ORLEANS PARISH SCHOOL BOARD Application Part I ?3 ?Laws Proposal Overview Form The complete Eligibility and Prospectus Review is due Monday, August 7, 2017, no later than 12:00 p.m. CDT, via the Fluid Review portal (here: Submitted documentation should include only the information requested below, saved in a single PDF file. Nonprofit Information Name f?f Ap?fl'fant InspireNOLA Charter Schools (as registered wuth Lounsnana Secretary of State) Type 1 Type 3 Application Type Instruction Location. Mark whether Site Based Virtual instruction will be primarily site based (in person, in a school building) or virtual l:l Miner based) New Start Transformation Transformation If a Type 1 Applicant, please select your Full Takeover Reconfiguration proposal type New Operator Existing School Experienced Charter _p_l_l Operator Track 0 erator 0 erators CMOs Primary Contact Information Name Emily Hartnett Address 3520 General DeGaulle Dr., Suite 4040, New Orleans, LA 70114 Phone 504-322-8212 Email School Leader Information Proposed school leader name (if identified) TB Proposed school leader current job/ position ORLEANS PARISH SCHOOL BOARD Application Part LO List any principal/leadership programs the proposed leader is currently enrolled in or will have completed NLNS, BES, etc.) School Information Proposed School Name TBD Opening Year 2018 or 2019 Grades served Year 1 PK4-8 Grades served at capacity PK4-8 ORLEANS PARISH SCHOOL BOARD Application Part I 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). TBD School Name: _______________________________________________________________________________ Number of Students Grade Level Year 1: Year 2: Year 3: Year 4: Year 5: Year at Capacity: Pre-K 40 40 40 40 40 40 K 78 78 78 78 78 78 1 78 78 78 78 78 78 2 78 78 78 78 78 78 3 78 78 78 78 78 78 4 78 78 78 78 78 78 5 78 78 78 78 78 78 6 78 78 78 78 78 78 7 78 78 78 78 78 78 8 78 78 78 78 78 78 742 769 742 769 742 769 742 769 742 769 742 769 9 10 11 12 PLANNED ENROLLMENT MAXIMUM ENROLLMENT 8 ORLEANS PARISH SCHOOL BOARD Application Part n" t. \h??tmtf I School Management Form Do any of the following describe your organization or any of the school(s) proposed in this application? El 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. 17.39911. if so, identify the partner: IE The applicant has previously participated in the OPSB charter RFA process. If so, is the application currently on appeal to the State? 0 Already operates schools in Louisiana or elsewhere in the US (indicate which state(s) below) If so, which state(s) LOU iSiana 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 after approval. The person named as the contact person for the application is so authorized to serve is the primary contact for t? application on behalf of the organization. Signature of Aapl?i'ca?ion Primary Co\1tact Date Emily Hartnett, Executive Director of Strategy Advancement Print Name Title of Application Primary Contact ORLEANS PARISH SCHOOL BOARD Application Part I Section II: Eligibility (Required) Section II: Eligibility requires applicants to provide proof of legal eligibility to hold a public school charter. By reviewing eligibility requirements early on, OPSB provides applicants the opportunity to address potential issues with eligibility prior to submitting a full charter school application. Teacher Eligibility Form Louisiana state law requires that all groups submitting charter applications involve 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. Teacher Please include, in your Teacher Eligibility documentation, copies of valid, active teaching Certification certificates for each identified teacher. Board Eligibility Form Louisiana state law requires a minimum of seven board members in order to execute a valid charter agreement, and at all times that a charter school is operational. In addition, LA. R.S. 17:3991 places additional restrictions on familial relationships and involvement of public officials in charter school boards. Finally, OPSB Policy HA stipulates that charter school governing boards must have a minimum of 60% parish residency and include at least one parent or legal guardian of one or more students currently enrolled at any school operated by that governing board in Orleans Parish. Please use this form to list the proposed board members for the non-profit applying to open this school. In order to be eligible to