1 | NJ Department of Human Services
New Jersey Summer Enrichment and Literacy Program
New Jersey Summer Enrichment and Literacy Program Application
Applicant Contact Information
Program Name______________________________ EPPIC ID#_______________ Program Phone___________________ Program Address____________________________________________________________________________________ Director/Owner ________________________e-mail____________________________ fax________________________ License #___________________ Expiration Date________ NAEYC Accredited Y N Head Start Program Y N DOE Pre-school Program Y N Licensing Capacity_____________ Hours of Operation
Enrollment Information (indicate reporting month_________ 2013)
Current Enrollment # of children receiving subsidy
Full Time Part Time Total # of Infants
# of Toddlers # of Preschoolers # of School Age
Proposed number of Children to Enroll # of Preschoolers
# of Classrooms
# of Lead Teaching Staff
Full Time Part Time Total
# of Certified Teachers
Do you currently have a Master or Certified Preschool Teacher?
Y N Full Time or Part Time
Are you currently using a curriculum Y N Which One: Are you currently using the DOE’s Early Learning
2 | NJ Department of Human Services
New Jersey Summer Enrichment and Literacy Program
Please follow the submission instructions. Failure to do so may result in disqualification. Do not modify the
Use 11 pitch, Times New Roman to reply (Times New Roman is used in these instructions)
Where a line has been provided, simply insert the information.
Submission can be done electronically, faxed or by certified mail.
Please submit all necessary documents that support the application.
Adhere to all submission deadlines.
Please provide detailed information to describe how your center will prepare for and
implement the New Jersey Summer Enrichment and Literacy Program.
Use or Familiar with the Early Learning Standards and Literacy Component
Programs are required to become familiar with the Early Learning Guidelines and Standards, which will include a literacy component. It is expected that programs use it as a resource to promote learning and development in the classroom. Technical assistance on the Early Learning Guidelines and Standards is available through the Child Care Resource and Referral agencies. Please indicate if you are interested in TA. Yes or No
Classroom Size and Teacher Requirement
Classroom Ratio: Centers administering the program will be required to maintain a classroom ratio not to exceed the guidance listed below. Please provide a draft staffing plan for the number of children you propose to serve.
Each center must have a certified teacher for each funded classroom. 3yr old classroom ratio (2) early childhood staff: 18 children
4yr old classroom ratio (2) early childhood staff: 20 children 5yr old classroom ratio (2) early childhood staff: 20 children
Mixed-age classroom ratio with 3 year old children (2) staff: 18 children Mixed-age classroom ratio with 4 and 5 year old children (2) staff: 20 children
Participate in USDA Food Program or commitment to enroll
New Jersey has a food program which is advantageous to eligible families. Is your program currently participating in this program? Yes or No (Attach your current nutrition policies and practices for breakfast, lunch and snack).
If not in the USDA program, indicate commitment to provide healthy snacks/meals. Nutrition and physical activity are key components to early childhood development. Describe how your program will ensure that adequate physical activity and nutritious snack/meal options will be implemented into the daily program agenda.
3 | NJ Department of Human Services
New Jersey Summer Enrichment and Literacy ProgramFamily Engagement – There will be a minimum offering of two family-focused activities required during the eight to ten-week session. One event must entail conducting the Strengthening Family Pre/ Post Survey and another type of Family Event or Workshop. Provide some initial ideas or topics for your program related family development activities you have found to be successful.
Active Membership in PINJ Registry
Participating programs are required to have their early childhood staff become an active member in the Professional Impact New Jersey Registry prior to approval of your application. (Information has been provided in the application packet) Are you able to meet this requirement? Y N
Provide parents with opportunities to volunteer and be engaged
One component of this program is an expanded list of participation activities for parents to qualify for the program. This could include volunteering at various levels within the center (greeting parents, assisting with recording e-Child Care transactions, assisting with meal and snack preparation, classroom activities etc.) Does your program currently have parent volunteers? Yes or No Describe some creative volunteer opportunities for the parents in your program:
Participate in Quality Focused Trainings provided by the CCRR, i.e. Environmental Rating Scale and/or Staff/Child Interaction, Preschool Literacy, and/or Early Learning Standards; and Strengthening Families are required. Staff at your local CCR&R has been trained to administer various professional development trainings to help programs evaluate and improve their program and will offer training. Has your program (within the past two years) participated in an Environmental or any Program Assessment Y / N.? If yes, which one and when; Pease indicate what two trainings from the above you are interested in:
4 | NJ Department of Human Services
New Jersey Summer Enrichment and Literacy Program Strengthening Families- Protective Factors Survey
The Strengthening Families Initiative utilizes a survey that is based around the SFI Protective Factors. This is administered at the beginning and end of a program or particular period of time. The results of the survey reveal particular training topic that a center could benefit from based upon the collective responses. Training and technical support is provided. Are you able to meet this requirement? Y N
Please provide the following with your application: 1. Copy of your NJ Child Care License
2. Signed Acknowledgement of Requirements and Agreement to Participate contract (included) 3. Staffing plan for a eight to ten weeks summer program.
4. Copy of completed food program application (shell included) 5. Signed Summer Enrichment and Literacy Service Agreement
5 | NJ Department of Human Services
New Jersey Summer Enrichment and Literacy ProgramProgram Name______________________________ EPPIC ID#_______________ Program Phone___________________ Program Address____________________________________________County__________________________________
Required Document Received Accepted Score
Creation of a new classroom
Two Quality Initiative Commitment Trainings
Quality Enhancement Program
Family Engagement Commitment
Utilizing Approved NJ DOE Curriculum
Center in good standing with E-Child Care
OOL License Staffing Plan Full-time Program
USDA/Healthy Menu Commitment
TOTAL SCORE OF FIVE FACTORS 0
Program Approved for _________ slots.
Quality Scoring (CCR&R)
Signature of verifying agent:______________________________________ Title____________________
Program will not be awarded slots at this time for the following reason(s)