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2004-2005
Charter School
Annual Accountability Report
County:
___________________
Please print all information in black ink.
Charter School Name:
_______________________________________________________________________
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Principal Name: _______________________________Phone: ___________________ Cell: ______________
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School Number: ____________
Email: _____________________
Fax: _______________________
Website: __________________________________________________________________________________
School Address: ____________________________________________________________________________
Governing Board Chair: ____________________________________
Phone: _________________________
REQUIRED SIGNATURES:
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:
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Signature
of
Superintendent Date
of
Signature
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Submitted to FDOE by _____________________ on ____________________ to ______________________
Name of District Staff
Date of Submission
Name of DOE Office
2004-05 Charter School Annual Report
Page 1 of 10
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Section I: General School Information
A.
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Length of Charter:
1.
Year
School
Opened:
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____________________
2.
Number of years in original charter contract:
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____________________
3.
Has your charter been renewed?
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Yes or No (circle)
4.
If so, how long is the renewal period?
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____________________
5.
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Is your charter school accredited?
Yes or No (circle)
By: ____________________________________________
B.
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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(specify if lab school):
Charter school in the workplace
Traditional charter school
Section II: Student Curriculum & Achievement
A.
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Local School Goals & Performance Outcomes
Complete the following for each goal listed in the charter contract:
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
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.
2004-05 Charter School Annual Report
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Page 2 of 10
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Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
Goal # ______:
State the goal: __________________________________________________
Baseline:
Projection:
Actual:
If actual did not meet or exceed projection, provide a detailed explanation:
______________________________________________________________________
2004-05 Charter School Annual Report
Page 3 of 10
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 2004-05 year?
?
___________
3.
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What was your school grade score for the 2004-05 year?
___________
4.
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Did your school make AYP for the 2004-05 year?
Yes or No
5.
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What percent of AYP criteria did your school make in 2005?
___________
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.
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
:
•
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Click on “Click here for the Complete Individual District and School Reports”
•
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Select your school district
•
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Click on “School Level Reports”
•
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Click on “Individual School Reports”
•
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Select your school name
•
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Print the charts and attach to this report
D.
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://fldoe.org/NCLB/
Directions
:
•
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Click on “Adequately Yearly Progress for 2004-05”
•
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Highlight “School” in “Step One” and Press “Continue”
•
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Highlight your county in “Step Two” and Press “Continue”
•
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Highlight your school in “Step Three” and Press “Continue”
•
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Print your school’s summary AYP report on this page
•
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Click to see a “detailed report” (second row left hand side)
•
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Print your school’s detailed AYP report on this page
•
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Attach
both the summary and detailed AYP reports to this annual report
Section III:
Student Information
A.
School Admission Lottery
1.
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Does your school use a lottery waiting list to select students for attendance? Yes or No
2.
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If you answered “Yes” to question 1, please provide the following:
•
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# of students on lottery waiting list to attend charter school for 2004-05 year: ________
•
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# of students accepted for the 2004-05 year from the lottery waiting list:
________
•
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% of students accepted off lottery list:
________
3.
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If you answered “No” to question 1, please describe the system by which you select
students for enrollment: _____________________________________________________
2004-05 Charter School Annual Report
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Page 4 of 10
B. Postsecondary
Preparedness
Activity
#
Mean
Score
% Making Minimum Passage
Score for Placement into
College-Level Courses
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)
C. Class
Size
Grade Levels
Students per Class
Constitutional Goal
Actual
Pre-K through Grade 3
18 students
Grades 4 through 8
22 students
Grades 9 through 10
25 students
Section IV: School Personnel
A. Staff
Overview
Classification
Number
% of Total
School Staff
Administrators
Instructional Staff (full-time)
Instructional Staff (part-time)
Paraprofessionals
Clerical
Support Staff
Other Staff (List:
_____________________________)
______________
Consultants
B.
Certified Instructional Personnel
Certification Status
Number of
Teachers
% of Total Teachers
in School
Holding Florida Temporary Certificate
Holding Florida Professional Certificate
Teachers teaching in field of certification
Teachers teaching out of field of certification
2004-05 Charter School Annual Report
Page 5 of 10
C. Staff
Characteristics
Characteristic
Number
Teachers with Bachelor’s degree
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
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:
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 7 AND INSERT ADDITIONAL PAGES AS NECESSARY
There are _____ (#) additional pages of local goals attached to this report.
2004-05 Charter School Annual Report
Page 6 of 10
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:
2004-05 Charter School Annual Report
Page 7 of 10
Section V: Facilities –
A.
Current Facility Usage -
Summary Data
Number
Total Permanent Buildings
Total Relocatable Buildings
Total Permanent Student Stations
Total Relocatable Student Stations
Total Student Stations
Total Student Capacity
Total Permanent Classrooms
Total Relocatable Classrooms
Total Classrooms
Type Classrooms
Number
Total Elementary Classrooms
Total Middle Classrooms
Total Senior Classrooms
Total ESE Classrooms
Total Voc Ed Classrooms
Total Other Classrooms
Total Space
Number
Total Net Square Feet
Total Permanent Net Square Feet
Total Relocatable Net Square Feet
Total Instructional Net Square Feet
Total Capital Outlay FTE
Relocatable Facilities
Number
Total Relocatable Classrooms
Total Relocatable Units
Total Owned Units
Total District Owned Units
Total Leased Units
Total Rented Units
Capital Outlay FTE (COFTE)
Enrollment
Number
Total Elementary COFTE
Total Middle COFTE
Total Senior High COFTE
Total COFTE
2004-05 Charter School Annual Report
Page 8 of 10
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B.
Anticipated Future Facilities Plans
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):
C. Inspections
and
Audits
Attach a copy of Fire Code, Safety Inspection, and Financial Audit.
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.
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What percentage of your students rely on school provided transportation?
___________
B.
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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.
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Additional local goal sheets (as necessary)
2.
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Your 2004 school report card (printed according to directions)
3.
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Your 2004 FCAT performance report (printed according to directions)
4.
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Your 2004 AYP reports – both summary and detail reports (printed according to
directions)
5.
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Additional school personnel sheets (as necessary)
6.
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Your school inspection report by the school district and explanation of corrective
action plan, if necessary
7.
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Your school fire code inspection report and explanation of corrective action plan,
if necessary
8.
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Your school’s independent financial audit report and explanation of corrective
action plan, if necessary
9.
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FTE Projections for 2005-06 by grade level
2004-05 Charter School Annual Report
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Page 9 of 10
Section VI: Revenue and Expenditure Template
Revenues
Charter
(total)
Charter
(per student)
State Revenue
Florida Education Finance Program
Discretionary Millage Funds
Discretionary Tax Equalization Allocation
Transportation
Food Services
Discretionary Lottery Funds
Instructional Materials
Instructional Technology
Class Size Reduction
Teacher Training
Florida Teachers Lead Program Stipend
Other State Categoricals
Total State General Revenue
Special Revenue
Donations and Fundraising
Federal Charter School Grant
Total General & Special Revenue
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
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, 2005
postmark
deadline to the DOE.
Please contact Karen Hines-Henry at (850) 245-0502 or by email at karen.hines@fldoe.org you have
questions.
2004-05 Charter School Annual Report
Page 10 of 10