shekinah radiance academy
Transcription
shekinah radiance academy
APPLICATION ------:" Date of Receipt by TEA: Date of Comnriittee Review: "Dateibf :SBOE Review::- ,: Not Approved .-Beginning1 Date of Operation: Approved Application for Approval of an Open-Enrollment Charter Instructions: The open-enrollment charter proposal must be submitted in contractual form including, in the order of the items below, these same components. Attach the following after the answers to the questions below: (1) signed facilities agreement, (2) evidence of parental/community support for the proposed charter, and (3)documentation of non-profit status. Submit two copies of the completed application with attachments to the Texas Education Agency, Document Control Center, 1701 North Congress Ave., Austin, Texas 78701. For assistance, contact the Division of Charter Schools at (512) 463-9575. Chief Operating Officer of Proposed Charter: Cheryl Washinqon Name of Sponsoring Entity: Title: Superintendent Shekinah Learning Institute The applicant is an "eligible entity" under the following category (check one): an institution of higher education (TEC 61.003); X a tax-exempt organization [ 501 (c)(3)]; a private/independent institution of higher education (TEC 61.003); a governmental entity. Sponsor Address: Zip: _781Q9 P.O. Box 983 Phone Number:' 210-658-8887 Type of charter sought: (check only one ) City: Converse FAX: 210-658-8887 an open-enrollment charter under TEC12.1011(a)(1) an open-enrollment charter under TEC 12.1011 (a)(2) (75% rule) (applicants for this charter must complete additional question; #10 and sign the additional assurance'found on page 30.) ^k<?.kjVre.k Name of Proposed Charter School: Date of proposed opening: Ocj-o^^r' I 120/07/24/98-135 APPLICATION Charter Site Address: Zip: _ 4434 Roland Road_ Phone Number: Correspondence Address: _ City: _ Converse_ Grade Initial Est. Levels: (pz.tc- \1^ Enrollment: Citv: San Antonio 21Q-658-8887 FAX: _ 21 0-658-8887 P.O. Box 983_ __ „_ ___ ZIP: . 78109 Maximum Enrollment: So The charter will primarily serve an area that is geographically: _ X_ urban X suburban _ rural The proposed charter wiii be located in State Board District ^5 (number). In succinct terms describe the proposed school including grade levels offered, student populations served, educational focus and any other essential characteristics. For example, "The Seventh Avenue Charter School is designed to recover students who have dropped out of high school and prepare them through vocational training to be productive contributors to society." "Radiance" Academy of Learning is designed to meet the needs of the non traditiona! learner and to give students and parents a rewarding school experience which cuts back on school droo-outs and encourages and welcomes __ __ _ parent involvement._ Indicate the approximate percentage of each student population in as many categories as are applicable: f pre-kindergarten; 15 special education; migrant; 10 economically disadvantaged; gifted limited English proficiency; recovered dropouts; pregnant or parent students other 14 75 at risk of dropping out; .— APPLICATION The applicant for the proposed open-enrollment charter, if approved by the State Board of Education, agrees to operate the educational program described below in accordance with the provisions described within this document and the attached assurances. (1) Give the long range vision (5-10 years) and the goals (of at least the first year) of the school. The vision of the Shekinah "Radiance" Academy is to: 1) Teach and reach all aspects of our target community - students, parents, families, non-profit organizations, local businesses, national corporations, institutions, structures and environment. 2) Open, in year one, two learning academies which meet the academic and social needs of the elementary and secondary students and their families. 3) Operate, by year five, four learning academies out of one learning institute. These two additional academies will allow Shekinah students to continue in a high school program (the Career Plus Learning Academy for grades 9-12) and will allow community involvement in learning through an extended learning program (the Shekinah "Reach Program"). 4) Use each learning academy to teach to reach a different segment of the community - making individuals better able to flourish in today's ever- changing society. 5) Educate, train and rehabilitate skills and knowledge. 6) Reach and teach the today student, the today parent, the traditional and non-traditional adult learner, the business community and the elderly. 7) Open learning institutes, by year 10, in all areas of Bexar County so that no one who wants to learn is left out. 8) Have focused educational programs to meet the direct needs of •*" members of the particular area in which a learning institute is opened. 9) Develop a comprehensive program that involves parents, the elderly and other community members. The first year goals of the Shekinah "Radience" Academy are: a. Full enrollment before the first day of school. The number of students on the waiting list will dramatically increase as parents become aware of the exceptional program offered at no tuition. 14 OC3 APPLICATION Parents will know that the Radience Academy offers a safe, stable and nurturing environment for their children (i.e., free of gangs, peer pressure, drugs, guns, etc.). Parents will know that their children are being taught by teachers who are sincere about the quality of education provided. Instructors will be hired who are extensively trained and who have demonstrated the ability to relate to and effectively work with students of our target population. Parental involvement in the school and at home with the student's studies will be high. Attendance will be at least 90%. 14 OC4 APPLICATION (2) Describe the governing structure of the open-enrollment charter, including board composition, selection process and responsibilities. Also describe the role of administrators, faculty, parents, students, and community members in the leadership and decision-making of the school. This charter school will be governed by the Board of Directors (BOD) of Shekinah Learning Institute, a Texas corporation recognized by the Internal Revenue Service as a 501 c(3) non-profit organization. Board members have all been informed of the rights and responsibilities that the 501 c(3) board members are undertaking if granted this charter. The BOD will have the ultimate authority and responsibility for the successful operation of the school. The BOD will authorize the establishment of a sevenmember School Advisory Council (SAC) as a method of providing site-based decision making. Three of the members of the SAC will be appointed and four will be elected. The BOD and SAC will set school policy, ensuring that the mission of the school is upheld and governing the school in accordance with its bylaws, charter, and state and federal statutes. Integral to this function is the board's ongoing assessment of the school's programs, its processes and systems. Current BOD members, affiliations and responsibilities are shown on the next page: 14 OG5 APPLICATION Member A: Member A is currently employed at xxxxxxxxxxx as a xxxxxxxxxx. They also xxxxxxxxxxxxxxx and xxxxxxxxxxxx. Member B: Member C: 14 0GB APPLICATION The BOD will meet at least semi-annually. Board members are highly encouraged to attend all Board meetings, offer advice and suggestions for improvement to the school, participate in fundraising and foundational requests (solicitation of equipment, materials, supplies and funds) and to consistently promote Shekinah Radience Academy in the San Antonio area. The SAC will meet at least quarterly. Advisory members are highly encouraged to attend all meetings, offer advice and suggestions for improvement to the school, participate in fundraising and foundational requests (solicitation of equipment, materials, supplies and funds) and to consistently promote SRA in the San Antonio area. SAC members have not been appointed yet, but will include a diverse cross-section of the SRA community (such as educators, parents, community representatives, students and the elderly). The SAC members will have geographic, ethnic, and economic balance. All epresentatives will have direct input in the leadership and decision-making of the school. The SAC will appoint an Instructional Leadership Team made up of the various representative groups in the school. SAC members will understand that this is an Advisory Council and that the BOD has final authority over the operation of the charter school. Administrators, faculty, parents, students, and community members will be invited to participate in school-wide meetings to discuss the issues, concerns, needs and direction of the school. The Radience Academy will hold several Open Houses and public forums each year to inform the community of our accomplishments and to solicit input and information to add to SRA's quality. SRA will adhere to all aspects of the Open Meetings and Open Records Acts. As an example, the dates, times and agendas of all BOD and SAC meetings will be posted in a public place where they can be seen 24 hours a day at least 72 hours prior to the beginning of the meetings. Administrative staff will be composed of a) Superintendent/Principal (duties ^ include hiring and firing of staff, curriculum development and community development) and b) Office Manager (duties include secretarial work, tours of facility, interfacing with the public and attendance accounting). Faculty members will be informed of the challenges and opportunities inherent in this type of new initiative, including duties and hours that would not normally be required of teachers. Parental involvement will be a key to the success of SRA. Parents will be required to sign a contract that delineates the level of involvement that they will be required to maintain for their child to remain at Shekinah Radience Academy. 14 OC? APPLICATION Details of the contract will be developed by the SAC. More information about parental involvement at SRA is discussed in question 3. 14 OG3 APPLICATION (3) Describe the educational program to be offered, including the required curriculum under Texas Education Code (TEC) §28.002, and student attendance requirements: • Students wii! be expected to maintain 90% attendance throughout the school year, All curriculum will be aligned with the Texas Essential Knowledge and Skills (TEKS). We are not so much interested in a restructured school (starting at a different time, using computers more, have a nicer building, etc.). Instead we are interested in a reculturated school. By this we mean that we must work with all of the community stakeholders to develop a totally new school culture. This wii! be a culture of excellence, a culture that has high expectations, a culture where every child is valued, a culture in which every child knows that he or she can learn and is supported by his or her family. We will begin developing this culture even before our school opens. During our initial enrollment push, we will emphsize these ideas at every opportunity. We will use eclectic curriculum models, instructional delivery systems and school day formating - with the goal being to meet the individual needs and learning styles of each of our students. Our administrators and teachers will have at their disposal several philosophies from which to choose. These include: Standard Texas adopted textbooks and curriculum Saxon Math and Phonics f Core Knowledge '^ Man/a Collins and Expeditionary Learning and any other curriculum model that the teachers and administration decide will best meet the individual needs of our students. The following pages will breifly describe the methods, content, and philosophy of each of these. 14 QG9 Standard Texas Adopted Textbooks and Curriculum Most of the teachers that we will hire will have worked in traditional Texas public schools, some of them for many years. Also, many of our students will be most comfortable working with materials that they are familiar with. Therefore, these materials will be standard issue at Shekinah Radience Academy. Teachers can use them or can try some of the less mainstream materials described below. 14 QIC APPLICATION Saxon Math Why choose Saxon math? John Saxon explains: The Saxon philosophy is to teach the concepts first and allow the student to internalize the concepts by long-term practice with problems that were designed to teach the concepts. We contend that students who have automated the concepts and have automated the skills necessary to apply them can apply the concepts successfully and are able to solve "real-world problems" with ease. We contend that the teaching of concepts must precede the teaching of applications. We also contend that mastery of the fundamentals of algebraic manipulations is a prerequisite for problem solving. We know of many success stones of schools using Saxon programs. As an example, four schools in the Crowley district have opted to use the Saxon math program. The schools are listed below along with the date the textbooks were put into use and the schools' 1997 TEA rankings: •Bess Race Elementary •Meadcwcreek Elementary •Oakmont Elementary •Sycamore Elementary (95/96) (95/96) (97/98) (96/97) Exemplary Recognized Exemplary Recognized The next two paragraphs include descripions of the mathematics material that students using Saxon math in kindergarten and first grade, (as samples). Kindergartners will build skills including oraf counting, number recognition, and sequencing; identifying ordinal position; acting out addition and subtraction stones; counting with one-to-one correspondence; sorting; patterning; graphing real objects and pictures; identifying and counting pennies, dimes, and nickels; identifying one half; identifying shapes; covering and replicating geometric J designs; measuring using nonstandard units of measure; telling time to the hour; and using a calendar. Suggestions for learning center practice and extension activities are included. Grade 1 children will skip count by 1's, 2's, 5's, and 10's; compare and order numbers; identify ordinal position to tenth; identify a sorting rule; identify and extend patterns; solve routine and non-routine problems; master all basic addition facts and most of the basic subtraction facts; add two-digit numbers without regrouping; picture and name fractions; measure using inches, feet, and centimeters; compare volume, mass, and area; tell time to the half hour; count pennies, nickels, dimes, and quarters; identify and draw polygons; identify 14 Oil APPLICATION geometric solids; tally; and create, read, and write observations from real graphs, pictographs, and bar graphs. Saxon Phonics The next two paragraphs include descripions of the material that students using Saxon phonics in kindergarten and first grade (as samples) will cover. Phonics K begins by working with auditory discrimination skills to see if the children are aware of the different sounds of the English language and are ready to learn to read. When they are ready, the teacher begins by teaching the name, sound, and written form of each letter. In order to provide plenty of time for practice, one week is devoted to each letter. When a new letter is taught, students review all previously taught letters, as they do every day, to make sure they have enough exposure to master each letter. After learning three letters, the children begin to blend letters to create words and unblend words to spell. Children are never asked to read or write with sounds they have not been taught. Phonics 1 begins by teaching a new letter or letters every day, then reviewing those letters for as long as necessary. First-graders learn two letters, then begin blending words together to read, and unblending words to spell. As the children progress, they are given small take-home books (readers) that contain words with sounds they can blend. Comprehension tests are provided to monitor progress. Games and activities are provided to motivate the children having the least success. Each day the children review all previous learning and have a homework page for continued reinforcement. Spelling rules are taught so the children learn to spell by using knowledge instead of memorization only. Common suffixes and a few prefixes are taught. 