Charter renewal, Lecture notes of History

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ATTACHMENT A OPEN-ENROLLMENT CHARTER CONTRACT RENEWAL APPLICATION 4' Current Information in Charter School Tracking System Charter Holder Name: IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS, LLC Charter School Name: IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS Charter School County/District #: 043-801 Generation: 14 Maximum Approved Enrollment: 1,300 Grades Approved: K,1,2,3,4,5,6,7,8,9,10,11,12 RECEIVED MAR 2 3 28H Campuses: 043801001 IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS 2860 VIRGINIA PK.WY MCKINNEY, TX 75071 Grade Levels Currently Served: KG,01,02,03,04,05,06,07,08,09 Geographical Boundary: The original charter application and amendment history reflects that the following district(s) comprise the charter school's geographic boundary: ALLEN ISD PILOT POINT ISD ANNA ISD PLANO ISD AUBREY ISD PRINCETON ISD BLUE RIDGE ISD PROSPER ISD CARROLLTON-FARMERS BRANCH ISD — RICHARDS ISD CELINA ISD ROCKWALL ISD COMMUNITY ISD VAN ALSTYNE ISD FARMERSVILLE ISD - -T^FRISCO ISD GARLAND ISD GUNTER ISD LAKE DALLAS ISD LITTLE ELM ISD LOVEJOY ISD MCKINNEY ISD MELISSA ISD UPDATE TO DATA PROVIDED BY TEA Grade Levels Currently Served: KG, 01, 02, 03, 04, 05, 06, 07, 08, 09,10 Geographical Boundary: ALLEN ISD ANNA ISD AUBREY ISD BLUE RIDGE ISD CARROLLTON-FARMERS BRANCH ISD CELINA ISD COMMUNITY ISD FARMERSVILLE ISD FRISCO ISD GARLAND ISD GUNTER ISD LAKE DALLAS ISD LITTLE ELM ISD LOVEJOY ISD MCKINNEY ISD MELISSA ISD PILOT POINT ISD PLANO ISD PRINCETON ISD PROSPER ISD RICHARDSON ISD ROCKWALL ISD VAN ALSTYNE ISD WYLIE ISD Section IV. Organizational Charts Submit, as Attachment 1, the organizational chart for the charter school that specifies the administrative positions including the title and name of the individual currently in each position. Submit, as Attachment 2, a chart that identifies all other entities under the direction of the charter holder. This would include entities and/or programs that the charter holder governs/manages in addition to the charter school. Page 11 Section V. Admission Policy Please be aware that any change to the terms of an open-enrollment charter that relates to the following subjects: • grade levels, • maximum enrollment, • geographic boundaries, • approved sites, • school name, • charter holder name, • charter holder governance, • articles of incorporation, • corporate bylaws, • management company, • admission policy, or • the educational program of the school requires the commissioner of education's approval of a substantive amendment. CSee §100.1033(c) Substantive Amendment, 19 TAC Chapter 100.) A. Specify the period during which applications for admission are accepted. TEC, §12.117, requires that a charter school establish a reasonable application deadlinefor the submission ofapplicationsfor admission. Beginning of Period (Month/Day) End of Period (Month/Day) 11/01 03/01 B. If the school admits students by lottery when the number of admissions applications received exceeds the number of available spaces, describe the procedures followed in conducting the lottery. All applications received from primary geographic boundary applicants during the application period are entered into a random lottery drawing to establish waiting lists for each grade level. The lottery is open to the general public and is held at the school within fifteen days of the admissions application deadline of March 1st. The date and time of the lottery are posted on the school's website no later than March 2nd of each year. Waiting lists established for each grade level are posted publicly at the school and on the school's website immediately following the lottery. C. If the school utilizes a lottery when oversubscribed, are any categories of applicants exempted from the lottery? (?) Yes ONo ONot applicable (because lotteries are not utilized) If "Yes" was indicated in C above, state the categories of applicants that are exempted. - Returning students - Siblings of returning and admitted students - Children of school founders, teachers, and staff Page 12 Section V. (Continued) Admission Policy D. If the school utilizes a lottery when oversubscribed, specify the approximate date on which a lottery will be conducted. Approximate Date of Lottery (Month/Day) First two weeks of March E. If the school does not utilize a lottery when oversubscribed, but rather fills the available positions in the order in which applications were received before the expiration of the application deadline (i.e., a "first-come, first-served" admission process), describe the manner in which the school notifies the community of the opportunity to apply for admission. TEC, §12.117, requires a charter school that uses afirst-come, first-served admission process when oversubscribed to publish a notice in a newspaper of general circulation not later than the seventh