Achievement District Application

A School seeking designation as an Achievement District School, pursuant to A.R.S. 15-2141, shall file an Application with the Board, which may be modified from time to time by the Board.

Applications failing to comply with the requirements of A.R.S. 15-2141 shall be denied without prejudice to the subsequent filing by such School of an application complying with such requirements.

The accuracy and completeness of the information contained in an Application shall be vertified by the Chief Executive Officer or Chief Financial Officer of the School.

PLEASE NOTE:

1. All textfields marked with an asterisk are REQUIRED for an application to be considered complete. If these textfields do not apply to the applicant school, please enter N/A. Failure to do so will result in an error upon submittal and the application will be deemed incomplete.

2. If you are choosing to attach a file and do not need to use the text box provided, simply enter "see attachment". All text fields are required, and failure to enter text will result in an error upon submittal and the application will be deemed incomplete.

3. If you would like to submit all requested files via dropbox, please include a link to the dropbox in the field provided below.

4. Your submission may be subject to production under Arizona's public records law.

If you have any questions regarding this application, please contact: [email protected].

Applicant Information

School Name *

School Address *

School City *

School Zip Code *

Phone Number *

Contact Information

First Name *

Last Name *

Contact Email *

Contact Phone *

File Link

Drop Box Link *

If you prefer to submit the required documentation via dropbox, please include a link to the dropbox location below.

Achievement District Qualification

Proving Receipt of Letter Grade of A or equivalent. *

Please verify that the applicant has received a letter grade of A, or an equivalent successor, pursuant to A.R.S. 15-2141(B)(1), certification that the School has received such grade at the time of submitting the application, by checking yes below and by attaching any certifications or documentation to that effect. Charter public schools shall also provide certification that they are in material compliance with all requirements and their charter is not subject to revocation.

Yes, the undersigned certifies that the Applicant school has achieved a current grade of A. For charter schools, by checking yes, the undersigned further certifies that the applicant school is in material compliance with all requirements and their charter is not subject to revocation.

Letter Grade of A File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Instructional Strategies and Curricula *

For the proven instructional strategies and curricula that demonstrate high academic outcomes required by A.R.S. 15-2141(B)(2), please provide a short narrative describing the School's strategies that may include the School's core programs, areas of instruction, pedagogy utilized and educational philosophies.

Instructional Strategies and Curricula File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Enrollment Demand *

For verifiable enrollment demand required by A.R.S. 12-2141(B)(3), please provide certification that the school has demonstrated enrollment demand, such as a wait list or open enrollment demand by checking yes below.

Yes, the undersigned certifies that the school has demonstrated a verifiable enrollment demand.

Enrollment Demand Methodology *

For verifiable enrollment demand required by A.R.S. 12-2141(B)(3), please provide a description of the methodology used to evaluate enrollment demand.

Enrollment Demand File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Partnership with Underperforming School *

For a commitment to provide technical assistance to an Underperforming school in the State, as required by A.R.S. 15-2141(B)(5), please provide a letter from an Unaffiliated and Underperforming school that confirms the applicant School's commitment and that identifies the areas of support being, or to be, provided.

Partnership with Underperforming School File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Poverty Indicators *

Pursuant to A.R.S. 15-2141(B)(6), Applicants shall also provide information concerning any poverty indicators of its student population, including the ratio of students eligible for a free or reduced cost lunch program.

Poverty Indicators File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Financial Information

Financial Statements *

For a sound financial plan that contemplates operational costs and future enrollment growth, required by A.R.S. 15-2141(B)(4), please provide the Applicant's annual audited financial statements for the immediate past fiscal year, or if audited financial statements are not yet available, unaudited financial statements for the immediate past fiscal year.

Financial Statements File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Expenditures *

For a sound financial plan that contemplates operational costs and future enrollment growth, required by A.R.S. 15-2141(B)(4), please provide a record of the Applicant's year-to-date actual expenditures as compared to budget.

Expenditures File

Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.

Confirm Accuracy and Completeness

By checking yes below, the applicant confirms that the accuracy and completeness of the information in this application has been certified by the Chief Executive Officer or Chief Financial Officer of the School. *

Yes, the information in this application is accurate, complete, and has been verified by the Chief Executive Officer or Chief Financial Officer of the School.

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