X-Steam Survey 2021-2022

The District is pleased to announce that we will continue to support after school learning through the 21st Century Community Learning Center grant for the 2021-2022 school year! This grant allows us to offer after school academic tutorial classes, homework assistance, and STEAM (science, technology, engineering, arts and mathematics) enrichment classes for our students with a priority for students requiring additional supports and intervention in reading and math.

The X-STEAM program will be offered beginning Monday, September 20, 2021. X-STEAM will provide services to students Monday through Friday from 3:00 - 5:30 p.m. Students will have the benefit of working with various community stakeholders throughout the program. In addition, a high level of parent engagement will be an expectation to assist in the stride towards boosting academic excellence. Please complete the registration form below if you are interested in enrolling your student in this program.

1.Student's First Name(Required.)

2.Student's Last Name

3.Student's contact information.(Required.)

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

4.Student's School(Required.)

5.Please add homeroom teacher's name.(Required.)

6.Grade Level:(Required.)

7.Parent's contact information.(Required.)

Name

Email Address

Phone Number

8.I would like for my child to participate in the Park Forest-Chicago Heights SD163 X-Steam program.(Required.)

Yes

9.Please provide additional emergency contact information.(Required.)

Name

Email Address

Phone Number

10.Please provide authorized names for pick-up.(Required.)

11.Does you child have any food allergies?(Required.)

If yes, please specify:

12.Do you have any more students you want to add to the X-Steam program?(Required.)

Yes

Current Progress,

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