Form Number: IEPC-M1

Rule Number: 6A-6.0786

October 2010

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Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

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Provide tLe name ol tLe person wLo will serve as C;< F=AS?=T ND@C?NC lor tLis Application. -;< F=AS?=T
ND@C?NC sLould serve as tLe contact lor lollow-up, interviews, and notices regarding tLis Application.

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MAI W@DX@O
Iirst Year
Second Year
JLird Year
IourtL Year
IiltL Year

I certily tLat I Lave tLe autLority to submit tLis application and tLat all inlormation contained Lerein is
complete and accurate, realizing tLat any misrepresentation could result in disqualilication lrom tLe application
process or revocation alter award. I understand tLat incomplete applications will not be considered. JLe
person named as tLe contact person lor tLe application is so autLorized to serve as tLe primary contact lor tLis
application on beLall ol tLe applicant.

______________________________________________ _____________
Stgnaturc Ttt/c

______________________________________________ ________________________
Prtntcd Namc Datc

Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

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.<NCAD@ L2 !AEEAD@Z 3RAHA@> /=A@NAFG<E ?@H /R=FDE<

A. Provide tLe mission statement lor tLe proposed cLarter scLool.
Tbc mtsstcn statcmcnt sbcu/d, tn a /cu ccnctsc scntcnccs, tndtcatc ubat tbc scbcc/ tntcnds tc dc,
/cr ubcm and tc ubat dcgrcc. A scbcc/'s mtsstcn statcmcnt prcvtdcs tbc /cundattcn /cr tbc
cnttrc app/tcattcn.
B. Describe Low tLe scLool will utilize tLe guiding principles lound in section 1002.33(2)(a),
I.S.
In acccrdancc uttb tbc /au, cbartcr scbcc/s sba// bc gutdcd by tbc /c//cutng prtnctp/cs:
- /cct btgb standards c/ studcnt acbtcvcmcnt ubt/c prcvtdtng parcnts //cxtbt/tty tc cbccsc
amcng dtvcrsc cducattcna/ cppcrtuntttcs uttbtn tbc statc's pub/tc scbcc/ systcm.
- Prcmctc cnbanccd acadcmtc succcss and /tnancta/ c//tctcncy by a/tgntng rcspcnstbt/tty
and acccuntabt/tty.
- Prcvtdc parcnts uttb su//tctcnt tn/crmattcn cn ubctbcr tbctr cbt/d ts rcadtng at gradc
/cvc/ and ubctbcr tbc cbt/d gatns at /cast a ycar's ucrtb c/ /carntng /cr cvcry ycar spcnt
tn tbc cbartcr scbcc/.
C. Describe Low tLe scLool will meet tLe prescribed purposes lor cLarter scLools lound in
section 1002.33(2)(b), I.S.
In acccrdancc uttb tbc /au, cbartcr scbcc/s sba// /u//t// tbc /c//cutng purpcscs:
- Imprcvc studcnt /carntng and acadcmtc acbtcvcmcnt.
- Incrcasc /carntng cppcrtuntttcs /cr a// studcnts, uttb a spccta/ cmpbasts cn /cu-
pcr/crmtng studcnts and rcadtng.
- Enccuragc tbc usc c/ tnncvattvc /carntng mctbcds.
- Rcqutrc tbc mcasurcmcnt c/ /carntng cutccmcs.
D. Describe Low tLe cLarter scLool will lullill, il applicable, tLe optional purposes ol cLarter
scLools lound in section 1002.33(2)(c), I.S.
In acccrdancc uttb tbc /au, cbartcr scbcc/s may /u//t// tbc /c//cutng purpcscs:
- Crcatc tnncvattvc mcasurcmcnt tcc/s.
- Prcvtdc rtgcrcus ccmpcttttcn uttbtn tbc pub/tc scbcc/ dtstrtct tc sttmu/atc ccnttnua/
tmprcvcmcnt tn a// pub/tc scbcc/s.
- Expand tbc capactty c/ tbc pub/tc scbcc/ systcm.
- /tttgatc tbc cducattcna/ tmpact crcatcd by tbc dcvc/cpmcnt c/ ncu rcstdcntta/ duc//tng
untts.
- Crcatc ncu prc/csstcna/ cppcrtuntttcs /cr tcacbcrs, tnc/udtng cuncrsbtp c/ tbc /carntng
prcgram at tbc scbcc/ sttc.


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010


$V?GR?CAD@ +=AC<=A?2 !AEEAD@Z 3RAHA@> /=A@NAFG<E ?@H /R=FDE<

Reviewers will look lor:
A compelling mission statement tLat delines tLe guiding principles and values ol tLe
scLool.
A set ol priorities tLat are meaninglul, manageable and measurable, and locus on
improving student outcomes.


.<NCAD@ [2 -?=><C /DFRG?CAD@ ?@H .CRH<@C 9DHT

A. Describe tLe anticipated target population to be served.
I/ app/tcab/c, app/tcants sbcu/d dcscrtbc t/ tbcy ut// targct, tn acccrdancc uttb tbc /au, ccrtatn
pcpu/attcns dc/tncd tn sccttcn 1002.33(10f(cf, I.S.
B. Provide tLe lollowing projection lor eacL year ol proposed operation: tLe grades tLat tLe
scLool will serve, tLe projected number ol students to be served in eacL grade, tLe number
ol students expected in eacL class, and tLe total number ol students enrolled.



.<NCAD@ P2 $HRN?CAD@?G /=D>=?S #<EA>@

A. Describe tLe scLool`s daily scLedule and annual calendar, including tLe annual number ol
days and Lours ol instructional time.
B. Describe tLe proposed cLarter scLool`s educational program.
C. Describe tLe researcL base lor tLe educational program.
D. Explain Low tLe educational program aligns witL tLe scLool`s mission.
E. Explain Low tLe services tLe scLool will provide to tLe target population will Lelp tLem
attain tLe ext Ceneration SunsLine State Standards, as required by section 1002.33, I.S.

Il tLe scLool intends to replicate an existing scLool design
1
:

1
An applicant is considered to be replicating an existing scLool design" il:
- JLe proposed scLool is substantially similar cvcra// to at least one scLool, and
- JLe individuals and/or organization involved in tLe establisLment and operation ol tLe proposed scLool are deeply involved
in tLe operation ol tLe similar scLool(s).

-



-
-

$V?GR?CAD@ +=AC<=A?2 -?=><C /DFRG?CAD@ ?@H .CRH<@C 9DHT

Reviewers will look lor:
An understanding ol tLe students tLe cLarter scLool intends to serve.
Il tLe applicant proposes to target certain populations, tLe projected student body
sLould align witL tLe overall mission ol tLe scLool.


-



-
-


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

I. Provide evidence tLat tLe existing design Las been ellective and successlul in raising
student acLievement.
Tbc c//ccttvcncss c/ an cxtsttng scbcc/ dcstgn can bc dcmcnstratcd by prcvtdtng cvtdcncc c/
crgantzattcna/ vtabt/tty and tbc succcss c/ tbc acadcmtc prcgram, tnc/udtng ccmp/tancc uttb
/cga/ rcqutrcmcnts, as uc// as a dtrcct rc/attcnsbtp bctuccn prcgram c/cmcnts and studcnt
acbtcvcmcnt.
C. Describe tLe applicant`s capacity to replicate an existing scLool design.
Tbc capactty tc rcp/tcatc can bc dcmcnstratcd by prcvtdtng crcdtb/c and uc//-dc/tncd stratcgtcs
/cr rcp/tcattcn, tnc/udtng tbc /tnancta/ and buman rcscurccs ncccssary tc rcp/tcatc tbc dcstgn.














.<NCAD@ \2 +R==ANRGRS /G?@

A. Describe tLe scLool`s curriculum in tLe core academic areas, illustrating Low it will
prepare students to acLieve tLe ext Ceneration SunsLine State Standards. Il tLe
curriculum Las not been developed, describe Low tLe plan lor curriculum development
sLows Low students will be prepared to attain tLe ext Ceneration SunsLine State
Standards.
B. Describe tLe researcL base and loundation materials tLat were used cr ut// bc uscd to
develop tLe curriculum.
C. Describe tLe scLool`s reading curriculum. Provide evidence tLat reading is a primary
locus ol tLe scLool and tLat tLere is a curriculum and set ol strategies lor students wLo are
reading at grade level or LigLer and a separate curriculum and strategy lor students reading
below grade level.
Tbc rcadtng currtcu/um must bc ccnststcnt uttb c//ccttvc tcacbtng stratcgtcs and bc grcundcd tn
sctcntt/tca//y-bascd rcadtng rcscarcb.
D. Explain Low exceptional students and students wLo enter tLe scLool below grade level
will be engaged in and benelit lrom tLe curriculum.
E. Describe proposed curriculum areas to be included otLer tLan tLe core academic areas.

