Name of Charter School
All amendment requests must be made in or attached to a written resolution adopted by the governing body of the
Organizer and signed by the members voting in favor and a copy attached hereto.
For each requested amendment attach a photocopy of the current contract language to be changed (including
the text and page number), any previously approved amendments directly related to the subject matter of the
proposed amendment, the proposed contract amendment language and additional information and
supporting documentation, including a financial impact statement.
Additionally, requests must provide the rationale for the proposed amendment with specific details about how it will
improve school operations and/or increase student achievement. The rationale must address each of the affected
by stating how the amendment will positively impact each
affected Indicator.
Amendments, numbers 1 – 18 below, shall not require formal amendment of the Charter provided that written notice
of the change is received by the Office of Charter Schools (OCS) at least thirty (30) days in advance of the requested
effective date AND the Director of the OCS does not give written notice of objections to the change prior to such
effective date to the Organizer. Amendments requested under number 19 below require formal amendment pursuant
to Section 16 of the Charter.
1. School Calendar and School Day Schedule – Requested effective date:
2. Section 4.01, Mission – Requested effective date:
3. Section 4.06, Management Structure – Requested effective date:
4. Section 5.01, Curriculum and Instructional Methods – Requested effective date:
5. Section 5.02, Methods of Pupil Assessment – Requested effective date:
6. Section 5.11, Supplemental Programs – Requested effective date:
7. Section 5.12, Special Populations – Requested effective date:
8. Section 6.01, Staff Responsibilities (except changes which impact the Charter School's management
structure – Requested effective date:
9. Section 6.03, Personnel Plan (except changes which impact the Charter School's management
structure – Requested effective date:
10. Section 6.04, Teacher and Administration Evaluation Plan – Requested effective date:
11. Section 6.06, Teacher and Staff Compensation and Benefits – Requested effective date:
12. Section 6.08, Professional Development – Requested effective date:
13. Section 9.01, Transportation Plan – Requested effective date:
14. Section 10.01, Discipline Plan – Requested effective date:
15. Section 10.02, School Safety Plan – Requested effective date:
16. Section 10.03, Medication Policy – Requested effective date:
17. Section 10.04, Student Health Screenings – Requested effective date:
18. Budget and Financial Plan – Requested effective date:
19. Other Amendment to Charter – Requested effective date:
Description:
Signature of Board President or Designee Signature of Administrative Head of the School
Printed Name of Board President or Designee Printed name of Administrative Head of the School
Date: Date: