National Authorizer Annual Update

OMB No. 1855-XXXX
Expiration Date: XX/XX/XXXX

U.S. Department of Education
Office of Innovation and Improvement (OII)

CHARTER SCHOOL AUTHORIZER ANNUAL UPDATE
The National Charter School Resource Center and the U.S. Department of Education’s Office of Innovation and Improvement
are developing a national database of all charter authorizers and the schools they have chartered. This survey is designed
to gather information about reasons for charter school closures and renewals.
Answers to this survey and information gathered from public records will be entered into a publicly-available national
database and updated each year.
Your participation in this survey is important to inform federal and state efforts to support and strengthen charter school
authorizing.

We encourage you to complete this survey online. To do so, please go to {to be determined}
If you have any questions, please contact {to be determined}

Authorized Schools
1.
Please review the list of schools below and provide or circle the necessary information in the columns as indicated. If
you have chartered any schools not listed below, please add them in the empty rows at the bottom of the table. Please list
information for each school you authorize, even if multiple schools are operating under a single charter.
{Table will have school names preprinted for each authorizer}
What was
the end
date of the
last charter
term?
(mm/yy)

School
name

NCES
ID

What was
the
opening
date of this
school?
(mm/yy)

What is the
end date of
the current
charter
term?
(mm/yy)

Note: if the
school is still
in its first
term, please
leave blank
and skip the
next column
as well.

If the
school was
renewed/
recertified
at that
time, was
it on a
provisional
basis? (i.e.,
requiring
the school
to meet
conditions
for full
renewal)

Is this
school
closed? If
yes,
please fill
out
Question
2 for each
closed
school.

Is this school
an
alternative
school?*

If yes,
describe
population
served.

Is this a
cyber or
virtual
school?

Was this
charter
school
converted
from a
traditional
district
school?

If this
school is a
conversion,
was the
school
converted to
charter as
part of a
school
turnaround
effort?

Name 1

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Name 2

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Name 3

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Name 4

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Name 5

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Name 6

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Y

N

Add any missing or additional schools below:

* Alternative schools are defined as: schools serving a student population in which 80 percent or more of the students belong to at least one of the following categories: former
dropouts; students at high risk of dropping out; expelled students or those at high risk of expulsion; adjudicated youth, homeless youth; youth in, or transitioning from, foster care;
pregnant or parenting teens. Alternative schools do not include schools serving high percentages of low-income students or English language learners.

Schools no longer under your oversight, including school closures
2. Please provide the following, additional, information for any school that is no longer under your oversight.
Closure Information

School name

Reason for school no longer
operating under your authorizer
oversight

When was
the
decision
made to
close this
school?
(mm/yy)

What was
the
effective
closing
date of
this
school?
(mm/yy)

Type of closure (Circle one)

Reason for school
closure
(Please circle all
that apply)

1: School closed (please fill out
remaining sections to the right)
2: School moved under the oversight of
another authorizer
3: School converted back to traditional
district school status
4: School consolidated with another
charter school under your authorization
5: Other, please explain:

1: Non-renewal at end of charter term
2: Revocation of charter before end of
charter term as a result of regularly
scheduled high-stakes review process
3: Revocation of charter before end of
charter term, but not as a result of a
regularly scheduled high-stakes review
4: Voluntary closure/surrender of
charter

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
___________________
___________________

1: School closed (please fill out
remaining sections to the right)
2: School moved under the oversight of
another authorizer
3: School converted back to traditional
district school status
4: School consolidated with another
charter school under your authorization
5: Other, please explain:

1: Non-renewal at end of charter term
2: Revocation of charter before end of
charter term as a result of regularly
scheduled high-stakes review process
3: Revocation of charter before end of
charter term, but not as a result of a
regularly scheduled high-stakes review
4: Voluntary closure/surrender of
charter

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
___________________
___________________

1: School closed (please fill out
remaining sections to the right)
2: School moved under the oversight of
another authorizer
3: School converted back to traditional
district school status
4: School consolidated with another
charter school under your authorization
5: Other, please explain:

1: Non-renewal at end of charter term
2: Revocation of charter before end of
charter term as a result of regularly
scheduled high-stakes review process
3: Revocation of charter before end of
charter term, but not as a result of a
regularly scheduled high-stakes review
4: Voluntary closure/surrender of
charter

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
___________________
___________________

Note: If you have additional school information, please check here and attach additional pages that provide the information
requested in the table above.

Cautionary or Remedial Action Status
3. Please provide the following, additional, information for any charter school that you have placed under a cautionary or
remedial action in the past year.

School name

Was the action
taken as the
result of a
formal review?

Y

Y

Y

N

N

N

If yes, what type of
review?

Reason for
cautionary/remedial action
taken
(Please circle all that apply)

1: Review to inform
renewal process
2: High stakes review
outside of renewal process
3: Other, please
specify:________________

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
_______________________

1: Review to inform
renewal process
2: High stakes review
outside of renewal process
3: Other, please
specify:________________

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
_______________________

1: Review to inform
renewal process
2: High stakes review
outside of renewal process
3: Other, please
specify:________________

1: Academic
2: Compliance
3: Enrollment
4: Facilities
5: Financial
6: Governance
7: Other
_______________________

Please describe the action taken

Note: If you have additional schools under cautionary or remedial status, please check here and attach additional pages that
provide the information requested in the table above.

Renewal Process
4. Are all the charter schools that you authorize chartered/certified for the same length of time?
YES
If yes, what is the length of charters?

___________years

Is this time period legislated by your state charter law?

Yes

No

NO
If no, please describe how charter length is set for charter schools that you authorize:
____________________________________________________________________________
____________________________________________________________________________
5. Do you conduct high-stakes charter school reviews at any time other than during the renewal process? (e.g., if charter
terms are for 15 years, are high stakes reviews conducted every 5 years, with the possibility of closure as a result of the
review?)

YES
If yes, when do you conduct these reviews (e.g., every five years)?
_____________________________________________________________________
_____________________________________________________________________
Is this time period legislated by your state charter law?

Yes

No

NO

6. In what month, or time of the year, do you typically make charter renewal/recertification and closure decisions?
____________________________________________________________________
7. Do you allow automatic renewals/recertifications?

Yes

No

If yes, under what conditions? ______________________________________________________

8. Do you use a standard renewal/recertification protocol across all schools ?

Yes

No

Authorizer Standards and Practices

9. What is the total number of charter applications you have received since 2005 (or later, if your organization did not exist or
authorize charters at that time)?

___________________

10. Is there any additional information you would like to share?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

Contact Information
Please provide your contact information:
Name_______________________________________________________
Phone Number_______________________________________________
Email Address_______________________________________________
Backup Email Address________________________________________
Thank you for your time!
Please return this survey in the enclosed envelope by date 2011, or complete it online at url.
National Charter School Authorizer Survey
{return address to be determined}
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