day before the application deadline. N/A - the school utilizes a lottery when oversubscribed. F. If the school has a separate process for re-enrollment, state the process and the timeline to be used. Parents of returning students are asked to complete an Intent To Return form by the first week of February each year to indicate their intent to attend the school for each upcoming school year. G. State the procedures for processing applications received once the application deadline has passed. All applications received on or after March 2nd from primary or transfer boundary applicants are added in order of receipt to the bottom of the established lottery-based primary boundary waiting lists for each grade level. If the lottery-based primary boundary waiting list is exhausted for any grade level during the year, additional applicants from both boundaries are admitted in order of receipt of applications. H. Describe the information that an applicant must provide in order to be considered for admission. Applicants may not be required to provide copies of transcripts or other academic records until after they are offered admission and are enrolling. Furthermore, a student may not beprecludedfrom enrolling due to the charter school'sfailure to receive information requiredfor enrollmentfrom the student's parent or guardian or previous school. See TEC, Student's name, date of birth, grade entering for the upcoming year, address, zoned district/campus, and name and grade of any currently enrolled sibling(s) at the school. Parent's name, main and alternate phone number, and email address. Name and grade of any additional siblings applying for admission. Page 13 Section VII. Serving Students at Residential Facilities Assurances If the charter school is not currently approved to serve students at residential facilities, do not provide a signature and indicate N/A on the signature line. If operating a charter school campus on the site of a residential facility (RF) or serving students residing in or receiving services from an RF, the charter holder chair certifies by signing the assurance that: Compliance with Special Education Requirements: The charter holder assures that it will comply with all of the requirements for the provision of educational services to students with disabilities as mandated by the Individuals with Disabilities Education Act, as amended, the Texas Education Code, and federal and state special education regulations. The charter holder acknowledges that state and federal special education requirements require, among other things, it provide a free and appropriate public education (FAPE) in the least restrictive environment (ERE) to students with disabilities residing in RFs. The charter holder further assures that it will provide, or seek the provision of, a FAPE to students with disabilities, which may require it to contract with outside service providers or another local educational agency to provide necessary services and supports to students with disabilities. Geographic Boundaries: The charter holder assures that it will accept students who reside in the school district(s) that are within each campus's geographic boundaries regardless of the presence or absence of a disability or admission to or participation in an RF program. Admissions Criteria: The charter holder assures that its admissions criteria will not be based on the presence or the absence of a disability; or on gender; national origin; ethnicity; religion; academic; artistic or athletic ability; or the home district the child would otherwise attend. School Choice: The charter holder assures that parents/legal guardians (or adult students) will be advised that they may choose to enroll their child in either the charter school or the local public school district and that the elected choice will be documented in writing and filed for purposes of review or audit by the Texas Education Agency (TEA), an external auditor, or an other entity. Residential Facilities Monitoring (RFM) System: The charter holder assures that it understands that, pursuant to 19 Texas Administrative Code (TAG) §97.1072, there is a specific system for monitoring school districts and charter schools serving students with disabilities who reside in RFs. The charter holder further assures that it understands it will be required to report data related to students with disabilities residing in RFs in TEA's data collection system known as RF Tracker and it may be subject to RFM intervention activities and on-site visits based upon a review of the data reported on a random selection or other means of selection. Training: The charter holder assures that all personnel involved with serving students with disabilities residing in a RF and personnel involved with reporting data in RF Tracker will receive training on the RFM system. Please contact your regional Educational Service Center for information regarding