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Destination: Date of Application:
HAUPPAUGE PUBLIC SCHOOLS FIELD TRIP REQUEST
(BOARD OF EDUCATION POLICY #4531)
(Due 10 curriculum office 2 weeks prior to trip)
Teacher in Charge: # of Students: approx. __ /_~ ____ _
Date(s) of Trip: # of Chaperones: (maIe>_I_ (female~
Cost: Student # of Buses: District District - 0 - Charter /
Building: !'I'pl ~ If,h)/ Expected Duration of ; / Trip in
Hours: #/_ 7~"" d.,,/"" r
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PlayolT Appearances 2002, 2003, 2004, 2005, 2006, 2007,
2008,2009,2010, 2011,2012, 2013, 2014
SulTolk County Finalist 2009,2014
Sblte Rlinked 2009,2010,2011 , 2012, 2013,2014
Lugue Championships 2002,2006,2013
29 All League Playen
24 All Division Playen
36 All County Playen
10 All Loug lslaud Playen
12 All Sbltc P1ayen
2 NFCA All Americans
17 NFCA Regioual All Amerkaus
5 League Player Dr the Year
1 League Pitcher ortbe Year
3 Lugue Rookie ortbe Year
1 SCSCA Player Dr tbe Year
1 Newsday SulToIk . Couuty Player or the Year
7 Division I Playen
4 Division II Playen
10 Division III Playen
Hauppauge Eagles Varsity Softball Head Coach: Jim McGowan
Assistant Coach: Krista Thorn
Volunteer Assistant Coach: Shannon Egan Hauppauge High School PO
Box 6006 Hauppauge. NY 11788
631-9.014-2059 - [email protected]
eAt. 2001 -cr>r~am Sis_Commit §'tronS-
Itinerary for Hauppaup Softball Trip to Binghamton. NY
DATES: DEPARTURE:
Sawrday ,Aprii 10 - Sunday, April 12 7:00 AM. Same format and
trip you have taken since (2002). We will depart from East Islip
High School Parking Lot.
S,hn'day. Agdl 11.2015
6:45 AM: 7:00AM: 2:20 PM: 4:00 PM: 6:00 PM: 6:00 - 7:00 PM: 7:00
- 8:30 PM: 8:30 - 10:30 PM: 10:30 PM: 10:30 - I 1:00PM: 11:00
PM:
Meet at East Islip High School Leave for Binghamton Game #1 Game
#2 Arrive at Hotel/Check In Shower, Unpack, Relax, Get Ready. etc.
Dinner as Team(including parents) T earn Activity(Movie.
Mini-Golf). etc) Rewm ttl the Hotel Relax in Hotel Curfew/Bed
Check; Ughts Out
Sunday.AgdI12.2015
7:30AM: 7:30 - 9:00 AM: 9:00AM: 10:00 AM: 12:00 PM: 2:00 PM:
7:00 PM:
WakeUp Call Breakfast. Pack. etc. Depart for Reid Game # 3
Game#"! Depart Binghamttln Arrive at Hauppauge High School
• Same exact trip from 2002 - 2014 seasons! • Hampttln Jitney
will be the Coach Bus Company. • Krista Thom(Assistant Coach) will
accompany me on the trip and will serve as
a female chaperone as well. • We will be sharing the bus with
East Islip ttl help defray the cost. This has
been past practice with Bay Shore and Deer Park.
Bindwnton Trip Hotel Information Comfort Inn Binghamton
1000 Front Street Binghamton. NY
Phone # (607)n4-3297
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Destination:
HAUPP AUGE PUBLIC SCHOOLS FIELD TRIP REQUEST
(BOARD OF EDUCATION POLICY #4531)
Camp A1vernja Centerport NY Date of Applicatjon' J 12911 5
Teacher in Charge: Shannon Griffin # of Students: approx .
..:5"'0'--______ _
Date(s) of Trip: 1115, 1116, 1117115 # of Chaperones: (male} __
2_ (femal!U...L
Cost: Student $125 # of Buses: District --=2=--_ District $3,365
Charter __ _
Building: High School Expected Duration of Trip in Hours: 49
hours
Department/Grade: Co- Curricular 9-12
Educational Purpose of Trip: Required training for new members
of the Natural Helpers program.
