Application for an Open-enrollment Charter School - Fourth ...

TEXAS EDUCATION AGENCY

Application for an Open-enrollment Charter School - Fourth Generation (Resubmissionj

Coversheet

ype:

Open Enrollment _ _ __

(check one) "75% Rule"

__x_

Date of Submission: _April 7, 2000

Name of Proposed SChool: _A+ ACADEMY

Maximum Grade Levels to be served: _PRE-K -12_ _ __

Estimated 1" Year Enrollment _ _,300_ _ _ Max Enrollment _ _1500,_ __

Name of Sponsoring Entity: _RYLlE FAITH FAMILY ACADEMY, INC. _ __

!cheCk one:_X_ 501(c)(3) nonprofit organization

SBOE District: _12, 13

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- Governmental Entity

__ ______ ____ __ College or University

L -_ _~===-

~

~

Starting Date: _Aug 2000

~

Chairperson of Board of Sponsoring Entity: _Karen Belknap_ _ _ _ _ __

Chief Executive Officer of Sponsoring Entity: _ _Karen Belknap_ _ _ __

Chief Executive Officer of School: _ _ _ Donald Belknap________

Applicant Mailing Address: _10327 RYLIE ROAD, DALLAS, TX 75217_~__

School Site Address: _203 Palestine, Hutchins, TX,_ _ _ _ __

....... (If different from above)

Contact Phone # _(972) 557-1203

Contact Email Address:

Fax # _(972) 557-5807___ ,-

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I ce.-tify that I have the authority as the Chief Executive Officer of the sponsoring entity

designated above to make application for an open-enrollment charter school. I further

certify all information contained in this application is complete and accurate, realizing

that any misrepresentation could result in disqualification from the charter application

process or revocation after award. I authorize the agency to investigate the references

~~nature ~x~tive~;lcer ~/ lis~e~ I this applicati?n" !/., " ' of C;hi:f

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,I" Signatuf-e Ie:=; Application p-:parer

Of Sponsorin,g..E~tityl~at:

,", Was this person paid? _Yes _X_No

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Signature of Chairpers,on of Goverdiji~g Body of Sponsoring Entityldate

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350/04/07/00-039

00001

Proposed School Data

(This page not provided to review committee members.)

Projected Student Populations (indicate estimated percentages): _80__ Students "at risk of dropping out of school" _15__ Students requiring Special Education services _05__ Students of Limited English Proficiency _80__ Students of Economically Disadvantaged Families _70__ Minority Students

Will the school require all teachers to be certified? _NO_ _

Will the school require that all teachers be degreed with at least a bachelor's degree? _YES, EXCEPT IN SOME ENRICHMENT CLASSES_ _

Will the school allow an individual to serve as a paid employee of the school as well as

member of the governing board?

YES_ __

Will the school allow members of the same family to serve on the governing board? _ _YES,_ _

Has any member of the governing board or any professional person to be employed by the school

__NO_ Been convicted of a felony?

__NO_ Been convicted of a misdemeanor? __NO_ Been involved in bankruptcy?

Has the sponsoring entity been involved in __NO_ Litigation? __NO_ Sanctions from any state regulatorl agency?

If YES to any of the above the applicant must give full disclosure and list all instances completely as required in other portions of the application.

The application preparer has viewed the training video provided at the Regional Service

Center.

_X_yes

no

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