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2007 Williams Settlement "Opt in" Form

Attachment 1

2007 Williams Settlement
Charter School "Opt In" Form

Charter School Name

__________________________________________________

CDS Code

__________________________________________________

Contact Person

__________________________________________________

 

Phone Number

E-mail Address

Contact Information
___________________________
__________________________

School Address

__________________________________________________

__________________________________________________

School’s 2006 Base API (Please Circle)

1                    2                    3

 

___ Our charter school is choosing to participate in the Williams settlement and to be bound to the related requirements of statute.

I understand and agree that by choosing to participate in the Williams settlement, the charter school is bound by all related requirements of statute. I have read and understand the requirements of the legislation implementing the Williams Settlement Agreement.

Signature of Charter School Administrator

_______________________________________________

Date

_____________

If your school chooses to participate in the Williams settlement, please return this form by Friday, September 14, 2007*, to:

Julie Klein
California Department of Education
1430 N Street, Suite 3800
Sacramento, CA 95814
(916) 322-1646

* The deadline was extended from August 10, 2007, to provide sufficient time for consideration of the changes reflected in this letter.

Guidance for Charter Schools Lettter

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