Vol. 2017-2018 No. 1 September 2017

Jaguar Jottings

Your Johnsburg Central School Newsletter

Superintendent’s

Corner

Welcome back! The 2017-2018 school year

is about to start. Are you ready?

If you are a student, do you know what you

can do to have a strong academic and

enjoyable school year? To help you be the

best you can be, try some of these ideas for

success.

Rest: Start the school year off strong by

getting enough sleep each night. Be well

rested and have a good attitude. Walk

through the doors on day one ready for

business. Forget habits that did not work

last year and work on a new plan for

studying and homework.

Homework: Speaking of homework, do it!

Every night. If you were given summer

work, make sure you have it completed and

ready to hand in on the first day. Nothing

will have you feeling more overwhelmed

then starting the school year already behind.

Once the year is in full swing, keep your

grades up by allowing time each night for

homework as well as social interaction.

Communication: Talk to your

teachers/guidance counselors when you are

having difficulties. We do not expect you to

understand everything you are taught. Not

knowing how to do something does not

mean you are unable to learn it. Not asking

for help may lead to more confusion; so

when in doubt, seek your teacher out!

Teachers love to answer questions, which is

one of the reasons they chose their

profession. Asking questions and seeking

out extra help shows them you are paying

attention and their subject is important to

you.

Study: Sometimes you have to do more than

just homework. Studying can turn a 70%

into an 80 or 90%. Remember, you are

creating your future college transcript or job

resume.

Attend School: This may sound simple, but

each year I see a number of students miss

school on a regular basis. I also see a direct

correlation between attendance and grades.

Being Active: This is the fun part. Play a

sport, or two. Join the music program or a

club. Go out for the variety show with your

friends this year. Research has shown when

a student is involved in extracurricular

activities they see their grades go up.

Joining a club or sport also helps with time

management.

Now what can parents do to make their

child(ren) have a successful school year?

Stay involved! It doesn’t matter if your

student is in Pre-K or a senior: stay

knowledgeable about how your child is

doing. Sign up for parent portal and log in

every once in a while. When they do well,

let them know how proud you are of them.

If they are struggling, then jump in and help

them figure out a solution. You may think

your child is old enough to do this on their

own, but at times they need your help and

support. Encourage them to follow the

suggestions listed above and enjoy this time

with them.

Student or parent, each school year is a new

beginning. Follow these simple ideas and

2017-2018 will be your best year yet!

Principal’s Message

Welcome back to school! I’d like to thank

the JCS students, staff, parents, and

community members for helping to make

my first year as principal such a success. I’m

very excited to begin year number two. The

custodial and office staff have been hard at

work this summer getting the building,

fields, and grounds ready for the 2017-2018

school year. I look forward to another

successful year! Go Jags!!

Welcome to our School! There are a few new faces at JCS this year.

Welcome; Frank Morehouse-Grounds

Keeper/Bus driver, Heather Olesheski–First

Grade, Ronda Morris-Teaching Assistant

and Kathy McGowin-Wednesday Nurse.

K-3 Reading Theme for 2017-2018 The reading theme is “Sail Into Reading.”

K-3 students will once again be challenged

to read 6000 books by the end of the school

year. Good Luck!

“Raise the Roof” I am sorry to say that we were unable to

obtain NYS Education Department approval

in time to build our outdoor classroom

(pavilion) for the summer of 2017. The

“Raise the Roof” campaign will continue

throughout the 2017-2018 school year. JCS

school spirit items will be sold during home

games/events and the “Buy A Brick”

program will continue in order to raise more

funds for the pavilion. Thank you to those

who have already purchased bricks. Your

brick will be safely stored until the summer

of 2018 when the pavilion will be built. JCS

senior, Michael Wilson, has completed his

Eagle Scout project. Michael built tables and

a teacher station to be placed in the outdoor

classroom.

JCS Book Exchange Students, staff, parents, and visitors may

visit the Book Exchange area outside the

principal’s office. Gently used books for all

ages will be available. Choose a book to

take home, or drop off a book that needs a

new home.

Jiggy Paw Award Jiggy Jaguar is our school mascot. Students

who are “caught doing something good” by

a JCS staff member may receive a “Jiggy

Paw Award.” Students who receive a “Jiggy

Paw Award” should bring it to Mrs.

Flanagan in the principal’s office to be

recognized for their accomplishment. I hope

to have frequent visitors to the office who

have been “caught being good!”

South End Afternoon Pickup

Parents who are picking up students at the south end

(upper parking lot) should either wait in their vehicle or

just outside the south end doors for their child(ren) to

arrive. Students in grade K-6 will be escorted to the

south end by a teacher/teaching assistant starting at 2:30.

Students in grades 7 -12 may dismiss from the south end

after the 2:36 bell. There are classes taking place in

the south end of the building through 10th period. It

is very important that the south end of the building

remain quiet through the 2:36 bell.

Chromebook Permission Slips

Students in grades 7 – 12 need to sign and return

Chromebook Permission slips on the first day of school.

These slips will be sent home with student’s

class schedules.

Johnsburg Jaguar Pride!

This policy is now in effect.

If you have any questions call

Mr.Markwica at 251-2921 x 9.

7th grader, Milan Brouthers, and

graduate, Sunnie Lee Tucker, painted

this jaguar mural at the south end of

the building during the spring of

2017.

NO ANIMALS

ALLOWED ON

SCHOOL

PROPERTY

End of 2016-2017 School Year

News: Congratulations to all the students in grades K-3.

They met their goal of 6,000 books and read

6,610 books during the 2016-2017 school year!

Great job!! We are proud of you!

VIPs:

PreK-6 Student of the Month – June

(Listed Alphabetically)

Alyssa Church (absent from picture)

Autumn Baker Ava Pesquera

Ayden Tuma Charity Lupo

Chet Perryman Clay Morin

Colin Morris Gabriel Pesquera

Hayden Baker Hunter Monroe

Jeremiah Freebern Joshua Briggs

Joy Forshay Liam Turnbull

Mia Pace Regan Morris

Sadie Porter Savannah Caza

Sawyer Thul Serenity Wood

Specials: Art – Memphis Facey

Computer – Benjamin Garvin

Library – Haley Mosher

Music – Logan Townsend

Physical Education – Nicholas Sauer-Jones &

Alissa Bennett

4th Quarter Attendance Honor Roll/*Perfect

Attendance

Pre-K: Ms. Eichler & Mrs. Glode

*Hayley Fink, * Olivia Owens

Kindergarten: Mrs. Brower – Eli Harvey, Tailyn Millington,

Evelynn Noel

Mrs. Knickerbocker – Jameson May

Grade 1: Mrs. Bedard – Sydney Facey, Cole Millington,

Avery Morse, Gabriella Ofori, Sullivan Richards

Mrs. Webb – Norah Caselli, Venessa Donohue,

Ryan Fink, Sofia Hodgson, Ryder Olesheski,

Gabe Pesquera, Timothy Riley

Grade 2: Mrs. McKenna –*Quinn Selleck, Colin Morris,

Connor Sharp, Luke Volcheck,

Mrs. Mosher – Liam McKinney, Reagan Morris

Grade 3: Mrs. Turcotte - Jeremiah Freebern, Jordan

Fusco, Haley Mosher, Rowan Olesheski,

*Hannah Sharp, Lexi Sharp, Amari Trent, Lucia

Williams, Mason Wing

Mrs. Watson – Jenna Babushkin, Chase Denno,

Walter Hodgson, Hawk Millington, Alene

Tabano

MEET THE NEWEST

MEMBERS OF JCS!

