Clone of CCI Freedom Schools Student Application
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  • CCI Freedom School Student Application

  • This application is designed so you can apply for up to 5 children with the same family information (parents/guardians, emergency contacts information, number of people living in the home). If you would like to apply for children with different family information, please, submit separate applications for each child. If you have any questions or any issues with this application, email freedom.school@crosscommunityinc.org or call (609) 293-5343.

    Cross Community, Inc. (CCI) meets community and individual needs by providing opportunity for advancement, access to resources, and collaboration throughout the greater Trenton Area. As a sponsor of the Children's Defense Fund (CDF) Freedom Schools®, CCI will host 2(two) CDF Freedom Schools sites in Ewing, NJ from June 29, 2026 - August 7, 2026. The first site will serve scholars currently in grades K-5 at Villa Victoria Academy from 8AM - 3PM, while the second site will serve scholars currently in grades 6-8 at the College of New Jersey (TCNJ) from 8:15AM - 3:15PM. In addition to providing our students with an award-winning reading enrichment curriculum and STEAM programming, students also receive breakfast, lunch, and snack each day and our program is free of charge to all of its participants. All we ask in return from our families is at least 1 hour of their time each week.

    The CCI Freedom Schools require a 6 week commitment from everyone involved (staff, students, and families alike). This ensures every child gets the full experience of the program and doesn't fall behind from missing classes. If you're unable to make this commitment, please consider if CCI Freedom Schools are the right match for your family.

    Please complete and submit your application no later than Friday, April 10, 2026. You will be notified of your child's enrollment status in May via email.

    *Please, note that submission of this application does not guarantee enrollment. Cross Community, Inc. Freedom School will contact you regarding your child(ren)'s enrollment status in May.

  • Child Information

  • Date of Birth*
     - -
  • Race/Ethnicity (Check all that apply.)*

  • Type of School Your Child Attends*

  • Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan?*
  • Does your child receive or qualify for free/reduced price lunch at school during the academic school year?*
  • Is your child an English Language Learner? (English is not their first language)*
  • Does your child have health insurance?*
  • Does your child have any allergies or health conditions of which we should be made aware?*
  • Has your child ever attended a CDF Freedom Schools® summer program before?*
  • Are you enrolling another child?*

  • Child Information

  • Date of Birth*
     - -
  • Race/Ethnicity (Check all that apply.)*

  • Type of School Your Child Attends*

  • Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan?*
  • Does your child receive or qualify for free/reduced price lunch at school during the academic school year?*
  • Is your child an English Language Learner? (English is not their first language)*
  • Does your child have health insurance?*
  • Does your child have any allergies or health conditions of which we should be made aware?
  • Has your child ever attended a CDF Freedom Schools® summer program before?*
  • Are you enrolling another child?*

  • Child Information

  • Date of Birth*
     - -
  • Race/Ethnicity (Check all that apply.)*

  • Type of School Your Child Attends*

  • Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan?*
  • Does your child receive or qualify for free/reduced price lunch at school during the academic school year?*
  • Is your child an English Language Learner? (English is not their first language)*
  • Does your child have health insurance?*
  • Does your child have any allergies or health conditions of which we should be made aware?
  • Has your child ever attended a CDF Freedom Schools® summer program before?*
  • Are you enrolling another child?*

  • Child Information

  • Date of Birth*
     - -
  • Race/Ethnicity (Check all that apply.)*

  • Type of School Your Child Attends*

  • Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan?*
  • Does your child receive or qualify for free/reduced price lunch at school during the academic school year?*
  • Is your child an English Language Learner? (English is not their first language)*
  • Does your child have health insurance?*
  • Does your child have any allergies or health conditions of which we should be made aware?
  • Has your child ever attended a CDF Freedom Schools® summer program before?*
  • Are you enrolling another child?*

  • Child Information

  • Date of Birth*
     - -
  • Race/Ethnicity (Check all that apply.)*

  • Type of School Your Child Attends*

  • Has your child ever qualified for an Individual Education Plan (IEP) or 504 plan?*
  • Does your child receive or qualify for free/reduced price lunch at school during the academic school year?*
  • Is your child an English Language Learner? (English is not their first language)*
  • Does your child have health insurance?*
  • Does your child have any allergies or health conditions of which we should be made aware?
  • Has your child ever attended a CDF Freedom Schools® summer program before?*

  • Family Information

  • At least one active phone number is required to complete this section of the application and to enroll children into the program. If you do not have a home, cell, or work phone number, please repeat a given number, If you have all or some of these numbers, please enter each number in the appropriate field. If you do not have an email address, please answer "N/A". Otherwise, please enter your full email address so that we can keep in touch with you in a more efficient way.

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  • Best Way to Contact You*

  • Would you like to sign-up to receive general email communications from the Children's Defense Fund?
  • Are you a legal guardian of the child(ren) this application is being submitted for?*
  •  -

  • Emergency Contact Information

  • Emergency contact MUST be over the age of 18, be someone other than the person completing this application, and have at least one active phone number. Please list all phone numbers you have for your emergency contact. If your emergency contact does not have an email address, please, enter "N/A".

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  • Is this person authorized to pick-up the child(ren) you want to enroll in the program?*
  • In the event of an emergency during program hours, who should our staff call first?*
  • Would you like to submit information for another emergency contact?*

  • Emergency Contact Information

  • Emergency contact MUST be over the age of 18, be someone other than the person completing this application, and have at least one active phone number. Please list all phone numbers you have for your emergency contact. If your emergency contact does not have an email address, please, enter "N/A".

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  •  -
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  • Is this person authorized to pick-up the child(ren) you want to enroll in the program?*
  • In the event of an emergency during program hours, who should our staff call first?*
  • Would you like to submit information for another emergency contact?*

  • Emergency Contact Information

  • Emergency contact MUST be over the age of 18, be someone other than the person completing this application, and have at least one active phone number. Please list all phone numbers you have for your emergency contact. If your emergency contact does not have an email address, please, enter "N/A".

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  •  -
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  • Is this person authorized to pick-up the child(ren) you want to enroll in the program?*
  • In the event of an emergency during program hours, who should our staff call first?*

  • Pick-up Authorization

  • In this final section, you will list up to other adults who have authorization to pick-up the child(ren) you want to enroll in the program. Our main priority is the safety and welfare of our students. In order to maintain this, children will only be released into the care of those listed on this application. (List adults other than yourself and the child(ren)'s emergency contacts.)

  • How many more adults would you like to authorize to pick-up your child(ren)?*

  • Pick-up Authorization

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  •  -

  • Pick-up Authorization

  •  -
  •  -

  • Pick-up Authorization

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  •  -
  • Date*
     / /
  • Date*
     / /
  • Should be Empty: