.-~ , ,

Destination: Date of Application:

HAUPPAUGE PUBLIC SCHOOLS FIELD TRIP REQUEST

(BOARD OF EDUCATION POLICY #4531)

(Due 10 curriculum office 2 weeks prior to trip)

Teacher in Charge: # of Students: approx. __ /_~ ____ _

Date(s) of Trip: # of Chaperones: (maIe>_I_ (female~

Cost: Student # of Buses: District District - 0 - Charter /

Building: !'I'pl ~ If,h)/ Expected Duration of ; / Trip in Hours: #/_ 7~"" d.,,/"" r

PlayolT Appearances 2002, 2003, 2004, 2005, 2006, 2007, 2008,2009,2010, 2011,2012, 2013, 2014

SulTolk County Finalist 2009,2014

Sblte Rlinked 2009,2010,2011 , 2012, 2013,2014

Lugue Championships 2002,2006,2013

29 All League Playen

24 All Division Playen

36 All County Playen

10 All Loug lslaud Playen

12 All Sbltc P1ayen

2 NFCA All Americans

17 NFCA Regioual All Amerkaus

5 League Player Dr the Year

1 League Pitcher ortbe Year

3 Lugue Rookie ortbe Year

1 SCSCA Player Dr tbe Year

1 Newsday SulToIk . Couuty Player or the Year

7 Division I Playen

4 Division II Playen

10 Division III Playen

Hauppauge Eagles Varsity Softball Head Coach: Jim McGowan Assistant Coach: Krista Thorn

Volunteer Assistant Coach: Shannon Egan Hauppauge High School PO Box 6006 Hauppauge. NY 11788

631-9.014-2059 - mcmsw32@yahoo.com

eAt. 2001 -cr>r~am Sis_Commit §'tronS-

Itinerary for Hauppaup Softball Trip to Binghamton. NY

DATES: DEPARTURE:

Sawrday ,Aprii 10 - Sunday, April 12 7:00 AM. Same format and trip you have taken since (2002). We will depart from East Islip High School Parking Lot.

S,hn'day. Agdl 11.2015

6:45 AM: 7:00AM: 2:20 PM: 4:00 PM: 6:00 PM: 6:00 - 7:00 PM: 7:00 - 8:30 PM: 8:30 - 10:30 PM: 10:30 PM: 10:30 - I 1:00PM: 11:00 PM:

Meet at East Islip High School Leave for Binghamton Game #1 Game #2 Arrive at Hotel/Check In Shower, Unpack, Relax, Get Ready. etc. Dinner as Team(including parents) T earn Activity(Movie. Mini-Golf). etc) Rewm ttl the Hotel Relax in Hotel Curfew/Bed Check; Ughts Out

Sunday.AgdI12.2015

7:30AM: 7:30 - 9:00 AM: 9:00AM: 10:00 AM: 12:00 PM: 2:00 PM: 7:00 PM:

WakeUp Call Breakfast. Pack. etc. Depart for Reid Game # 3 Game#"! Depart Binghamttln Arrive at Hauppauge High School

• Same exact trip from 2002 - 2014 seasons! • Hampttln Jitney will be the Coach Bus Company. • Krista Thom(Assistant Coach) will accompany me on the trip and will serve as

a female chaperone as well. • We will be sharing the bus with East Islip ttl help defray the cost. This has

been past practice with Bay Shore and Deer Park.

Bindwnton Trip Hotel Information Comfort Inn Binghamton

1000 Front Street Binghamton. NY

Phone # (607)n4-3297

Destination:

HAUPP AUGE PUBLIC SCHOOLS FIELD TRIP REQUEST

(BOARD OF EDUCATION POLICY #4531)

Camp A1vernja Centerport NY Date of Applicatjon' J 12911 5

Teacher in Charge: Shannon Griffin # of Students: approx . ..:5"'0'--______ _

Date(s) of Trip: 1115, 1116, 1117115 # of Chaperones: (male} __ 2_ (femal!U...L

Cost: Student $125 # of Buses: District --=2=--_ District $3,365 Charter __ _

Building: High School Expected Duration of Trip in Hours: 49 hours

Department/Grade: Co- Curricular 9-12

Educational Purpose of Trip: Required training for new members of the Natural Helpers program.