14 012 APPLICATION Core Knowledge What is Core Knowledge? An idea. . . that for the sake of academic excellence, greater fairness, and higher literacy, elementary and middle schools need a solid, specific, shared core curriculum in order to help children establish strong foundations of knowledge, grade by grade. A Guide to Specific, Shared Content... as outlined in the Core Knowledge Sequence (a grade-by- grade guide to important knowledge) and supported in Core Knowledge resources, including the What Your Kindergartner - Sixth Grader Needs To Know book series. A School Reform Movement. . . taking shape in hundreds of schools where educators have committed themselves to teaching important skills and the Core Knowledge content they share within grade levels, across districts, and with other Core Knowledge schools across the country. Core Knowledge Is: Solid Many people say that knowledge is changing so fast that what students learn today will soon be outdated. While current events and technology are constantly changing, there is nevertheless a body of lasting knowledge that should form the core of a Preschool-Grade 8 curriculum. Such solid knowledge includes, for example, the basic principles of constitutional government, important events of world history, essential elements of mathematics and of oral and written expression, widely acknowledged masterpieces of art and music, and stories and poems passed down from generation to generation. Sequenced -v ^ Knowledge builds on knowledge. Children learn new knowledge by building on what they already know. Only a school system that clearly defines the knowledge and skills required to participate in each successive grade can be excellent and fair for all students. For this reason, the Core Knowledge Sequence provides a clear outline of content to be learned grade by grade. This sequential building of knowledge not only helps ensure that children enter each new grade ready to learn, but also helps prevent the many repetitions and gaps that characterize much current schooling (repeated units, for example, on pioneer days or the rain forest, but little or no attention to the Bill of Rights, or to adding fractions with unlike denominators). 14 01 APPLICATION Specific A typical state or district curriculum says, "Students will demonstrate knowledge of people, events, ideas, and movements that contributed to the development of the United States.11 But which people and events? What ideas and movements'? In contrast, the Core Knowledge Sequence is distinguished by its specificity. By clearly specifying important knowledge in language arts, history and geography, math, science, and the fine arts, the Core Knowledge Sequence presentsa practical answer to the question, "What do our children need to know?" Shared Literacy depends on shared knowledge. To be literate means, in part, to be familiar with a broad range of knowledge taken for granted by speakers and writers. For example, when sportscasters refer to an upset victory as "David knocking off Goliath," or when reporters refer to a "threatened presidential veto," they are assuming that their audience shares certain knowledge. One goal of the Core Knowledge Foundation is to provide all children, regardless of background, with the shared knowledge they need to be included in our national literate culture. The Core Knowledge Sequence The essential document for any Core Knowledge teacher or school, the Core Knowledge Sequence provides a detailed outline of specific knowledge to be taught in grades K-8 in Language Arts, American and World History, Geography, Visual Arts, Music, Math, and Science. The content specified in the Sequence complements the general skills and objectives typically found in state and local curiculum guides. An introductory essay discusses the research and consensusbuilding behind the Sequence and describes basic steps of implementing a Core Knowledge school program. Who Decided What's in the Sequence? The Core Knowledge Sequence is the result of research into the content and structure of the highest performing elementary school systems around the world, as well as extensive consensus-building among diverse groups and interests, including parents, teachers, scientists, professional curriculum organizations, and experts from the Core Knowledge Foundation's advisory board on multicultural traditions. Provisional versions of the Sequence were reviewed and revised by panels of teachers, and in 1990 a national conference was convened at which twenty-four working groups hammered out a draft sequence. This draft was fine-tuned during a year of implementation at Three Oaks Elementary in Ft. Myers, Florida. As more elementary schools adopt Core Knowledge, the Foundation seeks their suggestions based on experience in order to update the Sequence. 14 014 A Sample of the Core Knowledge Sequence (These excerpts represent only a very small and selective sampling. Please see the Core Knowledge Sequence for complete content guidelines.) KINDERGARTEN: VISUAL ARTS •Painting: line and color in such works as Matisse's The Purple Robe, Picasso's Le Gourmet, Mary Cassatt's The Bath, Henry 0. Tanner's The Banjo Lesson, and Diego Rivera's Mother's Helper. •Sculpture: Statue of Liberty, mobiles of Alexander Calder, Northwest American Indian totem pole FIRST GRADE: WORLD HISTORY Early Civilizations: Ancient Egypt •Importance of the Nile River •Pharaohs, pyramids, and mummies •Animal gods •Hieroglyphics SECOND GRADE: AMERICAN HISTORY Civil Rights •Susan B. Anthony and the right to vote -Eleanor Roosevelt and civil rights and human rights -Mary McLeod Bethune and educational opportunity -Jackie Robinson and the integration of major league baseball -Rosa Parks and the.bus boycott in Montgomery, Alabama -Martin Luther King, Jr. and the dream of equal rights for all -Cesar Chavez and the rights of migrant workers THIRD GRADE: MATH Fractions •Recognize fractions to one-tenth •Identify numerator and denominator •Write mixed numbers •Recognize equivalent fractions (for example, 1/2 = 3/6) •Compare fractions with like denominators using the signs <, >, and = Geometry •Identify lines as horizontal, vertical, perpendicular, parallel •Identify polygons: pentagon, hexagon, and octagon •Identify angles: right angle; four right angles in a square or rectangle •Compute area in square inches and square centimeters FOURTH GRADE: SCIENCE 14 015 APPLICATION Electricity -Electricity as the flow of electrons -Static electricity -Electric current •Electric circuits: closed, open, and short circuits -Simple circuit (battery, wire, bulb, filament, switch) -Conductors and insulators -How electromagnets work •Using electricity safely FIFTH GRADE: AMERICAN HISTORY AND GEOGRAPHY Westward Exploration and Expansion -Daniel Boone: Cumberland Gap and Wilderness Trail -The Louisiana Purchase: Lewis and Clark, Sacagawea -Land routes: Santa Fe Trail and Oregon Trail -American Indian resistance: Tecumseh attempts to unite tribes to defend their land -"Manifest Destiny" and conflict with Mexico SIXTH GRADE: LANGUAGE ARTS Fiction and Drama -Dr. Jekyll and Mr. Hyde -The Iliad and The Odyssey -Julius Caesar -The Secret Garden Writing and Research -Write a reserach essay, with attention to * asking open-ended questions * gathering relevant data through library and field research * summarizing, paraphrasing, and quoting accurately when taking notes * defining a thesis * organizing with an outline * integrating quotations from sources * acknowledging sources and avoiding plagiarism * preparing a bibliography Knowledge Builds on Knowledge We learn new knowledge by building on what we already know. Students in Core Knowledge schools know a lot, because they are offered a coherent sequence of specific knowledge that builds year by year. For example, in sixth grad^they should be ready to grasp the law of the conservation of energy because they' have been building the knowledge that prepares them for it, as shown in this selection from the physical science strand of the Core Knowledge Sequence: Kindergarten: Magnetism, the idea offerees we cannot see. Classify materials according to whether they are attracted to a magnet. First Grade: 14 015 APPLICATION Basic concept of atoms. Names and common examples of the three states of matter. Examine water as an example of changing states of matter in a single substance. Properties of matter: measurement. Second Grade: Lodestones: naturally occurring magnets. Magnetic poles: north-seeking and south-seeking poles. Magnetic fields (strongest at the poles). Law of attraction: unlike poles attract, like poles repel. Fourth Grade: Atoms: all matter is made up of particles too small to see. Atoms are made up of even smaller particles:'protons, neutrons, electrons. Concept of electrical charge: proton has positive charge; electron has negative charge; neutron has no charge. "Unlike charges attract, like charges repel" (relate to magnetic attraction). Properties of matter, mass, volume and density. The elements: basic kinds of matter. Fifth Grade: Atoms are constantly in motion; electrons move around the nucleus in paths called shells (or energy levels). Atoms form molecules and compounds. The Periodic Table: organizes elements with common properties. Sixth Grade: Kinetic and potential energy: types of each. Energy is conserved in a system. Heat and temperature. Three ways energy is transferred: conduction, convection, and radiation. Energy transfer: matter changes phase by adding or removing energy. Expansion and contraction. Benefits of Core Knowledge For Students •Provides a broad base of knowledge and a rich vocabulary -Motivates students to learn and creates a strong desire to learn more -Provides the knowledge necessary for higher levels of learning and helps build confidence For the School •Provides an academic focus and encourages consistency in instruction •Provides a plan for coherent, sequenced learning from grade to grade • Promotes a community of learners -- adults and children -Becomes an effective tool for lesson planning and communication among teachers and with parents •Guides thoughtful purchases of school resources For the School District 14 ,1 P * 7 J JL * APPLICATION •Provides a common focus to share knowledge and expertise -Decreases learning gaps caused by mobility -Encourages cooperation among schools to provide quality learning experiences for all students -Provides a strong foundation of knowledge for success in high school and beyond For Parents and the Community •Provides a clear outline of what children are expected to learn in school •Encourages parents to participate in their children's education both at home and in school 'Provides opportunities for community members to help obtain and provide instructional resources 14 013 APPLICATION 14 r•J A f 9^ APPLICATION (4) Describe the accountability measures the school will use to evaluate student performance. (a) Identify the specific levels of student performance on assessment instruments adopted under TEC Chapter 39, Subchapter B that constitute acceptable performance for the open-enrollment charter. Our TAAS results will demonstrate that any student who is completeing his or her first year at the Radience Academy has progressed at our school at a rate that is at least 30% faster than the rate he or she was achieving at the other schools attended. Also, TAAS results will show that 90% of the students at SRA gained at least one academic year per academic year in core subject areas. (b) Describe any additional accountability provisions in addition to those required under Texas Education Code, Subchapters B, C, D, and G, Chapter 39, by which the performance of the open-enrollment charter will be assessed: Provide the deadline or intervals by which the performance of the open-enrollment charter will be determined for accountability purposes: Organizational Assessment Students and parents will be regualry surveyed to determine their satisfaction with the various elements of the charter school. A program evaluation will be done two times per year. Formative evauations will be performed to determine the mid-year changes that need to be made and summative evaluations will be performed to make critical decisions, A well formulated plan for assessing student progress is essential in realizing the goals of the Radiance Academy of Learning. Assessment is ongoing and measures performance in"every area. The Radiance Academy of Learning uses three different types of assessment. 1) Objective Assessments: • • • • • Administered individually under controlled conditions Designed to assess specific content knowledge or skills Designed by faculty and/or other professionals Match content performance standards Include, but are not limited to standardized tests 1) Portfolio: 14 02;Q APPLICATION • • • • Involves student choice of best work Includes the student's self-evaluation Matches content and learner performance Evaluation of the portfolio gives an indication of the development of student's productivity 3) Exhibitions: • • Presentation and defense of student thought and expression before an audience Provide a basis for accountability, especially to the student but also to teachers, parents, and the community Ongoing internal audits of student performance will be used as reflective tools for the refinement and improvement of curriculum and instruction. Learner Performance Descriptions: a) Effective Communicator • • « • • Listens in order to meet the demands of various situations Verbally expresses thoughts clearly and coherently Reads and understands a wide variety of printed materials Produces writing that has purpose and meaning Uses appropriate technology for information access and analysis b) Self-Directed Learner • • • • Sets and manages progress toward goals Evaluates own progress toward goals Takes responsibility for own actions Creates and evaluates options * c) Collaborative Worker • • • Evaluates and manages self as a group member Demonstrates interactive communication and collaboration Demonstrates consideration for individual differences c) Complex Thinker • • Selects thinking processes appropriate to the situation Effectively accesses and integrates information 14 021 APPLICATION • Uses effective habits of the mind to resolve complex issues c) Community Contributor • • • Demonstrates knowledge about various segments of the community Plans and completes a community project Reflects on assets and the future of the community c) Quality Producer • • • Creates valid/useful products Creates products that reflect world-class craftsmanship Effectively uses various resources and technologies Performance criteria for evaluating the Radiance Academy of Learning is consistent with the Texas Education Agency performance standards. The Radiance Academy of Learning will meet the following student performance standards. Attendance Rates: Student's attendance will at least equal the area Independent School Districts average of a similar student population. Achievement; The goal of providing a sound academic and career focused education is supported by the use of objective assessments of progress. Assessment demonstrations wiil be oral (speeches, presentations, oral discussions) and written (tests, essays, research papers). TAAS: Percentage of students passing the TAAS test will be at least equal to that of the area Independent School District average of a similar student population. •f Graduation Rate: Radiance Academy of Learning will maintain a graduation rate at least equal to the area Independent School District's average of a similar student population. Post-secondary Success: Students attending post secondary instructional programs or placement in a quality workforce, will at least equal the area Independent School Districts. A five year follow-up with every student will be attempted todetermine post secondary success. A periodic survey will be taken of graduate1 semployers to determine if students were prepared for employment and what kinds of retraining occurred. 14 - r> f\ 0 tc. APPLICATION Drop-Out Rate: The drop-out rate of students will meet or be below that of the area Independent School Districts average for a similar student population. The Texas Essential Knowledge and Skills (TEKS) will be built into The Radiance Academy of Learning's largely interdisciplinary and integrated (core content areas, experience-based, human interaction sensibility, and selfknowledge) curriculum. Student achievement of the standards will be assessed using the TAAS examinations for grades 6-9 and the exit exam. Engaging and challenging interdisciplinary curricula, combined with real-world applications through Experience-Based Learning; a climate of caring; and a focus on persona] excellence will be the "hooks" that will draw students into an upwardly directed spiral of achievement. In addition, writing across the curriculum, oral communication, problem-solving, and higher-order and critical thinking wii! be normative. The charter school will use multiple means of assessing students. Authentic and performance-based assessments along with standardized assessments will be used. At the point of entry into the school, all students will be given a series of national standardized tests to establish a baseline of academic performance, learning styles, interest levels, and to identify special needs that should be provided to enhance academic success. The assessment results will serve as a baseline for where students are functionally and academically. Twice a year students will again be assessed and their progress monitored. These measures will serve continually to alert the school to any remediation that may be needed. (c) Provide the timelines by which the report of the performance of the school will be submittecUo the State Board of Education. ./ A year-end report will be submitted to the State Board within 90 calendar days of the conclusion of the fiscal year. 14 0 APPLICATION (5) Provide a list of all districts within the geographical area that may be affected by the open-enrollment charter with the date the Statement of Impact form was sent to each affected district. July 24, 1998 July 24, 1998 July 24,1998 July 24, 1998 July 24, 1998 July 24, 1998 July 24, 1998 Juiy24, 1998 July 24, 1998 July 24, 1998 Northside I.S.D. Northeast I.S.D. Judson I.S.D. Schertz-Cibolo-Universai City I.S.D. San Antonio I.S.D. South San Antonio I.S.D. Edgewood I.S.D. Harlandale I.S.D. Lackland I.S.D. East Central I.S.D. 14 0 APPLICATION (6) Describe the geographical area served by the program. The geographical area served by the Shekinah Radiance Academy is bounded by the contiguous school districts listed in question 5. These school districts are located in the vicinity of San Antonio, TX. The general area that we are serving is shown on the map on the next page. San Antonio is one of the largest cities in the United States. It offers many educational opportunities for our students. Some of these opportunities include the San Antonio Zoo, the San Antonio Botonical Gardens, Sea World and the Alamo. 14 (7) Specify any type of enrollment process to be used. (For admission to an open-enrollment charier school, the person operating the school may require the students seeking admission to complete and submit applications not later than a reasonable deadline the school establishes.) Indicate whether the open-enrollment charter provides for the exclusion of a student who has a documented history of criminal offense, juvenile court adjudication, or discipline problems under TEC, Chapter 37, Subchapter A: Founded upon the basis of serving al! students with a desire to learn, regardless of background, the school is designed to meet each individual child's needs. There are only two special requirements for acceptance into Shekinah Radiance Academy: 1. Each child must want to go to school, and 2. The student's parents must take an active role in their child's education. Our belief is that in order for a student to flourish, a cooperative relationship between parent and teachers must be established to foster self-confidence in a nurturing environment. Potential students and their parents will be required to attend an orientation session and/or a personal interview with the Superintendent. At the orientation or interview, rules, responsibilities and expectations will be clearly outlined. Students and parents will be required to agree to these stipulations and-to sign the appropriate Letter of Understanding. Students will be accepted based on the results of a lottery drawing, with a waiting list established after all available spaces are filled. The lottery will be conducted such that if one child from a family is enrolled in the school that other children of appropriate age from that same family will be offered enrollment. Shekinah Radiance Academy reserves the right to exclude students wJafc have a history of criminal offense, juvenile court adjudication, or discipline problems under TEC, Chapter 37, Subchapter A on a case-by-case basis. 14 APPLICATION (8) Specify the qualifications to be met by professional employees (administrators, teachers, counselors) of the program. Will the school automatically run a criminal history check on ail employees? Describe the teaching philosophy proposed by the school. Ail administrators, teachers and counselors will have a minimum of a Bachelor's degree from an accredited institution. Our staff will come from a wide variety of professions and backgrounds. A criminal background check will be run on all employees by the Texas Department of Public Safety. The Shekinah Teacher: Roles and Responsibilities The Shekinah teacher: 1. is the dynamic link between the student and the material to be learned. 2. is a systematic observer of the child and an interpreter of his or her needs. 3. is an experimenter, tailoring the environment to meet his perceptions of the child's needs and interests, and objectively noting the results. 4. is a programer, preparing the environment and keeping in perfect condition, adding to it and removing materials as needed. 5. is an evaluator, judging the effectiveness of his or her own work and the environment every day. He or she must also evaluate the progress of each child. 6. is a respecter and protecter of the child, He or she must know when to step in and set limits or lend a helping hand, and when it is in the child's best interests to step back and not interfere. 7. is a supporter, offering warmth, security, stability, and non-judgemental acceptance to each child. ~* ., **" 8. is a facilitator of communication among the children and of the child's effort to communicate with her. He or she must also interpret the child's progress and her work to parents, the school staff, and the community. 9. is a demonstrator, presenting clear, interesting and relevent lessons to the child. His or her role is to invite the child into spontaenous fascination with the materials through his or her demonstrations. 14 027 APPLICATION 10. is a consistent good example of desirable behavior for the children, following the ground-rules of the class herself, and exhibiting a sense of calm, consistency, grace and courtesy, and demonstrating respect for every child. 11. is a peacemaker, consistently working to teach courteous behaviors and conflict resolution. 12. is a diagnostician, able to interpret the patterns of diversity, and nonjudgmental acceptance to each child. 14 0 APPLICATION (9) Describe how the following aspects of school support will be handled in the school: finances, budgeting, audits, REIMS, facilities, food service, and transportation. . (a) Describe the process by which the governance structure of the open- enrollment charter will adopt an annual budget: The fiscal year for the charter school will be from September 1 - August 31. In April of each year, the Board of Directors will appoint a Budget Committee composed of at least three members. The Committee will be composed of administators, faculty, parents, students, and/or community members. The Committee will review expenses and revenues of the current year, will interview parents and teachers regarding needs for the coming year and will prepare a preliminary budget. This budget will be submitted to the Board for review and revision by June 30. A "final" budget will be prepared by the Committee and submitted to the Board by July 31. (b) Submit a proposed budget as an attachment to this application using the budget template provided. Explain how the school will conduct its business office, with what personnel. See the proposed budget on Attachment C. Most of the functions of a traditional business office, the "back-office" services of the charter school, will be outsourced. We anticipate joining the Texas Alliance for Charter Schools. This organization will handle all aspects of the business office, including: Budget preparation and management Accounting to TEA standards "• Accounts payable disbursements Payroll preparation Payroll service Cash flow monitoring State, local and federal reporting - financial and student data Monthly reporting to the Teacher Retirement System Full PEiMS reporting Attendance accounting and compliance Consultation/procurement for health, property/casualty, liability and E/0 insurance Financial accounting software , ^ 14 029 APPLICATION Monthly reports to 501 c(3) Board In-person updates to 501 c(3) Board, as required Employee benefits procurement Telephone, fax and e-mail support ADDITIONAL SERVICES AVAILABLE ON AN AS-NEEDED BASIS Grant Writing School's requisition software Human resource management Personnel files Background checks Employee benefits oversight ADA compliance FMLA compliance Facility consultation Compliance monitoring E rate application Procurement management for equipment and supplies Outsourcing of food service Outsourcing of student transportation Outsourcing of custodial services 14 ... 030 APPLICATION (c) Describe the manner in which an annual audit of the financial and programmatic operations of the open-enrollment charter will be conducted. The Board of Directors will select a Certified Public Accountant (CPA) in August of each year to complete an audit by December 31.. We anticipate that this will be a CPA who has audited Texas public schools previously, such as Carl Searles or Faske, Lay, both located in Austin, Texas. An independent evaluator will be selected annually to conduct an audit of programmatic operations. This might be a university professor with expertise in evaluating educational programs, it might be a retired Texas Education Agency (TEA) professional with similar expertise or it might be any number of other highly-qualified professionals. 14 031 (d) Describe the manner in which the charter will participate in the Public Education Information Management System (REIMS) information, as required by state statute or by State Board of Education rule. SRA will fully and timely participate in the Public Education Information Management System, including the reporting of organization data, finance data, staff data and student data. We will purchase any specialized software necessary for PEIMS submission, probably from the Education Service Center (ESC). We will work closely with the Education Service Center to be sure that our data is submitted in a timely manner. We expect the data to be submitted according to the following schedule: Fall (1st) Submssion: Date Due to ESC Due to TEA Resubmit Student and Staff Demographics And This Year's Budget 11/24 1/22 12/10 Submssion:. Due to ESC Du 1/22 Last Year's Revenues And Expenses 2/5 3/5 (Note: The MidYear submission is not required for charter schools in year one. It is not applicable.) 6/1 1 Student Attendance Info 6/25 7/29 We hope to submit our data to the ESC at least a week before the "Due to ESC" date. 14 032 (e) Describe the facilities to be used: If the facility to be used for an openenrollment charter school is a facility of a school district, describe the terms established by the board of trustees or other governing body of the district stipulating the relationship between the proposed charter school and the district pertaining to the use of the facility. Attach a copy of the agreement, or pending agreement, signed by the president of the board of trustees or other governing body of the school district, the chair or president of the governing body of the proposed open-enrollment charter school, and the chief operating officer of the proposed charter. If the facility is not operated by a school district, attach a copy of the agreement, or pending agreement, signed by the entity owning and operating the facility and the chief operating officer of the proposed charter. The SBOE will not consider an application that does not have an agreement of some sort for a building. Shekinah Radiance Academy will always be kept in immaculate condition. The facility will be open, bright and colorful. Natural sunlight will abound in the classrooms. The students and parents will assist in upkeep and decoration of the facility. Shekinah Radiance Academy will be located at 4434 Roland Road in San Antonio, TX. A signed lease agreement is attached. A layout of the grounds is shown on the next page. 033 APPLICATION (f) Describe provisions for transportation, if any, for students served by the open-enrollment charter school: Shekinah Radiance Academy will not provide transportation to and from school. We anticipate that most students will commute via personal vehicle or foot. We feel it is critical to make the opportunities available at our school to the largest number of students, regardless of their access to cars and other transportation, so the SAC will investigate ways of facilitating children getting to school, including car pools and other innovative solutions. If after opening it is deemed necessary to provide transportation, the Board of Directors will approve a bus route and scheduling system that meets the needs of the majority of our students. This will be disseminated to parents and students after approval. 14 APPLICATION (g) Describe provisions for food service, if any, for students served by the open-enrollment charter school. Shekinah Radiance Academy wiil not participate in the Federal Free-Lunch program, except to the extent necessary to comply with applicable rules and regulations {such as making breakfast available if more than 10% of our students qualify for free or reduced lunch). 14 APPLICATION Appendix A FACILITY USE AGREEEMENT 14 APPLICATION OPEN-ENROLLMENT CHARTER SCHOOL FACILITIES LETTER OF INTENT Lessor (Owner): Lessee (Tenant): iiibi I c C <Jne/tjj-?& _Lo C /?//?$ Use: Premises: fifr s? address square footage Terms of Lease n/ . -FT~. Rental Amount Contingency: The terms of this letter of intent are contingent upon _ '_ (sponsoring entity) receiving a charter to operate an open-enroilment charter school from the State Board of Education by 1998. Lessee: Lessor // Date: 7 51 037 ii 701-98-01 6 Appendix B EVIDENCE OF PARENTAL AND COMMUNITY SUPPORT 14 033 Yes, I am excited about the possibility of Sbekinab Learning Institute opening a Shekinah "Radiance" Academy of Learning in San Antonio. I want to learn more about enrollment procedures, about being on the Advisory Board, and/or about how I might be able to assist the school. Please put me on your mailing/phone list and update me on the status of the Shekinah "Radiance" Academy of Learning. IP(Interested Parent) IS(Iaterested Student) IV(Iiiterested Volunteer) ICA(Interested Comm. Adv.) Printed Name /Signature Address & Phone InL/Position 033 APPLICATION Yes, I am eicited about the possibility of Shekinab Learning Institute opening a Shekinab "Radiance" Academy of Learning in San Antonio. I waot to learn more about enrollment procedures, about being OQ the Advisory Board, and/or about how I might be able to assist the school. Please put me on your mailing/phone Hat and update me on the status of the Shekiaah "Radiance" Academy of Learning. tP(Interested Parent) IS(Interested Student) rV(Interested Volunteer) 1CA(Interested Comm. Adv.) Printed Name Signature Address & Phone Int/Position 040 APPLICATION Yes, I am excited about the possibility of Shekinah Learning Institute opening a Shekinab "Radiance" Academy of Learning in Sac Antonio. I waot to learn more about enrollment procedures, about being on the Advisory Board, and/or about how I might be able to assist the school. Please put me on your mailing/phone list and update me oo the status of the Shekinah "Radiance" Academy of Learning. IPCInterested Parent) IS(Iaterested Student) IV(Interested Volunteer) ICA(Interested Comm. Adv.) Address & Phone lot/Position 04i APPLICATION Shekinah Learning Institute (Shekinah "Radiance" Academy of Learning) Vision: Shekinah "Radiance" Academy of Learning is a school with a now Vision that Speaks of Tomorrow. We teach to reach and transform the heart, mind, and soul of the individual learner. Our target consumer is the "family." Our school of academic excellence and leadership training is what's needed today to turn society around for tomorrow. Nameoflat Person(s) Occupation Child(ren)/Ages APPLICATION Yes, I am excited about the possibility of Shekinah Learning Institute opening a Shekinab "Radiance" Academy of Learning in San Antonio. I want to learn more about enrollment procedures, about twing on the Advisory Board, and/or about haw I might be able to assist the school. Please put me on your mailing/phone list and update me on the status of the Shekinah "Radiance" Academy of Learning. EP(Interested Parent) IS(Interested Student) rV'(Interested Volunteer) ICA(Interested Comm. Adv.) Printed iName Sinature Address & Phone InL/Position APPLICATION Shekinah Learning Institute (Shekinah "Radiance" Academy of Learning) Vision: Shekinah "Radiance" Academy of Learning is a school with a now Vision that Speaks of Tomorrow. We teach to reach aod transform the heart, mind, and soul of the individual learner. Our target consumer is the "family." Our school of academic excellence and leadership training is what's needed today to turn society around for tomorrow. Name of Int. Person(s) Occupation ChiId(reaVAges 044 APPLICATION Yes, I am excited about the possibility of Shekinab Learning Institute opening a Shekinau "Radiance" Academy of Learning in San Antonio. I want to learn more about enrollment procedures, about being on the Advisory Board, and/or about how I might be able to assist the school. Please put me on your mailing/phone Hat and update me on the status of the Shekinah "Radiance" Academy of Learning. IPCInterested Parent) IS(Interested Student) IV{Intere5ted Volunteer) lCA(Interested Comm. Adv.) Printed Name Signature,i Address & Phone Int/Positioa oJL/*f* J APPLICATION Yes,! am excited about the possibility of Shekicab Learning Institute opening a Sbekinab "Radiance" Academy of Learning ia San Antonio. I want to learn more about enrollment procedures, about being on the Advisory Board, and/or about bow I might be able to assist the school. Please put me on your mailiog/phoae list and update me OQ the status of the Shekinah "Radiance" Academy of Learning, EP(Interested Parent) rV(Interested Volunteer) ICAflnterested Comm. Adv.) Printed Name Signature Address & Phone lot/Posit ion 046 APPLICATION Yes, I am eicited about the possibility of Shekiaah Learning Institute opening a Shekinah "Radiance" Academy of Learning in San Antonio. I want to learn more about enrollment procedures, about being on the Advisory Board, and/or about how I might be able to assist the school. Please put me on your mailing/phone list and update me on the status of the Shekioah "Radiance" Academy of Learning. IP(Iiiterested Parent) IS(Interested Student) IV(Interested Volunteer) ICA(tnterested Comm. Adv.) Printed Name Signature Address & Phone IntJPosition 047 APPLICATION Appendix C BUDGET 14 i~\ * O 'j *i 0 APPLICATION Budget Worksheet for Charter Schools: Year One Overview Object Code Total Net Assets at Beginning of Year Estimated Revenues: Local Sources State Sources Federal Sources Other Sources Total Estimated Revenues Estimated Expenses: Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense O 6100 6200 a 6300 6400 6500 Total Estimated Expenses Gains Losses 7950 8950 Change in Net Assets Net Assets at End of Year 049 43 APPLICATION Charter School Budget Categories Expenses Function Total Code 11 Instruction: Payroll Costs 6100 _ Professional and Contracted Services Supplies and Materials ;.:__ ^__«._ *•/".