the required RFM system training. Page 16 Section VII. (Continued) Serving Students at Residential Facilities Assurances The charter holder assures this assurance document has been shared with, and understood by, the RF board and that the RF board has acknowledged its understanding of all federal laws and regulations, Texas laws, State Board of Education (SBOE) and commissioner of education rules related to charter schools serving students at residential facilities and further certifies that any future amendments to the laws, regulations, and rules will be incorporated and implemented. A//A f /̂A Signature of Charter Holder Board Chair Date (Must sign in blue ink) tilh. Printed Name of Charter Holder Board Chair Please write N/A in the signature line if the charter does not serve students at residential facilities. Page 17 Section VIII. Bilingual/ESL, Section 504, and Dyslexia Assurances TEC, Chapter 29, Subchapter B, TEC§12.104(b)(2)(G), and 19 TAC §§89.1201-.1265 require charter schools to identify limited English proficient students based on state criteria and to provide an appropriate bilingual education or English as a second language program conducted by teachers certified for such courses. A. The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to limited English proficient students. (•}Yes CNo Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §794, prohibits discrimination on the basis of disability in any program receiving federal financial assistance. A recipient that operates a public education program or activity shall provide a free, appropriate public education to qualified individuals. B. The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to students protected by Section 504. (• Yes C No TEC§38.003, TEC§12.104(b)(2)(E), 19 TAC §74.28 and Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. §794, require charter schools to identify students with dyslexia or related disorders and to provide appropriate educational services. C. The charter holder certifies it has policies and procedures in place to ensure it complies with the legal and regulatory requirements concerning identifying and providing appropriate educational services to students with dyslexia or related disorders. (• Yes ONo I further certify that any future amendments to the laws, regulations, and rules will be incorporated and implemented. kitQ&t-— Signature of Charter Holder Board Chair Date (Must sign in blue ink) fa\y\ 0(WjJ Printed Name of Charter Holder Board Chair Page 18 ATTACHMENT 1 IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS ORGANIZATIONAL CHART ATTACHMENT 1 ORGANIZATIONAL CHART Texas Education Agency/Texas State Board of Education Imagine International Academy of North Texas, LLC Board of Managers Chief Executive Officer/Superintendent Name: Ann Carrell Central Administration Officer/Head of School Name: Julia Brady I Upper School Director Administrative Coordinator Lower School Director (Campus Administration Officer) (Business Manager) (Campus Administration Officer) Name: Preston Emerton Name: Gene Zhu Name: Angela Farrell Upper School Staff/Personnel Administrative Lower School Staff/Personnel (Grades 6-12) Staff/Personnel (Grades K-5) ATTACHMENT 2 IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS ALL OTHER ENTITIES UNDER CHARTER HOLDER 400.20. ADMISSIONS & ENROLLMENT The governing body ("Board") of Imagine International Academy of North Texas adopts the following policy which shall be effective on the date that the policy is adopted by the Board. Section 1. Admissions Section 1.1. Non-Discrimination Policy. Imagine International Academy of North Texas's admissions and enrollment shall be free from discrimination based on sex, national origin, ethnicity, religion, disability, academic, artistic, athletic ability, or the district the child would otherwise attend under state law. Section 1.2. Admission Application Deadline. The Imagine International Academy of North Texas admission application period is from November 1st through March T'. Section 1.3. Non-resident Transfer Students. Students who reside outside Imagine International Academy of North Texas's approved primary geographic boundaries may be admitted once all eligible, resident students who submitted a timely application are enrolled, according to the school's charter. Section 1.4. Exclusion from Admission. Imagine International Academy of North Texas reserves the right to exclude from admission a student who has a documented history of a criminal offense, a juvenile court adjudication, or discipline problems under the Education Code, Chapter 37, Subchapter A. Section 2. Enrollment Section 2.1. Eligibility. The Central Administration Officer ("CAO"), or CAO's designee, shall establish procedures that ensure that appropriate measures are taken to verify, on enrollment, that a student is entitied to enroll in Imagine International Academy of North Texas. Areas to be