Bus Anival Departure Time Bus Arrival Time Time at School: J 1/51\ 5 2'45 pm From School: 3·00 pm At Destination: 3'30 pm

Departure Time From Destination: 11 171152:45 pm Return Time to School: ~3",:3",0,-p",m",-___ _

Signature of Teacher in Charge: (Sign re kno t t BOE Policy 4531. Adminislrolivc Regulation 4S31 ·R, and the Procedures for StudcntoFunded L·i,-_ T· 5 ~ve been read Ilnd will be rollowed.)

APPROVALS AND SIGNATURES

Please check funding source and indicate appropriate code(s).

District: ~J.:350 L\'5"1S00\ lD ~ (Code/s)

Department Director: ::::7/.+Jul.L~U'Jb.~==:::

Building Principal: -bL-1.L:"-~~---=::::::-

Ass\. Sup\. for CII: ~ I

Transportation Supervisor: _________ _

Transportation Comments:

Student/ECAF: :-=...,...,::-__ -,---::.,--_-,-__ (Club Representative Signature)

Date: 1130//5

Date:

Date:

Date:

Note: Overnight trips must be approved by the Board of Education 12 weeks in advance. A complete itinerary must be attached to this request form. 5/20\3

COST OF NATURAL HELPER TRAINING

District P0l1ion:

Rental of Camp Alvernia: $3,215.00

Supplies: $150.00

Cost paid by district: $3,365.00

Student Portion:

Catering/Food: $2,510.00 (estimate)

Transportation: $350.00

Cost paid per Student: $125.00

Total Cost of Trip: $6,225.00

Natural Helpers is a peer-helping program used across the United States and in several other countries. It primarily serves middle school/junior high school and high school students who want to strengthen their communication and helping skills and to provide support to others and service to their schools and communities.

The Natural Helpers program is based on a simple premise: Within every school, an informal "helping network" exists. Students with problems naturally seek out other students, and occasionally teachers or other school staff whom they trust. They seek them out for advice, for assistance, or just for a sympathetic ear. The Natural Helpers program uses this existing helping network; it provides training to students and adults who are already perceived as "natural helpers". It gives them the skills they need to provide help more effectively to young people who seek them out.

Natural Helpers are a cross section of students and school adults identified through an anonymous school-wide survey. After representatives of all the subgroups in the school community are selected, they are invited to participate in the Natural Helpers program. They take part in a Retreat Training in a camp-like setting; there they learn how to improve their helping skills, how to contact professional helping resources when problems exceed their limits, and how to take better care of themselves. It is constantly emphasized at the training that Natural Helpers are not professionally trained therapists or counselors.

After this Retreat Training, Natural Helpers attend Ongoing Training, either in a semester class or in a less structured format, which enhances basic skills and information covered in the Retreat Training, and which explores topics of concern to students, like stress, suicide, eating disorders, and relationships with friends and with family.

Natural Helpers report significant benefits from being involved in the program, whether their involvement is helping one to one, assisting with program coordination, volunteering for community projects, or fulfilling some other role. Natural Helpers find that the skills they learn and practice in working with others are beneficial with friends, teachers, family, and co-workers. They make new friends in the program and break down some of the barriers that exist in any community. Natural Helpers also experience the special feeling that comes from helping someone else and knowing that they have made a difference.