apply, applicants must have at least three board members. In order to be eligible for final Board approval, applicants are required to have five board members. Full policy compliance will be required within 3 months of the school starting classes. Assurances Please complete the Assurances & Certification page of the OPSB Supplemental Eligibility Documentation, indicating that all of the following are true:  Your nonprofit is registered and listed as in good standing with the Louisiana Secretary of State. Nonprofit status can be checked at the Secretary of State’s website here: https://coraweb.sos.la.gov/CommercialSearch/CommercialSearch.aspx  Your nonprofit is non-sectarian in nature, and is not supported by or affiliated with a religion or religious organization or institution  Your proposed school will not be the conversion of a private school or a home study program  Your proposed school will participate in common enrollment, common expulsion processes, offer free transportation, and operate in accordance of OPSB Policy HA. 10 ORLEANS PARISH SCHOOL BOARD 'a . Application Part I 6" Oll- runLhd ?9 l-Aws Loch Teacher Eligibility Form Louisiana state law requires that all groups submitting charter applications involve a minimum of three Louisiana teachers certi?ed by the State Board of Elementary and Secondary Education in the development of their applications. 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 Certification for the teachers listed. Name Street Address ZIP Code Phone Email 1 Kathleen Boyd Harris 2 Trenise Duvernay 3 Sean Dimond 11 ORLEANS PARISH SCHOOL BOARD Eligibility and Prospectus Elms Loch Board Member Eligibility Form Please list all the proposed board members for the nonpro?t applying to operate a school. In order to be eligible to apply, applicants are required to have at least three board members. In order to be eligible for final Administrative approval, applicants are required to have ?ve board members. State law requires a minimum of seven board members in order to execute a valid charter agreement, and at all times that a charter school is operational. Please include a current one-page resume for each board member identified. Name Street Address Zip-code Phone Email 1 Stephen Boyard 2 Joseph Ridolfo 3 Wayne Crochet 4 MaryJo Roberts 5 Jay Dabney 6 Shawn Rogers 7 Jay Daniels 8 Dana Wade ORLEANS PARISH SCHOOL BOARD Eligibility and Prospectus Assurances Form Please review the statements below and indicate whether each is true, and will hold true if the application is approved. If the answer to any item below is please submit a statement of explanation. Yes No 1. The school and/or governing organization is currently registered as a nonprofit and is listed as in good standing with the Louisiana Secretary of State 2. The school is not affiliated with any religious organization and does not support nor engage in any religious activities 3. The school and/or governing organization does not have any liens, litigation history and/or sanctions from any local, state and/or federal regulatory agency against the nonprofit corporation 4. The school and/or governing organization does not have the same or substantially the same board of directors and/or officers as an existing private school S. The school does not draw a substantial portion ofthe employees from an existing private school 6. The school does not receive a substantial portion of assets or property from an existing private school 7. The school is not located at the same site as an existing private school 8. The school will participate in the city-wide common enrollment (OneApp) process 9. The school will participate in the city-wide common expulsion process 10. The school will provide free transportation to students as stipulated in OPSB Policy HA Certification I certify that I have the authority to submit this application and that all information contained herein is complete and accurate, realizing that any misrepresentation could result in disqualification from the application process or revocation after approval. Wayne Crochet, InspireNOLA Charter Schools Name of Board Chair, Charter Governing Board I SignatEre of Board Chair 13 3,5121 2.911 te ORLEANS PARISH SCHOOL BOARD Eligibility and Prospectus LO Section School Prospectus (Optional) The purpose of this section is to give applicants an opportunity to articulate and receive independent expert feedback on the fundamentals of the plan prior to submitting a complete application. Completion of this section is optional. For applicants choosing to submit the School Prospectus: 0 Your response will be reviewed by independent evaluators separate from the eligibility portion. 