Wyoming Charter School Application
Proposed Charter School Name
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Date Submitted
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Contact Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Email
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example@example.com
Charter School Type
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New Charter School
Converted Charter School
Charter School Within A School
Full Time Virtual Charter School
Authorizer to whom the charter is submitting:
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Wyoming Charter School Authorizing Board (WCSAB)
Local School District
Local Wyoming School District to which the charter is applying:
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Albany County School District #1
Big Horn County School District #1
Big Horn County School District #2
Big Horn County School District #3
Big Horn County School District #4
Campbell County School District #1
Carbon County School District #1
Carbon County School District #2
Converse County School District #1
Converse County School District #2
Crook County School District #1
Fremont County School District # 1
Fremont County School District # 2
Fremont County School District # 6
Fremont County School District #14
Fremont County School District #21
Fremont County School District #24
Fremont County School District #25
Fremont County School District #38
Goshen County School District #1
Hot Springs County School District #1
Johnson County School District #1
Laramie County School District #1
Laramie County School District #2
Lincoln County School District #1
Lincoln County School District #2
Natrona County School District #1
Niobrara County School District #1
Park County School District # 1
Park County School District # 6
Park County School District #16
Platte County School District #1
Platte County School District #2
Sheridan County School District #1
Sheridan County School District #2
Sheridan County School District #3
Sublette County School District #1
Sublette County School District #9
Sweetwater County School District #1
Sweetwater County School District #2
Teton County School District #1
Uinta County School District #1
Uinta County School District #4
Uinta County School District #6
Washakie County School District #1
Washakie County School District #2
Weston County School District #1
Weston County School District #7
Local Wyoming School District in which the charter will be operating:
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Albany County School District #1
Big Horn County School District #1
Big Horn County School District #2
Big Horn County School District #3
Big Horn County School District #4
Campbell County School District #1
Carbon County School District #1
Carbon County School District #2
Converse County School District #1
Converse County School District #2
Crook County School District #1
Fremont County School District # 1
Fremont County School District # 2
Fremont County School District # 6
Fremont County School District #14
Fremont County School District #21
Fremont County School District #24
Fremont County School District #25
Fremont County School District #38
Goshen County School District #1
Hot Springs County School District #1
Johnson County School District #1
Laramie County School District #1
Laramie County School District #2
Lincoln County School District #1
Lincoln County School District #2
Natrona County School District #1
Niobrara County School District #1
Park County School District # 1
Park County School District # 6
Park County School District #16
Platte County School District #1
Platte County School District #2
Sheridan County School District #1
Sheridan County School District #2
Sheridan County School District #3
Sublette County School District #1
Sublette County School District #9
Sweetwater County School District #1
Sweetwater County School District #2
Teton County School District #1
Uinta County School District #1
Uinta County School District #4
Uinta County School District #6
Washakie County School District #1
Washakie County School District #2
Weston County School District #1
Weston County School District #7
Does the proposed charter school plan to use a third party education service provider to assist your school?
Yes
No
What is the name of the education service provider?
Date the charter school intends to open for operation
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Month
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Day
Year
Date
Proposed first day of school for students
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-
Month
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Day
Year
Date
Please upload Cover Sheet and Table of Contents in .pdf format
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Please upload Component 1 (Management and Planning) of the completed charter school application in .pdf format
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Please upload Component 2 (Resources and Operations) of the completed charter school application in .pdf format
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Please upload Component 3 (Educational Programs) of the completed charter school application in .pdf format
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Additional Documentation (Optional)
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Please upload Full-Time Virtual Charter School application information listed in Section III.H. of the completed charter school application in .pdf format
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Charter School Assurance
By checking each box, the proposed charter school is assuring that they will comply with Wyoming Statutes in the event that the waiver requests are denied by the State Board of Education.
Management and Planning
Component 1
Assurance #1: The proposed charter contract will be between the charter school governing board and the authorizer (W.S. 21-3-305(a)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #2: The proposed charter school guarantees the governing board will comply with the Wyoming Public Records Act (W.S. 16-4-201 through 205).
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Yes (As per 21-3-305(g)(iii), this assurance is deemed exempt from waiver.)