Bus Anival Departure Time Bus Arrival Time Time at School: J
1/51\ 5 2'45 pm From School: 3·00 pm At Destination: 3'30 pm
Departure Time From Destination: 11 171152:45 pm Return Time to
School: ~3",:3",0,-p",m",-___ _
Signature of Teacher in Charge: (Sign re kno t t BOE Policy
4531. Adminislrolivc Regulation 4S31 ·R, and the Procedures for
StudcntoFunded L·i,-_ T· 5 ~ve been read Ilnd will be
rollowed.)
APPROVALS AND SIGNATURES
Please check funding source and indicate appropriate
code(s).
District: ~J.:350 L\'5"1S00\ lD ~ (Code/s)
Department Director: ::::7/.+Jul.L~U'Jb.~==:::
Building Principal: -bL-1.L:"-~~---=::::::-
Ass\. Sup\. for CII: ~ I
Transportation Supervisor: _________ _
Transportation Comments:
Student/ECAF: :-=...,...,::-__ -,---::.,--_-,-__ (Club
Representative Signature)
Date: 1130//5
Date:
Date:
Date:
Note: Overnight trips must be approved by the Board of Education
12 weeks in advance. A complete itinerary must be attached to this
request form. 5/20\3
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COST OF NATURAL HELPER TRAINING
District P0l1ion:
Rental of Camp Alvernia: $3,215.00
Supplies: $150.00
Cost paid by district: $3,365.00
Student Portion:
Catering/Food: $2,510.00 (estimate)
Transportation: $350.00
Cost paid per Student: $125.00
Total Cost of Trip: $6,225.00
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Natural Helpers is a peer-helping program used across the United
States and in several other countries. It primarily serves middle
school/junior high school and high school students who want to
strengthen their communication and helping skills and to provide
support to others and service to their schools and communities.
The Natural Helpers program is based on a simple premise: Within
every school, an informal "helping network" exists. Students with
problems naturally seek out other students, and occasionally
teachers or other school staff whom they trust. They seek them out
for advice, for assistance, or just for a sympathetic ear. The
Natural Helpers program uses this existing helping network; it
provides training to students and adults who are already perceived
as "natural helpers". It gives them the skills they need to provide
help more effectively to young people who seek them out.
Natural Helpers are a cross section of students and school
adults identified through an anonymous school-wide survey. After
representatives of all the subgroups in the school community are
selected, they are invited to participate in the Natural Helpers
program. They take part in a Retreat Training in a camp-like
setting; there they learn how to improve their helping skills, how
to contact professional helping resources when problems exceed
their limits, and how to take better care of themselves. It is
constantly emphasized at the training that Natural Helpers are not
professionally trained therapists or counselors.
After this Retreat Training, Natural Helpers attend Ongoing
Training, either in a semester class or in a less structured
format, which enhances basic skills and information covered in the
Retreat Training, and which explores topics of concern to students,
like stress, suicide, eating disorders, and relationships with
friends and with family.
Natural Helpers report significant benefits from being involved
in the program, whether their involvement is helping one to one,
assisting with program coordination, volunteering for community
projects, or fulfilling some other role. Natural Helpers find that
the skills they learn and practice in working with others are
beneficial with friends, teachers, family, and co-workers. They
make new friends in the program and break down some of the barriers
that exist in any community. Natural Helpers also experience the
special feeling that comes from helping someone else and knowing
that they have made a difference.
