-
Invitation Letter
-
Mission
Statement
-
Application
Form
-
Medical
History Form
-
Medical
Release Form
- Information
Sheet
- Rules and
Regulations
-
Daily
Schedule
Invitation Letter
Dear Friend,
We would like to invite
your child to the Harvest 10/40 Inc. English as a Second Language Camp which
will be held in Penang, Malaysia from January 05, 2006
to January 25, 2006.
Harvest 10/40 was the
administrator and program coordinator team of the 2005 Dalat International
School Summer Program. All of our teachers are from western countries such
as America, Canada, and Australia…all of whom are trained and certified in (TESOL)
Teaching English to Speakers of Other Languages.
Our desire is to
challenge your child with a curriculum that is especially created for
learning English as a second language. This will include other activities
such as drama, music, crafts, and games all focusing on encouraging your
child to speak English.
It is our Mission to
offer your child a truly stimulating and enjoyable educational program. It
is our desire to elevate the level of your child’s English and at the same
time share Godly principles and character.
It is with great honor
that we welcome your child to come and be a part of a truly exciting and
life changing program.
Looking forward to
serving you,
Melissa
Wright and the Harvest 10/40 Inc. Team
* Download Form
Back to
Top
Mission
Statement:
To
offer a stimulating and enjoyable educational experience for those who
desire to learn English as a second language.
TESOL =
Teaching English to Speakers of Other Languages
Mission Goals:
1.
To elevate the level of the child’s communication skills using the English
language.
2.
To share Godly principles and character through a challenging curriculum.
3.
To provide a well-balanced program, using a specialized curriculum created
for learning English as a second language. We will use other activities
such as drama, music, crafts, and games that will focus on encouraging the
child to speak English.
* Download Form
Back to
Top
Harvest 10/40 Inc.
D-24-2 Jalan Pantai Miami
11100 Penang MALAYSIA
Phone/Fax: 604-8995984
E-mail:
ESL@harvest1040.org
Webpage:
www.harvest1040.org
Harvest 10/40 Inc, ESL Camp Application Form
Family name as on
Passport: __________________________________________________________
Given name as on
Passport: ___________________________________________________________
Gender: Male or
Female: _____________________________________________________________
Contact address:
___________________________________________________________________
City:
_________________________________________ Postal Code:
_________________________
Country:
__________________________________________________________________________
Passport / IC
Number: ________________________
Home
phone:_______________________________ Hand phone:
___________________________
Work
phone:_______________________________ E-mail:
_______________________________
Birth date
(day/month/year):___________________
Emergency contact
person in Malaysia:
Name:
______________________________Phone:________________________________________
Emergency contact
person in Korea:
Name______________________________Phone:_________________________________________
Legal Guardian within
Malaysia other than Harvest 10/40 Inc.
Name:
___________________________________________________________________________
Contact Address:
___________________________________________________________________
City:
__________________________________ Postal Code:
________________________________
Home phone:
______________________________ Hand phone: _________________________
Work phone:
________________________________ E-mail: ______________________________
T-shirt Size:
□ Child Small
□
Child Medium □
Child Large □
Child XL
Your child’s
English listening and speaking level
□ fluent
□
good □ some
□
none
Your child’s
English reading and writing level
□
fluent □ good
□some
□
none
We
need the following from you:
-
4 color passport size photos
of your child
-
Photocopy of your child’s
passport
-
Signed copy of Rules and
Regulations form
-
Signed medical release form
-
Signed medical history form
-
Application form with US$
150.00
* Download form
Back to
Top
MEDICAL
HISTORY FORM
1. Does your child have any
allergies to food or medications?
__________________________________________________________________________
__________________________________________________________________________
2. Please give a brief medical
history of your child.
__________________________________________________________________________
3. Date of your child’s last
Tetanus Shot: ___________________________
4. List any medications your
child is on.
__________________________________________________________________________
5. List any previous
surgeries, injuries, or conditions your child has had.
Surgery
________________________________Date:________________
Injuries
________________________________Date: ________________
Conditions
_____________________________ Date:_________________
I hereby give my permission to
give my child fever/pain medication as needed.
Yes_______ No________
Parent’s signature
______________________________________________
* Download Form
Back to
Top
Please read before signing:
-
If, in the opinion of a
properly licensed and practicing physician, our child needs medical or
surgical services which require our consent before being supplied, and we
cannot be reached, we hereby authorize, appoint, and empower the director
or his/her designee to furnish on our behalf such written or oral
authorization as may be so required. Further, we release the director or
his/her designee of Harvest 10/40 Inc, from any liability which might
arise from giving of such authorization, it being our desire that our
child be furnished with such surgical services as soon as reasonably
possible after the need arises.