Ior example, a plan to implement a specilic program, sucL as a widely-used curriculum, would not be categorized as
tLe replication ol an existing scLool design.
$V?GR?CAD@ +=AC<=A?2 $HRN?CAD@?G /=D>=?S #<EA>@

Reviewers will look lor an educational program design tLat:
Is clear and coLerent;
Is based on ellective, researcL-based educational practices and teacLing metLods, and
LigL standards lor student learning;
Aligns witL tLe scLool`s mission and responds to tLe needs ol tLe scLool`s target
population, and
Presents evidence tLat tLe proposed approacL will lead to improved student
perlormance lor tLe scLool`s target population.


-
-


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010


I. Describe Low tLe ellectiveness ol tLe curriculum will be evaluated.













.<NCAD@ J2 .CRH<@C /<=ID=S?@N<Z *EE<EES<@C ?@H $V?GR?CAD@

A. State tLe scLool`s educational goals and objectives lor improving student acLievement.
Indicate Low mucL academic improvement students are expected to sLow eacL year, Low
student progress and perlormance will be evaluated, and tLe specilic results to be attained.
B. Describe tLe scLool`s student placement procedures and promotion standards.
C. Il tLe scLool will serve LigL scLool students, dcscrtbc tbc scbcc/'s graduattcn rcqutrcmcnts, tc
tnc/udc tbc mctbcds uscd tc dctcrmtnc t/ a studcnt bas satts/tcd tbc rcqutrcmcnts spcct/tcd tn
sccttcn 1003.43, I.S., and any prcpcscd addtttcna/ rcqutrcmcnts.
D. Describe Low baseline acLievement data will be cstab/tsbcd, collected, and used. Dcscrtbc
tbc mctbcds uscd tc tdcntt/y tbc cducattcna/ strcngtbs and nccds c/ studcnts and bcu tbcsc
basc/tnc ratcs ut// bc ccmparcd tc tbc acadcmtc prcgrcss c/ tbc samc studcnts attcndtng tbc
cbartcr scbcc/.
E. Identily tLe typcs and /rcqucncy ol assessments tLat tLe scLool will use to measure and
monitor student perlormance.
I. Describe Low student assessment and perlormance data will be used to evaluate and
inlorm instruction.
C. Describe Low student assessment and perlormance inlormation will be sLared witL
students and witL parents.









$V?GR?CAD@ +=AC<=A?2 +R==ANRGRS /G?@

Reviewers will look lor a curriculum plan tLat:
Provides a clear and coLerent lramework lor teacLing and learning;
Is researcL-based;
Is consistent witL tLe scLool`s mission, educational pLilosopLy and instructional
approacL;
Will enable students to attain ext Ceneration SunsLine State Standards and receive
a year`s wortL ol learning lor eacL year enrolled, and
Will be appropriate lor all students at all levels.



Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010


















.<NCAD@ ]2 $^N<FCAD@?G .CRH<@CE

A. Please indicate tLe level ol service tLat tLe scLool will provide to students witL disabilities
by selecting lrom tLe list below.
! JLe scLool will serve students witL disabilities wLose needs can be met in a regular
classroom environment (at least 80% ol instruction occurring in a class witL non-
disabled peers) witL tLe provision ol reasonable supplementary supports and
services and/or modilications and accommodations.
! JLe scLool will serve students witL disabilities wLose needs can be met in a regular
classroom and resource room combination (between +0%-80% ol instruction
occurring in a class witL non-disabled peers) witL tLe provision ol reasonable
supplementary supports and services and/or modilications and accommodations.
! JLe scLool will serve students witL disabilities wLose needs can be met in a
separate classroom (less tLan +0% ol instruction occurring in a class witL non-
disabled peers).
B. Describe Low tLe scLool will ensure tLat students witL disabilities will Lave an equal
opportunity ol being selected lor enrollment in tLe cLarter scLool.
C. Describe Low tLe scLool will work witL tLe sponsor to ensure tLe cLarter scLool is tLe
appropriate placement lor eacL student witL a disability, based on tLe student`s needs.
D. Describe Low tLe scLool will utilize tLe regular scLool lacilities and adapt tLem to tLe
needs ol exceptional students to tLe maximum extent appropriate, including tLe use ol
supplementary aids and services.
E. Describe Low tLe scLool`s ellectiveness in serving exceptional education students will be
evaluated.
I. Provide tLe scLool`s projected population ol students witL disabilities and describe Low
tLe projection was made.
$V?GR?CAD@ +=AC<=A?2 .CRH<@C /<=ID=S?@N<Z *EE<EES<@C ?@H $V?GR?CAD@

Reviewers will look lor:
Measurable educational goals and objectives tLat set LigL standards lor student
perlormance.
Promotion standards tLat are based on LigL expectations and provide clear criteria
lor promotion lrom one level to tLe next, and lor graduation (il applicable).
Evidence tLat a range ol valid and reliable assessments will be used to measure
student perlormance.
An assessment plan tLat is sulliciently lrequent and detailed to determine wLetLer
students are making adequate progress.
Evidence tLat data will inlorm decisions about adjustments to tLe educational
program.
Plans lor sLaring student perlormance inlormation tLat will keep students and
parents well inlormed ol academic progress.



-
-


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

C. Identily tLe stalling plan, based on tLe above projection, lor tLe scLool`s special education
program, including tLe number and qualilications ol stall.
H. Describe Low tLe scLool will serve gilted and talented students.

















.<NCAD@ _2 $@>GAE; %?@>R?>< %<?=@<=E

A. Describe Low tLe scLool will comply witL state and lederal requirements lor serving
EnglisL language learners, including tLe procedures tLat will be utilized lor identilying
sucL students and providing support services.
B. Identily tLe stalling plan lor tLe scLool`s EnglisL language learner program, including tLe
number and qualilications ol stall.
















$V?GR?CAD@ +=AC<=A?2 $^N<FCAD@?G .CRH<@CE

Reviewers will look lor:
A clear description ol tLe level ol service tLe scLool will provide to students witL
disabilities.
A clear description ol Low tLe scLool will ensure students witL disabilities will Lave
an equal opportunity ol being selected lor enrollment.
An understanding and commitment to collaborating witL tLe sponsor to ensure
tLat placement decisions lor students witL disabilities will be made based on eacL
student`s unique needs.
An appropriate plan lor evaluating tLe scLool`s ellectiveness in serving exceptional
students, including gilted.
A realistic enrollment projection (SWD) and a stalling plan tLat aligns witL tLe
projection.


$V?GR?CAD@ +=AC<=A?2 $@>GAE; %?@>R?>< %<?=@<=E

Reviewers will look lor:
Demonstrated understanding ol state and lederal requirements regarding tLe
education ol EnglisL language learners.
A commitment to serving tLe lull range ol needs ol EnglisL language learners.
Sound plans lor educating EnglisL language learner students tLat rellect tLe lull
range ol programs and services required to provide all students witL a LigL quality
education.
Demonstrated capacity to meet tLe scLool`s obligations under state and lederal law
regarding tLe education ol EnglisL language learners.



Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010




.<NCAD@ `2 .N;DDG +GAS?C< ?@H #AENAFGA@<

A. Describe tLe scLool`s planned approacL to classroom management and student discipline.
B. Describe tLe scLool`s Code ol Conduct, including tLe scLool`s policies lor discipline,
suspension, dismissal and recommendation lor expulsion.













))Y "(3*0)4*-)"0*% /%*0

.<NCAD@ a2 3DV<=@?@N<

A. Describe tLe legal structure ol tLe governing board. Il tLe governing board Las not yet
lormed, describe tLe plan, including a timeline, lor lormation. Description must
demonstrate Low scLool will organize as or be operated by a non-prolit organization.
B. Provide an organizational cLart lor tLe scLool and a narrative description ol tLe cLart.
Clearly describe tLe proposed reporting structure to tLe governing board and tLe
relationsLip ol tLe board to tLe scLool`s leader and administration.
C. Provide a description ol tLe responsibilities and obligations ol tLe governing board as a
wLole.
D. Describe tLe policies and procedures by wLicL tLe governing board will operate, including
board powers and duties; board member selection, removal procedures and term limits;
code ol etLics, conllict ol interest, and lrequency ol meetings.
Cbartcr scbcc/ gcvcrntng bcards must bc gutdcd by a sct c/ by-/aus tbat dc/tnc bcu tbc bcard
ut// cpcratc. App/tcants may tnc/udc tbctr prcpcscd by-/aus.
E. Explain Low tLe lounding group lor tLe scLool intends to transition to a governing board.
I. Describe tLe plans lor board member recruitment and development, including tLe
orientation process lor new members and ongoing prolessional development.
C. List eacL ol tLe proposed members ol tLe scLool`s governing board, indicating any ex-
ollicio members and vacant seats to be lilled. Ior eacL proposed member, provide a briel
$V?GR?CAD@ +=AC<=A?2 .N;DDG +GAS?C< ?@H #AENAFGA@<

Reviewers will look lor:
A sound approacL to classroom management and student discipline.
Legally sound policies lor student discipline, suspension, dismissal and
recommendation lor expulsion, including tLe scLool`s code ol conduct.


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

description ol tLe person`s background tLat LigLligLts tLe contribution Le/sLe intends to
make tLrougL service as a governing board member and any ollice ol tLe board tLat
individual Lolds.
H. Cutline tLe metLods to be used lor resolving disputes between a parent and tLe scLool.

Il tLe scLool is liling tLe application in conjunction witL a college, university, museum,
educational institution, anotLer nonprolit organization or any otLer partner, provide tLe
lollowing inlormation:
I. ame ol tLe partner organization.
]. ame ol tLe contact person at tLe partner organization and tLat person`s lull contact
inlormation.
K. A description ol tLe nature and purpose ol tLe scLool`s partnersLip witL tLe organization.
L. An explanation ol Low tLe partner organization will be involved in tLe governance ol tLe
scLool.

















.<NCAD@ LK2 !?@?><S<@C

A. Describe tLe management structure ol tLe scLool. Include job descriptions lor teacLers
and eacL administrative position tLat identily key roles, responsibilities and
accountability.
B. Cutline tLe criteria and process tLat will be used to select tLe scLool`s leader and tLe
process by wLicL tLe scLool leader will be evaluated.
C. Provide a stalling plan lor eacL year ol tLe cLarter term aligned witL tLe scLool`s
projected enrollment as detailed on tLe cover page ol tLis application.
D. Explain tLe scLool`s plan lor recruitment, selection, development, and evaluation ol stall.


$V?GR?CAD@ +=AC<=A?2 3DV<=@?@N<

Reviewers will look lor:
A governing board tLat is legally structured, or Las a plan to organize in conlormity
witL tLe laws ol Ilorida.
A clear description ol tLe governing board`s obligations and responsibilities.
Evidence tLat tLe proposed governing board will contribute to tLe wide range ol
knowledge and skill needed to oversee a cLarter scLool.
A clear, sensible delineation ol roles and responsibilities in relation to governance
and scLool management.
A clear, sensible metLod lor resolving disputes between a parent and tLe scLool.




Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010













.<NCAD@ LL2 $HRN?CAD@ .<=VAN< /=DVAH<=E

Il tLe scLool intends to enter into a contract witL an Education Service Provider (ESP)
2
:
A. Describe tLe services to be provided by tLe ESP.
B. Provide a dralt ol tLe proposed contract between tLe scLool and tLe ESP including, at a
minimum, proposed services, perlormance evaluation measures, lee structure, renewal and
termination provisions, and terms ol property ownersLip (real, intellectual and personal).
C. Explain wLy tLe ESP was selected, including wLat due diligence ellorts were conducted to
inlorm tLe selection and Low tLe relationsLip witL tLe ESP will lurtLer tLe scLool`s
mission.
D. Explain tLe ESP`s roles and responsibilities lor tLe linancial management ol tLe proposed
cLarter scLool, il applicable, and tLe internal controls tLat will be in place to guide tLis
relationsLip.
E. Explain Low tLe governing board will ensure tLat an arm`s lengtL," perlormance-based
relationsLip exists between tLe governing board and tLe ESP.
I. Provide a summary ol tLe ESP`s Listory, including its educational pLilosopLy and
background and experience ol senior management.
C. Provide a list ol otLer scLools witL wLicL tLe ESP Las contracts, including contact
inlormation and student and linancial perlormance data ol sucL scLools.







