B. Indemnification of District C. Facilities D. Administrative Services Budget/Financial Plan A. Financial Statements B. First-Year Operational Budget C. Start-Up Costs D. Cash Flow and Financial Projections for first three years of operation. Addendum for Existing Providers (if applicable) Appendices Appx. A – Letter of Intent (*Recommended to be submitted to OCS prior to charter petition submission) Appx. B – OUSD’s 5 Pillars of Quality School Development Appx. C – Certification Statement Appx. D – Charter School Roster of Key Contacts Appx. E – Statement of Assurances Appx. F – Surrounding Schools & Demographic and Performance Data Appx. G – Instructional Minutes & Days Calculator Appx. H – State Priorities under LCFF Appx. I – District & Surrounding School Racial & Ethnic Demographics Appx. J – Meaningfully Interested Signatures Forms Appx. K – Due Diligence Questionnaire Appx. M – Exclusive Employer Declaration Electronic PDF copy of entire application Electronic copies of completed budget templates Additional Documents To Be Included In The Petition The following list of documents are included in the application. They should be embedded within the appropriate section of the petition outlined below and not included as a separate appendix. Document Name Section in the Application Applicant Check Reviewer Check Executive Summary and Overview Tables Executive Summary and Overview School Staffing Model and Rollout Element 4, Section B, Question 2
School- and Decision-Making Responsibilities Addendum for Existing Providers, Section B, Network Management, Question 3 Network-wide Staffing Addendum for Existing Providers, Section B, Network-wide Staffing, Question 1 Collective Measurable Pupil Outcomes (MPOs) Elements 2, Question 1 District Required Language Embedded throughout Petition Process & Review Stages Submission of New Charter Petition Requests for a new charter should be filed during Public Comment at a regularly scheduled OUSD Board of Education Meeting.
Address: [Insert specific address used as the center point of the two-mile radius] Data Type Subgroup [School Name] [School Name] [School Name] [School Name] [School Name] [School Name] (% of total enrollment) [YEAR] Eligible for Free/Reduced Priced Meals (FRPM) English Learners Students with Disabilities/ SPED (if available) Ethnicity #1 Ethnicity #2 Ethnicity #3 SBAC Performance (% of students meeting or exceeding standards) [YEAR] ELA Schoolwide Asian Filipino Native American/ Alaskan Native Native Hawaiian / Pacific Islander Two or More Races English Learners Students with Disabilities (SPED) Economically (FRPM) MATH Schoolwide Asian Filipino Native American/ American American
as applicable) FACILITIES MAINTENANCE State Priority #1: Basic Services Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ IMPLEMENTATION OF STATE CONTENT AND PERFORMANCE STANDARDS State Priority #2 Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ PARENT INVOLVEMENT State Priority #3 Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ STATEWIDE ASSESSMENTS State Priority #4: Student Achievement Annual (Identify Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________
schoolwide and subgroup as applicable) Academic Performance Index (API) State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ A-G Course/ CTE Course of Completion Rate(s) [High School Only] State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ English Learner Adequate Progress Rate State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________
ENGLISH LEARNER RECLASSIFICATION RATE State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ AP Examination Passage Rate [High Schools Only] State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ EAP College Preparedness Rate [High Schools Only] State Priority #4: Student Achievement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________
SCHOOL ATTENDANCE RATE State Priority #5: Student Engagement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ Chronic Absenteeism Rate State Priority #5: Student Engagement Annual (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ Dropout Rate[Middle and High Schools Only] State Priority #5: Student Engagement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ Graduation Rate[High Schools Only] State Priority #5: Student Engagement Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________
Student Suspension Rate State Priority #6: School Climate Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ Student Expulsion Rate Priority #6: School Climate Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________ LOCAL MEASURE(s) OF SCHOOL CLIMATE] State Priority #6: School Climate Annual Goals (Identify schoolwide and subgroup goals as applicable) Specific Annual Actions Measurable Outcomes Method for Measuring: _____________________