Desert Mountain Charter SELPA Policies and Procedures

APPENDIX B: Charter SELPA Application 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 Desert/Mountain Charter SELPA application packet

Chapter 11 – Admission of LEAs to the Charter SELPA, Charter SELPA

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As of 04/07/2017

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