•= \Debt Expense ..,< Object Code .M ^ 6200 _ 6300 _ Pril"-'^ -StO C-T- 6500 £2_ 6100 6200 C_ Total Instruction Instructional Resources and Media Services: Payroll Costs Professional and Contracted Services 12 Supplies and Materials 6300 Other Operating Costs Debt Expense 6400 6500 — 6100 _ 6200 _ Total Instructional Resources and Media Services Curriculum Development and Instructional Staff Development: Payroll Costs 13 • Professional and Contracted Services Supplies and Materials \ Other Operating Costs Debt Expense 6300 _ 6400 _ 6500 Q. Total Curriculum Development and Instructional Staff Development Instructional Leadership: 21 Payroll Costs Professional and Contracted Services 6100 __ 6200 __ Supplies and Materials 6300 __ Other Operating Costs 6400 __ 44 0 6500 Debt Expense Total Instructional Leadership School Leadership: Payroll Costs Professional and Contracted Services Supplies and Materials 23 6100 6200 6300 6500 Debt Expense Total School Leadership 45 0 Charter School Budget Categories (Continued) Guidance, Counseling and Evaluation Services: Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense Function Code 31 Object Code Total 6100 6200 6300 6400 6500 Total Guidance, Counseling and Evaluation Services Social Work Services: (Optional) Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense 32 6100 6200 n 6300 6400 6500 o 6100 6200 loo Total Social Work Services Health Services: Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense 33 6300 6400 6500 o Total Health Services Student Transportation: (Optional) Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense 34 6100 6200 6300 6400 6500 46 . J »J i— Total Student Transportation Food Services: (Optional) Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense 35 6100 O 6200 n 6300 6400 6500 O n o Total Food Services 47 053 APPLICATION Charter School Budget Categories (Continued) Co-curricular/Extracurricular Activities: (Optional) Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense Function Code 36 Object Code Total 6100 6200 n 6300 6400 6500 o_ 6100 6200 o_ Total Co curricuIar/Extracurricuiar Activities General Administration Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense i Total General Administration 41 Plant Maintenance and Operations: 51 6300 6400 6500 Payroll Costs 6100 6200 Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense O 6300 6400 6500 Total Plant Maintenance and Operations Security and Monitoring Services: (Optional) 52 Payroll Costs 6100 6200 Professional and Contracted Services 48 054 APPLICATION Supplies and Materials Other Operating Costs Debt Expense 6300 6400 6500 o_ 0 Total Security and Monitoring Services Data Processing Services: Payroll Costs Professional and Contracted Services Supplies and Materials Other Operating Costs Debt Expense 53 6100 6200 O 6300 6400 6500 Q_ O O Total Data Processing Services 49 APPLICATION Appendix D EVIDENCE OF STATUS AS EL1GIBILE ENTITY 74 RFA# 701-98-016 055 INTERNAL REVENUE SERVICE DISTRICT DIRECTOR P. O. BOX 2508 CINCINNATI, OH 452Q1 Date: JAH ««» SHEKINAH LEARNING INSTITUTE C/O CHERYL A. WILLIAMS-WASHINGTON P.O. BOX 933 CONVERSE, TX 7B1Q9 DEPARTMENT OF THZ TREASURY Employer Identification Number: 74-2823746 DLN: 17053305764007 Contact Person: D. A. DOWNING Contact Telephone Number: (513) 241-5199 Accounting Paricc. Ending: May 31 Form 990 Required: Yes Addendum Applies: Yes Dear Applicant: Based on information supplied, and assuming your operations will be as stated in your application for recognition of exemption, we have determined you are exempt from federal income tax under section 501(a) of the Internal Revenue Code as an organization described in section 5Ql(c)(3). We have further determined that you are not a private foundation within the meaning of section 509(a) of the Code, because you are an organization described in sections 509(a)(l) and 170(b)(1)(A)(ii). If your sources of support, or your purposes, character, or method of operation change, please let. us know so we can consider the effect of the change on your exempt status and foundation status. In the case of an amend ment to your organizational document or bylaws, please send us a copy of the amended document or bylaws. Also, you should inform us of all changes in your name o r addr ess. . . . - " . As of January 1, 1994, you are liable for taxes under the Federal Insurance Contributions Act (social security taxes) on remuneration of $100 or more you pay to each of your employees during a calendar year. You are not liable for the tax imposed under the Federal Unemployment Tax Act (FUTA). Since you are not a private foundation, you are not subject to the excise taxes under Chapter 42 of the Code. However, if you are involved in an excess benefit transaction, that transaction might be subject to the excise tjaxes of section 4958. Additionally, you are not automatically exempt from other federal excise taxes. If you have any questions about excise, employment, or other federal taxes, please contact your key district office. Grantors and contributors may rely on this determination unless the Internal Revenue Service publishes notice to the contrary. However/ if you lose your section 509(a){l) status, a grantor or contributor may not rely on this determination if he or she was in part responsible for, or was aware of, the act or failure to act, or the substantial or material change on the part of the organization that resulted in your loss of such status, or if he or she acquired knowledge that the Internal Revenue Service had given notice that you would no longer be classified aa a section 509(a)(l) organization. Letter 947 (DO/CG) 557 APPLICATION -2 SHEKINAH LEARNING INSTITUTE Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for federal estate and gift tax purposes if they meet the applicable provisions of Code sections 2035, 2106, and 2522. Contribution deductions are allowable to donors only to the extent that their contributions are gifts, with no consideration received. Ticket pur chases and similar payments in conjunction with fundraising events may not necessarily qualify as deductible contributions, depending on the circum stances. See Revenue Ruling 67-246, published in Cumulative Bulletin 1967-2, on page 104, which sets forth guidelines regarding the deductibility, as chari table contributions, of payments made by taxpayers for admission to or other participation in fundraising activities for charity. In the heading of this letter we have indicated whether you must file ?orm 990, Return of Organization Exempt From Income Tax. If Yes is indicated, you are required to file Form 990 only if your gross receipts each year are normally more than 325,000. However, if you receive a Form 990 package in the mail, please file the return even if you do not exceed the gross receipts test. If you are not required to file, simply attach the label provided, check the box in the heading to indicate that your annual gross receipts are normally 525,000 or less, and sign the return. If a return is required, it must be filed by the 15th day of the fifth month after the end. of your annual accounting period. A penalty of $20 a day is charged when a return is filed late, unless there is reasonable cause for the delay. However, the maximum penalty charged cannot exceed $10,000...or 5 percent of your gross receipts for the year, whichever is less. For organizations with gross receipts exceeding $1,000,000 in any year, the penalty is 5100 per day per return, unless there is reasonable cause for the delay. The maximum penalty for an organization with gross receipts exceeding $1,000,000 shall not exceed $50,000. This penalty may also be charged if a return is not complete, so be sure your return is complete before you file it. You are required to make your annual return available for public inspection for three years after the return is due. You are also required to make available a ccpy of your exemption application, any supporting documents, and this exemption letter. Failure to make these documents available for public inspection may subject you to a penalty of $20 per day for each day there is a failure to comply (up to a maximum of $10,000 in the case of an annual return). You are not required to file federal income tax returns unless you are subject to the tax on unrelated business income under section 511 of the Code. If you are subject to this tax, you must file an income tax return on Form 990-T, Exempt Organization Business Income Tax Return. In this letter we are not determining whether any of your present or proposed activities are unre lated trade or business as defined in section 513 of the Code. Letter 947 (DO/CG) APPLICATION -3 SHEKINAH LEARNING INSTITUTE You need an employer identification number even if you have no employees. If an employer identification number was not entered on your application/ a number will be assigned to you and you will be advised of it. please use that number on all returns you file and in all correspondence with the Internal Revenue Service. Revenue Procedure 75-50, published in Cumulative Bulletin 1975-2 on page 537, sets forth guidelines and recordkeeping requirements for determining whether private schools have racially nondiscriminatory policies as to students. You must comply with this revenue procedure to maintain your tax-exempt status. This ruling is based on the understanding that the Board of Directors will be non-salaried and will not be personnel or to parties providing services. It is also standing that salaried individuals cannot vote on their that compensation decisions will be made by the board. majority of your related to salaried based on the under own compensation and Thia determination is based on evidence that your funds are dedicated to the purposes listed in section 501{c)(3) of the Code. To assure your continued exemption, you should keep records to show that funds are expended only for those purposes. If you distribute funds to other organizations, your records should show whether they are exempt under section S01(c)(3). In cases where the recipient organization is not exempt under section 501(c)(3), there should be evidence that the funds will remain dedicated to the required purposes and that they will be used for those purposes by the recipient. If distributions are made to individuals, case histories regarding the recipients should be kept showing names, addresses, purposes of awards;'" manner of selection, relationship (if any) to members, officers, trustees or donors of funds to you, so that any and all distributions made to individuals can be substantiated upon request by the Internal Revenue Service. (Revenue Ruling 56-304, C.B. 1956-2, page 306.) If we have indicated in the heading of this letter that an addendum applies, the enclosed addendum is an integral part of this letter. Because this letter could* help resolve any questions about your ,exempt status and foundation status, you should keep it in your permanent records; Letter 947 (DO/CG) 059 APPLICATION SHEKINAH LEARNING INSTITUTE If you have any questions, please contact the person whose name and telephone number are shown in the heading of this letter. District Director Enclosure(3): Addendum Letter 947 (DO/CG) < 6 •) APPLICATION _ e SHEKINAH LEARNING INSTITUTE Future publications of your annual NOTICE OF NONDISCRIMINATORY POLICY AS TO STUDENTS must fully satisfy in all respects the requirements set forth in Revenue Procedure 75-50. The initial publication of this notice made during the processing of your application for tax exemption was deficient in the column length requirement. The requirement is three column inches, and your ad was only two column inches. Future publications of the notice must be correct in terms of font size and type, column length, and appropriate location of the notice in a general circulation newspaper which reaches all racial segments of your community. This determination of your exempt status under section 501(c)(3) requires your full compliance with this requirement. Letter 947 (DO/CG) 061 APPLICATION for |RS U«« Only User Fee for Exempt Organization Determination Letter Request 8718 Iflov January 1996) Control i-njrnrj«r * Attach this form to determination letter application. jForm 6718 is NOT a determination latter application.) Amount DaiO 2 Employer Identification Number t Name of organisation SHEKINAH LEARNING INSTITUTE 74 :2823746 Caution? £)<£ no? attach Form 3 7 / 8 fo an application for a pension plan determination letter. Use Form 8717 instead. Type of request Fee a l_1 Initial request for a determination letter for: • An exempt organization that has had annual gross receipts averaging not more than $10,000 during the preceding 4 y<jars, or • A new organization that anticipates gross receipts averaging not more than $10,000 during its first 4 years > S15Q I M ~— ' ' —— Note: If you checked box 3a. you must complete tne Certification below. Certification I certify that the annual gross receipts of name of organization have averaged (or are expected to average) not more than $10,000 during the preceding 4 (or the first 4) years of operation. Title > Signature »• b LJ r_t Initial request for a determination letter for: • An exempt organization that has had annual gross receipts averaging more than $10.000 during the preceding 4 years, or • A new organization that anticipates gross receipts averaging more than $10.000 during its first 4 years . *• $465 > $500 Instructions The law requires payment of a user fee with each application for a determination letter. The user fees are tested on line 3 above. For more information, see Rev. Proc. 96-8, 1996-1 I.R.B. 187. Chech the box on line 3 for the type of application you are submitting. If you check box 3a, you must complete and sign the certification statement that appears under line 3a. Attach to Form 8718 a check or money order payable to ihe Internal Revenue Service for the :ull amount of the user fee. If you do net include the full amount, your applicaiion will be returned. Attach Form 8718 to your determination letter application. To avoid delays, send ihe determination letter application and I Form 8718 to the applicable IRS address shown below. Use the address below even if a different address appears in another form or publication. If th« organization is in Send f«« and request for determination letter to Connecticut. Maine. Massachusetts. New Hampshire. New York, Rhode Isand, Vermont Internal Revenue Service EP/EO Division P. 0. Box 1580, GPO Brooklyn, NY 11 202 Delaware. District of Columbia. Maryland. New Jersey. Pemsytvarua, Vwq«\«^ any U-S. possession of foreign country Internal Revenue Service EP/EO Division P.O. Box 17010 Satttrnwe. MQ 2t203 Indiana. Kentucky. Michigan, Ohio, West Virginia Internal Revenue Service P. 0. Box 192 Covington. KY 41012-0192 Arizona, Colorado. Kansas. Oklahoma. New Mexico. Texas, Utah. Wyoming Internal Revenue Service EP/60 Division Mail Code 4950 DAL 1 ioO Commerce Street Dallas. TX 75242 Alabama, Arkansas, Fionda, Georgia. Louisiana. Mississippi. North Carolina, South Carolina. Tennessee Internal Revenue Service EP/EO Division P.O. Box 9ai Atlanta. GA 30370 Alaska. California, Hawaii, Idaho. Nevada, Oregon, Washington Internal Revenue Service EO Application EP/60 Division McCaslin Industrial Park Z Cupama Circle Monterey Park, CA 91755-7406 Illinois. Iowa. Minnesota, Missouri, Montana, Nebraska, North Dakota. South Dakota. Wisconsin Internal Revenue Service EP/60 Division 230 ff- Deartwm DPfT20-5 Chicago. IL 60604 /~) / s L . ri CG2 APPLICATION Form Application for Employer Identification Number SS-4 (Ruv 74-2823746 (For use by employers, corporations, partnerships, trusts* estates, churches, government agencies, certain individuals, and others. See instructions.) 19951 OMB No. 1545-0003 >• Keep a copy for your records. 1 Name of applicant (Legal name) (See instructions.