Goals of the Nlltural Helpers Program

The Natural Helpers program is designed to meet three basic goals:

I . To teach Natural Helpers effective ways to help their friends 2. To teach Natural Helpers positive ways of taking good care of themselves 3. To teach Natural Helpers ways to contribute to a safe and supportive school environment

TIME 2:30-3

4:00

4:45

6:30

7:30

8:30

9:30

10:00 11:00 12:00

NATURAL HELPERS RETREAT TRAINING AGENDA

Dav I Nov.5. 2015

ACTIVITY Bag Check and Depart High School

Name Whip Personal Treasure Hunt

Welcome and Introductions Group Pulse Goals/Roles of Natural Helpers Reminders about Communication Community Living Rules Name Tag Game Secret Pal (w. LAST NAMES) Group Photo and Scroll Photo

Dinner

Labels and Stereotypes Headbands Poem: "Masks"

Think Of A Secret Untieland

SET UP OBSTACLE COURSE !!!!!!!!!!!!!! Introduction To Trust/Confidentiality Trust Walk Trust Circles Lap Sit

Clap -A- Long I am Loveable and Capable (lALAC)

Relaxation DORMS QillET AFrER THIS TIME !!!!!!!!!!! Lights Out: YOU WILL BE TIRED AND WILL NEED REST FOR A LONG SATURDAY!!!!!

LEADER

TIME

8:00

9:00

10:00

12:30

1:30- 2:30

2:30

3-4:30

4:30

5:00

6:00

NATURAL HELPERS RETREAT TRAINING AGENDA

DAY 2 Nov 6.2015

ACTIVITY

BREAKFAST - MAKE INDIVIDUAL IALAC SIGNS

Do you know Your Neighbor? Review of Day 1

Overview: The Helping Relationship Facilitative Responses: A Demonstration Reminders for Helping Small Group Practice: High and Low Facilitative Responses Poem: "Listen" Feelings Dictionary Problem Solving Role Play

LEADER

LUNCH - DECIDE ON WHAT YOU WILL SAY AT SHARING

Suicide and the School's Reponse Suicide Myths What To Do If A Friend Talks About Suicide Small Group Practice & Suicidal Peers Limit of Time and Energy Limit of Attitude Limit of Ability

Skits

FREE TIME .•. AND PUT UP SCROLLS

DINNER

Poem: "Risks" Sharing Scroll Introduction Rainstorm

TIME

8:00

8:45

12:00

12:30

1:00

2:00

2:15

NATURAL HELPERS RETREAT TRAINING AGENDA

DAY 3 Nov 7. 2015 (JK Day)

ACTMTY

BREAKFAST

Do you know Your Neighbor? Review of Day Two WHAT WILL YOU LEAVE BEIflND? Group Pulse Follow-up Meetings, Activity Logs,

And Class Absence Policy Re-entry Issues/Skits Secret Pal - Conclusion

LUNCH .... AND ROLL SCROLLS

Community Resources Handle or Express Your Limits Problem - Crisis - Emergency A Starfish Story Weekend Evaluation

CLEANUP & PACKING

You Are Great Scroll Ceremony

Depart Camp

LEADER

MOUNT ALVERNtA FRANOSCAN BROTliERS

105 PROSPECT ROAD- P.O. BOX 301, CENTERPORT, NY 117Z1 631-261·5730 www.alvemla.org fax: 631·754--4204

AGREEMENT AND CONTRACT Between

HAUPPAUGE HIGH SCHOOL 500 LINCOLN BLVD., PO BOX 6006

HAUPPAUGE, NY 11788 And

MOUNT ALVERNIA

1. Mount Alvernia agrees that HAUPPAUGE HIGH SCHOOL hereinafter referred to as THE ORGANIZATION may use facilities of Mount Alvernla, as described and specified below.

2. The agreed date!s) of usage Is THURSDAY, NOVEMBER 5" SATURDAY, NOVEMBER 7, 2015.

3. The maximum number of people with THE ORGANIZATION during this time approx. SO.

4. The specified areas of Mount Alvernia THE ORGANIZATION may use is the first floor of the main building and the grounds. For reasons of safety, the waterfront area is not available to THE ORGANIZATiON unless a supervisor of THE ORGANIZATION is present.

5. The use of public address systems, microphones, loudspeal:ers or any other volume-enhancins methods, such as electric keyboards and electric guitars Is not permitted.