2
An Education Service Provider (ESP) is an organization tLat provides compreLensive services to a scLool.
Crganized as non-prolit or lor-prolit companies, ESPs generally lall into two categories:
- Educattcna/ /anagcmcnt Organtzattcns (EMCs) tLat provide compreLensive scLool management services and
may provide scLool designs and/or educational programming as well, and
- Ccmprcbcnstvc Scbcc/ Dcstgn Prcvtdcrs tLat oller a replicable scLool model or common pedagogical, instructional
and governance approacL.

$V?GR?CAD@ +=AC<=A?2 !?@?><S<@C

Reviewers will look lor:
A management structure tLat includes clear delineation ol roles and responsibilities
lor administering tLe day-to-day activities ol tLe scLool.
A sound plan lor tLe recruitment, selection and evaluation ol tLe scLool leader.
A viable and adequate stalling plan.
A sound plan lor recruiting and retaining qualilied and capable stall.




Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010
















.<NCAD@ L[2 ,RS?@ (<EDR=N<E ?@H $SFGDTS<@C

A. Explain tLe scLool`s compensation plan, including wLetLer stall will be publicly or
privately employed.
B. Describe tLe personnel policies and procedures to wLicL stall will be required to adLere,
including expectations lor participation in tLe scLool`s prolessional development program.
Il personnel policies and procedures Lave not been developed provide a clear plan,
including timeline, lor tLe development and approval by governing board.









.<NCAD@ LP2 .CRH<@C (<N=RACS<@C ?@H $@=DGGS<@C

A. Describe tLe plan lor recruiting students, including strategies lor reacLing tLe scLool`s
targeted populations and tLose tLat migLt otLerwise not Lave easy access to inlormation
on available educational options.
B. Explain Low tLe scLool will acLieve a racial/etLnic balance rellective ol tLe community it
serves or witL tLe racial/etLnic range ol otLer local public scLools.
C. Describe tLe scLool`s enrollment policies and procedures, including an explanation ol tLe
enrollment timeline, criteria and/or any prelerences lor enrollment, and lottery process.
$V?GR?CAD@ +=AC<=A?2 $HRN?CAD@ .<=VAN< /=DVAH<=E

Reviewers will look lor:
A persuasive explanation ol tLe reasons lor contracting witL an education service
provider.
A persuasive explanation ol Low tLe proposed relationsLip witL tLe ESP will
lurtLer tLe scLool`s mission.
A clear description ol tLe services to be provided by tLe ESP.
A clear delineation ol tLe roles and responsibilities between tLe scLool`s
governing board and tLe ESP.
A clearly delined perlormance-based relationsLip between tLe scLool`s board and
ESP.



$V?GR?CAD@ +=AC<=A?2 ,RS?@ (<EDR=N<E ?@H $SFGDTS<@C

Reviewers will look lor:
A compensation plan tLat will attract and retain quality stall.
Policies and procedures tLat Lold stall to LigL prolessional standards or a plan to
develop policies and procedures.






Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

D. Explain any student and/or lamily contracts tLat will be used as a requisite lor initial and
continued enrollment in tLe scLool. Describe il and Low tLe scLool will enlorce sucL
contracts.
E. Explain any otLer ellorts to encourage parental and community involvement, il
applicable.
