Welcome back Frank. Mr. Frank Morehouse

Jr. attended Johnsburg Central School from

kindergarten to third grade before moving and

graduating from North Warren Central School.

He now lives in Minerva with his wife Jessica

and their four children who are also new to

JCS this year. Cameron is in 7th grade, Keith

in 6th, Launa is in 2nd grade and Charlotte is

starting 1st. Frank enjoys the outdoors; hiking,

fishing and hunting keep him busy on his days

off from grounds keeper/bus driver at JCS.

I have had many different duties

since I walked through the doors of

JCS in 2001. Teaching Assistant,

High School Librarian Assistant

and coach are just a few. I now am

adding two more titles: Secretary

to the Superintendent and District

Clerk to my resume. I am really

excited to begin my new career

path and look forward to all the

adventures that come my way. For

those of you who do not know me,

I am the mother of two adult

daughters, Ayla, a Geologist in

Charlotte, NC. and Shea, a recent

college graduate working on

returning to school for her

Veterinarian Degree. I live in

Glens Falls with my rescued dogs

and cat. I love to travel, spend

time with my family, read mystery

novels and volunteer at rescue

centers. I am very excited to be on

the ground floor this year.

For me, JCS has always been home. After

graduating from Johnsburg in 2002, I

attended St. Lawrence University where I

majored in history and minored in education.

After finishing college, my husband Peter

and I decided to settle in our hometown and

raise our family. Our son Rowan is in 4th

grade this year, our son Ryder is in 2nd grade

and our twins, Rhys and Hollis celebrated

their first birthday in June. When I am not

working, I enjoy reading, traveling with my

family and kayaking. In my 10+ years in

education, I have taught everything from

preschool to secondary social studies. I

recently went back to school and finished the

requirements needed to earn an additional

certification in elementary education. After

many years of teaching subjects in many

different schools, I am so excited to be back

home and working in the school that I love!

*Heather is teaching 1st grade in room

204

Hello! My name is Ronda Morris and I'm so

excited to join the dedicated JCS staff this year as a

teaching assistant. I have a Master's degree from

Capella University in school counseling and I have

worked in other districts in a variety of settings. I

live in Wevertown with my husband, Joe and our

three children Gage, Reagan, and Finnegan who

are all students here. We love the outdoors and

living in the Adirondacks gives us a great

opportunity to be outside! We enjoy camping,

running, skiing/boarding, hiking, and

snowshoeing! I'm very involved within the

community as well. I lead my daughter's Girl Scout

troop, teach religious education, as well as co-

direct the Dollars for Scholars.

*Ronda is a Teaching Assistant working with

many age groups.

Hello, my name is Kathleen (Kathy)

McGowin. I have been a resident of

Johnsburg since 1979. I currently reside

with my husband Jim, and our black lab,

Hendrix. I recently retired from Warren

County Health Services after 18+ years of

employment as a Home Health Nurse.

I have had the pleasure of substituting at

JCS several times in the 2016-2017 school

year and I am looking forward to working

every Wednesday as the School Nurse for the

2017-2018 school year.

My name is Deidre Convery-Bernard and

I am so excited to be moving to North

Creek with my husband, Brian and our

cat, Winston. I am even more excited

that I will be working at Johnsburg

Central School starting in September!! I

have lived in Poughkeepsie, New York

my whole life and have worked as a

Speech Pathologist for the last 21 years

with the Arlington Central School

District. My husband and I spend most

of our time camping, kayaking,

swimming and snowmobiling in the

beautiful Adirondack Park. I will be so

happy to call North Creek my home and I

am looking forward to meeting the

students, families, staff and teachers at

Johnsburg in the fall!

Let the 2017-2018

School Year Begin!

K-3 Monthly Character Words

September – Friendship

October – Responsibility

November – Helpfulness

December – Sharing/Caring

January – Effort

February – Honesty

March – Respect

April – Sportsmanship

May - Citizenship

K-3 Reading Theme for 2017-2018

The K-3 reading theme for

this school year is “Sail Into

Reading!” K-3 students will

be challenged this year to

read 6,000 books throughout

the year! WOW – that is a

big challenge, but we all

know they can do it! Grab a

book and “Sail Into Reading.”

Request from the School Nurse

Parents of students in grades Pre-K – 2: Please

keep an additional set of clothes in your child’s

backpack for emergencies. Undergarments,

socks, pants and a shirt will take up very little

room and will avoid us having to call you to

bring in clothing from home. “Just in case

clothing” is important to your child’s emotional

and physical health.

Open House 2017-2018

Open House –

September 27, 2017.

PreK-6 Grade: 6:00-7:30PM

7-12 Grade: 6:30-8:00PM

PTSA Picture Day

September 14, 2017

PTSA Fall Book Fair

September 18-22, 2017

PTSA Book Fair/Ice Cream Social

September 20, 2017 @ 6-8PM

Pre K and Kindergarten Colors The Pre-K and Kindergarten children will be

celebrating colors throughout the year. Many of

the children already know their colors. Each

week we will do activities revolving around one

particular color. The Wednesdays listed below

will be “special color days” when we will dress

in that color. Members of our staff usually

participate in the “special color day” and all

parents are also invited to participate by wearing

the “color of the week” if they come to school.

September 20 Radiant Red Day

October 4 Bold Black Day

October 25 Outrageous Orange Day

November 15 Basic Brown Day

November 29 Glittery Gold Day

December 20 Wintery White Day

January 10 Beautiful Blue Day

January 24 Shiny Silver Day

February14 Pretty Pink Day

March 7 Pleasant Purple Day

March 28 Radiant Rainbow Day

April 11 Glorious Gray Day

April 25 Great Green Day

May 16 Pattern Day

Nurse’s Notes for Back to

School Success!

Physical Examinations for Sports

Participation: Sports Physicals are

required for any student wishing to

compete on an interscholastic team.

Physicals to be considered valid

must be within one year from date on

the first day of practice for student

athletes to participate.

Physical Examinations are required

by the state for students entering

grades: Pre K, Kindergarten, Second,

Fourth, Seventh and Tenth. Copies

of physicals need to be on file in the

nurses office

Immunizations for students

entering: 12th Grade – Second

Meningitis shot, 7th Grade - First

Meningitis shot, 6th Grade - Tdap.

Please check with your child’s

pediatrician to see if your child is up

to date.

Peanut Allergies: We have students

in our school who have peanut

allergies which can become a life

threatening event for some

individuals. If your child has special

food needs due to allergies, please

send in an updated note from your

physician, so that their school meals

can be prepared accordingly.

