School Prequalification Form







Approved to Operate School?   
Contract with Authorizer/Sponsor?  
501(c)(3) Designation?  
School District  
Authorizer/Sponsor Contact Person  
Authorizer/Sponsor Website  
Authorizer/Sponsor Contact Phone  
Date Charter Authorized  
Date Charter Expires  
Date Charter Renewed  
Date Commenced Operations  
Grades Served  
Education Model  
Enrollment – Previous School Year  
Enrollment – Current  
Projected Enrollment – Next Year  
Projected Enrollment – Year 2  
Projected Enrollment – Year 3  
Projected Enrollment – Year 4  
Projected Enrollment – Year 5  
Current Waiting List  
Current Student Teacher Ratio  
Eligible Free & Reduced Priced  Lunch (%)  
Special Education (%)                            
Average Daily Attendance  
Student Retention Rate (%)              
Teacher Retention Rate (%)               
Proficiency in Math (%)  
Proficiency in Reading (%)  
Graduation Rate (%)                          
College Acceptance Rate (%)        
Direct Loan   
Lease Guarantee  
Loan Guarantee  
Real Estate Dev Services  
Total Loan Amount Requested  
Loan Term Requested (yrs)  
Loan Type Requested  
Have You Identified Facility for Lease?  
3rd Party Guarantor Needed?  
Obtained Term Sheet from Lender  
Real Estate Dev Services Interested In  
Facility Location Street  
Facility Location City  
Facility Location State  
Facility Location Zip  
Current School Square Footage  
Projected Completion Square Footage  
Charter Management Organization  
Projected Contract w/Authorizer Date  
Projected Approved to Operate Date  
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