verified include, but are not limited to, a student's residency and grade level. Section 2.2. Enrollment Documentation. Upon a student's enrollment, the CAO, or CAO's designee, shall ensure that a bona fide effort is made to secure all records and required documentation pertaining to the student. Section 2.3. Establishing Identification. Any of the following documents are acceptable for proof of identification and age: birth certificate; driver's license; passport; school ID card, records, or report card; military ID; hospital birth record; adoption records; church baptismal record; or any other legal document that establishes identity. Document adopted by the Board: 4/25/2013 ATTACHMENT 4 IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS ADMISSION APPLICATION Application For Admission for 2014-2015 School Year | Imagine International Academy ... Page 1 of 2 News About Us Admissions Primary Years Middle Y ears Diploma Years Parents Staff Advancement QUICK LINKS ManageBac Login TxConnect Login School Calendar VISIT OUR LIBRARY! M Application For Admission for 2014-2015 School Year The Imagine International Academy of North Texas does not discriminate in admissions based ongender, national origin, ethnicity, religion, disability, academic, artistic, or athletic ability; or the district the child would otherwise attend. One application must be completed for EACH STUDENT interested in attending the school. Applications received on or after March 2nd, 2014 will be placed on our waiting lists in order of when they are received. Student Information Student's First Name: * Student's Last Name: * Student's Date of Birth: * |Month v[ [Dayv Year v| Grade Entering in Fall 2014: * |- Select- v| Street Address: * | City: * | ~ State: |TX Zip: * | Zoned Public School District* |- Select ­ Zoned Public School Campus: * Does the student have a siblingcurrently enrolled in the school? * Q Yes Q No Currently Enrolled Sibling's First Name: * |N/A if not applicable Currently Enrolled Sibling's Last Name: * |N/A if not applicable Grade Sibling Currently Enrolled In: * |- Select ­ Parent/Guardian Information Parent/Guardian First Name: * Parent/Guardian Last Name: * Parent/Guardian Main Phone Number: * Parent/Guardian Alternate Phone Number: * Parent/Guardian Email Address: * http://www.imaginenorthtexas.org/node/!17 3/23/2014 I M A G I N E I N T E R N A T I O N A L A C A D E M Y O F N O R T H T E X A S www.imaginenorthtexas.org S T U D E N T E N R O L L M E N T C H E C K L I S T 2 0 1 3 - 2 0 1 4 S C H O O L Y E A R S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME MIDDLE NAME ENTERING GRADE FOR 2013-2014SCHOOL YEAR DATE OF BIRTH •2nd•1st • 3rd • 4th• K •5 •6th •7th •8th • 9th •10th MM DD YYYY P L E A S E C O M P L E T E A N D R E T U R N T H I S C H E C K L I S T W I T H Y O U R F O R M S REQUIRED FORMS • Student Registration Form Page #2 • Special Services Information Page #3 • Student Release Authorization Form (must be notarized) Page #5 • Student Medical Information Form Page #6 • Student Medical Care Authorization Form Page #7 • Home Language/Family Survey Page #8 • Race/Ethnicity Questionnaire Page #9 • Media Release Form Page #10 • Student Director)' Information Release Form Page #12 • Tell Us About Your Child Page #13 • Educational Background Page #14 • Field Trip Permission Form Page #15 Page #16• Student Records Request Form ADDITIONAL DOCUMENTATION REQUESTED FOR STUDENTTO BE ENROLLED • Copy of student's Birth Certificate • Copy of student's Social Security Card • Copy of parent's/guardian's Driver's License or State ID • Proof of Residency within school boundaries (current gas, water, or electric utility bill, lease agreement, or contract) • Current immunization records or notarized exemption affidavit • Copy of student transcript or most recent report card • Copies of state testing results from previous school year(s) — TAKS/STAAR or other comparable state test • Copies of any previous assessment results for the student • Copies of any Special Education/Speech/Special Services/GT/504 documentation, if applicable TO BE PROVIDED AND RETURNED TO THE SCHOOL PRIOR TOSTART OF INSTRUCTION • Receipt of Parent-Student Handbook • Parent/Student/Faculty Agreement • Receipt of Student Code of Conduct • Technology Use Agreement Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 2 Date Enrolled: S T U D E N T R E G I S T R A T I O N F O R M 2 0 1 3 - 2 0 1 4 S C H O O L Y E A R Please type or print legibly. S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH GENDER NICKNAME (IF ANY) •Male • Female MM DD YYYY CURRENT HOME ADDRESS CITY / STATE / ZIP SOCIAL SECURITY NUMBER CURRENT MAILING ADDRESS STUDENT EMAIL ADDRESS CITY / STATE / ZIP (If Different From Home) (Required for Upper School Students) ZONED SCHOOL DISTRICT ZONED SCHOOL NAME LAST SCHOOL ATTENDED ENTERING GRADE LEVEL HOMESCHOOLED? •2nd• K •1st •3rd • 4th •5 •9th • Yes • No Curriculum Used:• 