Medication: New York State

Department of Education has

established protocols for the

administration of medicine during

the school hours. If your child will

require medication in school, please

contact the health office for the

required forms. This included over

the counter medications as well as

prescription medication.

*PLEASE NOTE*

Please notify the health office of

any major illnesses, injuries,

and/or immunizations which your

child may incur, so that the child’s

health record is kept updated. If

illness or injury is such that it

restricts their gym participation, a

note from the physician is

required. If you have any

questions, please call Carol

Fosdick in the health office at

251-2921 ext. 5.

Johnsburg Central

School Dignity for All

Students

The Johnsburg Central School

Community expects all students to…

1. Contribute to maintaining an

environment where everyone

feels safe and can learn

2. Be kind and respectful to

people who work in the school

as well as to each other

3. Accept/respect differences

among/within the school

community

4. Come to school every day,

on time and ready to learn

5. Treat others how they want

to be treated

6. Follow the directions given

by those within the school

community in a respectful

manner

7. Be responsible for what they

say and do

8. Be good role models while at

school and/or when taking part

in/attending school events

9. Get help in solving problems

before they become a discipline

problem

10. Tell an adult within the school

community any issue regarding

safety

If you or someone you know is

being bullied or harassed, please

say something!

Dignity for All Students Act

Bullying, harassment and discrimination

in NYS public schools A guide for parents

In July 2010, the Dignity for All Students

Act – or DASA – was established to promote

a safe and supportive learning environment

in all public schools, free from harassment

and discrimination from other students and

adults.

DASA establishes a number of standards for

schools, when it comes to instruction,

certain district policies and procedures and

identifying and reporting incidents of

bullying, harassment and discrimination in

school.

"No student shall be subjected to harassment

or bullying by employees or students on

school property or at a school function; nor

shall any student be subjected to

discrimination based on a person’s actual or

perceived race, color, weight, national

origin, ethnic group, religion, religious

practice, disability, sexual orientation,

gender, or sex." (State Education Laws of

2010, Effective: July 1, 2012)

How do I know if my child is being

bullied?

What is harassment? Harassment is the

creation of a hostile environment that

unreasonably and substantially interferes

with a student’s educational performance,

opportunities or benefits, or mental,

emotional or physical well-being.

What is bullying? Bullying includes such

actions as making threats, spreading rumors,

attacking someone physically or verbally

and excluding someone from a group on

purpose. Bullying is an unwanted,

aggressive intentional form of harassment

that involves a real or perceived power

imbalance. The behavior is repeated, or has

the potential to be repeated, over time.

What is cyberbullying? Cyberbullying is

bullying that takes place using electronic

technology. Examples of cyberbullying

include hostile or threatening text messages,

e-mails, posts on social networking sites and

inappropriate pictures, videos, websites or

fake profiles.

What is discrimination? Discrimination,

as defined by the New York State Education

Department (NYSED), is the “denial of

equal treatment, admission and/or access to

programs, facilities and services based on

the person’s actual or perceived race, color,

weight, national origin, ethnic group,

religion, religious practice, disability, sexual

orientation, gender (including gender

identity), or sex.”

Examples of bullying include, but are not

limited to:

Verbal: Name-calling, teasing, sexual

comments, taunting and threatening to cause

harm.

Social: Spreading rumors about someone,

excluding others on purpose, telling other

children not to be friends with someone and

embarrassing someone in public.

Physical: Hitting, punching, shoving,

kicking, pinching, spitting, tripping,

pushing, taking or breaking someone’s

property and making mean or rude hand

gestures. (Source: U.S. Department of

Education)

Signs that a child is being bullied:

Be aware that not all children

who are bullied exhibit warning

signs. Signs of bullying include:

Unexplainable injuries;

Lost or destroyed clothing,

books, electronics or jewelry;

Frequent headaches or

stomachaches, feeling sick or faking

illness to avoid school or social

situations;

Changes in eating habits, like

suddenly skipping meals or binge

eating (kids may come home from

school hungry because they did not

eat lunch);

Difficulty sleeping or frequent

nightmares;

Avoidance of such areas as the

playground, cafeteria or restrooms;

Declining grades, loss of interest

in schoolwork or not wanting to go

to school;

Sudden loss of friends or

avoidance of social situations;

Loss of interest in activities

formerly enjoyed;

Feelings of helplessness or

decreased self-esteem; and/or

Self-destructive behaviors, such

as running away from home, self-

harm or talking about suicide.

Signs that a child is bullying others:

Children may be bullying others if they:

Get into physical or verbal

fights;

Have friends who bully others;

Are increasingly aggressive;

Have no regard for other

people’s feelings;

Disrespect authority and/or

rules;

Disrespect the opposite gender

and people of different races,

ethnicities or religions;

Get sent to the principal’s office

or to detention frequently;

Have unexplained extra money

or new belongings;

Blame others for their

problems;

Lie to get out of trouble;

Deliberately hurt pets or

animals;

Use anger to get what they

want;

Refuse to accept responsibility

for their actions; and/or

Are competitive and worry

about their reputation or popularity.

REMEMBER: Bullying almost always

requires adult intervention.

Roles kids play in a bullying situation

Kids who bully: These children engage in

bullying behavior toward their peers. There

are many factors that may contribute to this

behavior. Often, these youth require support

to change their behavior and address any

other challenges that may be influencing

them. Don’t hesitate to speak to a counselor

at your child’s school and ask for help.

Kids who are bullied: Some factors put

children at greater risk of being bullied,. If

you are worried that your child is being

bullied seek help from school administration

or counselors right away.

Bystanders – even kids who are not

bullies and who are not bullied are

impacted by bullying behavior. They

witness it happening and they may either

encourage it, avoid it or try to discourage

it. These children may need support and

help to deal with the bullying they

observe; your school counselor can help!

Most kids play more than one role in

bullying over time.

It is important to note the multiple roles kids

play, because those who are both bullied and

bully others may be at more risk for negative

outcomes, such as depression or suicidal

tendencies. It also highlights the need to

engage all kids in prevention efforts, not just

those who are known to be directly

involved.

How do I talk to my child about bullying?

Talk to your child about what

bullying is and make sure he or she

understands that it is unacceptable

behavior. It is never too early to

bring it up; for younger children talk

about being mean rather than using

the term bullying.

Keep the lines of communication

open with your child – know your

child’s friends, ask about the school

day, listen to any questions or

concerns that arise.

Tell your child to talk to you or a

trusted adult at school if he or she is

ever bullied – or ever witness an

incident of bullying. Tell your child

it’s okay to stand up to a bully by

saying “STOP” or by simply walking

away.

Model how to treat others with

respect and understanding

Encourage a child to be involved

in activities he/she enjoys. This will

make him/her more confident and

boost self-esteem.

What do I do if I think my child is being

bullied?

• Get as much information as you can

from your child – What happened? When?

How many times did it happen? Who else

was there? How did your child respond?

How does your child feel about what

happened? Is your child worried it will

happen again?

• Listen. Don’t blame.

• Try to identify if it was, in fact,

bullying. Don’t call it bullying until you’ve

gathered all of the facts.

• If you believe your child is being

bullied, contact your child’s teacher or

school principal. These individuals are

trained in the DASA requirements and can

help you and your child.

