1. ECHS Campus

2. ECHS District(s) (use additional lines for multi-district partnerships)

3. ECHS IHE Partner(s) (use additional lines for multi-IHE partnerships)

4. County District Campus number

5. Please provide the following campus information

6. If the ECHS is part of a multi-district partnership, please enter additional superintendent names below.

7. Please indicate the number of students that the ECHS will be serving in each grade level during in the 2013-2014 school year