WASHINGTON COUNTY PUBLIC SCHOOLS 812 THOMPSON DRIVE ABINGDON, VIRGINIA CHARTER SCHOOL APPLICATION

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WASHINGTON COUNTY PUBLIC SCHOOLS 812 THOMPSON DRIVE ABINGDON, VIRGINIA 24210 CHARTER SCHOOL APPLICATION Any person, group, or organization may submit an application for the formation of a charter school. Applicants must follow Virginia state law and Washington County School Board policy regarding charter schools. Applications must be received by the Division Superintendent on or before March 1 one year prior to the year in which the charter school desires to open. The application shall address the following specific terms and be submitted in writing in a form suitable to be the written agreement between the charter school and the Washington County School Board. The application shall be executed on behalf of the Management Committee and provide a place to be executed by the school board if accepted. An original plus eighteen (18) copies of the application must be submitted. A non-refundable application fee of $250.00 shall be submitted with the application. Applicants must follow the application format provided below. The application shall address the following specific terms and be submitted in writing in a form suitable to be the written agreement between the charter school and the Washington County School Board. The application shall be executed on behalf of the Management Committee by the school board if accepted. I. APPLICANT/CONTACT PERSON Name: Address: Telephone Number: Fax Number: Background and Experience:

II. MISSION STATEMENT Describe the mission of the proposed charter school, including any specific area of concentration (i.e., math and science, technology, or the arts). This statement should include the core philosophy or purpose of the school as well as the target student population, including whether the school intends to increase the opportunities of educationally at-risk students. As required by law, the mission must be consistent with the Standards of Quality and by reference, the Standards of Accreditation and Standard of Learning. III. EVIDENCE OF SUPPORT Provide tangible evidence of support (such as petition, signed letters of support, surveys, or minutes of an organizational meeting) for the formation of the charter school from fifty percent of the affected parents, teachers and pupils. IV. STATEMENT OF NEED Describe the need for the charter school and how that need was determined. V. GOALS AND EDUCATIONAL OBJECTIVES Describe the goals and educational objectives of the proposed charter school. This section should include broad student achievement goals. The objectives should be expressed as a concrete, measurable statement of what students should know and be able to do at various levels of education and identify practices that will improve teaching and enhance learning. As required by law, the objectives and goals must meet or exceed the requirement of the Standards of Learning. VI. DESCRIPTION OF THE EDUCATION PUBLIC PUPIL PER PERFORMANCE STANDARDS CURRICULUM Describe the curriculum and the methods of instruction, including teaching materials and any innovative techniques to be used. List the pupil performance standards and how they were established. This section should also provide the school calendar. As required by law, the elements in this section must meet or exceed the applicable requirements of the Standards of Quality and, by reference, the Standards of Accreditation and Standards of Learning. 2

VII. PUPIL EVALUATION ASSESSMENTS, TIMELINE AND CORRECTIVE ACTION Describe the plan for evaluating student performance, including the types of assessments that will be used to measure student progress toward achieving the stated pupil performance standards and educational goals. Applications for secondary charter schools must describe the method for determining that a student has satisfied the requirements of graduation and how the transfer of credits between schools will be accomplished. Include a timeline for the achievement of the stated standards and goals and a procedure for corrective action if student performance falls below the stated standards and objectives. This section should demonstrate how the charter school will be accountable to the Washington County School Board. VIII. ADMISSIONS PROCESS Describe the student admission policy, including the lottery (random) process to be used if there are more applicants than spaces available. If applicable, the admission policy may be tailored to meet the specific mission and goals of the charter school. Any admission process must be consistent with Federal and Virginia state laws, regulations, and constitutions regarding discrimination and any court-ordered desegregation plan in effect for Washington County Schools. This section should include a time frame for registering and admitting students and explain how the school will seek a cross-section of the community s children, including at-risk students. Describe how transfers of students between charter schools and non-charter schools will be accomplished, how students enrolled after the start of the school year will be accommodated, the transfer of secondary students from charter schools to non-charter schools will be accomplished, and how students enrolled after the start of the school year will be accommodated. Describe how secondary students will receive credits needed for graduation. IX. DISCRIMINATION Assure that the charter school will follow state and federal laws prohibiting discrimination on the basis of disability, race, creed, color, gender, national origin, religion, ancestry, or the need for special education services, and shall be subject to any court-ordered desegregation plan in effect for the Washington County School Division. X. DISPLACEMENT PLAN: PUPILS AND EMPLOYEES Describe the displacement plan for students and employees who will not attend or be employed in the charter school and for the placement of students and employees upon termination or revocation of the charter 3

school. This section should also include a plan for the placement of students and employees if the charter school facility is destroyed (e.g., by flood or fire), unable to be occupied, or dissolved for any reason. XI. MANAGEMENT AND OPERATIONS Describe the management and operation of the charter school, including the nature and extent of parental, professional educator, and community involvement. List the names and addresses of the proposed Management Committee, which may include only parents of students in the charter school, teachers and administrators working in the charter schools, or representatives of any community sponsor. This section should include (1) a detailed description of the relationship between Management Committee and the Washington County Board, including the charter spokesperson (i.e., who is accountable to the school board), (2) how the charter school will be accountable to the public, including a plan for compliance with the Virginia Freedom of Information Act and reporting requirements, (3) how the Management Committee is selected and its relationship to the teachers and administrators, (4) a description of the rules and procedures followed to arrive at policy and operational decisions, and (5) summaries of the job descriptions of key personnel, including the leader/principal. XII. EMPLOYEE RELATIONS Explain the relationship that will exist between the charter school and its employees, including evidence that the terms and conditions of employment have been addressed with affected employees. Terms and conditions of employment must be consistent with the Washington County School Board policies and practices. XIII. HEALTH AND SAFETY Describe the procedures the charter school will implement to insure the health and safety of the students and employees, including how and if the Management Committee will conduct a state criminal record check on all employees, how the charter school will conduct fingerprinting and federal criminal record checks, how the charter school will comply with the requirement to report child abuse, and how the charter school will comply with Occupational Safety and Health Act requirements. XIV. FINANCIAL PLANS: EVIDENCE OF ECONOMICAL SOUNDNESS PROPOSED BUDGET AND ANNUAL AUDIT Provide a budget and any other information that illustrates the proposed charter school is economically sound for both the charter school and 4

Washington County Schools. Include detailed sources of revenue and expenditures for the proposed term of the charter (at most, three years), and a description of the manner in which an annual audit of the financial and administrative operations of the charter school, including any services provided by the school division, will be conducted. Anticipated gifts, grants or donations, and a student fee schedule should be included. XV. ASSURANCES Assure that the charter school is non-sectarian and will not charge tuition by including a statement to that effect. 5