)))Y 96.)0$.. /%*0

.<NCAD@ L\2 '?NAGACA<E
Il tLe site is acquired:
A. Describe tLe proposed lacility, including location, size and layout ol space.
B. Describe tLe actions tLat will be taken to ensure tLe lacility is in compliance witL
applicable laws, regulations and policies and is ready lor tLe scLool`s opening.
C. Describe Low tLe lacility will meet tLe scLool`s capacity needs lor students to be served.
D. Explain tLe anticipated costs lor tLe lacility, including renovation, rent, utilities and
maintenance. Identily, il applicable, any lunding sources (otLer tLan state and local
lunding) tLat will be applied to lacilities-related costs.
! Tbc /tnancta/ p/an /cr tbc prcpcscd scbcc/ sbcu/d a/tgn uttb tbc /act/tttcs-rc/atcd ccsts
dcscrtbcd.
E. Describe tLe back-up lacilities plan.
! Wbat ts tbc a/tcrnatc p/an /cr /act/tttcs t/ tbc prcpcscd /act/tty ts nct avat/ab/c cr ts
dctcrmtncd tc bc tnapprcprtatc /cr tbc scbcc/'s cpcntng

Il tLe site is not acquired:
I. Explain tLe scLool`s lacility needs, including desired location, size, and layout ol space.
C. Provide an estimate ol tLe costs ol tLe anticipated lacility needs and describe Low sucL
estimates Lave been derived.
$V?GR?CAD@ +=AC<=A?2 .CRH<@C (<N=RACS<@C ?@H $@=DGGS<@C

Reviewers will look lor:
A student recruitment plan tLat will enable tLe scLool to attract its targeted
population.
An enrollment and admissions process tLat is open, lair, and in accordance witL
applicable law.





Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

! Tbc /tnancta/ p/an /cr tbc prcpcscd scbcc/ sbcu/d a/tgn uttb tbc /act/tttcs-rc/atcd ccsts
dcscrtbcd.
H. Explain tLe strategy and scLedule tLat will be employed to secure an adequate lacility.
I. Describe tLe back-up lacilities plan.
]. Describe tLe plan and metLods tLe scLool will employ to comply witL Ilorida`s
constitutional class size requirements.








.<NCAD@ LJ2 -=?@EFD=C?CAD@ .<=VAN<

A. Describe tLe scLool`s plan lor transportation, including any plans lor contracting services.
Your plan sLould discuss, to tLe greatest extent possible, tLe issues relevant to tLe scLool`s
transportation plans.
3












.<NCAD@ L]2 'DDH .<=VAN<

A. Describe tLe scLool`s plan lor lood services, including any plans lor contracting services or
plans to participate in tLe ational ScLool LuncL Program.





3
The charter school and the sponsor shall cooperate in making arrangements that ensure that transportation is not a
barrier to equal access for all students residing within a reasonable distance of the charter school as determined in its
charter. (Section 1002.33(20)(c), Florida Statutes)
$V?GR?CAD@ +=AC<=A?2 -=?@EFD=C?CAD@

Reviewers will look lor:
A transportation plan tLat serves all eligible students and specilies in sullicient
detail tLe responsibilities ol all parties (tLe sponsor, tLe cLarter scLool, and otLer
applicable service providers).
$V?GR?CAD@ +=AC<=A?2 '?NAGACA<E

Reviewers will look lor:
A realistic plan lor securing a lacility tLat is appropriate and adequate lor tLe
scLool`s program and targeted population.
Evidence tLat tLe scLool Las tLe necessary resources to lund tLe lacilities plan.



Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010








.<NCAD@ L_2 9RH><C

A. Provide an operating budget covering eacL year ol tLe requested cLarter term tLat
contains revenue projections, expenses and anticipated lund balances. JLe budget sLould
be based on tLe projected student enrollment indicated on tLe cover page ol tLe
application.
B. Provide a start-up budget (i.e., lrom tLe date on wLicL tLe application is approved to tLe
beginning ol tLe lirst liscal year ol operation) tLat contains a balance sLeet revenue
projections, expenses and anticipated lund balance.
C. Provide a detailed narrative description ol tLe revenue and expenditure assumptions on
wLicL tLe operating and start-up budget are based.
Tbc budgct narrattvc sbcu/d prcvtdc su//tctcnt tn/crmattcn tc /u//y undcrstand bcu budgctary
/tgurcs ucrc dctcrmtncd.
D. Explain tLe scLool`s spending priorities.
E. Provide montLly casL llow projections lor tLe scLool`s start-up period (i.e. lrom tLe date
on wLicL tLe application is approved to tLe beginning ol tLe lirst liscal year ol operation)
tLrougL tLe lirst year ol operation.
I. Describe tLe scLool`s lundraising plan. Report on tLe current status ol any lundraising
ellorts, including verilication ol any lundraising monies reported in tLe scLool`s start-up
or operating budgets.