6. THE ORGANIZAnON is s~1y responsible for the care and welfare of each and every partkJpant who enters the premises of Mount Alvernla during the specified time period. Mount Alvernla is not responsible for any Injury or damage to said participants arising out of THE ORGANIZATION's negligence during the use of Mount Alvernia's facilities. THE ORGANlZAnON will provide a Certificate oflnsurancejor bodily Injury and property damage with a combined single limit of at least $1,000,000. Named as 'additional Insured" on this Certificate of Insurance are: Mount Alvem/a, Sf.. Francis Monastery and The Franciscan BrothelS 01 Braoklyn. This Certificate a/Insurance must be In the possess/on oj Mount Alvemio In good time before the sped/ied time usage. THE ORGANIZA nON will nat be ~rmltted the use of Mount Aillemia's facilities if sald Certificate oj Insurance is nat held by Mount Alvemia. (If alcoholic beverages are to be served during THE ORGANIZA nON's use of Mount AivernTa, the certifICate MUST indicate either Dram Shop Act coverage or Host Uquor Uability coverage. 'THE ORGANIZATION agrees to be responsible for the serving of said alcohol and anything and any actions that might resutt from said such serving).

7. THE ORGANIZATION agrees to pay to Mount Alvemia $3,215 for the use of Its facilities on the date(s) as described above. A deposit of $803.75 Is required at the time this agreement is acapted by both THE ORGANIZA nON Qnd Mount Alvernla.

8. The deposit, along with Signed agreement, must be returned to Mount Alvemia within fourteen (14) days. if agreement and deposit is not received within said tlmeframe, Mount Alvernla will assume THE ORGANIZATION has no further Interest and will remove THE ORGANIZATION from the retreat calendar. When this signed agreement and said deposit are received by Mount Alvernls, the agreed upon time of usage Is assured to THE ORGANIZATION.

9. In the event THE ORG.l.NIZATION cancels Its usage of Mount Alvemia, the deposit. minus a service charge of 20% of the deposit, will be refunded only if notice of canceUation Is received by Mount Alvemla on or before ninety (90) days prior to the agreed time of usage. In the event usage must be canceled because of natural causes, such as dangerous ice, snow, or hurricane conditions, the deposit minus a service charge may be refunded. Mount Alvemla reserves the right to make decisions as to the danger involved.

10. Any amendments to this agreement must be agreed to by both THE ORGANIZATION and Mount Alvemia.

For. MOUNT ALVERNIA:

, if 7. ( JrL" BROTHER LAWRENCE MAKOFSKE, DIRECTOR

November 20, 2014

For: HAUPPAUGE HIGH SCHOOl:

(Signature) Dated: ________ 20 __ _

Sign and return this Contract to Mount A1vemla with the stated deposit. Balance is due on the day of arrival. Note that this contract Is valid when contract AND deposit is received bV Mount Alvernia, and that THE ORGANIZATION must provide the Certificate of InSurance before THE OGANTZATION's time of usage

MOUNT ALVERNIA FRANCISCAN BROTHERS

105 PROSPECT ROAD - P.O. BOX 301, CENTERPORT, NY 11721 Phone: 631-261-5730 www.alvernia.org fax: 631-754-4204

1. General Safety and food safety is the leader's responsibility (Food Safety

Regulations are posted in kitchen, per Suffolk County Health Department

requirements).

2. Group leaders are responsible to supervise the group and its behavior.

3. Group leaders are responsible to supervise any recreational activities.

4. Possession of and working knowledge of first aid kit strongly is advised.

5. Responsibility for personal property and vehicles is leader's responsibility.

6. Smoking is not permitted.

7. Do not bring or use public address systems, microphones or loudspeakers

8. Do not sit on tables. Leaders will be responsible to pay for broken or

damaged tables.

9. Wi-Fi is not available.

FIRE AND AMBULANCE:

CENTERPORT FIRE DEPARTMENT

631-757-4444