• DASA requires every school in New

York State to have a dignity act coordinator.

This is someone who is trained to handle

incidents of bullying and harassment in

schools and is another important contact for

parents. Contact information for this person

can be found on your school district’s

website or by calling your child’s school.

What do I do if I think my child is a

bully?

• Talk to your child about the specific

behavior and why it is wrong. Does your

child understand that the behavior is

unacceptable?

• Calmly tell your child that bullying

will not be tolerated.

• Ask your child WHY he or she

bullied. Try to understand the reasons and

offer solutions.

• Use consequences to teach – not

humiliate.

• Call your child’s teacher, principal,

social worker, guidance counselor to talk

about what happened and strategies for

moving forward.

• Continue to talk to your child about

positive behavior and how his or her

behavior impacts others.

For more information about DASA in

your school, contact your school’s Dignity

Act Coordinator.

Johnsburg Central School - Heather

Flanagan, Building Principal (518)251-2921

Copyright 2014. Capital Region BOCES

School Communications Portfolio

School Safety

NYS requires us to have 8 fire drills and 4

lockdown drills throughout the school year.

Procedures for these drills will be reviewed

prior to any drills taking place.

Fire drills will begin during the second week

of school. The first lockdown will take place

in October.

Parent/Student/Visitor Safety Reminders: Students should not be in the

building prior to 7:30am.

Students being dropped off prior to

8:00 am should be dropped at the

south door (upper parking lot).

Students being dropped off after 8:00

am must come in the front entrance,

be buzzed in, and then sign in at the

principal’s office. The first bell will

ring at 7:53 am. Chromebook pick-

up period for grades 7-12 will be

from 7:53-7:57 am. If a student

arrives after 7:57am, they must wait

until after first period to pick-up their

Chromebook. Classes begin at 8:00

am.

Students of all ages are expected to

walk to their classrooms

independently. Hall monitors are

located throughout the building for

those who need assistance.

Students/parents arriving during the

school day must enter through the

front entrance and be buzzed in.

Students must sign in at the

principal’s office. Parents/visitors

must sign in at the main office and

pick-up a visitor’s pass.

Parents/visitors should not go

directly to a child’s classroom.

Teachers must be made aware ahead

of time and be expecting a

parent/visitor.

Students being picked up during the

school day will be signed out from

the principal’s office. If a student is

leaving due to illness or injury, they

will leave from the nurse’s office.

Students being picked up at 2:30 will report

to the south door and be dismissed by a

teaching assistant. Parents should wait

outside the south door area. There are

classes taking place in the south end of the

building through 10th period. It is very

important that the south end of the building

remain quiet through the 2:36 bell.

If it becomes necessary to make a

change in your child’s schedule,

please notify the principal’s office

PRIOR to 12:45. No changes will

be accepted after 12:45, unless it is

an emergency situation. You must

send a note or call prior to 12:45!

Students who stay for After School

Program, practices, rehearsals, or

other authorized after school

activities should sign up for the 4:45

late bus by 12:45 at the principal’s

office.

Bus changes from last school year do

not carry over to this school year.

You must contact the principal’s

office in writing or by phone to

notify us of your plans for your

child(ren).

FYI….

Military Opt-Out Policy:

Parents have the right to utilize the opt-out

policy which can be found in the Student

Handbook. This policy means no student

information will be given to U.S. Military

Recruiters, however, without a signed request by

a parent we are mandated by N.Y. State to

provide student information to military services.

Please refer to the Student Handbook release

form.

Staff Qualifications:

As a school receiving Title I funds, we are

required to notify parents of your right to request

and receive information regarding the

professional qualifications of your child’s

classroom teachers and teaching assistants.

District-wide Safety Plan 2017-2018:

The Johnsburg Central School District has

developed a District-wide Safety Plan in

accordance with the New York State Safe

Schools Against Violence in Education Law

(Project SAVE) of 2000. The regulation

requires that each public school district have a

district-wide safety plan and that it is reviewed,

updated and submitted to the New York State

Education Department prior to July 1 annually.

For more information concerning the district-

wide safety plan please Michael Markwica at

251-2921 ext. 9.

Availability of the District Asbestos

Management Plan 2017-2018:

The Johnsburg Central School District has

submitted information regarding asbestos

containing building materials in the central

school district to the New York State Education

Department, in compliance with the

Department’s notification procedures. This

information is documented in the school

district's Asbestos Management Plan, which is in

accordance with the United States

Environmental Protection Agency (EPA)

Asbestos Hazard Emergency Response Act

(AHERA) of 1987 (40 CFR Part 763). This

memorandum is intended to fulfill annual

notification requirements.

In compliance with the AHERA Regulation, the

school district conducted its 2016 Asbestos

Triennial Re-inspection on June 17, 2016.

Documentation related to the re-inspection is

available in the Asbestos Management Plan.

The District continues to perform the required

six month surveillance inspections as prescribed

by AHERA.

The Asbestos Management Plan for Johnsburg

Central School is available to the public for

review Monday-Friday 7:30 a.m. to 3:30 p.m.

For more information, contact Michael Ordway,

LEA Asbestos Designee at 251-2921 ext. 8.

Initial Pesticide Neighbor Notification

2017-2018:

The use of pesticide products may be applied

periodically throughout the school year at the

Johnsburg Central School District. Under the

Pesticide Neighbor Notification Law, Section

409-h of the Education Law, the District is

required to maintain a list of parents/guardians,

and school staff who wish to receive 48 hour

advanced written notice of an actual pesticide

application in the facilities or on school grounds.

You may register for 48-hour notification by

contacting Cindy Homer at 251-2921 ext. 9. To

obtain additional information contact Michael

Ordway, Head Custodian at

251-2921 ext. 8.

Johnsburg Central School Notification of Rights

under FERPA for Elementary and Secondary Schools

The Family Educational Rights and Privacy Act (FERPA) affords parents and students over 18 years of

age (“eligible students”) certain rights with respect to the students’ education records. These rights are:

1. The right to inspect and review the student’s education records within 45 days of the day the School

receives a request for access. (Parents or eligible students should submit to the school principal a

written request that identifies the record(s) they wish to inspect. The School official will make

arrangements for access and notify the parent or eligible student of the time and place where the

records may be inspected.)

2. The right to request the amendment of the student’s education records that the parent or eligible

student believes are inaccurate, misleading, or otherwise in violation of the student’s privacy rights

under FERPA. (Parents or eligible students who wish to ask the school to amend a record should

write the school principal, clearly identify the part of the record they want changed, and specify why

it should be changed. If the school decides not to amend the record as requested by the parent or

eligible student, the school will notify the parent or eligible student of the decision and advise them of

their right to a hearing regarding the request for amendment. Additional information regarding the

hearing procedures will be provided to the parent or eligible student when notified of the right to a

hearing.)

