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KIPP New Orleans, Inc Orleans Parish School Board Fall 2018 Charter School Application: Proposal Overview Proposal Overview Form The Proposal Overview Form is part of the Part 1 Eligibility Determination & Threshold for Evaluation and should be submitted via the Fluid Review portal. Submitted documentation should include only the information requested below, saved in a single PDF file. Non-Profit Information Name of Nonprofit Applicant (as registered with Louisiana Secretary of State) Type 1 Type 3 Application Type Instruction Location. Mark whether instruction Site Based Virtual will be will be primarily site based (in person, in a school building) or virtual (computer based). New Transformation – Transformation – If a Type 1 Applicant, please select your Start Full Takeover Reconfiguration proposal type New Experienced Operator Operator Operator Track Primary Contact Information Name Address Phone Email School Leader Information Proposed school leader name (if identified) Proposed school leader current job/position List any principal/leadership programs the proposed leader is currently enrolled in or have completed (e.g., NLNS, BES, etc.) School Information Proposed School Name Opening Year Grades served Year 1 Grades served at capacity Orleans Parish School Board Fall 2018 Charter School Application: Enrollment Projection Enrollment Projection Form Provide the following information for each school included in this proposal. Specify the planned year of opening for each (duplicating the table as needed). School Name: Pursuant to OPSB Policy HA, Section 6, will your school have any proposed Focus Programs or Mission-Specific Admissions Preferences? Number of Students Year 1: Year 2: Year 3: Year 4: Year 5: Year at Grade Level Capacity: Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 MINIMUM ENROLLMENT BUDGETED ENROLLMENT MAXIMUM ENROLLMENT 1 Orleans Parish School Board Fall 2018 Charter School Application: Enrollment Projection Enrollment Plans What is your minimum operating enrollment? What adjustments to the budget, staffing and/or academic model would be made to accommodate this minimum enrollment? 2 Orleans Parish School Board Fall 2018 Charter School Application: School Management Form School Management Form Do any of the following describe your organization or any of the school(s) proposed in this application? Will contract or partner with an education service provider (ESP) or other organization to provide school management services. If so, identify the provider: Will have a corporate partner as defined in LA R.S. 17.3991.1. If so, identify the partner: Will reflect the conversion of an existing public school (Type 3 application). If so, identify the school: The applicant has previously participated in the OPSB charter RFA process. If so, is the application currently on appeal to the State? Already operates schools in Louisiana or elsewhere in the US (indicate which state(s) below) Certification I certify that I have the authority to submit this application and that all information contained herein is complete and accurate. I recognize that any misrepresentation could result in disqualification from the application process or revocation afterward. The person named as the contact person for the application is so authorized to serve as the primary contact for this application on behalf of the organization. Signature of Application Primary Contact Date Print Name & Title of Application Primary Contact Orleans Parish School Board Fall 2018 Charter School Application: Teacher Eligibility Form Teacher Eligibility Form Louisiana state law requires that all groups submitting charter applications involve a minimum of three Louisiana teachers certified by the State Board of Elementary and Secondary Education in the development of their application. Please use this form to identify the certified teachers participating in the development of this application. Also, please be sure to include a copy of current LA Teacher Certifications for the teachers listed. Name Street Address ZIP Code Phone Email 1 2 3 1 Orleans Parish School Board Fall 2018 Charter School Application: Board Member Roster Board Member Roster vv Name of Non-Profit Applicant (as registered with Louisiana Secretary of State) KIPP New Orleans, Inc. Street Address Zip-code Phone Expertise1 1 Jodi Aamodt [email protected] Law, non-profit governance 2 Robert Hudson [email protected] Community development 3 Kelt Kindick [email protected] Strategic planning / management / org operations 4 John Landrum [email protected] Law / financial management / org operations 5 Drew Marsh [email protected] Financial management / org operations 6 Steven Usdin [email protected] Law / non-profit