Winston · Winston Preparatory Schooì educotion for the individuol Dear Families, Thank you for...
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Winston Preparatory Schooì educotion for the individuol Dear Families, Thank you for your interest in Winston Preparatory School. We are proud of our unique educational program for students grades 4-12 with learning differences. At Winston, each student's program is designed to develop essential skills while challenging his or her strengths. ln our highly successful Focus Program, each student receives a daily period of one-to-one instruction concentrating on his or her greatest area of need. The impìementation of the program has allowed us to further personalize instruction and strategies so that our students can better understand themseìves, verbalize their needs and become independent learners. The process of placement and program design is informed by an in-depth understanding of the individual that begins with the information you share with us during the appìication process. Please refer to the enclosed application procedure checklist for further explanation of required information. Additionally, all prospective parents/guardians are required to attend an Open House and are asked to RSVP all attendees, via email, to [email protected]. Please refer to the enclosed schedule to determine what date fits best within your schedule. Please contact the admissions office with any other questions regarding the application process via telephone (O+O- 638-2705, ext. 619) or emaiì. We look forward to meeting you at one of our Open Houses and sharing information regarding Winston Preparatory School. Respectfully, Y'*t',f Michelle Bramlett Director of Admissions 126 West 17th Street, New York, NY 10011 (646) 638-2705 phone {646) 638-2706|ax inf [email protected] www.winstonprep.edu
Transcript of Winston · Winston Preparatory Schooì educotion for the individuol Dear Families, Thank you for...
Winston Preparatory Schooìeducotion for the individuol
Dear Families,
Thank you for your interest in Winston Preparatory School. We are proud of our uniqueeducational program for students grades 4-12 with learning differences. At Winston, eachstudent's program is designed to develop essential skills while challenging his or her strengths. lnour highly successful Focus Program, each student receives a daily period of one-to-oneinstruction concentrating on his or her greatest area of need. The impìementation of the programhas allowed us to further personalize instruction and strategies so that our students can betterunderstand themseìves, verbalize their needs and become independent learners. The process ofplacement and program design is informed by an in-depth understanding of the individual thatbegins with the information you share with us during the appìication process. Please refer to theenclosed application procedure checklist for further explanation of required information.Additionally, all prospective parents/guardians are required to attend an Open House and areasked to RSVP all attendees, via email, to [email protected]. Please refer to theenclosed schedule to determine what date fits best within your schedule. Please contact theadmissions office with any other questions regarding the application process via telephone (O+O-638-2705, ext. 619) or emaiì.
We look forward to meeting you at one of our Open Houses and sharing information regardingWinston Preparatory School.
Respectfully,
Y'*t',fMichelle BramlettDirector of Admissions
126 West 17th Street, New York, NY 10011 (646) 638-2705 phone {646) 638-2706|ax inf [email protected] www.winstonprep.edu
Winston Preparatory Schooìeducotion for the individuol
To learn more about the Winston Prep Communit¡1,you are invited to attend one of our Open Houses:
Thursday, October Bth, 201 5; 9:1 5- 1 1 :1 5am
Tuesday, October 27th,2015; 9:15-1 1:15am
Tuesday, November 17th,2015; 9:15-1 1:15am
Tuesday, December 1st, 2015; 9:15-1 'l:15am
Tuesday, January 1zth,2016; 9:15-1 1:15am
Tuesday, February 2nd,2016; 9:15-1 'l:15am
Tuesday, February 23rd,2016; 9:l 5-l 1:1 5am
Tuesday, March 1 st, 201 6; 9: 1 5- 1 1 : 1 5am
Tuesday, March 15th, 2016; 9:15-1 1 :15am
Tuesday, April 5th, 2O16; 9: 1 5- 1 1 : 'l 5am
Tuesday, May 3rd, 2016;9:15-1 1 :15am
Location: 1 26 West Seventeenth Street, New York, NY 1001 1
During our Open House you will have the opportunity to hear more about oureducational philosophy and tour our school.
Please RSVP through Winston Prep's website at www.winstonprep.edu, or email MedryRodriguez ([email protected])your name, phone number and planneddate of attendance.
Please understand, attendance is limited to Adults/Parents only.
126 West 17th Streei, New York, NY 10011 (646) 638-2705 phone (646) 638-2706'fax infotÞwinstonprep.edu wwwwinstonprep.edu
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WPS APPLICATION CHECKLIST
Winston Preparatory School accepts students on a rolling basis. The following materials are required inorder to consider your application complete. All forms can be found in the Admissions section of ourwebsite www.winstonprep.edu. Upon receipt of the above materials, the Admissions Committee will reviewyour application in an initial screening. lf the Committee believes the applicant may be an appropriatematch for our program, your child will be invited for a school visit and interview. All applicants will benotified of the Committee's findings within three weeks of the initial screening. Winston PreparatorySchool accepts students with average to superior intellectual potential; howevet, Winston PreparatorySchool does not accept students with primary behavioral or emotional qfmptoms.
Please forward all information to the campus you are applying to:
o Cunent (within 2 years) Psychoeducational or Neuropqychological Evaluation with cognitive,achievement and projective testing (see examples below). Please submit a copy. Do not submit theoriginal document.
o Cognitive function: WSC lV (Wechsler lntelligence Scale for Chiìdren).o Academic Achievement: WJ-lll Achievement (Woodcock Johnson ìV) or \MAT lV
(Wechsler lndividual Achievement Test).o Projective Psychological Function: Rorschach and/or the Thematic Apperception Test
and/or BASC (Behavioral Assessment Scale for Children).
o Appìication for the 2016-2017 Academic Year
o $ 100.00 Non-Refundable Application Fee (paid to Winston Preparatory School)
o Completed Parental Statement
o School Transcripts (Sent directly from your child's cunent pìacement.)
o Completed Teacher/Specialist Recommendation Form
o Completed lnformation Release Form
o Most recent ìEP, if applicable
o Recent Photograph (Digital photos submitted via email are acceptable.)
o Attendance at a Prospective Parent Open House
Winston Preparatory School CTOffice of Admissions57 West Rocks RoadNorwalk, CT 06851
Winston Preparatory School NJOffice of Admissions901 Route l0 East
Whippany, NJ 07981
Winston Preparatory School NYOffice of Admissions126 West l Tth StreetNew York, NY l0Ol I
126 West 17th Street, New York, NY 10011 (646) 638-2705 phone (646) 638-2706'fax [email protected] www.winstonprep.edu
fl Winston Preparatory Schooleducotion for the individuol
Does the applicant live in a second household?
HOUSEHOLD NO. 2PARENT/GUARDIAN
Name Name
PARENT/GUARDIAN
Relationship to applicantHome address
How did you hear about Winston Prep?
t Evaluator or consultant
tr Friend/family member
Please elaborate:
Relationship to applicantHome address
Home phone Home phone
Cell phone Cell phone
Email address Email address
0ccupation/Position 0ccupation/Position
Company
Address
Business phone Business phone
College/University College/University
Please índicate with whom we should communicate regarding your appìicationName of sibling(s) age(s), and cunent school(s)
Company
Address
tr Advocate oT attorney
tr School counselor/psychologist
E ìntemet
tr Other
MEDICAL AND TREATMENT INFORMATIONPlease list any allergies or health issues that require special attention.
2. Please list all of your child's cunent prescribed medications and dosages.
3. Has your child been diagnosed with any medical or mental health conditions? Please explain.
126 West lTth Street, New York, NY 10011 (646) 638-2705 phone {646) 638'2706|ax info(Owinstonprep.edu www.winstonprep.edu
Winston Preparatory Schooleducotion for the individuol
OPEN HOUSE ATTENDANCEAttendance to an Open House is mandatory for prospective parents/guardians. During an Open House, you
will have the opportunity to hear more about our educational philosophy, tour the school, observe students and
classes and participate in a question and answer session. Please review the enclosed schedule and register yourattendance.
Parents/Guardians wilì attend required Open House onDate of planned open House attendance
This application is a request for admission. This appìication for admissions becomes binding only when the student is
evaluated, accepted, and you have delivered a fully signed Enrollment Agreement to Winston. Please complete, sign and
return this form with the $lOO.OO application fee and a current photograph of your child.
Parent or Guardian Date
The Winston Preparatory School admits students of any race to all the rights, privileges, programs, and activities generalþ accorded to students at thisschool. The school does not discriminate on the basis of race, sex, religion, or national origins in the administration of education policies, athleticprograms, financial aid, payment plans, and other school administered programs.