Assurance #3: The proposed charter school guarantees the governing board will maintain up to date policies, rules and regulations.
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Yes (This assurance is deemed exempt from waiver.)
Assurance #4: The proposed charter school guarantees the governing board will comply with Wyoming open meeting requirements (W.S. 16-4-401 through 408). .
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Yes (As per 21-3-305(g)(iii), this assurance is deemed exempt from waiver)
Assurance #5: The proposed charter school guarantees that it has not entered into a contract with an educational service provider without the prior written consent of the authorizer (W.S. 21-3-303(d)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #6: The proposed charter school guarantees that the sole purpose of the charter school is not to avoid consolidation or closure of any school or district (W.S. 21-3-303(b)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #7: The proposed charter school guarantees that the applicant is not proposing to convert a private school or a nonpublic home-based educational program into a charter school (W.S. 21-3-303(c)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #8: The proposed charter school guarantees that the charter school will be a public, non sectarian, nonreligious, non home-based school which operates as a public school (W.S. 21-3-304(a)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #9: The proposed charter school guarantees that the charter school will comply with all federal and state laws and constitutional provisions prohibiting discrimination on the basis of disability, race, creed, color, gender, national origin, religion, ancestry or need for special education services (W.S. 21-3-304(c)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #10: The proposed charter school guarantees that if authorized by a district, the charter school will comply with district policies unless the policies are specifically waived by the district (21-3-304 (g)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #11: The proposed charter school guarantees that the charter school will participate in all monitoring processes conducted by the authorizer or the Wyoming Department of Education to ensure compliance with applicable laws, rules and regulations, to verify school quality or to ensure adherence to the terms of the charter (W.S. 21-3-305(a)(vi)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #12: The proposed charter school guarantees that records provided by the charter school to the Wyoming Department of Education or authorizer that relate to compliance by the charter school with the terms of the charter or applicable state or federal laws are subject to inspection and copying (W.S. 21-3-305(a)(xv)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #13: The proposed charter school guarantees admission to the charter school will not be determined solely on academic abilities or achievements including minimum test scores or intelligence quotient scores (W.S. 21-3-304(p)).
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Yes (As per 21-3-305(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #14: The proposed charter school guarantees the charter school will be tuition free (W.S. 21-3-304(a)).
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Yes (As per 21-3-304(a), this assurance is deemed exempt from waiver.)
Assurance #15: The proposed charter school guarantees text books and instructional resources will be provided to students free of charge (W.S. 21-9-201(a)).
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Yes
No (We will be seeking a waiver)
Assurance #16: The proposed charter school shall be subject to the Wyoming Education and Accountability Act (W.S. 21-3-304(g)(ii)).
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Yes (As per 21-3-305(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #17: The proposed charter school will use an improvement process (if partially meeting or not meeting expectations) that evaluates data, and these data are used to identify goals, design interventions and strategies, monitor progress toward goals, align resources and evaluate success toward meeting goals, as defined by the Wyoming Education and Accountability Act (W.S. 21-2-204(h)(v) and (vi)).
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Yes (As per 21-3-305(g)(ii)), this assurance is deemed exempt from waiver.)
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Resources and Operations
Component 2
Assurance #18: The proposed charter school guarantees that buildings and facilities will meet standards for school building and facility adequacy (W.S. 21-15-115).
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Yes (As per W.S. 21-3-304(g)(i), this assurance is deemed exempt from waiver.)
Assurance #19: The proposed charter school guarantees that the school will have monthly fire and or safety drills (W.S. 35-9-505(b)).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #20: The proposed charter school guarantees that the flags of the United States of America and the State of Wyoming will be displayed when school is in session in, upon, or around each school building (W.S. 21-3-110(a)(xii)).
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Yes
No (We will be seeking a waiver)
Assurance #21: The proposed charter school guarantees that storage and disposal of toxic chemicals and other hazardous substances used by schools in educational programs will be in accordance with state guidelines (W.S. 21-2-202(a)(xxii).
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Yes (As per 21-3-305(g)(i)), this assurance is deemed exempt from waiver.)
Assurance #22: The proposed charter school guarantees that pesticide application will follow a safety protocol (W.S. 35-7-375(a)(b) and 21-3-111(a)(xvix)).
