School Name: ________________________________________ Phone: ______________________

Grade Levels: ________________________________________ # Enrolled students: ____________

Type of School: Charter Start-up Charter Conversion Traditional Public Private

Location: __________________________________ Granting District (if Charter): __________________

Contact(s)/Positions(s): _______________________________________________________________

_______________________________________________________________

1. Type of facility (check one) District owned School owned Privately Owned
   Other (please describe) _________________________________________________________
2. Does your school pay rent for its facility? Yes No If yes, $/sq ft./month? ___________
3. Facility size: How many classrooms? _____________ Total Square Footage? ________________
4. If you secured your site prior to receiving start-up funding, how did you do it? _________________
   _______________________________________________________________________________
   _______________________________________________________________________________
5. What is your total square footage per student (including library, multi-purpose, administration, toilets, circulation, etc., as well as classroom space)? __________________________________________
6. What is the total acreage of your site? _________________________________________________
7. List types of rooms and outdoor spaces (Athletic field, music lab, science room, open classrooms,
   collapsible walls, etc): ______________________________________________________________
   ________________________________________________________________________________

1. Is your accounting: In house? Outside bookkeeper/accountant? School district?
2. If in-house, what accounting system do you use? ________________________________________

1. What specific PR/Marketing activities did you organize to raise general awareness for your charter school in the community? ___________________________________________________________
   ________________________________________________________________________________
2. How did you assure your charter school was not looked upon as a "threat" by the public, district, city, etc, but as a great addition to the community? ___________________________________________
   ________________________________________________________________________________

1. Does the ethnic makeup of this school’s population generally match the makeup of the local school district? Yes No If not, why? ________________________________________
2. How does this school attract members of minority communities? ____________________________
   ________________________________________________________________________________

1. How does this school handle teaching English to English Language Learners (ELLS)? ___________
   ________________________________________________________________________________

Family Involvement

1. Are there specific parent involvement requirements? Yes No
   If yes, how much time / what types of activities, and how documented? ________________________
   ________________________________________________________________________________
2. How do you utilize your documentation? (grant applications, participation fulfillment, etc?) _________
   ________________________________________________________________________________

1. What is the governance structure for the school (e.g., board, director, asst. director, committees?)
   ________________________________________________________________________________
2. Who is on your board and how is it structured? (e.g., how many parents, staff members, community) ________________________________________________________________________________
   What roles do they have? ___________________________________________________________
3. How are major decisions made at your school? __________________________________________
4. What role do parents play in the governance of the school? ________________________________
   ________________________________________________________________________________
   

1. Are your teachers members of the teachers union? Yes No
2. If a charter school, does it provide Health care benefits for its employees or does it contract/work with the sponsoring district on this issue? Yes No Other (specify) ________________
3. If a charter school, are any of the employees crossovers from the district of residence? __________
   If so, were they able to do so in such a way that if things did not work out at the charter school then they could go back to a district position the following year? (such as an unpaid leave?) ___________
   ________________________________________________________________________________
4. If a charter school, are district crossover employees able to continue to add years of service credit for the district? Also, do sick leave days accrued transfer over? ________________________________
   ________________________________________________________________________________
5. What level (if any) of volunteer effort is required of staff (teachers, admin, staff)? _______________
   ________________________________________________________________________________
6. Are children of school staff given priority enrollment? ______________________________________
7. Is daycare offered on-site after school hours? ____________________________________________
8. Is there a connection to the community for students/faculty?_________________________________

1. Do you offer any flexible or creative scheduling hours (hours, days, years, classes)? If so, please describe: ________________________________________________________________________
   ________________________________________________________________________________________________________________________________________________________________
2. Does your school use any very successful curricular or instructional programs you’d recommend?
   ________________________________________________________________________________
   ________________________________________________________________________________
   ________________________________________________________________________________
3. How are staff development / grade level planning scheduled? (e.g. prior to the school year, bi-weekly shortened days, teacher in-service days) _______________________________________________
   ________________________________________________________________________________________________________________________________________________________________

NOTES: ____________________________________________________________________________
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