} SHEKINAH 2 LEARNING INSTITUTE 3 Trade name ol business (if different from name on line 1) Executor, trustee, "care of" name rhgry1 A. W i l l i a m s - W a s h i n g t o n N/A 4a Mailing addres > (street address) (room, apt., or suite no. P.O. 5a Business address (if different from address on lines 4a and 4bJ Box 983 N/A 5b City, state, and ZIP code 4b City, state, anc; ZIP code Converse, Texas 78109 ^______^__^__ N/A 6 County and stjite where principal business is located 7 Name of princi sal officer, general partner, grantor, owner, or trustor—SSN required {See instructions.) >• e xar a Texas Cheryl A . W i 1 1 i a m s - W a s h i n g t o n 8a 8b Type of entity (Check only one box.) (See instructions.} D Estate (SSN of decedent) - j— D Sole proprietor (SSN) _ D Plan administrator-SSN ;— :______; _ - LJ Partnership LJ Personal service corp. D REMIC D Limited liability co. Q Other corporation (specify) > _ D Trust Q Farmers' cooperative D State/local government D National Guard D Federal Government/military School Other nonprofil organization (specify) Other (specify) If a corporation, n;ime the state or foreign country State (if applicable) whe»e incorporated D Church or church-controlled organization {enter GEN if applicable) Foreign country Texas Reason for applying (Check only one box.) O , N/A Banking purpose (specify) Started new business (specify) >• D Changed type of organization (specify) >• D 10 Purchased going business LJ Hired employees D Created a trust (specify) D Other (specify) Created a pennon plan (specify type) Date business started or acquired (Mo., day. year) {See instructions.) 11 Closing month of accounting year (See instructions.) Incorporated F e b . 1997/Date of Oper.6/97 May 12 First date wages &• annuities were paid or will be paid {Mo., day. year). Note: If applicant is a withholding agent, enter date income will first 13 Highest number ol employees expected in the next 12 months. Note: If the applicant does not expect to have any employees during the period, enter -Q-. (See instructions.) . . . > 14 Principal activity (See instructions.) > 15 Is the principal business activity manufacturing? . If" Yes," principal product and raw material used! > 16 Private Agricultural Househoid -0- -3- -10- School To whom are most of the products or services sold? Please check the appropriate box. D Public (retail) Nonagricultural Q other (specify) >• S t u d e n t s ( C o m m u n i t y ) Wves x No LJ Business (wholesale) D N/A 17a Has the applicant isver applied for an identification number for this or any other business? Note: If "Yes," pte; se complete lines 17b and 17c. 17b If you checked "Yes" on line 17a, give applicant's legal name and trade name shown on prior application, if different from line 1 or 2 above. U T L L W A S H C o n s u l t a t i v e S v c sTrade name + Same Legal name ^ 17c Approximate date when and city and state where the application was filed. Enter previous employer identification number if known. Approximate date whun filed (Mo., day. year) Januarv 1996 KT1/ Yes City and state where filed San Antoni o. Texas 74 (Founder) Cheryl A . W i l l i a m s - W a s h i n g t o n ?in-fi5K-RHR7 Fax tftl«pnon« aurnbar (include area coda) Date /} Please leave blank »• i 276Qfi50 Buiiness telephone number (Include area coda) 7,in_fifift_flfla7 Signature ^ Note: Do not write below this tine. For ofiftfai use only. Size Ind. Class No Previous EIN Under penalties of perjury. 1 decten Itial 1 have examined Bus a plication, and to the best at my knowledge and belief, it is true, correct, and complete. Name and title {Please type nr print clearly.) > D // Reason for applying f APPLICATION of 1997 CHEPYL WASHINGTON 620 MFADLJW G A T E 78LJ9 kE : SHEKINAH LEARNING I N S T I T U T C H A R T E R NUMBEP 01*33<i21-01 IT HAS SEEN OUR PLEASURE TO A P P R O V E AND PLACE ON RECORD THE ARTICLES OF INCORPORATION THAT CREATED YIUP CORPORATION. *E EXTEND OUR BEST WISHES FOR 5JCCE5S IN fOUR NEW VENTURE. AS A CORPORATION, YOJ ARE SUBJECT TO S T A T E TAX L A W S . SOME NON-PROFIT C O R P O R A T I O N S ARE EXEMPT FROM THE PAYMENT OF FRANCHISE T A X E S AND KAY A L S O BE E X E M P T FRQ« THE P A Y M E N T OF S A L E S AND USE TAX ON THE P U R C H A S E OF T A X A B L E ITEMS. IF YOU FEEL T H A T UNDER THE LAW Y 3 U R C O R P O R A T I O N IS E N T I T L t O TO U E E X E M P T YOU MUST A P P L Y TO THE C O M P T R O L L E R OF P U B L I C AC C O U N T S FJ<? THE E X E M P T I O N . THE S E C R E T A R Y OF S T A T E C A N N O T MAKE..-SUCH D E T E R M I N A T I O N F O R YOUR C O R P O R A T I O N . IF ME CAN BE OF FURTrtES SERVICE AT ANY TIME, P L E A S E V E R Y TRULY LET US K N O W . YOURS* Antonio O. Garza, Jr.. Secretary of State DCB-CH APPLICATION CERTIFICATE OF INCORPORATION OF 5HEKINAH LEARNING INSTITUTE CHAPTER NUMBER 01*33*21 THE U N D E R S I G N E D , AS S E C R E T A R Y OF STATE HERESY C E R T I F I E S THAT THE A T T A C H E D ARTICLES OF THE STATE OF TEXAS, OF I N C O R P O R A T I O N FOR T4E A B O V E N A M E D C O R P O R A T I O N H A V E B E E N R E C E I V E D IN THIS OFFICE AND ARE FOUND TO C O N F O R M TO LAn. ACCORDINGLY, THE U N D E R S I G N E D , AS S E C R E T A R Y OF STATEi AND BY VIRTUE OF T H E ; AUTHORITY VESTED IN THE S E C R E T A R Y 8Y LAW, HEREBY ISSUES THIS CERTIFICATE JF INCORPORATION, ISSUANCE OF THIS C E R T I F I C A T E OF I N C O R P O R A T I O N DOES HOT AUTHORIZE THE USE OF A CORPORATE N A M E IN THIS STATE IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER THE FEDERAL T R A D E M A R K ACT OF 1946, THE TEXAS T R A D E M A R K LA*» < THE ASSUMED BUSINESS OR P ROF't SS I ONAL NAME ACT OR THE COMMON t?S*. DATED FEB. 13, 1997 EFFECTIVE FEB. 13, 1997 vo^TL. G65 APPLICATION QMS No- 15*5-0056 1023 Application for Recognition of Exemption {R«v. Aprrl 19961 D^oairT"*"! of 1h« Treasury Under Section 501(c)(3) of the Internal Revenue Code Form II exempt status is approved, ifw apDi'CatiOn «rll be open 'or puDiic inscection. Read the instructions for each Part carefully. A User Fee must be attached to this application. If the required information and appropriate documents are not submitted along with Form 8718 (with payment of the appropriate user fee), the application may be returned to you. Complete the Procedural Checklist on page 7 of the instructions. Identification of Applicant 1a Full name of organization (as shown in organizing document) SHEKINAH 2 Employer identification number (EIN) (If none, see page 2 of the instructions.) L E A R N I N G I N S T I T U T E : 74 1b c/o Name (if applicable) Cheryl A. Williams-Washington 1c Address (number and street) P.O. ? R ? T 7 4f i 3 Name and telephone number of person to be contacted if additional information is needed Room/Suite Box 983 1d City or town, state, and ZIP code N /a Cheryl (210 A. Williams-Washington > 6 5 8 - 8 8 8 7 4 Month the annual accounting period ends C o n v e r s e , T e x a s •" ' _ZS11(15 • M a v 1 9 9 8 Date incorporated or formed 7 Check here if applying under section: 6 Activity codes {See page 3 of the instructions.) a D50l(e) blB<50l(n c[H50.1(k} 030 149 566 Fphruary 17, 1 QQ7 8 Did the organization previously apply for recognition of exemption under this Code section or under any other section of the Code? Q YesX0 No If "Yes," attach an explanation. '_ 5 9 Is the organization required to file Form 990 (or Form 990-EZ)? If "No." attach an explanation (see page 3 of the Specific Instructions). D N/A D Yes x§P No . D Yes 10 Has the organization filed Federal income tax returns or exempt organization information returns? If "Yes," state the form numbers, years filed, and Internal Revenue office where filed. 11 Check the box for the type of organization. ATTACH A CONFORMED COPY OF THE CORRESPONDING ORGANIZING DOCUMENTS TO THE APPLICATION BEFORE MAILING. (See Specific Instructions for Part I, Line 11, on page 3.) Get Pub. 557, Tax-Exempt Status for Your Organization, for examples of organizational documents.) *" a O Corporation—Attach a copy of the Articles of Incorporation {including amendments and restatements) showing approval by the appropriate state official; also include a copy of the bylaws. b D Trust— Attach a copy of the Trust Indenture or Agreement, including all appropriate signatures and dates. c D Association—Attach a copy of the Articles of Association. Constitution, or other creating document, with a declaration (see instructions) or other evidence the organization was formed by adoption of the document by more than one person; also include a copy of the bylaws. If the organization is a corporation or an unincorporated association that has noj yet adopted bylaws, check here > D _ I declare under the penalties of perjury that I am authored to sign this application on behalf of the above organization and that I have examined this application, including the accompanying schedules and attachments, and to the best of my knowledge it is true, correct, and complete. Please Sign Here For Paperwork Reduction Act Notice, s« page 1 of the instructions. Cat. No. 17133K APPLICATION 'Mil Form 1073 Page 2 Activities and Operational Information 1 Provide a detailed narrative description of all the activities of the organization—past, present, and planned, Do not merely refer to or repeat the language in the organizational document. List each activity separately in the order of importance based on the relative time and other resources devoted to the activity. Indicate the percentage of time for each activity. Each description should include, as a minimum, the following: (a) a detailed description of the activity including its purpose an and d ho how w eac each h activit activity y fisher fathers s you yourr exempt exempt purpose purpose;; (b (b)) when when th the e activity activity wa was s or wil willl be initiated initiated;; an and d (c (c)) where where and and by whom whom th the e activity activity wil willl be conducted. conducted. h-U«_|ir U i _ H * % f » > ^ h P W - i *Ji-UUr w <• '«^'I^U< V » U _* U i i > * > ..... U ' ' * T H 'G IU||S_fT<IIIU. \+*J l 1 - ^^KW't-'U <vJ^O\«I 'L^in^l I \J* U "^ CHj 1 1 » HJ I*ll^l UW 'M ' U MVJ N a r r a t i v e d e s c r i p t i o n s a r e f o r a l l a c t i v i t i e s p l a n n e d f o r S h e k i n a n L e a r n i n g Inst itute . 030- S c h o o l , c o l l e g e , t r a d e s c h o o l - S h e k i n a h w i l l p r o v i d e e d u c a t i o n a l a n d t r a i n i n g c o u r s e w o r k , p r e s c r i b e d i n a n o u t l i n e d c u r r i c u l u m in a p r i v a t e school setting. I n d i v i d u a l s s e r v i c e d w i l l b e school a g e d s t u d e n t s , e l e m e n t a r y , s e c o n d a r y , a n d e x t e n d e d l e a r n i n g c o m m u n i t y e d u c a t i o n s t u d e n t s i n need o f e d u c a t i o n a n d t r a i n i n C l a s s e s w i l l b e s c h e d u l e d o n a r e g u l a r b a s i s . A l l faculty w i l l be degreed and or c e r t i f i e d based on state c r i t e r i a . All s u p p o r t staff w i l l b e t r a i n e d a n d c e r t i f i e d a s P a r a e d u c a t o r s . 149- S h e k i n a h w i l l h a v e a r e g u l a r l y e n r o l l e d student body and is an e d u c a t i o n a l i n s t i t u t i o n w h i c h o p e r a t e s u n d e r t h e "School w i t h i n a S c h o o l " concept. L e a r n i n g w i l l b e e x t e n d e d i n t o t h e c o m m u n i t y , t o i n c l u d e : G E D t r a i n i n g , L i t e r a c y , S e m i n a r , a n d W o r k s h o p T r a i n i n g . 566- S h e k i n a h i s a N o n - P r o f i t P r i v a t e I n s t i t u t i o n e s t a b l i s h e d f o r t h e p u r p o s e o f E d u c a t i o n a n d T r a i n i n g . T r a i n i n g i s n o t l i m i t e d t o a c a d e m i c s a n d does i n c l u d e Work Force T r a i n i n g , C o u n s e l i n g , a n d assi stance . S h e k i n a h does n o t d i s c r i m i n a t e o n t h e b a s i s o f g e n d e r , a g e , e t h n i c i t y , o r h a n d i c a p . S e r v i c e s a r e open a n d a v a i l a b l e t o a l l w h o meet t h e e n t r a n c e c r i t e r i a and h a v e a need and d e s i r e to l e a r n . * Shekinah is a n "All t a i l o r e d t o meet t h e I n - e l u s i v e L e a r n i n g E n v i r o n m e n t , " wfth needs of programs the D i v e r s e Learner. __ 2 What are or will be the organization's sources of financial support? List in order of size. Foundation Grants - approx $50,000. Fundraising -$50,000. Federal Private Donations - $35,000, Grants - approx. State Grants - approx. 3 $50,000. $50,000^ ssn^nnn Describe the organization's fundraising program, both actual and planned, and explain to what extent it has been put into effect Include details of fundraising activities such as selective mailings, formation of fundraising committees, use of volunteers or professional fundraisers, etc. Attach representative copies of solicitations for financial support. All a r e proposed f u n d r a i s i n g a c t i v i t i e s . S e m i n a r T r a i n i n g - Work shop (Trainer of Trainers) Raffle/Dinners/Candy- Committees D r a m a - C o m m i t t e e 067 APPLICATION Form 10C3 (P«v -I 1H) Paq(? 3 Activities and Operational Information (Continued) 4 Give the following information about the organization's governing body: b Annual compensation 6 2 0 M e a d o w G a t e , C o n v 5rse , Texas 4727 N e w c o m e , San Ant D P I o , Texas a Names, addresses, and titles of officers, directors, trustees, etc. Cheryl A. W a s h i n g t o n Monica D i a z - A g u i l l o n Ray 0. B r o w n Sr. 909 FM 1518, S c h e r t z , Texas c Do any of the above persons serve as rr.embers of the governing body by reason of being public officials or being appointed by public officials? If "Yes." name those persons and explain the basis of their selection or appointment. d Are any members of the organization's governing body "disqualified persons" with respect to the organization (other than by reason of being a member of the governing body) or do any of the members have either a business or family relationship with "disqualified persons"? (See Specific Instructions for Part II, Line 4d, on page 3.) If "Yes," explain. 5 N/A D D YesXE No Does the organization control or is it controlled by any other organization? D Yes (j^ No Is the organization the outgrowth of (or successor to) another organization, or does it have a special relationship with another organization by reason of interlocking directorates or other factors? . If either of these questions is answerec JYes," explain. D YesXK] No Does or will the organization directly or indirectly engage in any of the following transactions with any political organization or other exempt organization (other than a 501(c)(3) organization): (a) grants; ^/ (b) purchases or sales of assets; (c) rental of facilities or equipment; (d) loans or loan guarantees; (e) reimbursement arrangements; (f) performance of services, membership, or fundraising solicitations; or (g) sharing of facilities, equipment, mailing lists or other assets, or paid employees? If "Yes," explain fully and identify the otfier organizations involved. Is the organization financially accountable to any other organization? If "Yes," explain and identify the other organization. Include details concerning accountability or attach copies of reports if any have been submitted. -> . „... •• - -- ^ . D D 063 APPLICATION 1023 Page 4 Activities and Operational Information (Continued) 8 What assets does the organization have that are used in the performance of its exempt function? (Do not include property producing investment income.) If any assets are not fully operational, explain their status, what additional steps remain to be completed, and when such final steps will be taken. If "None," indicate "N/A." N o n e 9 Will the organization be the beneficiary of tax-exempt bond financing within the next 2 years?. . . . Q Yes EX No tOa Will any of the organization's facilities or operations be managed by another organization or individual under a contractual agreement? , b Is the organization a party to any leases? tf either of these questions is answered "Yes," attach a copy of the contracts and explain the relationship between the applicant and the other parties. 11 Is the organization a membership organization? if "Yes," complete the following: a Describe the organization's membership requirements and attach a schedule of membership fees and Q Yes ONo Q YesxP No D N/A b Describe the organization's present and proposed efforts to attract members and attach a copy of any descriptive literature or promotional material used for this purpose. N/A c What benefits do (or will) the members receive in exchange for their payment of dues? N/A 12a If the organization provides benefits, servces, or products, are the recipients required, or will D N/A (SXYes D No they be required, to pay for them? If "Yes," explain how the charges are determined and attach a copy of the current fee schedule. E d u c a t i o n / T u i t i o n - $3500.00 per a n n u m Job T r a i n i n g - S3000.00 Six m o n t h s T r a i n i n g - $200.00 per person (Seminar T r a i n i n g ) T w i c e per year b Does or will the organization limit its benefits, services, or products to specific individuals or classes of individuals? If "Yes," explain how the recipients or beneficiaries are or will be selected. S t u d e n t s based on compelency 13 4 D N/AXO Yes Q No a and e n t r a n c e e x a m i n a t i o n s . Does or will the organization attempt to influence legislation? D YesXEXl If "Yes," explain. Aiso, give an estimate of the percentage of the organization's time and funds that it devotes or plans to devote to this activity. Does or will the organization intervene in any way in political campaigns, including the publication or ^, distribution of statements? Q YesTS No If "Yes," explain fully. 