126 West 17th Street, New York, NY 10011 (646) 638-27O5 phone lú46) 638-2706|ax [email protected] www.winstonprep.edu
Winston Preparatory Schooìeducotion for the individuol
PARENTAL STATEMENT
An understandíng of each indivídual dríves Wnston's educatíonal program. In keepíng with thísspírít and philosophy, please thoughtfully share wíth us all that may be helpful ín gettíng to knowyour chíld. Please attach responses on a separate page.
QUESTIONS:
1. Please describe your child, includìng strengths, weaknesses, personal relationships and interests
outside of school.
2. Please describe your child's school experience, including the circumstances sunounding the
onset of school related difficulties.
3. ls your child cunently receiving support services (speech-language therapy, counseling,
tutorial) within or outside of their current academic setting? Please describe type and frequency
of service.
a. Why do you feel Winston Prep would be a good school for your child?
126 West lTth Street, New York, NY 10011 (646) 638-2705 phone (646) 638-2706|ax [email protected] www.winstonprep.edu
fl Winston Preparatory Schooìeducotion for the individuol
TRANSCRIPT RELEASEWe require a transcrípt of the current and the previous academíc years. Thís form will authorízethe school to forward a copy of your child's transcript and a teacher/counselorreport toWínston's Admissíons Offi ce.
PARENTS:Please fill out the below information and present this form to your child's cunent school.The current school will mail the official school transcript and reports directly to WinstonPreparatory School.
Present School
Address
I authorize you to send an official school transcript and a teacher or counselor report for
my child, , to:
Circle One
I understand that the report is confidentiaì between the sending school and WinstonPreparatory School.
Parent's Signature Date
Winston Preparatory School CTOffice of Admissions57 West Rocks RoadNorwalk, CT 06851
Winston Preparatory School NJOffice of Admissions9Ol Route l0 East
Whippany, NJ 07981
Winston Freparatory School NYOffice of Admissions126 West l Tth StreetNew York, NY l00l I
126 West lTth Street, New York, NY 10011 (646) 638-2705 phone (ú46) 638-2706 fax [email protected] www.winstonprep.edu
Winston Preparatory Schooleducotion for the individuol
TEACHER/SPECìALì ST RECOMMENDAnON FORM
Please have a current teacher, leaming specialist, and/or counselor complete both pages and sendresponses directly to Wínston Preparatory School's Admíssions Otïíce,
Appl icant Name:
Teacher/Specialist Nam
Winston Preparatory School is a co-ed day school for 4th through l2th grade students with learningdifferences such as dyslexia, nonverbal learning disabilities, expressive or receptive language disorders, andexecutive functioning difficulties. Our individualized educational program is based on an in-depthunderstanding of each student's leaming profile, with explicit skill and content instruction taught in smallcìasses averagíng ten students each. Students are placed in class cohorts based on their leaming profile,skíll level, and social-emotional needs. lmportantly, students participate in a daily, one-to-one instructionalperiod, Focus, which seryes as the diagnostic and instructional centerpiece of their experience.With this information in mind, please answer the following questions.
1. How long, and in what capacity, have you known the applicant?
2. Describe the applicant's academic strengths.
3. Describe the applicant's academic challenges.
4. Describe the applicant's level of engagement and social interactions on a typical day.
5. Describe an ideal classroom and school setting for the applicant.
6. Please provide any additional information we should know when making an enrollmentdecision.
126 West lTth Street, New York, NY 10011 (646) 638-2705 phone (ó4O 638-2706fax info6:winstonprep.edu www.winstonprep.edu
Winston Preparatory Schooìeducotion for the individuol
Please rate the applicant on the following qualitíes, based on your current understanding.Ratings range from 1.0 (strongly dísagree) to 4.0 (strongly agiree).
Should the admissions office need additionaì information or clarification, I may be contacted at:
Phon e. Email:
Sign ature: Date:
9. The student is consistentìy timely and organizedComments:
8. The student is an adaptive, creative, and effective problem solver.Comments:
7. 'l'he student is reflective and seìf-aware.Comments:
6. The student demonstrates regulation and self-control consistently.Comments:
5. 'l'he student is a consistentìy effective and helpful member of thecommunity.Comments:
4. The student is consistently an appropriate self-advocate (they ask forhelp and cìarification).Comments:
3. The student understands and consistently demonstrates the linkbetween effort and achievement.Comments:
2. The student is able to be a clear and direct communicator.Comments
1. The student is consistently resilient.Comments:
Student name: I 2 3 4
126 West 17th Street, New York, NY 10011 (646) 638-2705 phone (ú46) 638-2106 f ax ìnforQwinstonprep.edu www.winstonprep.edu
fl Winston Preparatory Schooleducotion for the individuol
INFORMATION RELEASE FORMPlease complete, sign and retum thís form with the applícation.
