Charter School Specialists Application for New School Sponsorship

Charter School Specialists Application for Community School Sponsorship
Thank you for your interest in partnering with St. Aloysius for sponsorship of an Ohio community school. St. Aloysius takes the role of being an Ohio Community School Sponsor seriously. We have built a comprehensive team of professionals to provide a level of technical support and assistance that is not duplicated in Ohio. Armed with this cadre of professionals as well as our belief in the development of strong partnerships between the sponsor, school boards and leadership teams, St. Aloysius enables and supports school success. We want to be a key partner in helping our community schools improve academic performance and obtain successful student outcomes across Ohio. Completion of this application and its subsequent approval by St. Aloysius is the first step toward developing this relationship and a community school contract between St. Aloysius and your school.
PLEASE NOTE: Jotform templates are best completed using a computer. Some features, such as the option for attachments may not work properly from a cellular devise and/or tablet.
GENERAL APPLICATION INFORMATION
KEY CONTACT INFORMATION:
Please complete the following key contact information:
Primary Contact Person:
Organization:
Mailing Address:
City, State, Zip:
Phone:
Fax:
E-mail:
Please add names and email addresses of anyone additional that needs copied on communication regarding this application.
SCHOOL INFORMATION:
Please complete the school information section:
Name of Proposed School:
Proposed Grade Configuration:
Proposed School Leader/Principal:
Proposed Location of School:
Local School District:
Proposed Start Date:
MonthDayYear
Date
Model or Focus (i.e. Arts, College Prep, Dropout Recovery):

ENROLLMENT PROJECTIONS (project your student headcount, not your funded FTEs)
2018-2019 2019-2020 2020-2021 2021-2022 2022-2023
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade

9th Grade
10th Grade
11th Grade
12th Grade
Total # of Students
Free & Reduced Lunch (FNR) % Special Education (SPED) % English Language Learners (ELL) %
Expected Demographics
1.) Is the applicant an existing school operator applying to replicate its current school(s)?
YesNo
2.) Does the school expect to contract with an education service provider (ESP), education managment organization (EMO), or other organization for a substantial portion of school management/operation?
YesNo
3.) Do you have or have you had a relationship with other sponsors, community schools or their affiliates? If YES, please list the school(s) or entities and identify the basis of the relationship (i.e. contractor, employee of operator, treasurer, board member, etc.)
YesNo
Sponsor, Community School or Affiliate / Relationship:
4.) Has any member of the governing authority or development team, including management company or treasurer/fiscal officer, been involved with an entity that was involved in a bankruptcy, closed for financial reasons, had a finding for recovery, or designated as un-auditable? If YES, please list the school(s) or entities and identify the basis of the relationship (i.e. contractor, employee of operator, treasurer, board member, etc.)
YesNo
School or Entity / Relationship:

	Free & Reduced Lunch (FNR) %	Special Education (SPED) %	English Language Learners (ELL) %
Expected Demographics

GOVERNANCE AND MANAGEMENT
This section focuses on the governing authority of your proposed school. The governing authority formally plays a vital role in the school's success and future existence. The governing authority sets policies, establishes the budget and is the fiduciary agent for the community school. The governing authority is responsible for compliance with the community school contract and applicable local, state and federal laws. The governing authority of the community school will be the responsible entity and contracting party for any community school contract. Ohio Revised Code requires no fewer than five (5) members.
GOVERNING BOARD INFORMATION:
In this section, you are asked for information about your governing board. You may upload a current roster of board members that includes their name, role, address, phone, email address and term of service OR you may fill this information out manually below.
Click here if an updated governing board roster will be uploaded.Click here if governing board members and their contact information will be entered manually in this form.
Attachment: Please upload a current roster of board members that includes the information listed above.
Select File
Cancelof
GOVERNING BOARD CONTACT INFORMATION:
Board Member Name:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
Board Member Name:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
Board Member Name:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
Board Member Name:
Role on Board:
Address and Phone:
E-mail
Term of Service:
Board Member Name:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
Add Another Board Member:
YesNo
Board Member Name:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
Add Another Board Member:
YesNo
Board Member:
Role on Board:
Address and Phone:
E-mail:
Term of Service:
*Upload biography and resume or vitae for each board member, label Attachment 1.

DEVELOPMENT TEAM INFORMATION:
If members of the governing authority have not been fully established, use the governing authority template below to provide information on the members of the development team. Describe the expertise of each development team member and involvement in the design of the school.
Summary of Governing Authority Expertise:
Provide a summary of the governing authority expertise in finance/business, law, leadership or education including professional affiliations.
Governing Authority Member Experience:
Provide a description of any member's previous or current experience serving as governing authority of a traditional school, community school or other not-for-profit organization.
Governing Authority Structure and Development:
Describe the Governing Authority structure, recruitment and future development plans.
Meeting Dates and Times:
Provide the proposed governing authority meeting dates, times and locations for the year, if established.
Transition from Development Team to Governing Authority:
Describe the transition process from a development team to a governing authority.