6th • 7th •8th •10th F A M I L Y I N F O R M A T I O N STUDENT LIVES WITH: (CHECK ALLTHAT APPLY) •Both Parents • Mother •Father • Foster Parents •Stepmother •Stepfather • Other (specify). NAME (MOTHER/LEGAL GUARDIAN) NAME (FATHER/LEGAL GUARDIAN) HOME ADDRESS HOME ADDRESS HOME PHONE MOBILE/PAGER HOME PHONE MOBILE/PAGER EMAIL ADDRESS EMAIL ADDRESS EMPLOYER WORK PHONE EMPLOYER WORK PHONE SIBLING NAME / DATE OF BIRTH / CURRENT GRADE SIBLING NAME / DATE OF BIRTH / CURRENT GRADE Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 3 Date Enrolled: S P E C I A L S E R V I C E S I N F O R M A T I O N In order to best meet your child's educational needs, please inform us of any special services your child has received: S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME DATE OF BIRTH MM DD YYYY S E R V I C E S P R O V I D E D HAS YOUR CHILD PREVIOUSLY BEEN ENROLLED IN ANY OFTHE FOLLOWING SPECIAL SERVICES PROGRAMS? • Speech • Occupational Therapy G Physical Therapy G Learning Disability (please list) • ESL • Gifted/Talented • Migrant/Immigrant • Dyslexia • Other:. (please specify) HAS YOUR CHILD BEEN PREVIOUSLYTESTED OR EVALUATED FOR SPECIALEDUCATION SERVICES? • Yes • No If yes, please attach copies of any testing and evaluations previously performed. DOES YOUR CHILD CURRENTLY HAVEAN INDIVIDUALIZED EDUCATION PLAN (IEP)? • Yes • No If yes, please attach a copy of the current IEP. DOES YOUR CHILD CURRENTLY HAVE A 504 ACCOMODATION PLAN? Q Yes • No If yes, please attach a copy of the current 504 Accommodation Plan. HAS YOUR CHILD EVER FAILED A GRADE, ASTATE ASSESSMENT SUCH AS TARS, OR BEEN DESIGNATED "AT RISK" OF DROPPING OUT OF SCHOOL? • Yes O No If yes, please list grade, year(s), and reason:. HAVE YOU EVER WITHDRAWN YOUR CHILD FROM PUBLIC SCHOOL FOR ANY REASON? • Yes • No If yes, please explain:. L A S T S C H O O L A T T E N D E D NAME OF SCHOOL PHONE NUMBER CITY/STATE/ZIP I hereby certify that the student identified in these records resides within the boundaries of the Imagine International Academy of North Texas and I understand that falsified records may result in the removal of my student from the school. Date Parent/Guardian Name (pleaseprint) Parent/Guardian Signature Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 6 Date Enrolled: S T U D E N T M E D I C A L I N F O R M A T I O N F O R M In order to help us meet your child's needs while at school, please provide us with the following information: S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME GRADE DATE OF BIRTH / / MM DD YYYY M E D I C A L H I S T O R Y PLEASE CHECK ALLTHAT APPLY: • Asthma • Allergies (food or otherwise) • Chicken Pox • Vision Impairment Q Heart Condition • Diabetes • Seizures • Hearing Impairment • ADD/ADHD • Scoliosis • Other: IS YOUR CHILD CURRENTLYTAKING ANY MEDICATION? • Yes • No If yes, please provide details below: MEDICATION NAME DOSAGE/FREQUENCY Note that all medications, prescription or otherwise, must be dispensed through the school nurse. IS YOUR CHILD ALLERGIC TOANY FOODS OR OTHER SUBSTANCES? G Yes • No If yes, name food(s) or substances to be avoided, and what our procedure should be if a reaction occurs. DOES YOUR CHILD HAVE ANY PHYSICAL CONDITIONS WE SHOULD BE AWARE OF? Q Yes • No If yes, please describe, and provide information on what precautions or procedures must be taken. HEALTH SCREENING The school is required by state law to provide screening for vision, hearing, scoliosis, and acanthosis marker (diabetes) to be performed by state-certified examiners. Do you give your permission to have your child screened for these conditions? • Yes • No I hereby authorize school employees to administer prescription, as well as non-prescription medication, when provided by me under the following provisions: (1) The school has received a written request to administer the medication from the parent, legal guardian or other person having legal control of the student, and (2) When administering the medication, it is in the original container and properly labeled. I give authorization for the school to call the family physician, if necessary, and to follow the recommendations of the physician. I understand that students may not possess any medication, prescription or otherwise, on school property without prior written approval from the school. Date Parent/Guardian Name (pleaseprint) Parent/Guardian Signature Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year| 7 Date Enrolled: S T U D E N T M E D I C A L C A R E A U T H O R I Z A T I O N F O R M In order to provide appropriate care for your child in case of a medical emergency, please complete the following: S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME DATE OF BIRTH / / MM DD YYYY PARENT/GUARDIAN NAME PRIMARY PHONE NUMBER MOBILE/PAGER NUMBER PARENT/GUARDIAN NAME PRIMARY PHONE NUMBER MOBILE/PAGER NUMBER PRIMARY PHYSICIAN TELEPHONE NUMBER PREFERRED HOSPITAL TELEPHONE NUMBER PLEASE LIST ANY