1. Annual Accountability Report County:
      2. REQUIRED SIGNATURE:
    1. If actual did not meet or exceed projection, provide a detailed explanation:
    2. If actual did not meet or exceed projection, provide a detailed explanation:
    3. If actual did not meet or exceed projection, provide a detailed explanation:
    4. If actual did not meet or exceed projection, provide a detailed explanation:
    5. If actual did not meet or exceed projection, provide a detailed explanation:
    6. If actual did not meet or exceed projection, provide a detailed explanation:
    7. B. Overall School Performance
    8. F. School Performance by AYP Area
    9. G. Targeted Priorities
    10.  
    11. C. Student Characteristics
    12. D. School Admission Lottery
    13. E. Student Mobility Rate
    14. F. School Safety Information
    15. G. Student Absenteeism, Suspensions & Expulsions
    16. H. Student Progression
      1. Activity Number % of Grade Level Students
    17. I. Postsecondary Preparedness
      1.  
      2. # Mean
    18. J. Class Size
    19. Grade Levels
    20. Students per Class Constitutional Goal
    21. Actual
    22. A. Staff Overview
      1. School Staff
      2. Classification Number % of Total
    23. B. Certified Instructional Personnel
      1. Certification Status
      2.  
      3. % of Total Teachers in School
    24. C. Staff Characteristics
      1. Number
    25. COPY PAGE 9 AND INSERT ADDITIONAL PAGES AS NECESSARY
      1. E. Governing Board
      2. Name Affiliation Term
      3. School Employee? (YES or NO)
      4. A. Current Facility Usage
      5. B. Current Facility Usage
      6. Space Usage Total Square Footage
      7. % of Total Facility Square Footage
      8. Per Student Square Footage
      9. C. Anticipated Future Facilities Needs
      10. Anticipated Space Usage Total Square Footage
      11. % of Total Facility Square Footage
      12. Per Student Square Footage
    26. Revenues Charter
    27. Special Revenue
    28. Total General & Special Revenue
    29. Total State General Revenue
    30. Total Expenditures
    31. Net Revenue/Deficiency
    32. Finance #
    33.  
    34. Other

__________________________________________________________________________________________
______________________________________ _________________________________
______________________________________ _________________________________
_____________________________ _______________________________________
________________________________ _______________________________
____________________________________ _________________________________
_______________________ ____________________
______________________________________ _________________________________
___________________
2003-2004
Charter School
Annual Accountability Report
County:
Please print all information in black ink.
Charter School Name: _______________________________________________________________________
Principal Name: _______________________________Phone: ___________________ Cell: ______________
School Number: ____________ Email: _____________________ Fax: _______________________
Website: __________________________________________________________________________________
School Address: ____________________________________________________________________________
Governing Board Chair: ____________________________________ Phone: _________________________
REQUIRED SIGNATURE:
Signature of Principal Date of Signature
Signature of Charter School Governing Board Chair
Date of Signature
Submitted to district by _____________________ on ____________________ to ______________________
Name of Charter Staff
Date of Submission
Name of District Staff
Superintendent Name: ______________________________ District: _______________________________
Phone Number:
Email:
School Board Chair:
Phone:
District Charter School Contact:
Name:
Title:
Phone:
Email:
REQUIRED SIGNATURES:
?
Signature of Superintendent Date of Signature
?
Submitted to FDOE by _____________________ on ____________________ to ______________________
Name of District Staff
Date of Submission
Name of DOE Office
2003-04 Charter School Annual Report
Page 1 of 15

______________________________________________________________________
______________________________________________________________________
____________________________________________________________________________________
Section I: General School Information
A.
?
Length of Charter:
1.
Year School Opened:
?
____________________
2.
Number of years in original charter contract:
?
____________________
3.
Has your charter been renewed?
?
Yes or No (circle)
4.
If so, how long is the renewal period?
?
____________________
5.
?
Is your charter school accredited?
Yes or No (circle)
By: ____________________________________________
B.
?
School Type:
(mark all that apply)
School Type
Yes
No
Conversion school
Operated by a management company
Company Name:
Operated by a municipality
Municipality:
Operated under a partnership with a
university or community college
College/University:
Charter school in the workplace
Traditional charter school
C.
?
Mission Statement:
(maximum of 250 words)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Section II: Student Curriculum & Achievement
A.
?
Local School Goals & Performance Outcomes
The following must be completed for each goal listed in the charter contract:
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
COPY PAGE 3 AND INSERT ADDITIONAL PAGES AS NECESSARY
There are _____ (#) additional pages of local goals attached to this report.
2003-04 Charter School Annual Report
?
Page 2 of 15

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
ƒ
 
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
2003-04 Charter School Annual Report
Page 3 of 15

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
B.
Overall School Performance
1. What percentage of local goals stated in Section II.A. did your school meet? ___________
2. What was your school grade for the 2003-04 year?
?
___________
3. What was your school grade score for the 2003-04 year?
?
___________
4. Did your school make AYP for the 2003-04 year?
?
Yes or No
5. What percent of AYP criteria did your school make in 2004?
?
___________
ATTACH:
Attach a copy of your school report card to the end of this report. You may obtain a
copy at http://schoolgrades.fldoe.org
C.
?
Curriculum
1.
Reading
o
Name of Program: ____________________________
o
Is the program adopted by the State of Florida? YES NO
(circle one)
2.
Writing
o
Name of Program: ____________________________
o
Is the program recommended by the State of Florida? YES NO
(circle one)
3.
Mathematics
o
Name of Program: ____________________________
o
Is the program recommended by the State of Florida? YES NO
(circle one)
4.
Science
o
Name of Program: ____________________________
o
Is the program recommended by the State of Florida? YES NO
(circle one)
D.
?
Instructional Model & Instructional Strategy
(i.e., the philosophy under which the school
operates and the way the philosophy is carried out in the classroom) (100 words or less)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
E.
?
FCAT Performance
ATTACH:
Attach a copy of your school’s FCAT report to the end of this report. You may
obtain a copy at http://fcat.fldoe.org
Directions
:
o
Click on “Interactive Searchable FCAT Website”
o
Highlight and select your school district in “Step 1”
o
Highlight and select both “Reading” and “Math” (hold shift down to highlight both)
o
Highlight and select “School” in “Step 3”
o
Press “Continue”
o
Highlight grade level “3” and hold the shift key to highlight all grade levels in “Step 4”
2003-04 Charter School Annual Report
?
Page 4 of 15

o
Highlight “Number of Students” and hold shift key to highlight all data fields in “Step 5”
o
Highlight “2004” in “Step 5”
o
Highlight “2004” and hold shift key to also highlight “2003” in “Step 6”
o
Press “Select Schools”
o
Highlight your school and press “View Report” for your school
o
Print the charts and attach to this report
F.
School Performance by AYP Area
ATTACH:
Attach a copy of your school report card to the end of this report. You may obtain a
copy at http://web.fldoe.org/NCLB/default.cfm
Directions
:
o
Highlight “School” in “Step One” and Press “Continue”
o
Highlight your county in “Step Two” and Press “Continue”
o
Highlight your school in “Step Three” and Press “Continue”
o
Print your school’s summary AYP report on this page
o
Click to see a “detailed report” (second row left hand side)
o
Print your school’s detailed AYP report on this page
o
Attach both the summary and detailed AYP reports to this annual report
G.
Targeted Priorities
Based on your school’s 2004 FCAT and AYP results, identify your top five priority areas of
improvement by grade level, subject area, and student demographic group for 2004-2005.
1. Grade: _____ Subject: _________________ Student Group: ________________
2. Grade: _____ Subject: _________________ Student Group: ________________
3. Grade: _____ Subject: _________________ Student Group: ________________
4. Grade: _____ Subject: _________________ Student Group: ________________
5. Grade: _____ Subject: _________________ Student Group: ________________
Section III: Student Information
A.
Student Population Information
(Respond to questions using your February 2004 FTE count)
Grade Level
Number Enrolled
% of Total Pop.
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL ENROLLMENT
100%
2003-04 Charter School Annual Report
Page 5 of 15

B. Student Ethnicity
Ethnicity
Number Enrolled
% of Total Pop.
Asian students
African-American students
Hispanic students
White students
Other ethnic groups
Unknown/Not reported
TOTAL ENROLLMENT
100%
C. Student Characteristics
Characteristic
Number Enrolled
% of Total Pop.
Gifted students
Students with disabilities
Students with disabilities with an IEP
Students meeting kindergarten readiness
expectations
Students eligible for free and reduced-
price lunch
D.
School Admission Lottery
Do you use a lottery waiting list to select students for attendance?
Yes or No
If you answered “Yes” to question 1, then:
o
# of students on lottery waiting list to attend charter school for 2003-04 year: ________
o
# of students accepted for the 2003-04 year from the lottery waiting list: ________
o
% of students accepted off lottery list:
________
If you answered “No” to question 1, then describe the system by which you select students for
enrollment: __________________________________________________________________
E.
Student Mobility Rate
Please calculate your mobility rate (use the February 2004 FTE count), using the following
formula:
(# students moving in to the school
+
# students moving out of school)
=
___________
total number of students
F.
School Safety Information
Number of incidents of violence, weapons violations, vandalism,
?
substance abuse, and harassment on the bus, campus and school
?
(students may have multiple incidents)
___________
?
2003-04 Charter School Annual Report
Page 6 of 15