-
We give permission for our child to take part in all program activities,
including sports and sponsored trips away from the camp’s premises. We
undertake to immediately inform Harvest 10/40 Inc. of any change in our
child’s medical condition. We absolve Harvest 10/40 Inc. from all
liabilities arising out of any injury at camp, during any camp activity,
save for gross negligence on the part of Harvest 10/40 Inc., or because of
any previous medical condition.
Please list any medications your child is on and make sure they have an
ample supply with them for their time with us.
__________________________________________________________________________
I the undersigned release Harvest 10/40
Inc. from any financial or other responsibility from loss of life or loss
of limb.
_
Parent/Guardian
Signature Date
DD / MM / YY
* Download Form
Back to
Top
INFORMATION SHEET
WHAT:
English
as a Second Language Camp (ESL)
WHERE:
Jerejak Resort & Spa, a beautiful tropical island
set amidst virgin jungle,
located in Penang, Malaysia.
WHEN:
January 5 - 25, 2006
SPONSORED BY:
Harvest 10/40 Inc.
AGES:
Boys and
Girls ages 9 to 13
TEACHERS:
All teachers are native English speaking and
certified in TESOL
(Teaching English to Speakers of
Other Languages).
APPLICATION FEE:
$150.00 US Dollars – Due by November 15, 2005
(Application fee is
non-refundable)
BALANCE DUE:
December 15, 2005
CANCELLATION:
60% refund prior to December 15, 2005
CAMP
BENEFITS
· Allows
your child to be a part of an exciting and challenging ESL experience
with emphasis on excellence.
· Classroom
size is 8 to 10 children per adult.
· One
English speaking adult per four children staying in room.
· Evening
English Tutoring Sessions with three children to one adult.
· Full
Medical Coverage: Medical & Additional Expenses up to US $1,500,000.00
· Accommodations
are located at a well secured Four-star island resort hotel, offering three
buffet meals, team building, obstacle courses, high & low rope courses,
abseiling, rock climbing, archery, swimming, and much more, ensuring your
child an adventurous and fun-filled three weeks!
· Caring
staff that will give their time, energy, and talents to make your child’s
stay memorable and life changing.
For more
Information visit our website at:
www.harvest1040.org or you can email us at:
ESL@harvest1040.org
* Download Form
Back to
Top
Rules and regulations for
Harvest 10/40 Inc. Program:
Parents Copy
1. No Cell phones will be
permitted
2.
Children can call home once a week in the evenings only. (Card cost is RM
35.00. This is about 3 hours of talk time). This is not included in your
camp fees.
3. Students will write in their journals once a day (journals will be
provided)
4.
Children may bring snack foods with them. Meals will be provided of course.
We will also have a canteen for the purchase of snacks, etc., so be sure
your child has a little spending money.
5. Laundry service will be provided... We need you to put your child’s name
in their clothing… this will prevent mix-ups.
6. A RM
1 fine will be embossed for talking non-English in an English Zone.
Please send extra money for this rule… This can be their spending money
also. It is up to you.
7. If
your child’s behavior is unruly we hold the right to send your
child home early and no refund will be given.
8. No
Bikinis (one piece suit only for girls and swimming trunks for boys.)
9. No lap tops.
10.
Your child is not allowed to leave Jerejak Resort & Spa.
Following
is what we consider offenses worthy of being sent home:
-
Anyone in possession of the following will be sent home
immediately:
3 Strikes:
Your child will receive one
strike for committing any one of the following offenses. Upon receiving the
third strike, your child will be sent home
*** Please note parents
will be called when child has received their second strike to make you aware
of their offenses.
***Please note parents
are to bare all expenses in the case child is sent home.
Each of these is
considered one strike. When the total of 3 strikes is given, they will be
sent home.
-
Refusing to obey rules: (an example would be not going to bed at the
scheduled time).
-
Children are not allowed in rooms during class hours.
-
Boys and girls will be in different rooms and will not be allowed to visit
in each others rooms.
-
Disrespect of teachers, helpers, student helpers, or other staff including
maid, laundry, maintenance, guards. Etc…
-
Bullying/ fighting.
- Use
of bad language.
Parents Signature:
_________________________________________________
*
Download Form
Back to
Top
Sample of Daily
Schedule for Harvest10/40 Inc. January ESL Camp!
7:00 AM: Wake up/ clean up room
7:30- 8:30AM: Light exercise and breakfast
8:30 to 10:30 AM: English class
10:30 AM: Activities class
(Drama, Games, Crafts, or Music)
11:30 AM: Activities class
(Drama, Games, Crafts, or Music)
12:30 PM: Lunch/ break
1:45 to 3:45 PM: English class
4:00 to 5:00 PM: Activities class
(Drama, Games, Crafts, or Music)
5:00 to 6:00 PM: Activities class
(Drama, Games, Crafts, or Music)
6:00 to 8:00 PM: Dinner/ leisure
8:00 to 9:00 PM: English tutor / life application
9:00 to 9:30PM: Shower and lights out
***** Please note
detail schedule to follow*****
* Download Form
Back to
Top
.JPG)