.<NCAD@ L`2 'A@?@NA?G !?@?><S<@C ?@H "V<=EA>;C

A. Describe wLo will manage tLe scLool`s linances and Low tLe scLool will ensure linancial
resources are properly managed.
$V?GR?CAD@ +=AC<=A?2 9RH><C

Reviewers will look lor:
Budgetary projections wLicL are consistent witL all parts ol tLe application,
including tLe scLool`s mission, educational program, stalling plan and lacility.
A realistic assessment ol projected sources ol revenue and expenses tLat ensure tLe
linancial viability ol tLe scLool.




$V?GR?CAD@ +=AC<=A?2 'DDH .<=VAN<

Reviewers will look lor:
A lood service plan tLat will serve all students.


Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

B. Describe tLe linancial controls, including an annual audit and regular board review ol
linancial statements, wLicL will be employed to saleguard linances.
C. Describe tLe metLod by wLicL accounting records will be maintained.
D. Describe Low tLe scLool will store student and linancial records.
E. Describe tLe insurance coverage tLe scLool will obtain, including applicable LealtL,
workers compensation, general liability, property insurance and directors and ollicers
liability coverage.














.<NCAD@ La2 *NCAD@ /G?@

A. Present a timetable lor tLe scLool`s start-up.









$V?GR?CAD@ +=AC<=A?2 *NCAD@ /G?@

Reviewers will look lor an action plan tLat:
Provides a tLougLtlul and realistic implementation plan tLat covers major
operational items and provides llexibility lor addressing unanticipated events.


$V?GR?CAD@ +=AC<=A?2 'A@?@NA?G !?@?><S<@C ?@H "V<=EA>;C

Reviewers will look lor:
A clear description ol Low tLe scLool`s linances will be managed. JLe description
must include assurances tLat tLe governing board retains ultimate control over tLe
scLool`s linances.
A clear description ol strong internal controls. JLe system ol internal controls
must be sullicient to saleguard linances.

Form Number: IEPC-M1
Rule Number: 6A-6.0786
October 2010

)1Y .-*-$!$0- "' *..6(*0+$.

JLis lorm must be signed by a duly autLorized representative ol tLe applicant group and submitted witL
tLe application lor a cLarter scLool.

As tLe autLorized representative ol tLe applicant group, I Lereby certily under tLe penalties ol perjury tLat
tLe inlormation submitted in tLis application lor a cLarter lor ____________ is accurate and true to tLe
best ol my knowledge and beliel; and lurtLer, I certily tLat, il awarded a cLarter, tLe scLool:

Will be nonsectarian in its programs, admission policies, employment practices and operations.

Will enroll any eligible student wLo submits a timely application, unless tLe scLool receives a
greater number ol applications tLan tLere are spaces lor students, in wLicL case students will be
admitted tLrougL a random selection process.

Will adLere to tLe antidiscrimination provisions ol section 1000.05, I.S.

Will adLere to all applicable provision ol state and lederal law relating to tLe education ol students
witL disabilities, including tLe Individuals witL Disabilities Education Act; section 50+ ol tLe
ReLabilitation Act ol 19/+; and Jitle II ol tLe Americans witL Disabilities Act ol 1990.

Will adLere to all applicable provisions ol lederal law relating to students wLo are limited EnglisL
prolicient, including Jitle VI ol tLe Civil RigLts Act ol 196+ and tLe Equal Educational
Cpportunities Act ol 19/+.

Will participate in tLe statewide assessment program created under section 1008.22, I.S.

Will comply witL Ilorida statutes relating to public records and public meetings, including
CLapter 119, Ilorida Statutes, and section 286.011, I.S., wLicL are applicable to applicants even
prior to being granted a cLarter.

Will obtain and keep current all necessary permits, licenses and certilications related to lire, LealtL
and salety witLin tLe building and on scLool property.

Will provide lor an annual linancial audit in accordance witL section 218.39, I.S.

JLe governing board, at its discretion, allows __________________ (name), _____________(title) to sign
as tLe legal correspondent lor tLe scLool.

______________________________________________
Stgnaturc Datc

______________________________________________
Prtntcd Namc