Full name of applicant:
I give authorization for the following professionals to provide any pertinent and confidential informationregarding my child's medicaì, psychologicaì, and academic functioning with Winston Preparatory School, aspart of my child's application for admissions for the 2015-2016 school year. I understand that theinformation requested is for professional use and will remain confidential.
Signature ofParent / Guardian Date
Name of Parent / Guardian (please print)
Additional servicesnot listed above
Attorney/Advocate
Evaluator/Ed Consultant
Psychologist/Therapist
School Principal/GuidanceCounselor
Name
Name
Name
Name:
Name:
Phone:
Email:
Phone:
Phone
Phone
Email:
Phone:
126 West 17th Street, New York, NY 10011 (64ó) 638-2705 phone (ó46) 638-2706'lax [email protected] www.winstonprep.edu
Winston Preparatory Schooleducotion for the individuol
TUII]ON AND FEES SCHEDULE
201 5-2016 TUITION : $SB,O00New and returning students are officially reqistered upon receipt of a signed contract and
deposit. Winston reseryes the right to terminate educational services for non-payment.
OPÏONAL TUìTON FìNANCING
Your Tuition Solution 1 -800-920-97 77
Saìlie lVae 1 -BBB-27 2-5543
FINANCIAL AID
Parents of students who have been accepted may apply for tuition assistance. Limited tuitionassistance is avaiìable. Requests are reviewed after a student is accepted into the program.
Winston receives no direct public funding, though many famiìies pursue reimbursement under
the "Carter" mechanism. A decision on the award of financial aid may be deìayed pending receipt
of full information on avaiìable resources.
PUBLIC THIRD PARTY FINANCIAL ASSISTANCE
We expect payments to be made in accordance with our published tuition and fee schedule. lt is
important to remember the "Carter" reimbursement mechanism is a legal and financial process
between families and their school districts. Winston Preparatory School has no direct financial
relationship with local school distrìcts, and families should be mindful of this when pursuing
third party funding.
126 West 17th Street, New York, NY 10011 (646) 638-27O5 phone (ú46) 638-2706 fax inforðwìnstonprep.edu www.winstonprep.edu
Winston Preparatory Schooleducotion for the individuol
TAX INFORMATION
IRS DEDUCI]BLE EXPENSE FOR TUITON AND FEES
Please be advised that The Winston Preparatory School is a specialized program for students withdisabilities, and accordingly, our unreimbursed tuition and fees may be deductible as a medical
expense under existing regulations issued by the U.S. Department of the Treasury, lnternaìRevenue Service.
Because Winston Preparatory School cannot provide individual tax advice to our parents, please
contact your tax advisor to discuss those regulations and your ability to claim a deduction on
your personal income tax return.
The following lRS publication may be helpful and may be obtained from the lnternal Revenue
Service. For informational purposes only, the IRS has pubìished Publication 502, Medical and
Dental Expenses (lncluding the Health Coverage Tax Credit), which contains information on thepayment of tuition and fees as a medical expense. You can obtain a copy of Publication 502 by
calling the IRS offices at: 800-829-1040, ext. #33, or by Internet access at:h ttp ://www.irs.gov/pub/irs-pd f/p 502.pd f.
126 West 17th Street, New York, NY 10011 (646) 638-2705 phone (ó46) 638-2706 fax [email protected] www.winstonprep.edu
Winston Preparatory Schooleducotion for the individuol
RE cOIT¡IvTEI,ro ED EVALUAToRS
Dr. Elizabeth Auricchio945 Fifth Avenue (at 76th Street)New York, NY 10021 | 212-228-9350
Anya Barak, PSY.D.26 West gû Street, Suite 4CNew York, NY 10011516-835-3918 | [email protected]
James F. Battaglia, Ph.D.B0 East I 1ú Street, Suite 207New York, NY 10003646-455-3377 | [email protected]
Janet Brain, Ed.M2 East B4th StreetNew York, NY 10028 | 212-650-0016
Sedi Flugelman, Ph.D.Park Avenue Psychology PLLC445 Park Avenue Suite 1027New York, NY 10022 | 212-829-5504
Robin N. Forman, Ph.D.145 West B6th Street, Suite lCNew York, NY [email protected] | 212-721-0729
Dr. Daniel Gensler, Ph.D.330 West 58th StreetNew York, IIY 10019 | 2t2-767-1619
Dr. Shoshana M. Goldman451 West End, #2ENew York, NY 10024 | 212-362-3071
Nechah Hochstein, Psy.D.38 Gramercy Park N.New York, NY 10010917-613-5695 | [email protected]
Kathleen Jantzen, Ph.D.Neuropsychological Services, P.C.1550 York Avenue, Suite I 18New York, IIY 10028 | 2t2-744-7357
Dr. Fern Leventhal5 Boulanger PlzHastings 0n Hudson, I\IY 10706 | 914-478-8395
Dr. Antoinette Lynn350 Central Park West, Suite lQNew York, NY 10025212-666-3180 | [email protected]
Andrew Morrel, Ph.D.140 West 70 StreetNew York, NY 10023 | 212-721-3710
Dr. DeAnsin Parkerl6l East 74th Street, Lower LevelNew York, NY 10021 | 212-988-0898
Valerie Raymond, Ph.D.510 East B6th StreetNew York, I{Y t0o28 | 2t2-439-9567
Dr. David Salsberg tt Dr. Laura TagliareniPediatric Assessment Learning & Support (PALS)[email protected] | 212-4Bl- 1664
Amy Schwartz124 West 79th Street, Suite lBNew York, IIY 10024 I 917-532-3633
Alicia Webb Scott, Ph.D.26 West Ninth Street, Suite 4ANew York, NY. t00l | | 917-282-4482
Aparna Sampat, Ph.D.96 Fifth Avenue, Suite lKNew York, NY l00l I | 917-757-5215
Paul Yellin, M.D. I The Yellin Center104 west 29th street, l2ü FloorNew York, NY 10001646-775-6646 | [email protected]
Amy Winter, Ph.D.32 West 87ú Street New York, NY 10024646-221-4642 | [email protected]
126 West lTth Street, New York, NY 10011 (646) 638-2705 phone 640 63a'27O6|ax inf otèwinstonprep.edu wwwwinstonprep.edu
Winston Preparatory Sch ooleducotion for the individuol
Leumns tt Anvocerns WHo HErp Sru¡rvrs WnH Lranmmc DmrrnrrucEs
Advocates for Children Education Helpline, Mon-Thurs 10am-4pm(866) 427-6033
Lauren Baum, Lawyer (212) 644-4414lbaum@nyspeciaìedlaw.com
CHADD - Children and Adults with Attention Deficit Hyperactivity Disorder(21 2) 7 21 -0007 [email protected]
Scott M. Cohen, Lawyer (646) 5BO-2281 [email protected] cohenl aw.com
IMehyn Hoffman, Lawyer (212) 227-8338 [email protected]
Michelle Kuìe Korgood, Lawyer (718) 261-0t B 1 mkulespecialed@aoì.com
Lewis Johs Avalline Aviles- Special Education Group: Jennifer Frankola €t Eileen Libutti(21 2) 233 -7 I 9 5 jm frankola @lewisjohs.comehlibutti @lewisjohs.com
Susan Luger Associates - Susan Luger & Michelle Rothstein(21 2) 7 69 - 4644 susan @slu gerassociates.com
National Center for Learning Disabilities (212) 545-7 510 www.ncld.org
Partnership for Children's Rights - Warren Sinsheimer tt Todd Silverblatt(21 2) 683 -7999 [email protected]
Resources for Children with Speciaì Needs (212) 677-4650 [email protected]
Tamara Roff, Lawyer (646) 722-3829 [email protected]
Neal Rosenberg, Lawyer (212) 732-9450 [email protected]
Michelle Siegel, Lawyer (646) 530-2130 [email protected]
Regina Sþer, Lawyer (2121532-9736 sþ[email protected]
Bonnie Spiro Schinagle, Lawyer (5 I 6) 967-5874 [email protected]
Andrea Spratt, Lawyer
Tracey Spencer Walsh, Lawyer
George Zelma, Lawyer
(212) 709-8066 asprattol @aol.com
(9 1 7 | 566- 267 7 tr acey @spen cerwa lshl aw.com
(2 1 2) 247 - 46 50 georgezelma @ gmail.comwww.specialedìawfi rm.com
(646) 638-2705 phone (ú46) 638-2706|ax [email protected] wwwwinstonprep.edu126 West 17th Street, New York, NY 10011
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