069 Frxm 10?'J (FVv -1 \rPLICATION Page 5 Technical Requirements 1 Are you filing Form 1023 within 15 months from the end of the month in which your organization was created or formed? WE Yes D No If you answer "Yes." do not answer questions on lines 2 through 7 below. 2 If one of the exceptions to the 15-month filing requirement shown below applies, check the appropriate box and proceed to question 8. Exceptions—You are not required to file an exemption application within 15 months if the organization: O 3 a D Is a church, interchurch organization of local units of a church, a convention or association of churches, or an integrated auxiliary of a church. See Specific Instructions, Line 2a, on page 4; b Is not a private foundation and normally has gross receipts of not more than $5,000 in each tax year; or D c Is a subordinate organization covered by a group exemption letter, but only if the parent or supervisory organization timely submitted a notice covering the subordinate. If the organization does not meet any of the exceptions on line 2 above, are you filing Form 1023 within 27 months from the end of the month in which the organization was created or formed? D Yes D No If "Yes," your organization qualifies under section 4.01 of Rev. Proc. 92-85. 1992-2 C-8. 490, for an automatic 12-month extension of the 15-month filing requirement. Do not answer questions 4 through 7. If "No," answer question 4. 4 If you answer "No" to question 3, has the organization been contacted by the IRS regarding its failure to file Form 1023 within 27 months from the end of the month in which the organization was created or formed? D Yes D No If "No," your organization is requesting an extension of time to apply under the "reasonable action and good faith" requirements of section 5.01 of Rev. Proc. 92-85. Do not answer questions 5 through 7. If "Yes," answer question 5. 5 If you answer "Yes" to question 4, does the organization wish to request relief from the 15-month filing requirement? ............................... d Yes D No If "Yes," give the reasons for not filing this application prior to being contacted by the IRS. See Specific Instructions, Line 5, on page 4 before completing this item. Do not answer questions 6 and 7. If "No," answer question 6. 6 7 If you answer "No" to question 5, your organization's qualification as a section 50"l(c){3) organization can be recognized only from the date this application is filed with your key District Director. Therefore, do you want us to consider the application as a request for recognition of exemption as a section 501{c)(3) organization from the date the application is received and not retroactively to the date the organization was created or formed? D Yes D No If you answer "Yes" to question 6 above and wish to request recognition of section 501(c)(4) status for the period beginning with the date the organization was formed and ending with the date the Form 1023 application was received (the effective date of the organization's section 50l(c)(3) status), check here > D and attach a completed page 1 of Form 1024 to this application. Form tO?3 (fiav 4 9f,( APPLICATION Technical Requirements (Continued) 11 If you checked box h, I, or j in question 10. has the organization completed a tax year of at least 8 months? CD Yes—Indicate whether you are requesting: C A definitive ruling (Answer questions 12 through 15.) D An advance ruling (Answer questions 12 and 15 and attach two Forms 872-C completed and signed.) D No—You must request an advance ruling by completing and signing two Forms 872-C and attaching them to the application. 12 If the organization received any unusual grants during any of the tax years shown in Part IV-A, attach a list for each year showing the name of the contributor; the date and the amount of the grant; and a brief description of the nature of the grant. 13 If you are requesting a definitive ruling under section 170(b)(l)(A)(iv) or (vi), check here *• D and: a Enter 2% of line 8, column (e). Total, of Part IV-A. _ b Attach a list showing the name and amount contributed by each person (other than a governmental unit or "publicly supported" organization) whose total gifts, grants, contributions, etc., were more than the amount entered on line 13a above. 14 If you are requesting a definitive ruling under section 509(a}(2), check here *• D and: a For each of the years included on lines 1, 2. and 9 of Part IV-A. attach a list showing the name of and amount received from each "disqualified person." (For a definition of "disqualified person." see Specific Instructions, Part II, Line 4d, on page 3.) b For each of the years included on line 9 of Part IV-A, attach a list showing the name of and amount received from each payer (other than a "disqualified person") whose payments to the organization were more than $5,000. For this purpose, "payer" includes, but is not limited to. any organization described in sections T70(b)(1)(A)(i) through (vi) and any governmental agency or bureau^ If "Yes," 15 Indicate if your organization is one of the following. If so, complete the required schedule. (Submit Yes No complete only those schedules that apply to your organization. Oo not submit blank schedules.) Schedule: A Is the organization a church? XY Is the organization, or any part of it, a school? B C Is the organization, or any part of it. a hospital or medical research organization? D Is the organization a section 509(a){3) supporting organization? t Is the organization a private operating foundation? E Is the organization, or any part of it, a home for the aged or handicapped? F Is the organization, or any part of it, a child care organization? G . . . . H Has the organization taken over, or will it take over, the facilities of a "for profit" institution? . .__._ I Does the organization provide or administer any scholarship benefits, student aid, etc.? f'. •*? 1 If 11 form (R«v. APPLICATION Page 9 Financial Data (Continued) Currant tax y*«r B. Balance Sheet (at the end of the period shown) D.U 1998 Assets 1 Cash 2 Accounts receivable, net 2 3 Inventories 3 4 Bonds and notes receivable (attach schedule) * 5 Corporate stocks (attach schedule) _L_ 6 Mortgage loans (attach schedule) -JL_ 7 Other investments (attach schedule) _7_ 8 Depreciable and depletable assets (attach schedule) _§_ 9 Land -JL Other assets (attach schedule) _1^ 10 11 _L Total assets (add lines 1 through 10) 5463,808.00 11 Liabilities 12 Accounts payable 13 Contributions, gifts, grants, etc., payable -I3 14 Mortgages and notes payable (attach schedule) 14 15 Other liabilities (attach schedule) 16 _1^_ Total liabilities (add lines 12 through 15} .. _1£ _!® Fund Balance's or Net Assets 17 Total fund balances or net assets _17_ 18 Total liabilities and fund balances or net assets (add line 16 and line 17) . . . . | 18 I $463,808. OQ If there has been any substantial change in any aspect of the organization's financial activities since the end of the period shown above, check the box and attach a detailed explanation ^ 072 APPLICATION Ftxm 1023 (flflv. 4-96) Financial Data (Continued) B. Balance Sheet (at the end of the period shown) Current!« year Assets 1 Cash 2 Accounts receivable, net 3 Inventories 4 Bonds and notes receivable (attach schedule) 5 Corporate stocks (attach schedule) 6 Mortgage loans (attach schedule) 7 Other investments (attach schedule) 8 Depreciable and depletable assets (attach schedule) 9 Land 10 11 ^7,616-00 Other assets (attach schedule) Total assets (add lines 1 through 10) Liabilities 12 Accounts payable 13 Contributions, gifts, grants, etc., payable 14 Mortgages and notes payable (attach schedule) 15 Other liabilities (attach schedule) 1$ Total liabilities (add lines 12 through 15) . .• Fund Balances or Net Assets 17 Total fund balances or net assets 18 Totalliabiimes and fund balances or net assets (add line 16 and line 17) . . . . 18 1177.616.00 If there has been any substantial change in any aspect of the organization's financial activities since the end of the period ^ shown above, check the box and attach a detailed explanation A ••_' *} *J i J APPLICATION Form 1023 {Rev A - 15 Schedule B. Schools, Colleges, and Universities 1 Does, or will, the organization normally have: (a) a regularly scheduled curriculum, (bj a regular faculty of qualified teachers, (c) a regularly enrolled student body, and (d) facilities where its educational activities are regularly earned on? If "No." do not complete the rest of Schedule B. 2 Is the organization an instrumentality of a state or political subdivision of a state? If "Yes," document this in Part II and do not complete items 3 through 10 of Schedule B. (See instructions on the back of Schedule B.) 3 Does or will the organization (or any department or division within it) discriminate in any way on the basis of race with respect to: Admissions? Use of facilities or exercise of student privileges? Faculty or administrative staff? Scholarship or loan programs? if "Yes" for any of the above, explain. a b c d 4 DNO D Yes E0 No Does the organization include a statement in its charter, bylaws, or other governing instrument, or in a resolution of its governing body, that it has a racially nondiscriminatory policy as to students?, . . . X(X] Yes Q No Attach whatever corporate resolutions or other official statements the organization has made on this subject ____„ 5a Has the organization made its racially nondiscriminatory policies known in a manner that brings the policies to the attention of all segments of the general community that it serves? Yes D No If "Yes," describe how these policies have been publicized and how often relevant notices or announcements have been made. If no newspaper or broadcast media notices have been used, explain, i All correspondence generated notates the statement. All advertisements generated include the statement. Bylaws and Articles of Incorporation. b If applicable, attach clippings of any relevant newspaper notices or advertising, or copies of tapes or scripts used for media broadcasts. Also attach copies of brochures and catalogues dealing with student admissions, programs, and scholarships, as well as representative copies of all written advertising used as ajneans^of informing prospective students of the organization's programs. 6 Attach a numerical schedule showing the racial composition, as of the current academic year, and projected to the extent feasible for the next academic year, of: (a) the student body, and (b) the faculty and administrative staff. 7 Attach a list showing the amount of any scholarship and loan funds awarded to students enrolled andfthe racial composition of the students who have received the awards. 8a Attach a list of the organization's incorporators, founders, board members, and donors of land or buildings, whether individuals or organizations. b State whether any of the organizations listed in 8a have as an objective the maintenance of segregated public or private school education, and, if so. whether any of the individuals listed in 8a are officers or active rnembers of such organizations. 9a Enter the public school district and county in which the organization is located. Judson School D i s t r i c t , Bexar North East School District, Bexar l?S&f ftS &££i12&&}i?G»rn&J(»dA>lMfi^ expanded at the timAj "public" fcftfiol 8esl^atio%fnW _ above district or county? D Yes 10 No Has the organization ever been determined by a state or Federal administrative agency or judicial body to be racially discriminatory? •. . . If "Yes," attach a detailed explanation identifying the parties to the suit, the forurn in which the case was heard, the cause of action, the holding in the case, and the citations (if any) for the case. Also describe in detail what changes in the organization's operation, if any, have occurred since then. For more information, see back of Schedule B. f'j *? ? t <A Form tO?3 APPLICATION 4-96) Financial Data (Continued) Current tax year B. Balance Sheet (at the end of the period shown) Oat. 1998 Assets 1 cash 2 Accounts receivable, net 2 3 Inventories 3 4 Bonds and notes receivable (attach schedule) 5 Corporate stocks (attach schedule) _ 6 Mortgage loans (attach schedule) .. 7 Other investments (attach schedule) 8 Depreciable and depletable assets (attach schedule) 9 Land 10 11 Other assets (attach schedule) Total assets (add lines 1 through 10} Liabilities 12 Accounts payable 13 Contributions, gifts, grants, etc., payable 14 Mortgages and notes payable (attach schedule) 15 Other liabilities (attach schedule) 16 1S Total liabilities (add lines 12 through 15) Fund Balances or Net Assets 17 Total fund balances or net assets _1L ^8 Total liabilities and fund balances or net assets (add line 16 and line 17) . . . . | 18 | $463,808.00 tf there has been any substantial change in any aspect of the organization's financial activities since the end of the period * D shown above, check the box and attach a detailed explanation 075 APPLICATION Appendix E CREDENTIALS OF SPONSORING ENTITY AND ALL BOARDS' MAMBERS 14 076 APPLICATION Shekinah Learning Institute Board of Directors Training/ Experience Monica Aguillion - Special Educator, elementary school. Experience includes 10 plus years in the classroom with students who are challenged in learning. Golf Coach and Special Olympics Coordinator. Master of Arts in Special Education, Bachelor of Arts in Education, (M.A., B.A.) Pat Lyon - Special Educator, classroom teacher, campus coordinator. Experience working with elementary1 students and parents. Business administrative skills and program coordination and training, ( M.A., B.A.) Harriette Taylor - Registered Nurse/Para Legal, 20 years experience coordinating youth programs and recreation activities. Training Instructor for various programs for youths in the community. Administrative Assistant to Board President and Assistant Director of Family Christian Training Program for three years, (B.S.) Cheryl A. Washington - Education Specialist/ Facilitator of Learning, 18 years experience in program coordination and development, teaching at various levels and in various disciplines of study. State Board committee member for four years. Governor's Appointee to State Commission for Special Education. Campus Coordinator for teachers and Department Chairperson for Special Education. Region IV - Statewide Focus Group Member for including students with disabilities in the Accountability System in Texas. Violence Prevention Program Coordinator, Seminar Trainer, Pareat/Teachers/Mentors, (M.A., M.S., B.S,) Glenn Yale - Lawyer, speaker for continuing legal education programs. Experience with the development of private schools. Board Member for Nonprofit Resource Center of Texas, Baptist Health Care System, Trinity Baptist Church, and National Committee on Planned Giving, (J.D., B.A.). ,**• 077 APPLICATION Prospective Board Members Shekinah Learning Institute Name Profession Relationship Dan Morgan Housing Mgr. Academy Direc, Kyev Tatum Dunbar Comm. Ctr. Director Glenn Yale Attorney Director/Chair G V 3 DA.NL. MORGAN, SR, APPLICATION 10328 Flatland Trail Convene, TX 7S109 (210)659-3046 LEADBRSHIP/MANAGEMENT-. Manages the overall operation of a SOQ-anit public housing development with abudgct of $4.1 million and supervise! 