SchoolLocationWithin District Notification

TheSchoolLocationWithin District Notification should becompleted iftheCharterSchoolneedsto changephysicaladdressof the school and is staying within the same school district. This notificationmust be submitted prior to the physical move.

Itisnotnecessarytofilethisnotificationtochangetheschool’sphone/faxnumber(s) onfilewith the PEC/CSD;rather,theschool’s head administratorshould emailthenewinformation to .

AnyschooliseligibletosubmitaSchoolLocationwithin District Notification.

A substantivelycompletenotificationsubmitted byaCharter School willbeplacedonthe consent agendaof aregular PECmeeting.

Any notification may be removed from the consent agenda either before the scheduled PEC meeting or during the scheduled PEC meeting. If an item is removed from the consent agenda and school representatives are not available, the item will be added for consideration at the next scheduled PEC meeting.

Ifyou have questions aboutcompletingtheformoruploading documents,contact the Charter Schools Division by emailing .Workthrough theform,filling in allrequired fieldsand attachments(denoted by"*").Besuretosaveyourwork,even ifyou aren'tprepared to submityourform,so thatyoudonotloseyourdata.

FormFields

Field / Instructions
CurrentAddress,PhoneNumber,and FaxNumber / Identify the current school address, phone number, and fax number.
Effective DateofChange* / Identifythedateonwhichthechangeisintendedto beimplemented.
New Physical Address / Identifythenewaddressatwhich theschoolwillbeoperating,including thestreetaddress,city,state,zip,phone,and faxnumber.Ifcompleteaddressisnotavailable,pleaseprovidecrossstreetsor parcelnumber.
NewMailing Address / Ifthisinformation isthesame asthephysicaladdress,checkthe“Sameasnewphysicaladdress”box.Ifnot,identify thenewaddressatwhichtheschoolwillbereceivingmail,includingthestreetaddress,city,state,zip,phone,and faxnumber.

Attachments

For furtherinformation regarding specificdocumentation requirements,seepages 6–15ofTheGuideand thesubstantivecompletenessrequirementsfound onpages4–6 oftheseinstructions.

Approved BoardMinutes*

Attach evidencethattheproposed changehasbeen approved bytheCharter school board.

Occupancy Documentation*

Fortheproposedfacility,clearlylabel andprovidethefollowingdocuments:

  • A CertificateofOccupancy,approvedforeducationaluse; OR an assurance that the school will not occupy any space until the school possesses a Certificate of Occupancy and provides the same to the CSD;
  • NMCI letter from the PSFA;OR an assurance that the school will not occupy any space until the school possesses a NMCI letter from the PSFAand provides the same to the CSD;
  • Documentation of the capacity load of the facility to document capacity that can sustain enrollment requested (hand-drawn images will not be accepted); and
  • Lease (as relevant), lease purchase agreement (as relevant), or purchase contract (as relevant) and an affidavit verifying compliance with legal requirements.

Copyof LiabilityInsuranceCoverage*

Attachappropriatedocumentation,whichmustidentifythecharter school requesting the move and agreement to provide coverage at the proposed site.

Narrative

Upload a narrativethatrespondstothefollowing prompts:

☐Providetherationaleformovingtheschooltoa newlocation.

□Provideadetailed descriptionof howtheCharter schoolwillmeettheenrollmenttargetsidentified in eachEnrollmentMatrixsubmitted.Includethefollowing:

  • A plan formeeting targets;
  • Necessaryadvertising and/orpromotion to meetthetargets;
  • Timelineforenrollmentat theschoolforwhich thenotificationhasbeen submittedandexplainstheprocessforcommunicating tothepublic.

□Providea description ofthemarketanalysisthatsupportsthesuccessfulenrollmentoftheprojected studentcount.Includethefollowing:

  • Othereducationaloptionsavailable to studentsin thetargetarea;
  • An explanationofneed fortheschool;and
  • Factualdatato supporttheneed.

☐(Iftheschoolismovingmore than 5 milesfrom itscurrentlocation)Discuss thepercentageofstudentsfromthepreviouslocationthathavecommitted to/areprojected toremain enrollmentatthenewlocation.Includethefollowing:

  • A description of the community engagement prior to the move that demonstrates support by a majority of the school community for the move;
  • Thepercentof studentsthattheCharter schoolprojectswillremain enrolled attheschoolafterrelocation;
  • Thefactualdatathatsupportsthisprojection; and
  • Theplan forensuring thetransitionof thesestudentstothenewlocation.