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Yes (As per 21-3-305(g)(i)), this assurance is deemed exempt from waiver.)
Assurance #23: The proposed charter school guarantees that internet access will be provided in the school (W.S. 9-2-1035(a)(iii)).
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Yes
No (We will be seeking a waiver)
Assurance #24: The proposed charter school will provide a financial feasibility statement providing evidence of charter school viability to the authorizer following the first three (3) years of charter school operation (W.S. 21-3-307(a)(xxii)).
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Yes (This assurance is deemed exempt from waiver.)
Assurance #25: The proposed charter school guarantees all personnel will complete all position specific compliance trainings required by statute or required by the charter school's insurance company (e.g., non discrimination, suicide prevention) (21-3-307(a)(vi)).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #26: The proposed charter school guarantees all employees will be subjected to criminal background checks (W.S. 21-7-401).
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Yes (As per 21-3-305(h), this assurance is deemed exempt from waiver.)
Assurance #27: The proposed charter school guarantees all personnel that require certification will have a current or pending certificate issued by the Wyoming Professional Teaching Standards Board or the applicable state licensing board, and their assignment will be consistent with their area of endorsement (W.S. 21-7-303) and(Wyoming Department of Education Rules, Chapters 6 and 5(e)(ii).
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Yes (As per 21-3-305(h), this assurance is deemed exempt from waiver.)
Assurance #28: The proposed charter school guarantees all classes regardless of delivery method (e.g., on-site, virtual, technology based, independent study), will be taught by a Wyoming Teaching Standards Board certified teacher. (Wyoming Department of Educations Rules Chapters 6 and 5(e)(ii)(A).
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Yes (As per 21-3-305(h), this assurance is deemed exempt from waiver.)
Assurance #29: The proposed charter school guarantees all teachers and leaders will be evaluated at least once annually using a process conforming to Wyoming Department of Education Chapter 29 Rules (W.S. 21-3-110(a)(xvii) and (iii)).
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Yes
No (We will be seeking a waiver)
Assurance #30: The proposed charter school guarantees the school will meet the minimum hours of pupil-teacher contact time (W.S. 21-2-304(b)(viii) and 21-4-301).
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Yes
No (We will be seeking a waiver)
Assurance #31: The proposed charter school guarantees the school will operate at least 175 pupil-teacher contact days and 185 operational days or will receive approval from the State Board of Education for an alternative schedule (W.S. 21-4-301 and 21-13-307(a)(ii); and 5(a)).
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Yes
No (We will be seeking a waiver)
Assurance #32: The proposed charter school will adhere to scheduled holidays, and appropriately recognize days of observance and mourning (W.S. 8-4-101(a) and (c)) and (W.S. 8-4-103 through 106).
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Yes
No (We will be seeking a waiver)
Assurance #33: The proposed charter school guarantees temporary school closures (e.g., for inclement weather) will be reported to the Wyoming Department of Education (W.S. 21-13-307(a)(ii)).
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Yes
No (We will be seeking a waiver)
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Educational Programs
Component 3
Assurance #34: The proposed charter school guarantees that all children enrolled will be fully immunized or will have a waiver from immunization with documentation kept by the school (W.S. 21-4-309).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #35: The proposed charter school guarantees that with a written permission by parents and health care provider, students will be permitted to carry and self administer life-saving medications (W.S. 21-4-310).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #36: The proposed charter school guarantees that the school will have stock epinephrine auto injectors for use in severe allergic reactions with policies and trained personnel for administration. (W.S. 21-4-316).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #37: The proposed charter school guarantees that industrial quality eye protective devices will be provided free of charge for students and staff for use in any activity that may create risk of harm to the eyes (W.S. 21-9-203).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #38: The proposed charter school guarantees that policies and training will be in place for use of seclusion and restraint in schools (W.S. 21-3-110(a)(xxxi)).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #39: The proposed charter school guarantees that the school will implement protocols for addressing the risk for concussions and other head injuries resulting from athletic injuries (W.S. 21-3-110(a)(xxxii)).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #40: The proposed charter school guarantees that the school will use a reporting system for safety concerns including anonymous reporting (e.g., Safe2Tell Wyoming); (W.S. 9-1-603(a)(ix) and (e); W.S. 21-4-314(a)(iv)).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.