Goals of the Nlltural Helpers Program
The Natural Helpers program is designed to meet three basic
goals:
I . To teach Natural Helpers effective ways to help their
friends 2. To teach Natural Helpers positive ways of taking good
care of themselves 3. To teach Natural Helpers ways to contribute
to a safe and supportive school environment
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TIME 2:30-3
4:00
4:45
6:30
7:30
8:30
9:30
10:00 11:00 12:00
NATURAL HELPERS RETREAT TRAINING AGENDA
Dav I Nov.5. 2015
ACTIVITY Bag Check and Depart High School
Name Whip Personal Treasure Hunt
Welcome and Introductions Group Pulse Goals/Roles of Natural
Helpers Reminders about Communication Community Living Rules Name
Tag Game Secret Pal (w. LAST NAMES) Group Photo and Scroll
Photo
Dinner
Labels and Stereotypes Headbands Poem: "Masks"
Think Of A Secret Untieland
SET UP OBSTACLE COURSE !!!!!!!!!!!!!! Introduction To
Trust/Confidentiality Trust Walk Trust Circles Lap Sit
Clap -A- Long I am Loveable and Capable (lALAC)
Relaxation DORMS QillET AFrER THIS TIME !!!!!!!!!!! Lights Out:
YOU WILL BE TIRED AND WILL NEED REST FOR A LONG SATURDAY!!!!!
LEADER
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TIME
8:00
9:00
10:00
12:30
1:30- 2:30
2:30
3-4:30
4:30
5:00
6:00
NATURAL HELPERS RETREAT TRAINING AGENDA
DAY 2 Nov 6.2015
ACTIVITY
BREAKFAST - MAKE INDIVIDUAL IALAC SIGNS
Do you know Your Neighbor? Review of Day 1
Overview: The Helping Relationship Facilitative Responses: A
Demonstration Reminders for Helping Small Group Practice: High and
Low Facilitative Responses Poem: "Listen" Feelings Dictionary
Problem Solving Role Play
LEADER
LUNCH - DECIDE ON WHAT YOU WILL SAY AT SHARING
Suicide and the School's Reponse Suicide Myths What To Do If A
Friend Talks About Suicide Small Group Practice & Suicidal
Peers Limit of Time and Energy Limit of Attitude Limit of
Ability
Skits
FREE TIME .•. AND PUT UP SCROLLS
DINNER
Poem: "Risks" Sharing Scroll Introduction Rainstorm
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TIME
8:00
8:45
12:00
12:30
1:00
2:00
2:15
NATURAL HELPERS RETREAT TRAINING AGENDA
DAY 3 Nov 7. 2015 (JK Day)
ACTMTY
BREAKFAST
Do you know Your Neighbor? Review of Day Two WHAT WILL YOU LEAVE
BEIflND? Group Pulse Follow-up Meetings, Activity Logs,
And Class Absence Policy Re-entry Issues/Skits Secret Pal -
Conclusion
LUNCH .... AND ROLL SCROLLS
Community Resources Handle or Express Your Limits Problem -
Crisis - Emergency A Starfish Story Weekend Evaluation
CLEANUP & PACKING
You Are Great Scroll Ceremony
Depart Camp
LEADER
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MOUNT ALVERNtA FRANOSCAN BROTliERS
105 PROSPECT ROAD- P.O. BOX 301, CENTERPORT, NY 117Z1
631-261·5730 www.alvemla.org fax: 631·754--4204
AGREEMENT AND CONTRACT Between
HAUPPAUGE HIGH SCHOOL 500 LINCOLN BLVD., PO BOX 6006
HAUPPAUGE, NY 11788 And
MOUNT ALVERNIA
1. Mount Alvernia agrees that HAUPPAUGE HIGH SCHOOL hereinafter
referred to as THE ORGANIZATION may use facilities of Mount
Alvernla, as described and specified below.
2. The agreed date!s) of usage Is THURSDAY, NOVEMBER 5"
SATURDAY, NOVEMBER 7, 2015.
3. The maximum number of people with THE ORGANIZATION during
this time approx. SO.
4. The specified areas of Mount Alvernia THE ORGANIZATION may
use is the first floor of the main building and the grounds. For
reasons of safety, the waterfront area is not available to THE
ORGANIZATiON unless a supervisor of THE ORGANIZATION is
present.
5. The use of public address systems, microphones, loudspeal:ers
or any other volume-enhancins methods, such as electric keyboards
and electric guitars Is not permitted.