FACTS CONCERNING YOUR CHILD'SMEDICAL HISTORY INCLUDING ALLERGIES, MEDICATIONS TAKEN, AND ANYPHYSICAL IMPAIRMENTSTO WHICH A PHYSICIANSHOULD BE ALERTED IN CASE OF EMERGENCY: E M E R G E N C Y C O N T A C T S O T H E R T H A N P A R E N T / G U A R D I A N ( I N O R D E R O F P R I O R I T Y ) LAST NAME FIRST NAME RELATIONSHIP HOME PHONE WORK PHONE MOBILE/PAGER LAST NAME FIRST NAME RELATIONSHIP HOME PHONE WORK PHONE MOBILE/PAGER I, the undersigned, do hereby authorize officials of this school to contact directly the person(s) named on this form, and to secure any and all emergency medical care and treatment for my child for acute illness suffered or injury sustained while at school or participating in school-related activities. In the event the physician, parents, or other persons named on this form cannot be contacted, school officials are hereby authorized to take whatever action is necessary in their judgment, for the health of aforesaid child. I will not hold the Imagine International Academy of North Texas financially responsible for the emergency care and/or transportation of aforesaid child. I give permission for the release of confidential information regarding my child's specific health problems to third parties, other than school officials, as required to facilitate medical care and/or treatment of my child. I certify that I am a parent with legal control of the child, the child's legal guardian, or have other court ordered control of the child. I understand that I must notify the school in writing to change any information on this form or to revoke any consent given herein. Date Parent/Guardian Name (pleaseprint) Parent/Guardian Signature Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 8 Date Enrolled: H O M E L A N G U A G E / F A M I L Y S U R V E Y The state of Texas requires schools to collect the following information to better serve your child through supplemental programs: S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME MIDDLE NAME DATE OF BIRTH PLACE OF BIRTH/COUNTRY OF ORIGIN PHONE NUMBER / / MM DD YYYY CURRENT ADDRESS CITY / STATE / ZIP S T U D E N T B A C K G R O U N D WHAT LANGUAGE IS SPOKEN IN YOUR HOME MOST OFTHE TIME? iCUAL ES EL IDIOMA QUE MAS SE HABLA EN SU HOGAR? WHAT LANGUAGE DOES YOUR CHILD SPEAK MOST OF THE TIME? jCUAL ES EL IDIOMA QUE HABLA MASSU NINO(A)? PLEASE COMPLETE THE FOLLOWING CHART OF YOUR CHILD'SHISTORY OF SCHOOLING: Grade School Year Completed Inside/Outside USA Location (City/State/Country) Pre-K • All • Partial • Inside • Outside Kindergarten • All • Partial • Inside • Outside 1st Grade • All • Partial • Inside • Outside 2nd Grade • All • Partial • Inside • Outside 3rd Grade • All • Partial • Inside • Outside 4,n Grade • All • Partial • Inside • Outside 5,n Grade • All • Partial • Inside • Outside 6th Grade • All • Partial • Inside • Outside 7th Grade • All • Partial • Inside • Outside 8th Grade • All • Partial • Inside • Outside 9th Grade • All • Partial • Inside • Outside HAS YOUR FAMILY MOVED WITHINTEXAS, OR ACROSS STATES, TO FINDWORK IN AGRICULTURE OR FISHING WITHIN THE LAST THREE YEARS? • Yes • No IF YES, PLEASE INDICATE AREA BELOW: • Agriculture (planting/harvesting) • Fishing • Ranches/Farms G Forestry • Processing plants Q Other: WHERE IS THESTUDENT CURRENTLY LIVING? • Permanent housing • With another family or person due to loss of housing, economic hardship, or natural disaster • Other temporary living situation (please describe): I hereby certify that the above information is true and correct. Date Parent/Guardian Name (please print) Parent/Guardian Signature Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 11 Date Enrolled: S T U D E N T D I R E C T O R Y I N F O R M A T I O N R E L E A S E I N F O R M A T I O N Imagine International Academy of North Texas will provide notice in the Parent-Student Handbook to the parents of each student at the beginning of each school year, or upon enrollment of the student after the beginning of a school year, (1) a written explanation of the provisions of the Family Educational Rights and Privacy Act of 1974 (20 U.S.C. Sec.l232g) regarding the release of directory information about the student and, (2) written notice of the right of die parent to object to the release of directory information about the student under the Family Educational Rights and Privacy Act of 1974 (20 U.S.C. Sec.l232g). Notice Certain information about school students is considered directory information and will be released to anyone who follows the procedures for requesting the information, unless the parents or guardian objects to the release of the directory information about the student. If you do not want the Imagine International Academy of North Texas (IIA-NT) to disclose directory information from your child's education records without your prior written consent, you must notify the school in writing by the end of the first 10 days of instruction. You may utilize the form on the next page for this purpose. For limited school-sponsored purposes, IIA-NT designates the following information as directory information: student's name, address, telephone number, email address, date and place of birth, photograph, honors and awards received, participation in officially recognized activities and sports, weight and height of members of athletic teams, dates of attendance, enrollment status, grade level, and most recent educational institution attended. Directory information identified only for limited school-sponsored purposes will remain otherwise confidential and will not be released to the public without the consent of the parent or eligible student. Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 12 Date Enrolled: S T U D E N T D I R E C T O R Y I N F O R M A T I O N R E L E A S E F O R M S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME GRADE DATE OF BIRTH / / MM DD YYYY R E L E A S E O F I N F O R M A T I O N IMAGINE INTERNATIONAL ACADEMY OF NORTH TEXAS PARENT/STUDENT DIRECTORY For the purpose of parent communication, the Imagine International Academy of North Texas and/or Imagine Parents in Partnership may assemble a parent/student directory listing parent/student contact information (name, address, phone number, email) by grade. Participation is strictly voluntary. • Yes, my contact information may be included in a parent/student directory. Q No, my contact information may not be included in a parent/student directory. RELEASE OF STUDENT INFORMATION FOR LIMITED PURPOSES Parents can choose to allow the release of directory information for limited school-sponsored and/or Imagine Parents in Partnership- sponsored purposes (such as student recognition activities, yearbook or student newspaper, printed programs for extra-curricular activities, email newsletters, publications, etc.). • Yes, my student's directory information may be released only for the type of limited purposes listed above. • No, I do not want ANY' of the director)' information released, even for limited purposes. I understand that this means my student will not be included in positive publicity about his/her achievements or the school yearbook. RELEASE OF DIRECTORYINFORMATION TOTHIRD-PARTIES Except as noted above, I direct the school NOT to release my student's directory information without my prior written consent to any third party. O I do not want ANY of the directory information released to third parties. SECONDARY STUDENTS (GRADES 7-12 ONLY) Federal Law requires schools receiving assistance under the Elementary And Secondary Education Act of 1965 (20 U.S.C. section 6301 et seq.) to provide military recruiters, or an institution of higher education, on request, with the name, address, and telephone number of a secondary student, unless the parent has advised the school that the parent does not want the student's information disclosed without the parent's prior written consent. • DO NOT RELEASE:Ichoose to object to the release of the directory information for my student to a military recruiter or institution of higher education. THIS FORM MUST BE RETURNED TO THE SCHOOL NO LATER THAN 10 DAYS FOLLOWING THE START OF INSTRUCTION Date Parent/Guardian Name (pleaseprint) Parent/Guardian Signature Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 13 Date Enrolled: T E L L U S A B O U T Y O U R C H I L D S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME MIDDLE INITIAL GRADE LEVEL PARENT/GUARDIAN NAME PARENT/GUARDIAN EMAIL PHONE NUMBER ALT. PHONE G E T T I N G T O K N O W Y O U R C H I L D ( A t t a c h a d d i t i o n a l p a g e s a s n e c e s s a r y ) MY CHILD LEARNS BEST WHEN: IN NEW SITUATIONS, MY CHILD TENDSTO: MY CHILD GETS ANXIOUS WHEN: WHAT YOU NEED TO KNOW ABOUT MY CHILD IS: MY CHILD LIKES TO: MY CHILD DOES NOT LIKE TO: WHAT I WISH FOR MY CHILD AT YOUR SCHOOL FOR THE UPCOMING SCHOOL YEAR IS: MY CHILD HAS THE FOLLOWING DIETARY, ACTIVITY, OR CELEBRATION RESTRICTIONS: Student ID #: Imagine International Academy of North Texas | Enrollment Forms | 2013-2014 School Year | 16 Date Enrolled: S T U D E N T R E C O R D S R E Q U E S T F O R M C O N F I D E N T I A L The student listed below will be attending the Imagine International Academy of North Texas for the 2013-2014 school year. Please mail or fax the information listed below to us as soon as possible. Thank you. Mailing Address: Imagine International Academy of North Texas Fax: 214-491-1504 2860 Virginia Parkway Phone: 214-491-1500 McKinney, TX 75071 Email: admissions6timaginenorthtexas.org S T U D E N T I N F O R M A T I O N LAST NAME FIRST NAME GENDER DATE OF BIRTH • M • F / / MM DD YYYY PRIOR DISTRICT NAME COUNTY DISTRICT # CAMPUS NAME PRIOR CAMPUS PHONE NUMBER R E C O R D S R E Q U E S T E D PLEASE SEND US ALL OFTHE FOLLOWING: • Date of enrollment at your school and most recent grade placement • Withdrawal date and grades to date, including any credit