1. CharterLeader Registration

Thank you for your interest in CharterLeader, a comprehensive program designed to provide training in business and educational leadership, networking opportunities, and mentors to prospective and current charter school leaders.

CharterLeader is offered in two modules:

1. Educational Leadership
2. Business Leadership

Participants may elect to participate in one or both modules, depending on their professional development needs and interests.

CharterLeader is a fee-based program, and participants must enter into a contractual agreement with The Georgia Charter Schools Association. Prices and description of the program modules can be found on GCSA's website at www.gacharters.org - Services tab - CharterLeader.

CharterLeader is generally offered twice per year (Winter and Summer) in small cohorts. Participants are selected based on application requirements including but not limited to:

- Statement confirming availability and authorization to
attend trainings, webinars, cohort meetings, and school
visits
- Statement confirming full commitment to the program
- Resume including employer(s), education,
certifications, and professional affiliations
- 3 Professional references
- 3 Short essays

This registration form allows for completion of all requirements except for the candidate's resume, which should be emailed to the Director of Education and Training at kcadman@gacharters.org within 3 business days of registering.

Prospective participants will be notified within 30 days if they have been accepted into the program.

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* 1. Please complete the information below about the prospective CharterLeader participant:

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* 2. Please provide the following employment information for the primary petitioner:

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* 3. Please provide the name, title, email, and phone number of 3 professional references.

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* 4. Please select which of the following best describes your current position:

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* 5. Have you been authorized and are you in a position, both professionally and personally, to commit time to attend training sessions, attend webinars, attend cohort group meetings, and visit schools?

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* 6. Do you agree to fully commit to the requirements of the CharterLeader program including participating in training sessions, webinars, cohort group meetings, school visits, completing reading, activity, and simulation assignments? Furthermore, do you agree to provide timely communication to GCSA and provide all assessment materials and documents requested related to participation in the program?

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* 7. In 250 words or less, respond to the following:

"After the quality of a school's teachers, the quality of the school leader is the most influential factor affecting student learning." (Leithwood, 2005) In what ways do you believe a leader is responsible for influencing teacher effectiveness, student achievement, and ensuring a high quality school?

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* 8. In 250 words or less, respond to the following:

Describe and provide specific examples of how you have or will establish a school that produces high student achievement and sound business practices?

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* 9. In 250 words or less, respond to the following:

What makes you a strong candidate for this program? What would you offer other participants? What unique perspectives or experience would you bring to this opportunity?

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* 10. Please select all activities that your Founding Board has completed:

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* 11. Please describe how you will pay for the CharterLeader program. Please note that payment in full must be received and verified prior to participation in the program.

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* 12. If paying by credit card, please enter credit card information below. Completion of this information authorizes The Georgia Charter Schools Association to charge this credit card for the CharterLeader fee.

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