Assurance #41: The proposed charter school guarantees that the school will adhere to the Safe School Climate Act and prohibit harassment, bullying, intimidation or retaliation against a victim (W.S. 21-4-311 through 315).
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Yes (As per 21-3-305(g)(i), this assurance is deemed exempt from waiver.)
Assurance #42: The proposed charter school guarantees that all students will have the opportunity to learn the Wyoming Common Core of Knowledge through curriculum aligned to current Wyoming Content and Performance Standards in all ten content areas (W.S. 21-9-101).
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Yes (As per 21-3-305(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #43: The proposed charter school guarantees that it will integrate the Wyoming Common Core of Skills into the system of curriculum, instruction, assessment and learning support (W.S. 21-9-101).
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Yes (As per 21-3-305(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #44: Programs of study are differentiated to meet the needs of students with disabilities and they ensure access to the standards for the grade level to which the student is assigned. (W.S. 21-9-101(c).
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Yes (As per W.S. 21-3-304(g)(ii) and W.S. 21-3-304(c), this assurance is deemed exempt from waiver.)
Assurance #45: The proposed charter school guarantees instruction will be provided in the principles of the Constitution of the United States of America and the State of Wyoming for at least three years in Kindergarten through grade eight and one year in high school (W.S. 21-9-102).
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Yes (As per W.S. 21-3-305(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #46: Programs of study are differentiated to meet the needs of students who have been identified as gifted and talented per W.S. 21-9-101(c)(ii).
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Yes (As per (W.S. 21-3-304(g)(ii) and W.S. 21-4-304(c), this assurance is deemed exempt from waiver.)
Assurance #47: The proposed charter school guarantees foreign language instruction, aligned to the Wyoming Content Standards, will be provided in Kindergarten through grade two (W.S. 21-9-101).
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Yes (As per (W.S. 21-3-304(g)(i), this assurance is deemed exempt from waiver.)
Assurance #48: The proposed charter school guarantees a reading intervention program that includes evidence based core curricula for all students will be provided in Kindergarten through grade three (W.S. 21-3-401).
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Yes (As per (W.S. 21-3-304(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #49: The proposed charter school guarantees reading, writing and mathematics will be emphasized in grades one through eight (W.S. 21-9-102).
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Yes (As per (W.S. 21-3-304(g)(ii), this assurance is deemed exempt from waiver.)
Assurance #50: The proposed charter school guarantees that English Learners and their families will receive all necessary information and materials that they can understand.
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Yes (As per (W.S. 21-3-304(g)(c), this assurance is deemed exempt from waiver.)
Assurance #51: The proposed charter school guarantees that a student shall be given notice and an opportunity to be heard prior to the expulsion and discipline for cause (including deadly weapons) (W.S. 21-4-305 through 308).
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Yes (As per 21-3-304(c), this assurance is deemed exempt from waiver.)
Assurance #52: The proposed charter school guarantees that currently enrolled students who are not meeting the school's academic expectations will not be dismissed, asked to transfer or removed from the school roster as a strategy to improve school performance.
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Yes(As per 21-4-304(g)(i), this assurance is deemed exempt from waiver.)
Assurance #53: The proposed charter school guarantees that students must satisfactorily pass an examination on the Constitution of the United States of America and the State of Wyoming to receive a high school diploma (W.S. 21-9-102).
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Yes (As per 21-4-304(g)(ii), this assurance is deemed exempt from waiver.)
Waiver Request Statement
The proposed charter school guarantees that it will comply with the Wyoming Constitution and all current state and federal laws, rules and regulations applicable to the charter school or will seek a waiver from the State Board of Education (W.S. 21-3-304(g)).
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I agree
Waiver Requests
All waiver requests shall be submitted by the proposed charter school to the State Board of Education in writing no later than 10 days after the application is approved. (Chapter 32 Rules Section 9(a)(b)). Please upload all written waiver requests.
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The applicant shall electronically sign through its authorized representative attesting that the information provided is accurate.
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Charter School Applications will be accepted from March 1 through March 31, 2026.
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