_________________________________________________ Return completed original to: FLORIDA DEPARTMENT OF EDUCATION Office of Independent Education CHOICE OFFICE and Parental Choice ? Florida Department of Education? 2004 – 2005 (850) 245-0502, SunCom 205-0502 ? (Instructions on Reverse Side) ? DISTRICT NAME: DATE: (1) Submission: ? Deadline – June 10, 2004 ? Revision/Update - #__ __/__ __ __ ? Deadline – September 3, 2004 Status SY C/ Name and Address School Grade Projected/Actual Enrollment School Contact Name and E-Mail Address (12) Mailing Address (13) Telephone and Fax Numbers (14) Code (2) Open (3) SDF and Facility Number (4) of Charter School (5) Number (6) Levels (7) Ele m.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
DOE Memorandums, Reports & Other Documents 