15 staff members. Rr^xmsible for the overall operation of a noncommissioned officer academy including the discipline, morale, tad welfare of over 800 students annually and the supervision of 20 staff members. Managed facilities aftd equipicr-t valued in excess of 5190,000 and an annual budget of $36,000. Managed all operational and waiver processing for an entire military service enlisted retraining program impacting 287QOQ personnel annually for t*o fiscal years, Managed the world-wide distribution of over 1700 enlisted aiicrewmcrnbers accounting for approximately 5 1.9 million ofan annual permanent change of station budget. COMMUNICATION; Keynote speaker for several rmliiary and public school functions. Developed and coordinated operating plans for military training exercises. Desaocstrated and briefed personnel computer system improvement to the Assistant Secretary of Defense for Personnel PROJECTS: Expanded a aoccommissioned officer academy's room sponsorship program to seven major military organizations resulting in significant savings to the parent organization. Commended by in overseeing contracting office for superb management of a merchant purchase authorization card program. Led the development, testing acd implementation of die an automated retraining application program that allo*wed military personnel offices world wide to more efficiency update «nd track application status. Led die development of an computer on-line retraining advisory, EMPLOYMENT: S*n Antonio Housing Aufcority 1997 - Pres San Antonio, TX Hnncing frf unaftgf 1994 - 1997 Lackland Noncommissioned Officer Academy Lackland AFB, TX it 1992 - 1994 Air Force Military PerscroeJ Center Ckiefj Enlisted j*brce Maatecmegj Randolph AFBr XX 1990 - 1992 Air Force Military Petsocsel Center feted AJ Randolph AFB.TX 1987 * 1990 Offiit AFB, NE Headquarters Strategic Air Command, States Exercises and Munitions 1981 -1986 B-52 Combat Crew Tronmg School Castle AFB, CA Instructor 1971 - 1981 Aircrew member Various Unites Sates and overseas locations BDUCAHQN: 1988 1985 19S3 EMBRY-RIDDLE AEROXAUTICAL UNIVERSITY B., Professional Aerociarics COMMUNITY COLLEGE OF THE AIR FORCE AA-S^ Work Center Management GEORGIA MILITARY COLLEGE A.A.S., General Studio SPECIALTIES: Photography, Youth Prograna/Scholatsfc^sa Kyev P. Tatum P.O. Box 276 (512) 754-7808 Education Master of Divinity (Candidate) B.S. Criminology Criminal Justice Experience 1992-1997 Director of Student Support Services 1991-1992 Research Assistant to Executive President 1991 Coordinator of Student Justice Leadership Skills Community Involvement OfiO APPLICATION Shekinah Learning Institute Interested Staff/Volunteers Name Position Experience Pat Lyon Instructor Teacher Debbie McCarty Instructor Teacher/Coord. Sherlyne Roy Training Training Coordinator Eula Walton Training Para Educator Janice Hughes Instructor Teacher Lynn Weiss Psychologist Parent Programming Mary Jo Willing Psychologist Diagnostician Dr. Clayton Medical Doctor Advisory Committee Carolyn Floyd Para Educator Transp. Wanda Nurse Teacher Sis Dee Elderly Mentor Sis Mom Elderly Mentor/Kitchen Debbie Allen Advisory Comm. Mentor APPLICATION Staff Experience Education Staff Pat Lyon - Special Educator, State Certified (?re-K - 12). 15 years experience in elementary behavior improvement and learning disabilities. Debbie McCarty - Special Educator, State Certified (Pre-K - 12). 15 plus years experience in elementary school. Experience with Dyslexia, Learning Disabled, Campus Coordinator, and Administrative Assistant to the Principal. Certified Dyslexia Specialist Janice Hughes - Special Educator, State Certified (Pre K - 12). 15 plus years experience at both the elementary and secondary levels. Experience with special education and regular education. Experience with Inclusion, Social Work, and Counseling. Masters in Public Administration/Communications. Cheryl Washington - Specialist, Education, State Certified (Pre K - 12), Mid-Mgt Administration. 18 years experience teaching and training elementary, secondary, and post high school students. Experience in Community Education, Seminar Training, and College Level Training. Eula Walton - Para Educator (Teacher Assistant), 15 plus years experience in assisting in learning disabled units, coordinating programs, working with secondary students on an alternative campus, and training adults. Carolyn Floyd - Transportation (Teacher Assistant), 10 plus years working with students in elementary and secondary education. Wanda Simon - Registered Nurse (Licensed Child Care, 0-12 years). 24 years experience working with children. State hospital and school experience. Experience with learning disabled students and adults. Five years of home health experience with pediatrics and elderly care. Monica Young- Teaching. Completed four years course work in the area of education and training for elementary and secondary students. Experience as a Day Care Attendant Administrator for church school program. Training Staff Sherlyne Roy - Training and Development, 10 plus years of experience. Experience training Senior Citizens and Parents. Worked with program development within the community. Leadership training for community leaders, intergenerational APPLICATION programs to assist with enlightenment and enrichment Seminar training in Self Development, Program Building, Motivation, and Parenting Skills. Lynn Weiss - Author, Psychologist, Seminar Training, 20 plus years of experience working in training and development Research and Development in the area of Brain Wiring and Attention Deficit Disorders and learning. Licensed Child/Family Counseling with the State of Texas, Seminar Trainer for Behavior Modification and Learning Disabilities, Assessment/Counseling Mary Jo Willing - Vocational Counselor/Diagnostician/Special Educator, 30 years plus experience working with children, teachers, and adults. Experience with assessment and evaluation and program develop meal. Individual teaching, advising, and counseling. Parent/child liaison and Behavior Modification Specialist Dr. Robert Clayton - Medical Doctor, Research and Development in the area of Genetics and Birth Defects. Program Development and teacher of Medical Residents in the field of medicine. Community developer of programs to prevent community problems with youth violence. Community Mentors/Social Work Debbie Allen - Social Worker, 20 years experience working with families and in learning/training environments. Education Director for various programs for .., youths, ages 2-15 years old. Experience with Dysfunctional Family Concerns, Abuse Issues, and Parent Training. Virginia Rondero - Social Worker, 10 plus years experience working with families and children with family, learning, and economic problems. f Elderly/Community Mentors - Coordinator, Volunteer for the City of San Antonio Elderly Workers Program. Experience with administration, coordination, and placement of the elderly in community programs. Experience with payroll and stipends, and grants for the elderly. 083 CHERYL A. WASHINGTON APPLICATION 620 Meadow Gate Converse, Texas 78109 (210)658-8887 CAREER OBJECTIVE: To secure a position in Organizational Management with special emphasis in the areas of Diversity and Programming for Development and Change. EDUCATION 1993 to 1995 Southwest Texas State University, San Marcos, Texas Certification in Educational Administration, May 1995. Our Lady of the Lake University, San Antonio, Texas Master of Arts (Special Education), May 1992 Troy State University, Troy, Alabama Master of Science, (Management), October 1982 John Jay College of Criminal Justice, New York, New York Bachelor of Science, (Criminal Justice/Sociology), June 1978. EXPERIENCE 1994 - Pres. San Antonio Independent School District, San Antonio, Texas Academic Coordinator, BtP Teacher, Night School Teacher. Duties: Facilitator of learning in various disciplines of study with special emphasis in the area Diversity Training, Program Development, Budget analysis, Financial Accounting and Disbursements and Personnel Training. 1992 - 1994 tf Fort Sam Houston Independent School District, San Antonio, Texas <*' Duties: Developed an Academic Support Program for special needs students included in the General Education Program. Taught high school courses in various disciplines, staff development training and budget analysis and Disbursements. 1990 - 1992 North East Independent School District, San Antonio, Texas Duties: Developed a Multicultural Awareness Program on Campus. Taught upper level math courses in an alternative education program and in the general education program. Chairperson of the campus Staff Development Committee. 064 Cheryl A. Washington Resume. Page 2 1983 - 1990 APPLICATION Harlandale Independent School District, San Antonio, Texas Duties: Chairperson of the Special Education Dept, directed and guided a team of special educators on a high school campus. Chaired all ARD meetings and developed student Individual Education Plans. Responsible for department budgeting, cost analysis and spending. 1987 - 1988 Mansfield Business School, San Antonio, Texas Duties: Taught business course work to prep school students enrolled in a vocational program for extended learning. Served as the Placement Director for the Business Program, placed students on the job after completion of all program requirements. Served as the Director of Financial Aid - responsible for student grants, loans, and payments. 1984 - 1987 Department of Education State of Hawaii, Honolulu, HI Duties: Taught in an extended learning program for adults. Classes consisted of; English as a Second Language, Business English, and High School English classes, as well as credit make-up classes in a night school program. 1983 - 1984 Savin Business Products Duties: Inventory and Collections Supervisor, Responsible for collections on outstanding debts. Maintained orders and disbursements ' throughout the organization. 1981 - 1983 Education Center, 39 CSS/DPE, Incirlik, Turkey Duties: Served as the college registrar for Troy State University, Graduate Program, recruited, counseled, and mentored. students enrolled in the graduate program. Served in, the position of Education and Vocational Counsjlor for the Air Force. Briefed all incoming personnel on the college courses available. Counseled military personnel, civilians, and dependents on educational opportunities. Served as a Test Proctor and Administrator. PART TIME EXPERIENCE 1989 - Pres. Park College, Kelly Air Force Base, San Antonio, Texas Duties: Adjunct Instructor ,in the areas of Management and Human Resource Development. Designed and delivered staff development to a staff of professional educators. C85 APPLICATION CHERVX A. WASHINGTON 620 Meadow Gate Converse, Texas 78109 (210)658-8887 CAREER OBJECTIML* To secure a position as a facilitator of learning with advancement opponunmes to an Administrative Position. EDUCATION 1993 to 1995 Southwest Texas State University, San Marcos, Texas Certificarion in Educational Administration, May 1995. Our Lady of the Lake University, San Antonio, Texas Master of Arts (Special Education), May 1992 Troy State L'niversity, Troy, Alabama Master of Science, (Management), October 1982 John Jay College of Criminal Justice, New York, New York Bachelor of Science, (Criminal Justice/Sociology), June 1978. EXPERIENCE 1994-Present San Antonio Independent School District, San Antonio, Texas Academic Coordinator, BIP Teacher, Night School Teacher. Duties: Facilitator of learning in various disciplines of study with special emphasis in the area of Behavior Management and Curriculum Development. 1992 - 1994 Fort Sam Houston Independent School District, San Antonio, Texas Duties: Developed an Academic Support Program for special needs students included in the General Education Program. Taught high school Resource Math and TAAS remediation classes. Developed and presented staff development to a team of professional educators. 1990-1992 CSS North East Independent School District, San Antonio, Texas Duties: Developed a Multicultural Awareness Program on Campus. Taught upper level math courses in an alternative education program and in the general education program. Chairperson of the campus Staff Development Committee. 1988-1990 Harlandale Independent School District, San Antonio, Texas Duties: Chairperson of the Special Education Dept, directed and guided a team of special educators on a high school campus. Chaired all ARD meetings and developed student Individual Education Plans. Co-taught in a general education English class for Sophomores, Juniors, and Seniors. Taught TAAS remediation classes. 1987-1988 Mansfield Business School, San Antonio, Texas Duties: Taught business course work to prep school students enrolled in a vocational program for extended learning. Served as the Placement Director for the Business Program, placed students on the job after completion of all program requirements. 1984 - 1987 Department of Education State of Hawaii, Honolulu, HI Duties: Taught in an extended learning program for adults. Taught English as a Second Language, Business English, and High School English classes. Also taught credit make-up classes in a night school program. 1981 -1983 \ Education Center, 39 CSS/DPE, Incirlik, Turkey / Duties: Served as the college registrar for Troy State University, Graduate Program. Recruited, counseled, and mentored students enrolled in the graduate program. Served in the position of Education and Vocational Counselor for the Air Force. Briefed all incoming personnel on the college courses available. Counseled military personnel, civilians, and dependents on educational opportunities. Served as a Test Proctor and Administrator. PART TIME EXPERIENCE 1989 - Present 087 APPLICATION Park College, Kelly Air Force Base, San Antonio, Texas Duties; Adjunct Instructor in the areas of Management and Human Resource Development. Designed and delivered staff development to a staff of professional educators. ACTIVITIES AND HONORS Appointee - Governor's Continuing Advisory Committee for Special Education, .'term of office - 1993 -1997). Founder Sponsor - Multicultural Awareness Club, (1992 -1993). Director of Family Christian Training Program, (1990 -1992). Member of Bowden Chapter of Business and Professional Women. Member of Delta Sigma Theta Sorority Member of Statewide Accountability Task Force, (1995). REFERENCES Dr. Jackie Alexander Dean of Education and Psychological Studies San Antonio, Texas (210)434-6711 Sharon Callinan Principal, Martin Luther King Middle School San Antonio, Texas VangieAguilera Principal, Alamo Achievement Center San Antonio, Texas (210)227-5600 Cl "«dy Furnish C * College orce (210)923-7447 088 ; APPLICATION Appendix F DISCLOSURE OF LITIGATION AND CRIMINAL HISTORIES 14 089 never sponsoring Texas Education Agency Budget Review Of Applications for Approval of Open-Enrollment Charter Schools Name of Proposed Charter School ; S Kj * ^ CHARTE °NTINGEN C ° B u d e t Review 1. Budget is presented in the correct format. D (\_ 0)r^ V/YES _ \ NO (Budget Not Evaluated) 2. The budget development process does not ittolmfc: ( pQ. Offi- ' H j s f^-^^TJ Q .. ^^Stakeholder involvement (i.e. board, principals, program directors and others) & Board adoption ((OJCt ^Periodic reviews (budget status report should show percentage of expenses to budgeted appropriations) Procedures for amendments during the fiscal year / ': +' "\ 3. State revenues have been correctly estimated. YES Estimated Intial Enrollment 50 X 90% attendance = H O X $4000 average state funding per ADA Amount budgeted for state revenues (estimated ADA) I n Q ^ O O Q (estimated state aid) i H* P j (_}U CJ Difference 4. The budget includes an expense amount in function 41, object code 6200 NO 5. The net assets balance at end of year is, at minimum, 10% of estimated expenses. _ YES Comments Date / frfc (°t OSi ,J . A Texas rEducation Agency Budget Review Of Applications for Approval of Open-Enrollment Charter Schools T CHARTER Name of Proposed Charter School : SKj Budget Review /VT 1. Budget is presented in the correct format */ YES _ NO (Budget Not Evaluated) 2. The budget development process does not kwhtdr: (j3ft ^- ' 1J ci/^Stakeholder involvement (i.e. board, principals, program directors and others) or Board adoption (\ QJQ 0^ Periodic reviews (budget status report should show percentage of expenses to budgeted appropriations) Procedures for amendments during the fiscal year 3. State revenues have been correctly estimated. YES , /NO 50 ' Estimated Intial Enrollment X 90% attendance = 4 & X $4000 average state funding per ADA Amount budgeted for state revenues (estimated ADA) I B O ; O O Q (estimated state aid) \ \ D i (}(-) LJ Difference 4. The budget includes an expense amount in function 41, object code 6200 is NO 5. The net assets balance at end of year is, at minimum, 10% of estimated expenses. YES Comments £3 Date__ */ ^ f OS2 J 1,11_ - tj OT'-O 1 tJS : e 0 fl9 Hfi KM jj i £ 312 400 970 121002 TEA CHARTER SCHOOLS CONTRACT CONTRACT FOR CHARIER "lfl" t etwee r the Texas * "Boerd) and charterholder-) tor an «. ce open-enrolment chafer to cerate a Texas public school. This contract is executed the State Beard of f day of Education General Defining As U3ed 'n this contract: "Charter" means ttia open-er-rollirent charter, as provided by Subchepter D. Chapter 12, Texas Education Coda (TEC), granted by this contract. "Charter school" means the open-enrollment charter school. Cha*terho)der agrees to operate es provided in tiis contract The charter school Is a Texas public school. the Texas Education Agency. 2, The Charter. This contract grants to Chanerholder an charter under Subchsptor D, Chapter 12, TEC. The Urnis of the charter Include: (a) this contract; (bj applicable law (c) Request for Appltas'ion #701-98-016; (d) ar.y condition, amendment, modification, revision or other change to tf.e charter adopted or ratified by the Board; (o) all statements, assurances, commitments find representations made by Charterholder In ITS application for charter, attachments ar related documents, to the extent cons'stent with (a) thraugh (d>; and (f) assurance by Charterholder, evidenced fay execution of this contract, that no false Information was submitted to the Agency Or the BcarC by Charterholdar, Its agents or employee*. In support a bs application for charter.. 3. 