______________
_____________________________
G.
Student Absenteeism, Suspensions & Expulsions
Activity
Number
% of Total Pop.
Students absent 1 to 20 days
Students absent 20+ days
Students suspended in school
Students suspended out of school
Students expelled
H. Student Progression
Promoted 3
rd
Promoted 8
th
th
Activity
Number
% of Grade
Level Students
grade students
grade students
Promoted 10
grade students
Students graduating from high school
Students over age 16 that dropped
out of school
I. Postsecondary Preparedness
Activity
Students taking the Pre-Scholastic Aptitude Test
(PSAT)
Students taking the Scholastic Aptitude Test (SAT)
Students taking the American College Test (ACT)
Students taking the College Placement Test (CPT)
#
Mean
Score
% Making Minimum Passage
Score for Placement into
College-Level Courses
J. Class Size
Grade Levels
Pre-K through Grade 3
Grades 4 through 8
Grades 9 through 10
Students per Class
Constitutional Goal
18 students
22 students
25 students
Actual
Section IV: School Personnel
A. Staff Overview
School Staff
)
Classification
Number
% of Total
Administrators
Instructional Staff (Teachers)
Support Staff
Other Staff (List:
Consultants
2003-04 Charter School Annual Report
Page 7 of 15

B.
Certified Instructional Personnel
Certification Status
Holding Florida Temporary Certificate
Holding Florida Professional Certificate
Deemed “qualified” by governing board
Teachers teaching in field of certification
Teachers teaching out of field of certification
Number of
Teachers
% of Total Teachers
in School
C. Staff Characteristics
Characteristic
Teachers with Master’s degree or higher
Teachers with National Board Certification
Average years of experience for all teachers
Reading Specialists or Coaches
Exceptional Student Education Specialists
School Guidance Counselors
School Nurses
Number
D.
Charter School Personnel
(Complete the following chart for every charter school employee)
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
COPY PAGE 9 AND INSERT ADDITIONAL PAGES AS NECESSARY
There are _____ (#) additional pages of personnel information attached to this report.
2003-04 Charter School Annual Report
Page 8 of 15

Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
Full Name:
Title, including area specialty if applicable:
Circle one: Administrator – Teacher - Support Staff – Consultant - Other (explain)
Florida Certification (circle): Temp Teacher -
Prof Teacher - Eligible Teacher - Administrator
Annual Salary: $
Annual Benefits: $
List benefits:
Criminal Background Check (circle one):
Satisfactory Unsatisfactory
Related to any other charter school employee (circle one): YES NO
If so, state relationship:
2003-04 Charter School Annual Report
Page 9 of 15

E. Governing Board
Name
Affiliation
Term
(mo/yr – mo/yr)
Related to a Charter
School Employee?
(YES or NO)
Section V: Facilities
A.
Current Facility Usage
Characteristics
Response
Building total square footage (total)
Acreage of property
Number of classrooms
Number of laboratories
Number of portables
Ratio of computers to students
Total investment in facilities (dollar amt)
Facility Characteristics (Check YES or NO)
YES
(if so, how
many)
NO
Media Center
Gymnasium (If “no”, then describe where students participate in physical
education activities):
Administrative Offices
Student Bathrooms
Playground
Car Pickup Area
Bus Pickup Area
Leased Building
Owned Building
Urban Setting
Rural Setting
Suburban Setting
B.
Current Facility Usage
Space Usage
Total Square
Footage
% of Total Facility
Square Footage
Per Student
Square Footage
Classroom/Instructional
Administrative
Media Center, Gym,
Cafeteria, etc.
Other (describe):
2003-04 Charter School Annual Report
Page 10 of 15

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
C. Anticipated Future Facilities Needs
Reason(s):
o
To accommodate _______ (#) current students
o
?
To accommodate _______ (#) new students
o
?
For investment purposes Yes
No
(circle one)
Anticipated Space Usage
Total Square
Footage
% of Total Facility
Square Footage
Per Student
Square Footage
Classroom/Instructional
Administrative
Media, Gym, Cafeteria, etc.
Other (describe):
D. Inspections and Audits
(attach a copy of each report)
1. Did you have Fire Code comments?
NO YES, _______ (number of comments)
2. Did you have district inspection comments? NO YES, _______ (number of comments)
3. Did you have Financial Audit Findings? NO
YES, _______ (number of findings)
NOTE: If there is an identified deficiency in any of these reports, provide a
thorough explanation of the corrective action that has been or will be taken (with
an established deadline for completion).
VI. Transportation
A.
?
What percentage of your students rely on school provided transportation?
___________
B.
?
What means of transportation does your school utilize (district busses, vans, etc.)?
You must attach a copy of the following documents to this report, in this order:
1.
?
Additional local goal sheets (as necessary)
2.
?
Your 2004 school report card (printed according to directions)
3.
?
Your 2004 FCAT performance report (printed according to directions)
4.
?
Your 2004 AYP reports – both summary and detail reports (printed according to
directions)
5.
?
Additional school personnel sheets (as necessary)
6.
?
Your school inspection report by the school district and explanation of corrective
action plan, if necessary
7.
?
Your school fire code inspection report and explanation of corrective action plan,
if necessary
8.
?
Your school’s independent financial audit report and explanation of corrective
action plan, if necessary
9.
?
FTE Projections for 2004-05 by grade level
2003-04 Charter School Annual Report
?
Page 11 of 15