MANAGEMENT - ESP, EMO, CMO
This section focuses on the management of your proposed school. If there will be a partnership with an educational service provider (ESP), educational management organization (EMO), or a charter management organization (CMO), provide the following information below.
ESP, EMO, CMO:
If there will be a partnership with an ESP, EMO or CMO, state the name of the organization. Provide as Attachment 2 a copy of the management agreement. If a management agreement has not been finalized, provide a copy of the standard management agreement.
Organizational Structure:
Provide the ESP, EMO or CMO organizational chart as Attachment 3 with defined responsibilities. Provide a detailed description of your hiring and staffing policies.
Communication Plan:
Describe in detail the management organization's plan to communicate with: 1) Governing Authority and 2) Sponsor.
Management Responsibilities:
Describe in detail the management organization's roles and responsibilities to manage and support the school.
Accountability:
Describe in detail the management organization's accountability to: 1) Governing Authority and 2) Sponsor.
Evaluation:
Describe in detail the plan to monitor, measure and evaluate the management organization's performance..
Management Contract and Services:
Provide a copy of any management contracts or service agreements at or above $5,000. Provide a description of services expected to be contracted to a single vendor at cost of $5,000/year or more.
Record of Success:
Summarize and provide data evidencing the management organization's: 1) Experience in starting a school; 2) Financial and business acumen; 3) Expertise and proven track record in urban education; 4) Understanding of Ohio community school law and other relevant laws, including Every Student Succeeds Act.
Include a spreadsheet as Attachment 4 listing the community schools managed (current and former) by this organization, including their names and addresses, year opened, academic performance index rating, value added ratings and sponsors.

EDUCATIONAL PROGRAM

ACADEMIC ASSESSMENT DATA:
Attachment: Please provide any academic assessment data that your school uses:
Select File
Cancelof
Provide an explanation of how this data can be interpreted, how the data is analyzed and how it relates to your school improvement efforts:

OHIO IMPROVEMENT PROCESS (OIP)
OIP FOCUSED PLAN:
The Ohio Improvement Process (OIP) is an effective way for schools to streamline and define measurable goals that impact overall student achievement. Has your school engaged in the OIP Process and developed an OIP Focused Plan? If yes, please attach your plan below.
YesNo
Attachment: Please upload the most current OIP Focused Plan your school has developed:
Select File
Cancelof

FINANCIAL PERFORMANCE
FIVE YEAR FORECAST:
Attachment: Please upload your most recent five year forecast:
Select File
Cancelof
CURRENT FINANCIALS:
Attachment: Please upload your most current financials:
Select File
Cancelof

ORGANIZATIONAL PERFORMANCE
COMPLIANCE ASSESSMENTS:
Attachment: Please upload copies of the two most recent compliance assessments:
Select File
Cancelof
BOARD MEETING MINUTES:
Attachment: Please upload copies of the board meeting minutes for the past year:
Select File
Cancelof
CORRECTIVE ACTION PLANS:
Attachment: Please upload copies of corrective action plans your school has been issued over the past two (2) years:
Select File
Cancelof
PROBATION OR SUSPENSION STATUS:
Has your school been under probation or suspension at any time?
YesNo
If yes, please explain:
NON-RENEWAL NOTICE:
Attachment: Please upload the non-renewal notice provided by the school or the current sponsor:
Select File
Cancelof

REASON FOR NEW SPONSORSHIP
What is the reason the Governing Authority is considering other sponsorship at this time?

UNDERSTANDING OF VOLUNTARY ACCEPTANCE
In submitting this application for sponsorship, I and the GOVERNING AUTHORITY for this community school (please enter the name of your community school below), recognize that St. Aloysius receives this application for sponsorship voluntarily in its roles as a community school sponsor in the State of Ohio.
St. Aloysius is not obligated to provide any reason, rationale or evaluative metric related to any decisions related to the acceptance or denial of this application for sponsorship.
Applicant Signature (please enter your name)
Date:
MonthDayYear
Date
Add additional Applicant Signatures:
YesNo
Applicant Signature (please enter your name)
Date:
MonthDayYear
Date
Add additional Applicant Signatures:
YesNo
Applicant Signature (please enter your name)
Date:
MonthDayYear
Date
Add additional Applicant Signatures:
YesNo
Applicant Signature (please enter your name)
Date:
MonthDayYear
Date

APPLICANT CERTIFICATION
I hereby certify the information in this application is complete and accurate to the best of my knowledge and acknowledge my obligation to promptly inform St. Aloysius of any material changes. I also hereby acknowledge that if the application is incomplete it will not be assessed and the applicant will need to reapply at a later date.
Applicant Signature (please enter your name)
Date:
MonthDayYear
Date
Should be Empty:

	2018-2019	2019-2020	2020-2021	2021-2022	2022-2023
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Total # of Students