3. The right to consent to disclosures of personally identifiable information contained in the student’s

education records, except to the extent that FERPA authorizes disclosure without consent. One

exception, which permits disclosure without consent, is disclosure to school officials with legitimate

educational interests. A school official is a person employed by the school as an administrator,

supervisor, instructor, or support staff member (including health or medical staff and law enforcement

unit personnel); a person serving on the School Board; a person or company with whom the school

has contracted as its agent to provide a service instead of using its own employees or officials (such

as an attorney, auditor, medical consultant, or therapist); or a parent or student serving on an official

committee, such as a disciplinary or grievance committee, or assisting another school official in

performing his or her tasks. A school official has a legitimate educational interest if the official needs

to review an education record in order to fulfill his or her professional responsibility. Upon request,

the school discloses education records without consent to officials of another school district in which

a student seeks or intends to enroll. FERPA requires a school district to make a reasonable attempt to

notify the parent or student of the records request unless it states in its annual notification that it

intends to forward records on request.

4. The right to file a complaint with the US Department of Education concerning alleged failures by the

Johnsburg Central School District to comply with the requirements of FERPA. The name and

address of the Office that administers FERPA are:

Family Policy Compliance Office

US Dept. of Education

400 Maryland Ave., SW

Washington, DC 20202-5920

Programs and Projects Funded by Title I

Programs and Projects Funded by Title I

Parental Involvement

The Board of Education recognizes the rights of parent/guardians to be fully informed of all information

relevant to their children who participate in programs and projects funded by Title I. The District shall

ensure parental involvement in these programs and projects by:

a. Providing such support for parental involvement activities as required by law;

b. Convening an annual meeting which all parents/guardians of participating children shall be invited;

c. Providing parents/guardians with reports on their children’s progress;

d. Providing opportunities for regular meetings of parents/guardians.

Title I, Part A Written Complaint and Appeal Procedure

Who may submit a complaint?

Any public or nonpublic school parent or teacher, other interested person, or agency may file a complaint.

What must a complaint contain?

All complaints must be written; signed by the person or agency representative filing the complaint;

specify the requirement of law or regulation being violated and the related issue, problem, and/or the

concern; contain information/evidence supporting the complaint; and state the nature of the corrective

action desired.

What must an appeal from a LEA’s response contain?

An appeal must contain a copy of the original complaint and a copy of the LEA’s response to the original

complaint or a statement that the LEA failed to respond in 30 business days.

Where should a complaint/appeal to the LEA be sent?

Complaints/appeals regarding the LEA’s administration and implementation of its ESEA Title I Grant or

Academic Intervention Services for students identified under Commissioner’s Regulations Part 100

should be sent first to the School Superintendent of the LEA against whom the complaint is made. The

LEA has a 30 business day period in which to resolve a complaint.

Title I complaints should be first sent to the Superintendent of the LEA. If the local LEA fails to resolve

the complaint within 30 business days, or fails to resolve the issue to the satisfaction of the complainant,

the complaint should be sent to the Title I School and Community Services Office, Room 365 EBA, New

York State Education Department, 89 Washington Avenue, Albany, NY 12234; or United States Dept. of

Education, Compensatory Education Programs, 400 Maryland Ave., S.W., Room 3W230, FOB#6,

Washington, D.C. 20202-6132. For more information go to

www.emsc.nysed.gov/funding/cladcep/ca0809/complaintsappeals.htm

Annual Title I Parent Meeting:

A meeting to discuss the criteria for Title One remedial reading and AIS programming will be scheduled

during the 2017-2018 school year.

Parents’ Bill of Rights for Data Privacy and Security

In accordance with New York State Education Law Section 2-d, the Johnsburg Central School District

provides the following Parents’ Bill of Rights for Data Privacy and Security, which is applicable to all

students and their parents and legal guardians.

1. A student’s personally identifiable information cannot be sold or released for any commercial

purposes;

2. In accordance with FERPA and Section 2-d of the New York State Education Law, parents have the

right to inspect and review the complete contents of their child’s education record;

3. State and federal laws protect the confidentiality of personally identifiable information, and

safeguards associated with industry standards and best standards and best practices, including but not

limited to, encryption, firewalls and password protection, must be in place when data is stored or

transferred;

4. A complete list of all student data elements collected by the State is available for public review.

Write to the Chief Privacy Officer, New York State Education Department, 89 Washington Avenue,

Albany, NY 12234, email to CPO@mail.nysed.gov. The complaint process is under development

and will be established through regulations to be proposed by NYSED’s Chief Privacy Officer, who

has not yet been appointed.

5. Parents have the right to submit complaints about possible breaches of student data. Any

such complaint must be submitted, in writing, to: Michael Markwica, Superintendent, 165

Main Street, North Creek, NY 12853.

JOHNSBURG CENTRAL SCHOOL

AFTER SCHOOL PROGRAM GUIDELINES

2017- 2018

Starting on Monday, September 11, 2017, Johnsburg Central School’s After School Program will be available for students in

grades K-6 from 2:30-4:45, Monday through Friday on days when school is in session. The fee will be $3.00/day for each

student. Those eligible for free and reduced lunch will be $1.00/day for each student. Parents will receive a monthly

statement in the mail for ASP charges. Checks should be made payable to “JCS After School Program.” If payment is not made

by the 15th of the following month, your child will lose the privilege of participating in the After School Program until payment

is received.

The After School Program is meant for students whose parents or caregivers are not available due to employment during after

school hours. If a parent or caregiver is available, the child should plan to leave school at 2:30. If you finish work prior to 4:45,

you should pick your child up at school as soon as someone is available to do so. Be sure to let the ASP adult supervisor know

when you are picking up your child. Students that stay the entire time (2:30-4:45) for ASP due to a parent or caregiver being

unavailable may ride the 4:45 late bus home. The bus driver will drop your child off even if an adult is not seen. Please be sure

that an adult is home, but also have an emergency procedure in place for your child in the event that no one is home.

For safety reasons, only a certain number of students will be allowed to attend ASP on any given day. Be aware that you may be

notified that ASP is at maximum capacity and not available for your child. Please have alternate care available in the event that

this should happen.

ASP is a place where students can do their homework and also spend time socializing with multi-aged students. We have a large

number of students who attend this program every day. It is essential that students listen to the ASP Supervisor and the

student helpers for the overall safety of all students. It is a privilege to attend ASP. The following discipline procedures will be

followed.

- First discipline notice will be a warning depending on the severity of the incident.

- Second discipline notice will be one week out of the After School Program.

- Third discipline notice will be permanent removal from the After School Program.

- Severe behaviors will lead to immediate dismissal from ASP after the first offense.

- Disciplinary actions will be determined by the principal.

Please send appropriate seasonal clothing for your child to wear. Students will be going outside on most days. For the safety of

your child, they must be dressed appropriately for the weather.

If your ASP application states that your child will attend ASP on specific days, they will be regularly sent to ASP on those days. If

you DO NOT want your child to attend on a certain day, please send in a note stating where to send your child. State in your

note that they WILL NOT be attending ASP. If your child is signed up for ASP on an AS NEEDED basis, you must send in a note on

the day that you wish them to stay for ASP. Please state whether they will ride the bus home or be picked up when an adult is

available.

Any questions, please call the principal’s office at 251-2921 ext. 3268

JOHNSBURG CENTRAL SCHOOL 165 Main St.