governance / real estate 7 Sherice Clark [email protected] Education / community development 8 Larry Washington [email protected] Non-profit management 9 Toya Barnes-Teamer [email protected] Higher education 10 Stanwood Duvall [email protected] Law / community development 11 Donnell Bailey [email protected] Community / advocacy / policy 12 Bruce Hurley [email protected] Health and wellness, community development 1 Board members should have a diversity of professional skills and expertise in areas including education, organizational operations, community development, finance, law and facilities/real estate. Orleans Parish School Board Fall 2018 Charter School Application: Applicant Team Roster Applicant Team Roster The Applicant Team Roster should include all identified or hired school leadership team members, governing board members and individuals that participated in the creation of the application. The evaluation team will use this roster to check for potential conflicts of interest prior to reviewing an application There are several bases for a conflict of interest: employment, financial benefit, personal relationships, professional relationships or other interests. If applicable, any one condition may serve to disqualify a reviewer from participating in the review of an application or proposal. A conflict of interest may be real or apparent. Name Title Position within Application Email Address Certificate Type NUMBER VALID TEACHING CERTIFICATE LEVEL 1 572484 06/22/2017 - 06/22/2020 Certificate Issued To: ALEXIS PATRICE SIMPSON By the Louisiana Department of Education, based upon the following: B.S., OUT-OF-STATE COLLEGE OR UNIVERSITY, 2015 COMPLETED ALTERNATIVE TEACHER EDUCATION PROGRAM, NEW TEACHER PROJECT, 2017 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: ENGLISH 6-12, 06/22/2017 To receive a Level 2 certificate, individuals must successfully meet the standards of effectiveness for three years pursuant to Bulletin 130 and mandated by Act 54., 06/22/2017 Dr. Gary Jones John White 7/22/2018 8:16:13 PM Certificate Type NUMBER VALID TEACHING CERTIFICATE B 075324 Life Certificate Issued To: NATHANIEL LANG By the Louisiana Department of Education, based upon the following: B.S., SOUTHERN UNIVERSITY IN NEW ORLEANS, 1984 COMPLETED TEACHER EDUCATION PROGRAM, SOUTHERN UNIVERSITY IN NEW ORLEANS, 1989 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: MATHEMATICS 6-12, 09/04/1991 Dr. Gary Jones John White 7/22/2018 8:08:01 PM Certificate Type NUMBER VALID TEACHING CERTIFICATE LEVEL 1 582251 03/02/2018 - 03/02/2021 Certificate Issued To: WHITNEY TAYLOR TASHIRO By the Louisiana Department of Education, based upon the following: B.S., OUT-OF-STATE COLLEGE OR UNIVERSITY, 2015 COMPLETED ALTERNATIVE TEACHER EDUCATION PROGRAM, NEW TEACHER PROJECT, 2016 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: GENERAL SCIENCE 6-12, 03/02/2018 To receive a Level 2 certificate, individuals must successfully meet the standards of effectiveness for three years pursuant to Bulletin 130 and mandated by Act 54., 03/02/2018 Dr. Gary Jones John White 7/22/2018 8:14:17 PM JODI JACOBS AAMODT [email protected] PROFESSIONAL EXPERIENCE Jacobs Manuel Kain & Aamodt, A Professional New Orleans, LA Law Corporation 1998 to present Attorney at Law Judge Robin M. Giarrusso, Civil District Court New Orleans, LA Law Clerk 1992-1998 EDUCATIONAL EXPERIENCE Tulane University New Orleans, LA Juris Doctorate 5/92 Vanderbilt University Nashville, TN Bachelor of Arts 5/89 Isidore Newman School New Orleans, LA 5/85 COMMUNITY INVOLVEMENT Isidore Newman School Parents Association 2017 – present Board President Knowledge Is Power Program (KIPP) New Orleans Charter School Board Board Chair 2007-2009 Development Chair 2015 – present Board Member 2006 – 2012 2015 - present Temple Sinai Board Member 2011 – 2015 New Schools New Orleans 2013-2014 Board Member Youth Empowerment Project 2010 - 2014 Board Member New Orleans Regional Leadership Institute (NORLI) 2009-2010 Dress for Success New Orleans Board President 2001-2002 Board Member 1999 - 2015 Young Leadership Council Board President 1999 Vice President of Projects 1998 Project Leader, ACTion plan 1997 o Project focused on improving ACT scores for local high school students. Project Leaders, Recreate New Orleans 1996 o Weekly basketball league for residents of Cooper Housing Development. Anti-Defamation League Board Member 2003- 2011 Summerbrige Advisory Council 1998 -2006 Board Member o Organization that provides intensive summer instruction and year long tutoring to at-risk children in Greater New Orleans Area. Jewish Family Service 1999 - 2002 Board Member Lemann-Stern Leadership Program 1996 - 1997 Leadership training
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