Appendix B: Charter SELPAApplication Checklist
Checklist for Application Materials Membership to Desert Mountain Charter SELPA
Page 1 of 13 Copy of recent approved charter petition Fiscal data:
Copy of audit reports for last two fiscal years Copy of current Charter Management Organization (CMO) audit reports for last two years (only applicable if Charter Local Educational Agency (LEA) is part of a CMO) First Interim Financial Report including Cash Flow and Multi-Year Projection (MYP) (please provide narrative describing budget assumptions used in MYP) P-1 Certified Attendance Copy of School Accountability Report Card (SARC), if applicable List of credentials for all general and special education certificated staff (name, position, credential number, if highly qualified) List of non-credentialed staff providing instruction in non-core classes (such as consultants or specialists) Signed copy of federal assurances and SELPA additional assurances statement Proof of liability insurance Copy of Notice of Withdrawal from existing SELPA, if applicable School calendar (for application year) Sample Charter LEA Individualized Education Program (IEP) forms, if applicable List of any existing nonpublic school/nonpublic agency (NPS/NPA) contracts Copy of Memorandum of Understanding (MOU) between Authorizer and Charter School Detailed plan for service delivery Completed DMCS application packet
BP 2006 – Admission of LEAs to the Charter SELPA
Page 19
Desert Mountain Charter Special Education Local Plan Area (DMCS) (rev. 4/17)
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