North Creek, NY 12853

(518)251-2921 ext. 3602

AFTER SCHOOL PROGRAM REGISTRATION FORM - 2017-2018

Please fill out all sections and return to the principal’s office as soon as possible.

Please note: JCS’ After School Program is for students whose parents/caregivers are not available during after

school hours due to employment.

Student(s): Name ___________________________________________ Grade ____________

Name ___________________________________________ Grade ____________

Name ___________________________________________ Grade ____________

Parent/Guardian ________________________________________________ Home Phone _____________

Place of Employment ____________________________________________ Work Phone _____________

Hours of Employment ____________________________________________ Cell Phone _______________

Parent/Guardian ________________________________________________ Home Phone _____________

Place of Employment ____________________________________________ Work Phone _____________

Hours of Employment ____________________________________________ Cell Phone _______________

Student’s Address _________________________________________________________________________

Emergency Contact (names & phone numbers) __________________________________________________

________________________________________________________________________________________

Days my child will participate in ASP: (circle choice) M-F, M, T, W, TH, F, As Needed

My child will be: (circle choice) Picked Up Daily, Taking the Late Bus Home Daily, Bringing a Daily Note

List all names of adults authorized to pick-up your child(ren): _________________________________________

_________________________________________________________________________________________

Health concerns/allergies: ____________________________________________________________________

_________________________________________________________________________________________

I understand that my child(ren) will be expected to follow the ASP rules of he/she will not be allowed to

attend. I will communicate in writing with the principal’s office if a change in day or time is necessary.

Parent/Guardian Signature _______________________________________ Date ________________

Sign up your child today!

Simply fill out the form below and mail to:

Johnsburg Central School District

165 Main Street

North Creek, NY 12853

(518) 251-2921

_____________________________________________________________________________

Dolly Parton’s IMAGINATION LIBRARY Official Registration Form

Privacy Statement: This information will not be used for any purpose other than those related to the

Imagination Library. PLEASE PRINT

1ST Preschool Child’s FULL Name________________________________________________

Child’s Date of Birth ____/_____/_____ Sex: M F Phone_______________________

2nd Preschool Child’s FULL Name _______________________________________________

Child’s Date of Birth ____/_____/_____ Sex: M F Phone ______________________

Parent/Guardian’s Name _______________________________________________________

Child’s Home Address ________________________________________________________

ADDRESS

____________________________________________________________________________

CITY STATE ZIP

CODE

Mailing Address _________________________________________________________

(If different)

Email Address ____________________________________________________________

“This child is a resident of Johnsburg Central School District” ___________________________

SIGNATURE OF PARENT/GUARDIAN

FOR OFFICE USE ONLY: Date Received: _________________ Group Code: ___________-_________________

The kitchen staff and I would like to welcome new and returning students, we are looking

forward to seeing you in a few short weeks.

Over the last few years, there have been many changes (mandates) with the breakfast and

lunch programs. These mandates are created by the State of New York. One such mandate is

creating a wellness committee. This committee is made up of staff members, students and

parents. The committee meets once a year to review all the new changes with food regulations

and procedures as well as updating our wellness policy. The Wellness Policy is located on our

website under PARENTS/Notification. If you have any questions, please contact me here at the

school at 251-2921 ext. 3132.

See you in September,

Karen Moore

Karen Moore Cafeteria Manager

2017 JCS BREAKFAST

BREAKFAST MENU IS SUBJECT TO CHANGE WITHOUT NOTICE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Prepay breakfast Prices: Reduced: 25 cents Student: $1.10 Adult: $2.25

Breakfast and lunch passes should be paid the next day

1

4

5

Milk 6 Juice/Fruit Breakfast Parfait Cereal Toast Jelly

Milk 7 Juice/Fruit Scrambled Eggs Cereal Muffins Milk

Milk 8 Juice/Fruit Waffles/Syrup Cereal Toast Jelly

Milk 11 Juice/Fruit Breakfast Pizza Hash browns

Milk 12 Juice/Fruit Cheese omelet Cereal Muffins

Milk 13 Juice/Fruit Cereal Toast Jelly

Milk 14 Juice/Fruit Bacon Sandwich Cereal English Muffin Jelly

Milk 15 Juice/Fruit French toast Syrup Cereal Toast / Jelly

Milk 18 Juice/Fruit Bacon & Cheese on a Bagel

Milk 19 Juice/Fruit Pancakes Syrup Cereal Toast /Jelly

Milk 20 Juice/Fruit Cheese and Sausage, on English Muffin

Milk 21 Juice/Fruit Veggie Omelet Cereal Muffins

Milk 22 Juice/Fruit Mini Waffles Syrup

Milk 25 Juice/Fruit Ham Breakfast Sandwich Cereal English Muffin Jelly

Milk 26 Juice/Fruit Breakfast Parfait Cereal Toast Jelly

Milk 27 Juice/Fruit Breakfast Pizza Hash Browns

Milk 28 Juice/Fruit French Toast Syrup Cereal Toast /Jelly

Milk 29 Juice/Fruit Bacon & Cheese Omelet Cereal Muffins

Nondiscrimination Statement: This explains what to do if you believe you have been treated unfairly. In accordance with Federal civil rights law and U.S.

Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or

administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil

rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language,

etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may

contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:

http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information

requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: 1) mail: US Dept. of

Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Ave., SW, Washington DC 20250-9410; 2) fax: (202) 690-7442; or 3) email:

program.intake@usda.gov. This institution is an equal opportunity provider.

September 2017

JCS LUNCH

LUNCH MENU IS SUBJECT TO CHANGE WITHOUT NOTICE

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

Milk is $.60 when purchased separately

All bread products are 100% wheat/ whole grain

enriched

Prepay Lunch Prices: Reduced 25 cents Pre K – 5th $1.60 6th - 12th $1.85 Adult: $4.00

1

4

5

Chicken 6 Tenders Wedges Vegetables Muffins/ Apples Milk

Meatball subs 7 Chips Vegetables Peaches Milk

Hot dog 8 Macaroni & Cheese Vegetables Strawberries Milk

BBQ pulled 11 Pork Sandwich Smiles Vegetables Peaches Milk

Chicken 12 Nuggets Rice /Muffins Vegetables Pear Crisp Milk

Tacos 13 Lettuce, tomatoes French fries Rice/ refried beans Applesauce Milk

Chicken 14 Caesar salad Biscuits Strawberries Milk

Cheese or Beef 15 Ravioli Vegetables Rolls Mandarin Oranges Milk

Hamburger or 18 Hot dog Am. Cheese Rice Vegetables Applesauce /Milk

Chicken Patty 19 On a bun Wedges Vegetables Mixed fruit Milk

Italian dunker 20 Pasta Vegetables Pineapple Milk

Tomato soup 21 Toasted cheese Vegetables Pears Milk

Cheese or 22 Pepperoni pizza Vegetables Muffins Peaches Milk

Chicken 25 Tenders Pasta Vegetables Muffins/Oranges Milk

Tacos 26 Lettuce, tomatoes French fries Rice/ refried beans Mixed fruit Milk

Turkey or ham 27 Submarine Chips Vegetables Apple crisp Milk

Hamburg gravy 28 Potatoes Vegetables Biscuits Mandarin Oranges Milk

Chicken 29 Caesar Salad Muffins Pears Milk

Non-discrimination Statement: This explains what to do if you believe you have been treated unfairly. In accordance with Federal civil rights law and U.S.

Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or

administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil

rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language,

etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal

Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA

Program Discrimination Complaint Form, (AD-3027) found online at:

http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information

requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: 1) mail: US Dept. of

Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Ave., SW, Washington DC 20250-9410; 2) fax: (202) 690-7442; or 3) email:

program.intake@usda.gov. This institution is an equal opportunity provider.

FREE AND REDUCED PRICE MEAL APPLICATION FACT SHEET

When filling out the application form, please pay careful attention to these helpful hints.

SNAP/TANF/FDPIR case number: This must be the complete valid case number supplied to you by the agency including all numbers and letters, for example, E123456, or whatever combination is used in your county. Refer to a letter you received from your local Department of Social Services for your case number or contact them for your number.

Foster Child: A child who is living with a family but who is under the legal care of the welfare agency or court may be listed on your family application. List the child's “personal use” income. This includes only those funds provided by the agency which are identified for the personal use of the child, such as personal spending allowances, money received by his/her family, or from a job. Funds provided for housing, food and care, medical, and therapeutic needs are not considered income to the foster child. Write “0” if the child has no personal use income.

Household: A group of related or non-related people who are living in one house and share income and expenses.

Adult Family Members: All related and non-related people who are 21 years of age and older living in your house.

Financially Independent: A person is financially independent and a separate economic unit/household when his or her earnings and expenses are not shared by the family/household.

Current Gross Income: Money earned or received at the present time by each member of your household before deductions. Examples of deductions are federal tax, State tax, and Social Security deductions. If you have more than one job, you must list the income from all jobs. If you receive income from more than one source (wage, alimony, child support, etc.), you must list the income from all sources. Only farmers, self-employed workers, migrant workers, and other seasonal employees may use their income for the past 12 months reported from their 1040 Tax Forms.

Examples of gross income are:

Income Exclusions: The value of any child care provided or arranged, or any amount received as payment for such child care or

reimbursement for costs incurred for such care under the Child Care Development (Block Grant) Fund should not be considered as

income for this program.

If you have any questions or need help in filling out the application form, please contact:

Name: Cindy Homer Title: Secretary

Date Withdrew__________ F ____R _____D_____

* Wages, salaries, tips, commissions, or income from * Supplemental Security Income (SSI) or Social Security

self-employment Survivor’s Benefits

* Net farm income – gross sales minus expenses only - * Alimony or child support payments

* not losses * Disability benefits, including workman’s compensation

* Pensions, annuities, or other retirement income * Veteran’s subsistence benefits

* including Social Security retirement benefits * Interest or dividend income

* Unemployment compensation * Cash withdrawn from savings, investments, trusts, and

* Welfare payments (does not include value of SNAP) * other resources which would be available to pay for a

* Public Assistance payments * child’s meals

* Adoption assistance * Other cash income

2017-2018 Application for Free and Reduced Price School Meals/Milk

To apply for free and reduced price meals for your children, read the instructions on the back, complete only one form for your

household, sign your name and return it to the address listed below. Call (518-251-2921 ext. 9) if you need help. Additional

names may be listed on a separate paper.

Return Completed Applications to: Johnsburg Central School

Michael Markwica, Superintendent

165 Main Street

North Creek, NY 12853

1. List all children in your household who attend school:

Student Name School Grade/Teacher

Foster Child

Homeless

Migrant,

Runaway

2. SNAP/TANF/FDPIR Benefits:

If anyone in your household receives either SNAP, TANF or FDPIR benefits, list their name and CASE # here. Skip to Part 4, and sign the application.

Name: ______________________________________ CASE #: __________________________________

3. Report all income for ALL Household Members (Skip this step if you answered ‘yes’ to step 2)

All Household Members (including yourself and all children that have income).

List all Household members not listed in Step 1 (including yourself) even if they do not receive income. For each Household Member listed, if they do receive

income, report total income for each source in whole dollars only. If they do not receive income from any other source, write ‘0’. If you enter ‘0’ or leave any fields

blank, you are certifying (promising) that there is no income to report.

Name of household member Earnings from work

before deductions

Amount / How Often

Child Support, Alimony

Amount / How Often

Pensions, Retirement

Payments

Amount / How Often

Other Income, Social

Security

Amount / How Often

No

Income

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

$ ________ / ________ $ ________ / ________ $ ________ / ________ $ ________ / ________

Total Household Members (Children and Adults)

*Last Four Digits of Social Security Number: XXX-XX- __ __ __ __

*When completing section 3, an adult household member must provide the last four digits of their Social Security Number (SS#), or mark the “I do not have a SS#

box” before the application can be approved.

4. Signature: An adult household member must sign this application before it can be approved.

I certify (promise) that all the information on this application is true and that all income is reported. I understand that the information is being given so the school

will get federal funds; the school officials may verify the information and if I purposely give false information, I may be prosecuted under applicable State and

federal laws, and my children may lose meal benefits.

Signature: ___________________________________________________ Date: ___________________

Email Address: ________________________________________________

Home Phone: _____________________ Work Phone: _________________________ Home Address:____________________________________________

5. Ethnicity and Race are optional; responding to this section does not affect your children’s eligibility for free or reduced price meals.

Ethnicity: Hispanic or Latino Not Hispanic or Latino

Race: American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Island White

DO NOT WRITE BELOW THIS LINE – FOR SCHOOL USE ONLY

Annual Income Conversion (Only convert when multiple income frequencies are reported on application)

Weekly X 52; Every Two Weeks (bi-weekly) X 26; Twice Per Month X 24; Monthly X 12

SNAP/TANF/Foster

Income Household: Total Household Income/How Often: _________________/________________ Household Size: _________________

Free Meals Reduced Price Meals Denied/Paid Signature of Reviewing Official________________________________________________________ Date Notice Sent:________________

I do not

have a

SS#

APPLICATION INSTRUCTIONS

To apply for free and reduced price meals complete only one application for your household using the instructions below. Sign the application and

return the application to Mr. Michael Markwica, Johnsburg Central School, 165 Main Street, North Creek, NY 12853.

If you have a foster child in your household, you may include them on your application. A separate application is no longer needed. Call the school if

you need help 518-251-2921 ext. 9. Ensure that all information is provided. Failure to do so may result in denial of benefits for your child or unnecessary

delay in approving your application.

PART 1 ALL HOUSEHOLDS MUST COMPLETE STUDENT INFORMATION. DO NOT FILL OUT MORE THAN ONE APPLICATION FOR YOUR

HOUSEHOLD.

(1) Print the names of the children, including foster children, for whom you are applying on one application. (2) List their grade and school. (3) Check the box to indicate a foster child living in your household, or if you believe any child meets the description for homeless, migrant, runaway (a school staff will confirm this eligibility).