6. THE ORGANIZAnON is s~1y responsible for the care and welfare
of each and every partkJpant who enters the premises of Mount
Alvernla during the specified time period. Mount Alvernla is not
responsible for any Injury or damage to said participants arising
out of THE ORGANIZATION's negligence during the use of Mount
Alvernia's facilities. THE ORGANlZAnON will provide a Certificate
oflnsurancejor bodily Injury and property damage with a combined
single limit of at least $1,000,000. Named as 'additional Insured"
on this Certificate of Insurance are: Mount Alvem/a, Sf.. Francis
Monastery and The Franciscan BrothelS 01 Braoklyn. This Certificate
a/Insurance must be In the possess/on oj Mount Alvemio In good time
before the sped/ied time usage. THE ORGANIZA nON will nat be
~rmltted the use of Mount Aillemia's facilities if sald Certificate
oj Insurance is nat held by Mount Alvemia. (If alcoholic beverages
are to be served during THE ORGANIZA nON's use of Mount AivernTa,
the certifICate MUST indicate either Dram Shop Act coverage or Host
Uquor Uability coverage. 'THE ORGANIZATION agrees to be responsible
for the serving of said alcohol and anything and any actions that
might resutt from said such serving).
7. THE ORGANIZATION agrees to pay to Mount Alvemia $3,215 for
the use of Its facilities on the date(s) as described above. A
deposit of $803.75 Is required at the time this agreement is
acapted by both THE ORGANIZA nON Qnd Mount Alvernla.
8. The deposit, along with Signed agreement, must be returned to
Mount Alvemia within fourteen (14) days. if agreement and deposit
is not received within said tlmeframe, Mount Alvernla will assume
THE ORGANIZATION has no further Interest and will remove THE
ORGANIZATION from the retreat calendar. When this signed agreement
and said deposit are received by Mount Alvernls, the agreed upon
time of usage Is assured to THE ORGANIZATION.
9. In the event THE ORG.l.NIZATION cancels Its usage of Mount
Alvemia, the deposit. minus a service charge of 20% of the deposit,
will be refunded only if notice of canceUation Is received by Mount
Alvemla on or before ninety (90) days prior to the agreed time of
usage. In the event usage must be canceled because of natural
causes, such as dangerous ice, snow, or hurricane conditions, the
deposit minus a service charge may be refunded. Mount Alvemla
reserves the right to make decisions as to the danger involved.
10. Any amendments to this agreement must be agreed to by both
THE ORGANIZATION and Mount Alvemia.
For. MOUNT ALVERNIA:
, if 7. ( JrL" BROTHER LAWRENCE MAKOFSKE, DIRECTOR
November 20, 2014
For: HAUPPAUGE HIGH SCHOOl:
(Signature) Dated: ________ 20 __ _
Sign and return this Contract to Mount A1vemla with the stated
deposit. Balance is due on the day of arrival. Note that this
contract Is valid when contract AND deposit is received bV Mount
Alvernia, and that THE ORGANIZATION must provide the Certificate of
InSurance before THE OGANTZATION's time of usage
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MOUNT ALVERNIA FRANCISCAN BROTHERS
105 PROSPECT ROAD - P.O. BOX 301, CENTERPORT, NY 11721 Phone:
631-261-5730 www.alvernia.org fax: 631-754-4204
1. General Safety and food safety is the leader's responsibility
(Food Safety
Regulations are posted in kitchen, per Suffolk County Health
Department
requirements).
2. Group leaders are responsible to supervise the group and its
behavior.
3. Group leaders are responsible to supervise any recreational
activities.
4. Possession of and working knowledge of first aid kit strongly
is advised.
5. Responsibility for personal property and vehicles is leader's
responsibility.
6. Smoking is not permitted.
7. Do not bring or use public address systems, microphones or
loudspeakers
8. Do not sit on tables. Leaders will be responsible to pay for
broken or
damaged tables.
9. Wi-Fi is not available.
FIRE AND AMBULANCE:
CENTERPORT FIRE DEPARTMENT
631-757-4444