4. Authority $[^4 ^ Charter. The charter authorizi-s CharternoldeMo operate a charter school subject to the terms of tr* charter. Action inconsistent with the terms of the.charter shall constitute a maUsrm violation of the charter. Aflaftfttlon of Charter. The charter may not bs assigned, encumbered, pledced or In anyway alienated for the benefr of creditors or otherwise Charternolder may rot delegate, assign, subcon'-ract or otherwise alienate any of its rights or rwpons.ftilitirt* under the charter. Any attemp. to do so shall be null and void anc of no force 0' effect; provided, however that Charterholder may contract «t fair mark* t value for services necessary to cam/ out policies adopted by Charterholcer or the governing body 0' the charter school. Term of Charter. The charter shall be in effect from May .. 2CQ*, unless renewed or through May j3 1999 JS3 u i_ — e e — • .rtDfc.n r 07.12 i±w TEA CHASTER SCHOOLS CONTRACT Renewal qf C^artqr. On timely application by Charte-iidder ir a prescribed by rha Board, the charter may be renewed for an additional period determined by tne Board. Th« charter may brj renewed oni> cy written amendment approved by vota of the Board and properly by its cha'r. by Ajfg«ir.enL. Th« terms of th-a charter may be revieeC witn the comem cf C barter1 loldar by wr'tter. amendment apprcvec by vote of the Qcard The commissioner of" education ("the commissioner") rray revise the cnaae- or a provisions! basis during an interim betw««n Board meetings; (?cw#vir, such action sha'I expire unless ratified by th* Board at Its neri -wjlar meeting. Nothing ;.n Ihis paragraph limits th& authority of th* Board cr the commission*: tc aat in accoXanca %vi:h provisions of this contract. Students 8. 9. Oogn Enro:in-ertt. Admission and enroll."nent $t studer.ts shall be open to any person who resides within the geographic boundaries stated in the charter end who Is eligible for admission b3$«d on lawful criteria ider.tjtlad in the cha.t*r. Total enrollment shall rot exceed t>OQ stucents. The char.er sdiool'4 admlaiion pc!:cy shall prohibit discrimination on thft basis of sex. nat'onai crigin. ethnicity, religion, disability, endemic or athletic atiiiiy. or the district the student would otherwise attend. Studorto v^ho rasld* ouxsids the geographic tounc'srlas stated in tre charter shat 1 not b* admitted *.o th« Tartar school unti' all eligible applicants whn resldn within the bourdarias nave been •rrolled. *t Public Education Grant students. Charter holder shall aCopt an express policy providing for the admission of. and shall admit under such policy, s'urients ellgiola for a pabilc educarlcn grant. Indue r\g those suja«rts who reaide outside the geographic area identified in tha charter application, under Subchapier G, Chapter 29, TEC. 10. NorvdlgcrininaticT The educational prograrr of in* Charter schoc! shall be jTOTOcstadarv and sh*!l not discriminate agfilwt any student or emplo>oe en tie basis of race, creed, e*x, natior.a! orgin, disability cr needier special education services. 11. mig!^ wlth p--Mbitifea. T h e charter school I s a 'icea! «a aflftncy- es d»f nad by federal law. Chart«rholder rnu« comply with tns fndi^duals w.th Oi«oW EduerJon Act (IDEA) 20 U.S.C »1401. et seq, and inplementiag r^uiations, S^iton 504 of th-i R j h , o n Ac of 1973 ("Section 504->. 29 U,S.C.§79*. and '«e • n * n 0 Title 11 of the Americans with Uleabiiitios Act, 42 U.f-C §121 and lmp>»n«ntinfi regulations; Chapter 25, TEC, ard implementing rg.es, and the many court cases applying tnese laws. For example. GS4 -JUI_ — tJS— y^ 07.07.89 GS : e 1 rtf-l KMi>i WED 0 9 : 4 5 FAS 3i 2 495 9702 8)004 IEA CHARTED SCHOOLS CONTRACT (a) Child Find. Cnarterhoid«<- must *dopt ana kriplenen! policies and practices rtal affirmatively seek out. Identify, locate, anJ equate children wiih d'.sabt.fciei enrolled in the charter school or correcting the charter SChCCl regarding enrollment, an<3 must develop and implement a practical method to Mtumlne wHeh child-en with dlsabllHes ar« ^currantiy receiving nsedad specla' education and related se vices ?o<- each eligible chili, Chartertioider must develop and offe< an individualized education plan appropriate to the rt$sds of that student (b) Frge ADDrocriate.-Eubiic Education. Chartenolder must pro^c* a free appropriate public education to a!! children with disables otherwise eligible to enroll lr :he charter schoc; If the program, staft or fee; ities of ih« charter school ar« net capable of aieetlng the ne-sCs of a particular child. Chaterholder rrustknolement changes necessaiy to accommodate ihe child a: th« charter school. If rsascnaoie accommodattoni wou.d be insuUcient to enable the child to benefit fro.n ttvj eha.-tsr aehooi s program, CharterholiJe- mu&t, at r.s own expense, pUice th* cniSd at an school. S_ervlcas to Expend Students Chartarholdar rr.ust continue *c provide a free appropriate public education to a child with dsib'.mias «v«n after expelling cr suspending the- child far valid tf»Gpiim:ry masons. This obligation to aervs the child continues until the end of the school (d) Monitoring- The charter school's irnplemerttatior- of 'tie laws governing education Of children with disabilities will be monitors1 for complldnce^y the Unit** States Department of Education. Office o* Speaa '^cation Programs; ihe United States Department of Educator, Office or C.VM Plants; :ne Texas Education Agency; and others. This mon.tortne set yity Include* responding to comp'aints, random on-stte Irwpeclions and ouier investigations by the enforcing agencies, and will re&u.t In ^r6^* actions Imposed on Charterholder fay these aceflc.es f:r ail diacrepancias found, 'e) k Ou« Procass Hean-.gs. The oharar scnaol'3 'mplemrtntelion of the ia'vs ^»m?rT" SfiSTof chiidren with disabilities w.!l in •d^' « Wet to court sup^rvi^on via litigation against Ch«t>rhoWiar brougnt bi individuals attested by the a--tton» of ** ch3rtSr schcil. The cost of this litigation can be substantial, Notice- Th«e are o-V.y a few 3f tne charter school's legal rar-poftsibiftfics J • ^^ in this arftfl ir.c'uded here for Illustrative purposes orty. commttmanu anC mprMantatlona mad. ^ .^^J10*' application <or 3 Charter, «;tach^ents, and related docarr^nta. GS5 TEA CHASTER SCHOOLS CONTRACT Criminal Charterhoider shall take prompi and appropnate measures if Charterholder or the charter school, or any of their employees or agents, obtains information that an employee or volunteer of the charter school or an employee, officer, or beard memoer of a management company contacting with Die charter scnool has a reported ctfrlnal n;story that bears directly OT the duties and responsibilities of the employes, volunteer, or management' company at the school, Charterbelder further represents that the Board and tre agency shall be notified irrnefllately of such information and the rneasu'es taker. 14 Reporting Child Abus9 or NfqfocL Charterholder shall sdcpt and disseminate to all charter ached! staff end volunteers a policy governing child abuso reports requ'red by Chapter 261, Texas Family Code. The policy shall roqgire that employees, voiunteeis or agents of Charterholder or :he charter school report child abuse or neglect directly to an appreciate entity listed In Chapter 261, Texas Fumily Code. 15. Notice. te-Dlfitrict. Charterhold«r shall notify the schcoi district In which the student resides within three business days of any action expelling or withdrawing a student from the charter school. IS. Charterholder sha!1 adopt a ached year with fixed beginning and ending dates. Financial 17, Fiscal Year. Charternolder shall acopt a ffsce! yea- beginning September 1 and ending August 31. i» 18. •' Financial Accounting. Unless otherwise notified by the agency, Cnarterhclder shall comply fully wllh generally accepted accouniing principles ("GAAP") and the Financial Accountability System Resource Guide, Bulletin 679 or its successor ("Bulletin 679") published by the agency In the management and operation of tha charter school. 13. Fcflprai ReQLJremanjg. Failure to comply with Internal Revenue Service withholding regulations shall constitute ft material violation of the charter. 20. Workers' Compensation. Charterholder shall extend workers' compensation benefits to charter school employees by (*,) becomirg a f self-insurer; (2) providing insurance under a workers' compensation ,**• insurance pcifcy; or (3) entering Into an agreement with other entitles providing for self-Insurance. 21. Annual Audi*. Charterholder ahali at Its own expen$u havo the financial and programmatic operations of the charter school audited annually by a certified public accountant holding a permit from the Texas State Board of Public Accountancy. Chartarholder shalf file a copy of the annual audit report, approved by Charterholder. wllh the agency not later tna.i the GS6 TEA CHAPTER SCHOOLS CONTRACT I20tn day after the and of ttie fiscal year for which the audit was made. The audit must ccrrply witr. Generally Accepted Aud.tMg Standard? and must induce an audit of the accuracy o< the fiscal information provided by me charter school through PEIWS. Financial statements in ihe audit mus: comply with Government Auditing Standards an<1 the Office of and Budget Circular T33. AcccLnjjnc. To th* extent requi^d by !ha commissioner, cnar-erholcJei- ehal! comply with me "Student Attendance Accounting Handbook" published by tra Agency, provided, hows**' that CnartarhoUJer shall report attendance Jata to the agency at six i".tervals or is dirscted t»y the agency. 23. Foundation Sshooi Proarcm. . Distribution of funds to the charter school urvder Section 12106. TEC, Is contingent upcn chart e o i a a - s como:!anc» witr. ^e terms of the charter. Charterhoder is •JCU receive Fwndation School Program funds prior ;o eweubon contract h> ni« board. With.n 30 days of receivine notlre cf overailacat-on and request for refund ur.der Section 42.2S«, TEC. ^artofhddar aht-l transmit co th* agency an amount eq-jal to the w-ua si*d »fand. If Chartft.-hoide- fails to make the rsqueated rafurd, n« ag^cyr may recover th* overaltecatton by any ircars permitted &i_l8w( ln..ud.ns bJt not limited ;o the process set forth in Section 42.255, T^QTui'Jan ana ?***. Charts bolder shall not charge tt charge a Ve except that it rr.ay cnars« a fee 11.lS6(a). TEC. 25. of Char.tr. Chara™Mar shall not apply, iie make use of funds, assets cr ra sources ; for any purpose otnor than operation of the charter charter. extard credit, or the charter school 'or any purpose odwr scnool descnb^d In tne charier. of 01 h^6 charw 27. Cnsr:«rhoN3afShaH net transfer any except m return fcr goods or aamcca charter scr.ool at fair market value. 26. :; °aa bsnefit L« ,he _ M u M i.- c. 1-1 • »T32 ^ 1 TEA CHAMHI SCHOOLS activities of Charterr-clclQ'' nor directly related :o the management and operation cf the charter school shall t« kept in separate and distinct accounting, auditing, budgeting, reporting, ar.d record keeping systems from those reflecting aeiivitfea uncV the; cha'taf. An/ corrmingi'ng of charter and non-charter business in tnase sstems $Ka;' be a material violation of the Qovernancg and Operations | 29. Non-Profit Siatua. Chartertiolder shall taka and reft ah frorr all acts necessary to b« and remain in good standing as an organization exornp: frcm taxation under Sactlon J01'c)(3), Internal Revenue Cods. If Charterhokier la Incorporared. it sha'l in addit'on comply with all app/ioabte (aws governing its corporate status. Fai/ure -:o comply with this paragraph is a material violation of the c^ar.ar, and the Board mey act on '.he violation even if tne Irlernal Re^«nua Sofvlee, Secratar/ ot State, ?;r oiher body with jurisdiction has failed to act 30. Records Retention and Management, Charterholder ahan impfomant a records managamft-.t system that coriforms to the system r«qy:red of schcc! dlalricta undsr the Local Go^arnment Records Act. Section 201.001 et seq . local Government Cods, and rules adopted t^reunder; provided, however, that records subject to audit sha:! be .-etained and available for audit far a period of not ;«33 than five ;5) years from the latter of the date cf terminationor renewal of the P£iM$ Reporting. Cha'i«;hglder a Kali report tirrely and accurate informatior to the Public Education Information Management System ), e$ required by he eommiaeioner. ' Conflict of. interflst. Charterholde^ shall comply with any applicable prohibition, restriction or requirement relating to cor.f icts of interest. If an offlcsr or board member of Chertemclder or of the cfiarter school has a aubstartial interest, within tho rneanlng of Chapter 1 71 . Loca. Oovern-nant Code, in a transaction, such interest shell be disclosed in public session at a duly called meeting of the governs body p^or to an/ action on *he tranaaotion 33. Diaelosura of Camaaion Cortributiors. Cnarterholdar shall fidcpt poSicses that will ensure '^omplisrce with the diacloaurs racuirements of State Board of E:rfu.=at:on Operating Rule 4,3 sr its successor. ^. Irvdemniflcation. Cnartarho:der shall hotd the Board and agency harmless from and shall Indemnify tha Board ard agency Sfga.ftit any and ai. cleima, demands, and causes of action of whatever K.nc or nature assertad by arty thW f arty and occurring or In sny wa/ incident to, anaing ; fiflrn&ctlon w w iihh wrongf wrongfu1 acta &f Chartirholder. its agen.S, out of, or ;nn fiflrn&ctlon employees, andsubcontractors. O S 8 fc? -* : S S- M i't i»-K-iwj.nri(_-c. — i-t «-•>-• ^ <^- •'• *-*.*• TEA CHARTER SCHOOLS CONTRACT Failure to Coerate CnartarnoiCer shah cpgrate the charter school for the fuft school term as described in the chaiwr application in esch year Of the Charter contrast. Charterhcfcier rr.ay not auspeno operation tor longer than 21 days without a revision to its cnarter, adopted by th* Board, stating that )ho charter ecr-cci is doTnant and setting forth the date on wHch operations sr.aii resums and eny applicable conditions. Suspension of opsrat'ons m violation of this paragraph shall abandonment of this contract and of the charter. qhartqr Scnool F3cl(jv. Charxerhcicer shal1 na^e anc ( throughout the te™ of the charter a lease agreement titla or otn«r .egal instrument gran;inS to Cnarterhclder the.' right to oesuoy and use ons or more r«cl'.ltiea suitable for use afe the charter school fadlWas ^"W*^ the chartei. During any period of dormancy granted by thp ifM™, wis raquiramam may be waived by the Board. Facilities sccjpled and used 64 charter schcol faalitiM shall comply with all applied* IBW*. inctud..no. Out not limited to, the Texas Architectural Barriers Act, A,J Varnon'a Texas Civil Statotas. 33. Enforcement 37. 38." 33. AflBpg£ ir.v^tiQations. Th9 commiasionar HW'™™^^ ilrect the agency to conduct in/estimations of tft« a»t*rmln* compliance wth mo terms ot the charter or Taxes Education Code or other la*, cnartarhddar. agents shall fully cooperato with such investigation*. J-a« comply whh raasgnebte requests for acc«8B te sites docuT,enu &• thi'.fis is a nateriai vlciation oMhe cherf*r. cnmm-^nn^ Author. The• cortiniia.tenftr in his jol^diacration^ay authorized by Section 39.131, T£C , ^ O^ptar 42. TEC relating to the charter «^°f . "adverse action^' 03 used m this contract. hrterholder and agsnts snail fully «operate with comply with any action authorized by Section TEC is a material violation of tha Bo6rd In its sole discretion rr.y -a***. P)«« Ii8:ftd in paragraphs a, 3, »nd 20: (b) WUTB to accounting standards of fiscal management; cr an applteab^ \aw or rut« , This 40 En-tifa Aeree-refli. This contract. Including ; by reference, contains C S 9 '-'-> uu:*;; .<„. „,, _„ , a,n, TEA CHARTER SCHOOLS C ONTRACT panics. Oji p.-ior rep'esentaiiona. uncerstaidlngs and dlscusaioos are nergsd Into, supe'soded by and canceled by t.nis cormct. Sgvarabiljty If any provision of this contract is <jat«rrvined by a court or other tribunal to te unenforceable or invslic for any r«§ jon. too remainder of the contract snal! remain In full fores aid o^ect. so is to ^tve e^act to the intent of the parties tc the extent valid and *nforcea3le, Conditions or' Contract. Execution of this contact by the Beard is conditioned on full and timely compliance by Charterhsider with; (a) tn* terrna. requ'-ed assurances and cendKiors of Request for Application #701-97-0^8; {bl applicable (,i«w; and (c) at! (iommHrnents and reprasentatlons madft in Cher+erhcldcr'a application. ^:nd ary supporting documents (to the extent such commitments and n»pr«santatlona are cortsiatent with tha terms of t.hts contract), 43. No Walter of gr^fcn- No assent, express w Implied, to any tireach of any of the covenants of egraemcnts horsfn shall waive any succeeding' or utner breach, 4*. Venua. Ary suh arising urder this contract shall Do brought ir Travis County, Texas. 45 Governiflc Lavy. In any suit arising un.Jer this contract, Texas law shall apply. __. m.. By executing this contract. CherwtoLder ^presents that It is an "eligible entV within the meaning of Section 12.101 (a), TEC. Charterholde^ shall immediately notify the Board of an / legal change in its status vtfNch would disqualify it from holding,the charter, of any violation of the tatrns and conditions oMh'a contract, or of any change in the chief op&rating officer of the charter school or Cnartarhol der. Charteihcloftr further represents thai tho person signing this contract has bean properly delegated authority to dg so Ente^fld into thia */ day of / Jfc£*i « . 19S9 ~7 Texas State Board of Education 7^ Cnarterholdsr By Chase Untermeyer, Chairman Chu Char-«rSchool 100