Membership Application – FCSA – Florida Charter School Alliance

Membership Application

School/Organization:*
District:*
Primary Contact Name:*
First Last
Position/Title:*
Email*
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Phone*
School website:*
School #*
Number of students enrolled:*
About your school
Year school opened*
Grades served
School theme / emphasis*
Management company:*
Title 1?*
- Yes
- No
SACS/AdvancED accredited?*
- Yes
- No
High Performing?*
- Yes
- No
Is your school a network school?*
- Yes
- No
About your governing board
Board chair name:*
Email*
Phone*
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