the institute.

REGISTRATIONEnrollment is limited to the first 150

students. Payment of the registration fee secures your space in the WSFCS 2013 S.T.E.P.S. Summer Learning Institute. Registration fees should be submitted with the application in order to participate in the program. All registration fees and student applications are due by Friday, May 3.

PURPOSEThe S.T.E.P.S Summer Learning

Institute is designed to create summer learning opportunities for academically gifted students. S.T.E.P.S. allows gifted students to explore personal interest and engage in learning experiences that foster challenge, innovation, and creativity. Students will work under the supervision and guidance of Duke University teachers working in the field of Gifted Education. Students will be nurtured in an environment that encourages academic risk-taking and a celebration of each student’s unique gifts and talents.

GOALS OF S.T.E.P.S• To allow students to explore interests, skills, and aptitudes• To provide students with intellectual challenges• To provide opportunities for students to develop their social skills• To provide parents and regular educators personalized information about how to best challenge and motivate individual learners

STUDENT ELIGIBILITYStudents applying for the WSFCS

S.T.E.P.S Summer Learning Institute should meet the following criteria:

• Be a rising 4th through 8th grade student in Winston Salem/Forsyth County Schools• Be identified as academically gifted OR score at the 85th percentile or higher on end-of-grade (EOG) tests. • Be academically motivated and have a passion for learning• Be well-behaved in classroom settings

DATES & TIMESJuly 8 – July 128:30AM – 3:30PM

STAFFDuke University’s Gifted Education

candidates complete an internship as the final component of their training. The S.T.E.P.S. Gifted Summer Institute provides the setting for the internship. All teacher candidates are existing WSFCS licensed teachers. The WSFCS AIG

BEFORE AND AFTER SCHOOL CARE

S.T.E.P.S. will provide before and after program care. The before care program will occur from 7:00am-8:30am. The after program care will occur from 3:30pm-6:00pm. There will be a $5 late fee per 5 minutes for students that remain at the program after 6pm. The cost for the before and/or after care program are as follows:

• Before Care ONLY- $35• After Care ONLY-$70• Before & After Care- $100

ENRICHMENT COURSE SELECTIONS:

You will be enrolled in two of the following courses below. Please indicate your #1, #2, #3, and #4 choices.

Classes involve ACTIVE PARTICIPATION with a variety of daily projects and group activities. Instructors are especially chosen for their unique abilities to make learning come alive. Average class size is 10 to 15 participants. Students are enrolled in two courses. If a class has less than four students, then the S.T.E.P.S. Summer Learning Administration reserves the right to cancel the course. Every effort will be made to enroll students in their first or second choice. Course choices will be assigned based on receipt of student registration and tuition fees for S.T.E.P.S.

Department and the Professor of the Practice at Duke University, Dr. Kristen Stephens, supervise the internship.

TRANSPORTATIONParents will need to provide

transportation to and from Hanes Middle School. Students are to arrive no later than 8:30AM and should be picked up promptly at 3:30PM.

LUNCH/BREAKSEach student must bring his or her

lunch! The summer lunch feeding program is housed at Hanes Middle and is available for students that will not be able to bring their lunch. If you will need to participate in this program for lunch, you will need to provide this information to the S.T.E.P.S. director by the Sunday, July 7 at the Institute orientation session. Snacks will be available for purchase during break sessions at the institute. The cost for items at the concession will also be given during the July 7 Institute Orientation.

T-SHIRT DESIGN COMPETITION

As a part of the S.T.E.P.S summer learning tuition, each participant will receive a 2013 S.T.E.P.S T-Shirt. We encourage students to participate in the T-shirt design process and help us in developing the S.T.E.P.S Summer Institute logo. The meaning of S.T.E.P.S is Students… Thinking… Exploring… Problem-Solving… Succeeding. Participation in the T-Shirt design challenge is optional, but is encouraged. The Summer Institute Staff will select the winning logo and this student’s design will be featured on the 2013 Summer Institute T-shirt.

Submissions for the T-Shirt design should be received by June 3, 2013 and mailed to:

Attn: Paula B. WilkinsS.T.E.P.S Gifted Summer Learning InstituteP. O. Box 2513Winston Salem NC, 27102

TEACHER RECOMMENDATION

Since S.T.E.P.S. is a gifted student learning program, we expect that all students should be highly motivated to participate in the program. In order to gain more information about your child’s strengths and areas for growth we have requested that a teacher of each student complete a recommendation form. This information will be used to assist the teachers in the S.T.E.P.S. program in planning and developing learning experiences to meet your child’s needs.