☐(Iftheschoolismovingmore than 5 milesfrom itscurrentlocation)Identifythetargetpopulationtheschoolwillserveattheproposed location.Demonstrateaclearunderstanding ofthefollowing:

  • Thestudentstheschoolintends to serve;
  • Howthepopulation issimilar to,ordifferentfrom,thepopulationcurrentlyserved bytheschool(s)operating underthecharter;
  • Whetherthestudentswillbeprimarilyneighborhoodor commuter;
  • A demographicprofileof thepopulation;and
  • Currentlevelof academicperformancefornearby schools.

AdditionalInformation

EnrollmentMatrix

Completeforeachschooloperated by thecharter,detailing thecurrentand targeted numberofstudentsserved pergradeforthesubsequentthreeFiscalYears.Additionally,completethe matrixfor theproposedschoolforitsfirstthreeyears.

An administrativelycompletenotificationincludes:

☐ / Approved BoardMinutes
  • Comply with OpenMeeting Law
  • Board alignswith whatiscurrently on filewith PEC/CSD

☐ / Occupancy Documentation
  • Certificate of Occupancy, approved for educational use OR required assurance; and
  • Documentation of the capacity load of the facility to document capacity that can sustain enrollment requested for new school or school site (hand-drawn images will not be accepted.

☐ / NMCI letter from the PSFA OR required assurance
☐ / Lease (as relevant), lease purchase agreement (as relevant), or purchase contract (as relevant) and an affidavit verifying compliance with legal requirements
☐ / Copy of liability insurance coverage
☐ / CompletedEnrollment Matrix
☐ / Narrative,addressing allprompts

SubstantiveCompletenessReview

Thefollowing checklistwillbeused todeterminesubstantivecompletenessforthisnotification.Each criterion (ifapplicable)willeitherbedeemed acceptableornotacceptable.

Review / Criteria
Approved Board Minutes / Approved BoardMinutesthat:
☐Indicatethatthenotificationhasbeen approved by the appropriateboard and isconsistentwith thesubmitted form
OccupancyDocumentation / ☐TheCertificateof Occupancy demonstrates the facility for the proposedschool is approved for E Occupancy OR required assurance.
☐Documentation to demonstrate sufficient capacity for requested enrollment cap for new school or school site.
☐The NMCI for facility for proposed school meets statutory requirements or required assurance
Lease Agreement,Lease Purchase Agreement, or Purchase Contract / ☐Documentation demonstrates an agreement fortheproposedfacility that complies with statutory requirements.
☐Affidavit is complete and raises no substantial concerns
LiabilityInsuranceCoverage / ☐Copyofcurrentinsurancepolicywith school’sname aspolicyholder/insured and agreement to provide coverage at proposed location.
EnrollmentMatrix / ☐An EnrollmentMatrixiscompleted forthecurrentand subsequentthreeFiscalYears.
☐ EnrollmentMatrixisconsistentwith information contained in all
applicablenarrativepromptsand accompanying attachments.
EnrollmentTargets(Narrative) / ☐Descriptionofenrollmentisconsistentwith thetargetsidentified in eachEnrollmentMatrixsubmitted.
☐Descriptionincludesthe following:
☐A plan formeetingtargets;and
☐Necessaryadvertising and/orpromotionto meet thetargets.
☐Timelineforenrollmentattheschoolforwhich thenotificationhasbeensubmitted isincluded andexplainstheprocessforcommunicating tothepublic.
☐Descriptionofthemarketanalysis,toincludethefollowing:
☐Othereducationaloptionsavailableto studentsin thetargetarea;
☐An explanationof needfortheschool;and
☐Factualdatatosupporttheneed.
☐EnrollmentJustification isconsistentwiththeinformation contained in allapplicablenarrativepromptsand accompanying attachments.
Rationale (Narrative) / Description includesthefollowing:
☐Rationaleforrelocating theschool; and
☐Rationaleisconsistentwith information contained in allapplicablenarrativepromptresponsesand accompanying attachments.
ReenrollmentPercentage
(Narrative—Morethan 5milesonly) / Responseincludesthefollowing:
☐A description of the community engagement prior to the move that demonstrates support by a majority of the school community for the move;
☐ThepercentofstudentsthattheCharter schoolprojectswillremainenrolled attheschoolafterrelocation;
☐Thefactualdatathatsupportsthisprojection; and
☐Theplan forensuring thetransitionof thesestudents to thenewlocation.
TargetPopulation
(Narrative—Morethan 5milesonly) / Responseincludesthefollowing:
☐Identificationof thetargetpopulation;
☐Howthetargetpopulation issimilarto,ordifferentfrom,thecurrentpopulation served by thecharter; and
□A specificstatementofthepopulation asprimarilyneighborhood orcommuterstudents.
Responseprovidesthetargetpopulation’s:
☐Demographicprofile; and
☐Currentlevelsof academicperformance(e.g.PARCCinformation and lettergrades).