New School Incubator Intake Form
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New School Incubator Intake Form School Name
Lead Applicant Phon Name/role e
Key Partner(s) Phon e Name
Email Address District AuthOrize r
Date of submit
Email Address Specific Specific areas of expertise Support
Planning Team Information- School Background- What gave rise to the school, and what is its historical development?
NYCSA Planning Team Expertise Grid Charter School Development Team and Governing Board Expertise & Experience
Board Members AREA OF EXPERIENCE/EXPERTISE
Curriculum & Instruction Standards & Assessments Management & Leadership CPA Financial Management Legal Community/Public Relations Family Relations Staffing & Personnel/HR Organizational Development Facilities & Real Estate Specific School Programmatic Focus Fundraising
CONSTITUENCIES Community Organizations Business/Employers Higher Education Staff Families/parents Students Others
Names and brief descriptions of planning team members
Community Outreach—What stakeholders groups (community, advocacy, families, political, business, non profit, etc) have you reached out to? Do you have additional plans to outreach and solicit feedback or support from stakeholder groups, if so, what is it? School Information Aspect _______________________________response___________________________________________________ Mission Vision Distinctive • Aspects of Ed program Targeted Student Population Students/ Grades/ Enrollment Growth Community Support Strengths • Areas of concern •
Charter Application Information Section
Current Self
Specific Person (s)
Notes
Status Education Program Curriculum Instructional Strategies Assessment Program At-risk populations SpEd, ELL Curriculum Crosswalks Governance Budget And finance Startup and 5-yr op budget Technical and Legal review Compilation Of appendices Comprehensive Review for Coherence, Compliance, Substance
Assessed needs Capacity
responsible
Compilation of Appendices Appendix Discipline Policy Financial Controls Personnel Policies Job Descriptions Dissolution Plan Statutory Complaint Procedure Proposed Bylaws Proposed Staff Evaluations Curriculum Crosswalks Schedule Yearly and Daily Board
Current Self Specific Person (s) Notes Status Assessed needs responsible Capacity
Evaluation Tool
Lead Applicant Phon Name/role e
Key Partner(s) Phon e Name
Email Address District AuthOrize r
Date of submit
Email Address Specific Specific areas of expertise Support
Planning Team Information- School Background- What gave rise to the school, and what is its historical development?
NYCSA Planning Team Expertise Grid Charter School Development Team and Governing Board Expertise & Experience
Board Members AREA OF EXPERIENCE/EXPERTISE
Curriculum & Instruction Standards & Assessments Management & Leadership CPA Financial Management Legal Community/Public Relations Family Relations Staffing & Personnel/HR Organizational Development Facilities & Real Estate Specific School Programmatic Focus Fundraising
CONSTITUENCIES Community Organizations Business/Employers Higher Education Staff Families/parents Students Others
Names and brief descriptions of planning team members
Community Outreach—What stakeholders groups (community, advocacy, families, political, business, non profit, etc) have you reached out to? Do you have additional plans to outreach and solicit feedback or support from stakeholder groups, if so, what is it? School Information Aspect _______________________________response___________________________________________________ Mission Vision Distinctive • Aspects of Ed program Targeted Student Population Students/ Grades/ Enrollment Growth Community Support Strengths • Areas of concern •
Charter Application Information Section
Current Self
Specific Person (s)
Notes
Status Education Program Curriculum Instructional Strategies Assessment Program At-risk populations SpEd, ELL Curriculum Crosswalks Governance Budget And finance Startup and 5-yr op budget Technical and Legal review Compilation Of appendices Comprehensive Review for Coherence, Compliance, Substance
Assessed needs Capacity
responsible
Compilation of Appendices Appendix Discipline Policy Financial Controls Personnel Policies Job Descriptions Dissolution Plan Statutory Complaint Procedure Proposed Bylaws Proposed Staff Evaluations Curriculum Crosswalks Schedule Yearly and Daily Board
Current Self Specific Person (s) Notes Status Assessed needs responsible Capacity
Evaluation Tool
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