earned in each subject • Discipline Records • Immunization/Health Records • Honors/Gifted Placement Records • Special Education Records • Testing Results (TAKS, STAAR, MAP, SAT-10, ITBS, etc.) • ESL/Bilingual Records and Home Language Survey DISCIPLINARY HISTORY This student (check all that apply): • Has a documented history of a criminal offense. • Has a documented history of a juvenile court adjudication. • Has a documented history of disciplinary problems. PARENT/GUARDIAN LAST NAME PARENT/GUARDIAN FIRST NAME DATE SIGNATURE DATE REQUESTED SCHOOL REPRESENTATIVE NAME SCHOOL REPRESENTATIVE SIGNATURE Imagine International Academy of North Texas | Parent-Student Handbook | 2013-2014 School Year | v.1.0 3 PARENT/STUDENT HANDBOOK ACKNOWLEDGEMENT Imagine International Academy of North Texas 2013-2014 Parent/Student Handbook & Code of Conduct Acknowledgement Form Please sign anddate this page, removefrom the handbook, and return it to the Schooloffice. Fa/M? A «o/ a jW«,/ or̂ w;//h;w /Mr mpoMM/y A, abide by the published rules andprocedures contained in this Handbook. PARENT/GUARDIAN AGREEMENT As a parent/guardian of a child attending the Imagine International Academy of North Texas, I have read and agree to comply with the published rules and procedures outlined in the 2013-2014 Parent/Student Handbook. I recognize that the Imagine International Academy of North Texas is an open-enrollment public charter school of choice, and I have voluntarily chosen to enroll. I understand that failure to comply with the rules and procedures outlined in the Parent/Student Handbook may jeopardize my student's eligibility to attend the Imagine International Academy of North Texas. Name of Student: Grade: Name of Student: Grade: Name of Student: Grade: Name of Student: Grade: Printed Name of Parent/Guardian: Signature of Parent: Date: _ STUDENT AGREEMENT I understand that the Imagine International Academy of North Texas is a school of choice. After talking with my parents/guardians, I have chosen to attend the Imagine International Academy of North Texas. As a student at the Imagine International Academy of North Texas, I agree to accept responsibility for following the rules and procedures as described in the Parent/Student Handbook. Name of Student: Signature: Date: Name of Student: Signature: Date: Name of Student: Signature: Date: Name of Student: Signature: Date: r 1701 North Congress Ave. * Austin,Texas 78701-1494 * 512463-9734 « 512 463-9838FAX • www.tea.state.tx.us Charter Renewal Contract eiettotbiID) June 30,2014 AUG 1 2 2014 !LdJrf Mrs. Ann Carrell, Board Chair and Superintendent imagine International Academy of North Texas, LLC I — — — - — —J. 2860 Virginia Parkway Cllai id 10 McKinney, Texas 75071 Re: Charter Renewal Contract for Imagine International Academy of North Texas (CDN 043801) Dear Mrs. Carrell: I am pleasedto informyou that the charter renewalis approvedfor ImagineInternational Academy of North Texas with a contract ending date of July 31. 2024. After renewal, the charter contract shall consist of the following: • the representations and assurances made by the charter holder in the original request for application under the standard application system, including all revisions made during the contingency process; • the original contract for charter, as signed by the charter holder and the State Board of Education; • any condition, amendment, modification,revision, or other change to the charter approved by the State Board of Education or the commissioner of education, including any prior renewal documents with revisions based on contingency responses; • the final renewal application received in spring 2014, on file with the Division of Charter School Administration, including any revisions required by the agency and any amendments to the charter made through the renewal application; and • all statements, assurances,commitments, andrepresentations madeby the charterholder in its application for charter renewal and its attachments or related documents, to the extent that these documents are consistent with those listed above. By accepting these renewal terms, the charter holder represents that it understands that the charter holder, including any and all governance, at whatever level whether appointed or elected, employees, agents, and volunteers, shall fully cooperate with every Texas Education Agency investigation and/or sanction deemed necessary by the commissioner based on authority and responsibility given to the commissioner in state or federal law. This means that Texas Education Agency staff may conduct confidential interviews of charter school personnel and contractors outside the presence of representatives of the charter school's administration and board and that failure to timely reply with reasonable requests for access to site, personnel, documents, or other materials and/or items is a material violation of the contract for charter.