1
School District: Implementation Year:
District Contact Person: Phone/Suncom:
Second Chance School Name: Address:
Second Chance School Contact Person: Phone/Suncom:
School Number:
1. District is requesting
❑
Second Chance School (SCS) status
only
(no waivers of statutes or rules requested)
❑
a waiver of a statute or rule ( SCS Application and
Request for
Waiver of
Florida Statutes
or Rules
, Form 661, are completed and attached.)
2. Students will be placed in a Second Chance School for the following reason(s):
❑
disruptive/violent behavior or committing serious offenses (Section 230.2316(3)(d)1,
Florida Statutes)
❑
habitual truancy (Section 230.2316(3)(d)3.a., Florida Statutes)
❑
in lieu of suspension or expulsion from school (Section 230.2316(3)(d)5.c., Florida
Statutes)
3. Second Chance School students are integrated with other students?
❑
Yes
❑
No
Application for Second Chance School Status
Division of Public Schools and Community Education
Bureau of Instructional Support and Community Services
200
2
-200
3
Section 230.2316(3), Florida Statutes
Department of Education
Charlie Crist, Commissioner
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4. Grade levels of students served? _____
5. Community partner(s), as required by Section 230.2316(3)(d), Florida Statutes, are identified
below.
❑
Department of Juvenile Justice
❑
local law enforcement (name/title: )
❑
state law enforcement (name/title: )
❑
other state agency (name/title: )
❑
private provider (name/title: )
6. Status of the cooperative agreement, which is required by Section 230.2316(3)(d), Florida
Statutes, and complies with the components in Section 230.23161(14), Florida Statutes, is
indicated below.
❑
open-ended
agreement
filed with Department of Education in 2000-2001
❑
new, time-limited agreement attached with this application
7. Describe the student eligibility cited in Section 230.2316(3)(d), Florida Statutes. If this is a
Department of Juvenile Justice facility, list the program type (diversion, detention, commit-
ment, or aftercare). If this is a commitment program, indicate the restrictiveness level.
8. Describe the educational program. What is the purpose? What is the duration? What are the
expected student outcomes?
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9. Explain what diagnostic and assessment procedures will be used to meet the needs, interests,
abilities, and talents of the eligible students.
10. Describe the curriculum in relation to requirements for grade level promotion and earning a
high school diploma. Include specific academic and vocational components.
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11. Describe the special strategies that will be used to deliver the curriculum.
12. Describe how student services will be utilized with these students and complement the
curriculum.
Note:
If the school district is requesting a waiver of some state statute or rule, the
Request for Waiver of Florida Statutes or
Rules, Form 661
, must also be completed.
