SES Application Form

  • SES Student Application

     

    SUPPLEMENTAL EDUCATION SERVICES (SES)

    Pescadero Elementary Middle School

    APPLICATION

    SCHOOL YEAR 2015-16

    Student Name _________________________________________________________________________

                                          (First)                                                                                              (Last)

    Grade: _________       Age: ______________

    Parent/ Guardian Name (Print): ___________________________________________________________

    Address: _____________________________________________________________________________

    Home Phone: ___________________  Work Phone: _______________  Cell Phone: ________________

    Parent/Guardian Signature: _____________________________________________________________

    CALIFORNIA STATE APPROVED PROVIDERS for SUPPLEMENTAL EDUCATIONAL SERVICES

    PLEASE SELECT 3 PROVIDERS IN ORDER OF PREFERENCE:

    _____ PROFESSIONAL TUTORS OF AMERICA

    _____ FRIENDLY COMMUNITY OUTREACH CENTER

    _____ ULTIMATE SUCCESS LEARNING

    _____ #1 EDUCANDO CON TABLETAS

    _____ #1 TOUCH-SCREEN COMPUTER TRAINING

    Please Note:

    • In order to be eligible for SES services, an approved Free/Reduced lunch application must be on file for your child.
    • The District will pay only up to the amount specified by state guidelines for the 2014-15 school year for the tutoring services you have selected. Tutoring services will end for your child when that total funding amount is reached.  If you would like additional tutoring services beyond that amount, then  you will need to pay your tutoring program to continue.
    • Your child must regularly attend the tutoring program. If your child is absent more than 3 times for unexcused reasons, he or she may be dropped from the tutoring program.
    • If needed, transportation costs to and from the SES tutoring program must be provided by the parent.
    • Parents must attend a meeting with a representative of the SES tutoring program and the classroom teacher to determine the learning goals for your child.
    • You should report any concerns about services to the school principal or the LHPUSD district office at 650-879-0286.

    SPACE IS LIMITED!  If more students request tutoring than can be supported by funds , top priority will be given to students with the lowest academic achievement as reflected in state test scores, who qualify for free and reduced lunch.  Students who cannot receive services due to lack of space or funding will be placed on a waiting list.

    Questions?  LHPUSD District Office 650-879-0286 or   Pescadero  Elementary Middle School   650-879-0332