Completion of HS Plan
UL Scholars application guidance
High School Mentors
Monthly Group Outings
Sign up now!
due by Monday
Late and or incomplete applications
will not not accepted!
Activities will include:
- 8th grade
- In good standing with your
- Receive free/reduced lunch
- Good comunity citizen
- Apply by deadline
Middle School Academic Network
academic and social group for 8th grade
young men of color foucusing on life skills
and community resouces to enable a
successful transition to
Middle School Academic Network
Respect and Honor!
Respect others as well as myself.
I will not make fun of other’s comments. I will speak to others respectfully, I will address others as Sir,
Brother, Mr., or by their given name.
Your Word is Bond!
I will hold myself accountable for my words, my actions, and I am accountable to my community.
Do the Right Thing!
I will take a look at my thoughts and ideas at least twice before I act or speak. I will learn how to listen
and I will learn how to follow directions.
I will grow because I challenge myself to participate in activities with my best effort.
(Each Ment-tee of M.A.N. UP must select and attend one of our summer programs to be inline with our agreement!)
I will attend all scheduled tutoring sessions.
If I have an emergency and I cannot attend a session then I will give a 24 hour notice by
telephone call or signed document from an adult!
I will come to each tutoring session prepared to learn
Activities will include opportunities to: complete your High School Plan - UL Scholars application
guidance - Lego Robotics - Mentoring with Urban League Scholars - Monthly Group Outings -
Community Service - Weekly academic support
All of our Tutors pass a background checks. Our college Tutors must be either attending or have graduated from a
If I can not uphold or I find myself out of a line with the M.A.N. agreement, at the first noticeable offense, there will
be a verbal warning to help me correct my behavior. At any time if it is determined, by our Mentors and M.A.N staff,
that I am not able to meet our agreed terms of Respect and Honor, I will be sat down! (No longer allowed to
participate in any M.A.N. events.) In order to redeem my status as a M.A.N. Men-tee, I will publicly (in front of the
M.A.N. Mentors and Men-tees) apologize to the person or people that I have offended as well as complete 2 hours of
Community Service. (I will provide proof i.e. a signed and dated letter / note from the manager, supervisor, or director
of the organization / company that I volunteered at)
M.A.N. Rep Date
M.A.N. is an academic and social mentoring group for 8th
grade young men of color focusing on life skills,
and resources to enable successful transitions to high school.
Dream Allies is a life skills program that focuses on helping students identify their dreams and
plan their goals. Math and reading skills are an essential part of this plan. Instead of sitting and
listening, our learners are engaged in real-world problem-solving activities designed to teach the
importance of not only reading and math proﬁciencies, but other competencies such as computer
skills, soft skills, and real world applications.The students build conﬁdence by steady progression
through lesson plans and built-in assessments while having fun along the way!
Tacoma Schools (deadline 10/22)
McIlvaigh, Gault, Jason Lee, Gray Middle School
Seattle Schools (deadline 10/31)
Aki Kurose, Bailey Gatzert, Dearborn
Park, Dunlap, Emerson, Hawthorne, Highland
Park, Kimball, Leschi, Madrona
K-8, Northgate, SBOC, South Lake H.S.,
Van Asselt, West Seattle Elementary
Bellevue Schools (deadline 10/31)
Highland Middle School, Lake Hills
Elementary, Stevenson Elementary
Highline Schools (deadline 11/12)
Beverly Park, Bow Lake, Cascade, Cedarhurst,
Chinook, Hazel Valley, Hilltop, Madrona, McMicken
Heights, Midway, Mount View, Parkside, Seahurst,
Southern Heights, Sylvester, White Center Heights,
Academy of Citizenship and Empowerment, Arts &
Academics Academy, Odyssey
• Student receives free or reduced
• Student attends an eligible school
• Student applies by application
◦ Supplemental Instruction
To get started ﬁll out the application
on back and submit to your school
Contact 206.552.8311 for more info
or email email@example.com.
DUE DATE: _________________________
2010-2011 WASHINGTON STATE UNIVERSAL APPLICATION FOR SUPPLEMENTAL
EDUCATIONAL SERVICES (SES)
If your child attends a Title I, Part A school that is in Steps 2–5 of school improvement and qualiﬁes for free/
reduced lunch, he/she may be eligible to receive free tutoring. If you are interested, please complete this form
and return it either to your childʼs school or to the approved SES provider that gave it to you. Use a separate
form for each child. Please print clearly.
STUDENT NAME: __________________________________
SCHOOL: ____________________________ STUDENT ID: ____________________
GRADE: _________ DATE OF BIRTH: ________________________
PARENT/GUARDIAN NAME: ____________________________
CITY: ______________________________ STATE: ___________
ZIP CODE: ________________________
NAME OF 1ST CHOICE PROVIDER: Dream Allies
NAME OF 2ND CHOICE PROVIDER: Urban League
YES, I am interested in having my child receive free supplemental education services from the
provider listed. I understand that:
My child is not enrolled in the program until my school/district has contacted me to conﬁrm
I may choose any provider from the list of district and state approved providers.
Free tutoring for my child will end on or before August 1st, 2011.
Any necessary transportation to or from tutoring is the parent/guardianʼs responsibility.
As parent/guardian, I will participate in a meeting/conversation with a representative of the
selected provider and a representative from my childʼs district/school (if possible) to determine my
childʼs speciﬁc learning goals.
As parent/guardian, I give my childʼs school/district permission to release both academic and
directory information about my student to the tutoring provider I have selected.
PARENT SIGNATURE: __________________________ DATE:____________________
If you have any questions about the SES program, please contact your district Title I ofﬁce or the Title I ofﬁce at the Ofﬁce
of Superintendent of Public Instruction in Olympia at (360) 725-6100.