10 Miss. Code. R. 402-1.3

Current through December 10, 2024

Rule 10-402-1.3 - [Effective until 12/16/2024] Executive Summary

Essential Information Form

Name of Proposed School

Conversion or New Start

Grade Configuration

Model or Focus (e.g., Arts, College Prep, etc.)

Proposed School District

Primary Contact Person (name, email)

Enrollment Projections:Delete unnecessary rows and/or provide additional columns if the school will not reach full enrollment by year five. Project student head count (not funded FTEs). Replace "Year 1" with the first year the school plans to enroll students and each subsequent year for five years total.

GRADE	Year 1	Year 2	Year 3	Year 4	Year 5
ECE
K
1
2
3
4
5
6
7
8
9
10
11
12
Total # students

Student Demographics: Based on the district in which the proposed charter school will be located, project the demographic makeup of the school. The projections for the total number of students who receive free lunch and/or special education services must satisfy the 80% rule as described in the Application Toolkit.

Free Lunch ONLY %	Students with Disabilities but not Free Lunch %	Total % Free Lunchand/or Students withDisabilities
District data
Minimum Required% to Satisfy 80%rule
Projected Demographics

Address the following questions briefly in a narrative format. Please use the outline numbering and headers provided below, but do not repeat the questions

I.Culture: What is the mission and vision of the school? What outreach has been conducted to engage prospective parents, teachers and pupils within this region? Discuss the need for the school in the community. Describe the anticipated culture of the school.

II. Leadership: What critical qualifications, credentials and attributes have been identified for the school leader? If a leader has been selected, please provide a short biography for that leader. What critical qualifications, credentials and attributes have been identified for the other members of the school leadership team? If the other members have been selected, provide a short biography for those leaders as well.

III. School Structure and Operations: Provide a high level overview of the school team's plan to recruit and enroll students. Describe the school facilities and how students will be transported.

IV.Education Program: Provide a brief overview of the education program of the proposed school, including major instructional methods, key program components and assessment strategies.

V.Instructional Staff: Explain how instructional effectiveness will be supported through evaluations and professional development.

VI.Governance: Briefly outline the role of the Board with regard to school governance and academic oversight. Explain the rationale for seeking charter status.

VII. Other:Provide an overview of any relationships with education service providers (if applicable). Provide an abbreviated rationale for converting a noncharter school into a charter school (if applicable). Discuss the academic achievement levels of any other schools being operated by the applicants (if applicable).

Expand the following table to list all proposed Board members for the school.

Name

Current ProfessionalTitle andOrganization

Board Role

Focus/Expertise

Finance: Complete the following table to summarize the detailed budget supplied in this application. Replace "Year 0" with the first year the proposed school plans to incur expenses, and "Year 1" with the first year the school anticipates receiving students, and each year thereafter for five years total. If there is no anticipated planning year, eliminate the column for "Year 0."

Year 0*	Year 1	Year 2	Year 3	Year 4	Year 5
Number of Students
Per Pupil Revenue
Federal Revenue
Grant Funds**
Private Funds**
Total Revenue
Salaries and Wages
Benefits and Employer Taxes
Materials and Supplies
Services and Other Operating Expenses
Facility Expenses
Other Expenses
Total Expenses
Net Operating Income
Beginning Fund Balance
Ending Fund Balance
*Year 0 refers to the startup year, if applicable. Per Pupil Revenue streams will not commence until Year 1, but there may be other sources of revenue and expense activity during the startup year. **For any grants, private funds, or other sources identified above, indicate whether the funding has been secured and any plans to secure future funding within the budget narrative and provide evidence as available as part of Attachment X.

Contracting with Education Service Providers (ESPs): Applicants seeking services from a third party ESP must indicate the extent to which the school may employ services through these organizations or corporations. Note: A charter school and any education service provider that provides comprehensive management for a charter school must be a nonprofit education organization.

a.Does the school expect to contract with an ESP or other organization for a substantial portion of school management/operation? (Y/N) If so, please provide a description or copy of the proposed contract, a recent corporate annual report, an audited financial statement, a description of the firm's responsibility for the fiscal management of the proposed school, and a summary of the company's history including a description of its past results in management efforts, as well as the background on its leaders. Please provide these documents as an attachment to this Executive Summary Narrative.

b. Is the applicant an existing operator applying to replicate its current school(s)? (Y/N)

If so, list all the schools currently or previously operated by the ESP. Briefly summarize the academic outcomes of each school currently being operated by the ESP.

Schools ESP Operates

Location (City/State)

Dates of Operation

10 Miss. Code. R. 402-1.3

Miss. Code Ann. § 37-28-15.