PART 2 HOUSEHOLDS GETTING SNAP, TANF OR FDPIR SHOULD COMPLETE PART 2 AND SIGN PART 4.

(1) List a current SNAP, TANF or FDPIR (Food Distribution Program on Indian Reservations) case number of anyone living in your household. The case number is provided on your benefit letter.

(2) An adult household member must sign the application in PART 4. SKIP PART 3. Do not list names of household members or income if you list a SNAP case number, TANF or FDPIR number.

PART 3 ALL OTHER HOUSEHOLDS MUST COMPLETE THESE PARTS AND ALL OF PART 4.

(1) Write the names of everyone in your household, whether or not they get income. Include yourself, the children you are applying for, all other children, your spouse, grandparents, and other related and unrelated people in your household. Use another piece of paper if you need more space.

(2) Write the amount of current income each household member receives, before taxes or anything else is taken out, and indicate where it came from, such as earnings, welfare, pensions and other income. If the current income was more or less than usual, write that person’s usual income. Specify how often this income amount is received: weekly, every other week (bi-weekly), 2 x per month, monthly. If no income, check the box. The value of any child care provided or arranged, or any amount received as payment for such child care or reimbursement for costs incurred for such care under the Child Care and Development Block Grant, TANF and At Risk Child Care Programs should not be considered as income for this program.

(3) Enter the total number of household members in the box provided. This number should include all adults and children in the household and should reflect the members listed in PART 1 and PART 3.

(4) The application must include the last four digits only of the social security number of the adult who signs PART 4 if Part 3 is completed. If the adult does not have a social security number, check the box. If you listed a SNAP, TANF or FDPIR number, a social security number is not needed.

(5) An adult household member must sign the application in PART 4.

OTHER BENEFITS: Your child may be eligible for benefits such as Medicaid or Children’s Health Insurance Program (CHIP). To determine if your

child is eligible, program officials need information from your free and reduced price meal application. Your written consent is required before any

information may be released. Please refer to the attached parent Disclosure Letter and Consent Statement for information about other benefits.

USE OF INFORMATION STATEMENT

Use of Information Statement: The Richard B. Russell National School Lunch Act requires the information on this application. You do not have to give

the information, but if you do not submit all needed information, we cannot approve your child for free or reduced price meals. You must include the

last four digits of the social security number of the primary wage earner or other adult household member who signs the application. The social security

number is not required when you apply on behalf of a foster child or you list a Supplemental Nutrition Assistance Program (SNAP), Temporary

Assistance for Needy Families (TANF) Program or Food Distribution Program on Indian Reservations (FDPIR) case number or other FDPIR identifier

for your child or when you indicate that the adult household member signing the application does not have a social security number. We will use your

information to determine if your child is eligible for free or reduced price meals, and for administration and enforcement of the lunch and breakfast

programs.

We may share your eligibility information with education, health, and nutrition programs to help them evaluate, fund, or determine benefits for their

programs, auditors for program reviews, and law enforcement officials to help them look into violations of program rules.

DISCRIMINATION COMPLAINTS

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and

institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for

prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact

the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabi lities may contact USDA through the Federal Relay

Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at:

http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the

form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) mail: U.S. Department of Agriculture

Office of the Assistant Secretary for Civil Rights

1400 Independence Avenue, SW

Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.

THANK YOU EAGLE SCOUT MICHAEL WILSON!

Michael Wilson, a senior at JCS, completed his Eagle Scout Project this summer. He

built ten student tables and one teacher station for our outdoor classroom/pavilion,

which is expected to be completed during the summer of 2018. Thank you Michael!

“Raise the Roof”

BRICK FUNDRAISER

Johnsburg Central School

We are raising money to build an outdoor classroom at JCS. This pavilion

will provide a shaded area during recess and a multi-use area for outdoor

classes, picnics, event viewing, playground viewing, etc. Bricks will be set in

the ground as an entrance to the pavilion. The pavilion will be built during

the summer of 2018.

4x8 inch brick ……… $35

8x8 inch brick ……… $50

Go to: www.bricksrus.com/order/jcs to place an on-line order

Bricks may include: Family names, Business names, In memory of …,

In Honor of …, Dedicated to …, Class of …, etc.

Questions: Call Heather Flanagan, Principal @ (518)251-2921 or email @

hflanagan@johnsburgcsd.org

JCS thanks you for your support!

Johnsburg Central School – “Raise the Roof”

We are raising money to build an outdoor classroom at JCS. This pavilion will provide a shaded area

during recess and a multi-use area for outdoor classes, picnics, event viewing, playground viewing, etc.

Bricks will be set in the ground as an entrance to the pavilion. The pavilion will be built during the summer

of 2018.

4x8 inch brick - $35 8x8 inch brick - $50

Yes, we’d like to reserve a permanent brick. Please engrave our brick as follows:

ANY SYMBOL IS CONSIDERED ONE SPACE (PERIOD, COMMA, DASH)

ALL TEXT IS CENTERED UNLESS OTHERWISE NOTED

4 x 8 Brick

8 x 8 Brick

EXAMPLE

G O N E W T O N H I G H L I O N S

S T A T E C H A M P I O N S

2 0 0 2 , 2 0 0 3 , 2 0 0 4

PLEASE RETURN THIS FORM AND YOUR CHECK PAYABLE TO:

Johnsburg Central School

c/o Heather Flanagan, Principal

165 Main St.

North Creek, NY 12853

Name: ________________________________________ Phone: (_______) _________________________

Address: _______________________________________________________________________________

City: ____________________________________ State: ________________ Zip: __________________

Email Address: ___________________________________________ Amount Paid: ___________________

FORMS MUST BE RECEIVED BY June 1, 2018 If you have any questions, please call Heather Flanagan @ 518-251-

2921 or email hflanagan@johnsburgcsd.org

YOU CAN ALSO ORDER ON OUR ON-LINE ORDERING WEBSITE:

www.bricksrus.com/order/jcs

Dollars for Scholars

On Saturday, August 5, 2017, the streets in the Town of Johnsburg held 210 runners: young and old,

current students, alumni, staff, and other enthusiastic individuals took part in Johnsburg Dollars for

Scholars 15th Annual Race the Train event to raise money for scholarships awarded to graduating

seniors who meet eligibility requirements. Runners departed from the Riparius Bridge and raced the

Saratoga North Creek Railway train back to the North Creek Depot where spectators awaited their return

as they crossed the finish line. A mile fun run around downtown North Creek was held for younger

children following the race. Other events that took place on Saturday were: a raffle sponsored by local

downtown businesses, great post-race food, and an award ceremony.

Dollars for Scholars is a volunteer, not for profit organization, that for over 25 years has provided funds

for graduating seniors. This event is a runner favorite, luring athletes from all over the country to

participate in this unique race. To everyone who participated; whether running, working the day of the

event or behind the scenes before the day began, we would like to thank you for supporting our children.

Johnsburg Dollars for Scholars Committee

Tracy Watson & Ronda Morris Alumni: Katie Lewis (Ordway), Medal of Honor Dollars for Scholars Coordinators Hannah Jay, Emily Smith

Start of the Race And They’re Off…..