Add Your Program Add Your ProgramINCREASING PROGRAM CAPACITY Street AddressFirst name *Last name *Position Title *Email Address *Which Ward Is Your Program Located In? *Central WardNorth WardSouth WardEast WardWest WardOutside Of NewarkPlease choose which category your program falls into: *WinterAfterSchoolSummer & AfterSchool (All Year)Weekend - SaturdayWeekend - SundayName of Organization *Description of Organization *Name of Executive Director *Organization Street Address *Organization Phone Number *Name Of Program *Organization / Program Website *Description of Program *Program Site Address *Program Site Phone Number *Name Of Individual Completing This Form *Title Of Individual Completing This Form *Direct Telephone Number Of Individual Completing This Form *Email Address Of Individual Completing This Form *Overview of Organization (up to 3 sentences) *Overview of Program (up to 3 sentences) *Date of Program Start *Date of Program Finish *Days Program Is Offered (list them out) *Time of Program *Name of Contact for Student Enrollment *Title of Contact for Student Enrollment *Email for student enrollment *Upload fileChoose FileNo file chosenDelete uploaded fileLocation Type *SchoolCommunity OrganizationChurchUniversityRec CenterParkOtherMeals Offered *BreakfastLunchDinnerSnackNoneIf you provide meals, how do you cover the cost *Government FundingPrivate FundingOtherGrades Served *KindergartenElementary SchoolMiddle SchoolHigh SchoolOtherEnrollment Type *SemesterFull School YearSummerSummer and Full School YearOtherEnrollment Start Date *Enrollment End Date *Average Financial Aid Awarded *Enrollment Requirements *Describe any accommodation for individuals with disabilities on site *Maximum Enrollment *Average Financial Aid Awarded *Is Transportation Provided To Your Program? *YesNoTuition fees charged *Total program days of operation *Total program hours of operation *Primary focus of program *(Ex. STEM, Personal Enrichment, Health and Wellness, etc)Does the program employ at least one certified teacher? *YesNoWhat is the youth outcome goal for the program? *Does your program have any quality improvement goals? *Send Message