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Section VI: Revenue and Expenditure Template
Revenues
Charter
(total)
Charter
(per student)
District
(total)
District
(per student)
State Revenue
Transportation
Food Services
Instructional
Other State Categoricals
Special Revenue
Total General & Special Revenue
Florida Education Finance Program
Discretionary Millage Funds
Discretionary Equalization Allocation
Discretionary Lottery Funds
Materials
Instructional Technology
Class Size Reduction
Total State General Revenue
Donations and Fundraising
Federal Charter School Grant
Expenditures
Instruction
Instructional Support
School Administration
Governing Board and Legal Services
Facilities Acquisition & Construction
Fiscal Services
Central Services
Food Services
Pupil Transportation Services
Operation of Plant
Maintenance of Plant
Total Expenditures
Net Revenue/Deficiency
Explain your corrective action plan if you have a deficiency because your expenditures exceed
your revenues:
(100 words or less)
2003-04 Charter School Annual Report
Page 12 of 15

__
__
__
__
__
Section VII: Charter School Response 2003-2004
Please respond to the following question by placing the number of your corresponding answer in the “#”
column next to the question.
Student Performance
#
I. Did the charter school meet student achievement goals?
1. Met no goals
2. Met some goals
3. Met most goals
4. Met all goals
5. Exceeded all goals
Comment:
II. How did the school perform compared to the previous year with school grades?
NG Not graded last year
1. Dropped at least one grade
2. Stayed at the same grade
3. Improved by at least one grade
Comment:
III. How did the school perform compared to the previous year on AYP?
NG Not graded last year
1. Did not make AYP in either year and did not improve in any categories
2. Did not make AYP in either year, but improved in at least one category this year
3. Made AYP last year, but did not make AYP this year
4. Made AYP this year and last year
5. Did not make AYP last year, but made AYP this year
Comment:
Finance
#
IV. How did the school perform in meeting financial obligations?
1. Expenditures far exceeded revenue enough to show a deficit with total funds
2. Expenditures exceeded revenue, but not by enough to show a deficit with total funds
3. Revenues were adequate to account for expenditures
4. Revenues exceeded expenditures
5. Revenues far exceeded expenditures
Comment:
Facilities
#
V. How well did the charter school facility meet student capacity needs?
1. Not enough capacity for participating students
2. Pushing capacity for participating students
3. Adequate capacity for participating students
4. Can expand to accommodate some students
5. Can expand to accommodate many students
Comment:
2003-04 Charter School Annual Report
Page 13 of 15

__
__
__
________
__
__
VI. How did the facility rate with respect to quality in meeting student safety and security
needs?
1. Inadequate
2. Adequate, but in need of improvement
3. Adequate
4. Good
5. Excellent
Comment:
Personnel
VII. How well did the school’s teachers meet Florida Teacher Certification requirements?
1. No teachers met requirements
2. Some teachers met requirements
3. At least half of teachers met requirements
4. The majority of teachers met requirements
5. All teachers met requirements
Comment:
VIII. How well do the school’s teachers meet NCLB “highly qualified” teacher qualification
requirements?
1. No teachers met requirements
2. Some teachers met requirements
3. At least half of teachers met requirements
4. The majority of teachers met requirements
5. All teachers met requirements
Comment:
Other
IX. What was your status in meeting class size requirements by deadline? Date:
1. School did not meet requirements by deadline
2. School had some challenges and did not meet requirements by deadline
3. School had some challenges, but met requirements by deadline
4. School already met requirements
5. School met requirements and had room grow
Comment:
Other
X. How well did the
school district
meet its contractual obligations?
1. Did not meet any requirements
2. Met most but not all requirements
3. Met all requirements
4. Met all and exceeded requirements for most issues
5. Far exceeded contractual requirements
Comment:
2003-04 Charter School Annual Report
Page 14 of 15

__
XII. Overall Charter School Performance Rating.
1. Deficient
2. Poor
3. Satisfactory
4. Good
5. Excellent
Comment:
This report and all required attachments must be submitted to your school district by a date established
by your sponsoring school district so that the district can meet the
November 1, 2004
postmark
deadline to the DOE.
Please contact Nancy Scowcroft at (850) 322-5093 or by email at
nancy.scowcroft@fldoe.org, if you
have questions.
2003-04 Charter School Annual Report
Page 15 of 15

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