0 You will have the opportunity to receive written feedback and to meet in-person with the reviewers to discuss their assessments and recommendations. 0 You will have the opportunity to revise the content for your full application. 0 Your prospectus responses will not be for purposes of an OPSB application decision except to the extent that you choose to include them in your full application. 0 Your complete application will receive a full review by OPSB staff and independent reviewers separate from your prospectus. If you choose not to submit the School Prospectus 0 You will receive an eligibility determination from OPSB. 0 Your complete application will receive a full review by OPSB staff and independent reviewers. Prospectus Election YES NO Mark whether you are electing to complete (Section completed) (Section not completed) Section (School Prospectus). School Founders Present the backgrounds, experience, and skills that the founding group possesses and Information Form opportunities for further strengthening the founding team. School Vision Form Describe your vision for the school, the educational program, and management. School Management Explain how the school will be managed and present the overall financial picture. and Finances 14 Certificate Type NUMBER TEACHING CERTIFICATE VALID LEVEL 2 503618 03/07/2016 - 03/07/2021 Certificate Issued To: KATHLEEN HAAF BOYD By the Louisiana Department of Education, based upon the following: B.S., LOUISIANA STATE UNIVERSITY, 2005 M.ED., UNIVERSITY OF HOLY CROSS, 2010 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: ELEMENTARY GRADES 1-8, 01/19/2006 EDUCATIONAL LEADERSHIP-LEVEL 1, 08/17/2010 EXTENDED FOR 5 YEARS, 03/07/2016 Teacher must complete 150 CLUs of professional development over a five-year time period in order to have a higher level certificate renewed., 08/17/2010 The Educational Leader – Level 1 shall have three years once employed in an administrative capacity to complete the one-year Educational Leader Induction Program., 08/17/2010 For renewal of this certificate, individuals must successfully meet the standards of effectiveness for at least three years during the five-year initial or renewal period pursuant to Bulletin 130 and mandated by Act 54. , 03/07/2016 Dr. Gary Jones 7/24/2017 10:32:25 AM John White Certificate Type NUMBER TEACHING CERTIFICATE VALID B 409038 Life Certificate Issued To: TRENISE LASHON CLARK DUVERNAY By the Louisiana Department of Education, based upon the following: B.A., DILLARD UNIVERSITY, 1999 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: ELEMENTARY GRADES 1-8, 08/20/1999 LOWER ELEMENTARY GRADES 1-4, 08/20/1999 VALID FOR LIFE FOR CONTINUOUS SERVICE, 12/20/2002 Dr. Gary Jones 7/24/2017 10:31:11 AM John White Certificate Type NUMBER TEACHING CERTIFICATE VALID LEVEL 1 573108 07/05/2017 - 07/05/2020 Certificate Issued To: SEAN PATRICK DIMOND By the Louisiana Department of Education, based upon the following: B.A., OUT-OF-STATE COLLEGE OR UNIVERSITY, 2009 ELIGIBILITY: The holder of this certificate is eligible for the following area(s) and/or terms: SOCIAL STUDIES 6-12, 07/05/2017 MIDDLE SCHOOL: SOCIAL STUDIES 4-8, 07/05/2017 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., 07/05/2017 Dr. Gary Jones 7/24/2017 10:33:25 AM John White STEPHEN J. BOYARD, JR. Education and Training 0 Louisiana Principal Assessment Training Program NASSP Northwestern State University, 1990 0 Master?s +30 - Tulane University and Loyola University, New Orleans, LA, 1989 Master?s Degree in Education, Supervision and Administration Tulane University, LA, 1973 0 Bachelor of Science in Secondary Education Southern University, Baton Rouge, LA, 1 964 Professional Work Experience: Counselor Department of Adult and Continuing Education New Orleans Public School (NOPS) Principal McDonogh No.28 Junior High School NOPS Principal Gregory Junior High School NOPS Director of Business and Auxiliary Services -- Area Ill Of?ce - NOPS Acting Director of Planning and Facilities NOPS Acting Principal - Gregory Junior High School NOPS Acting Assistant Principal John F. Kennedy Senior High School NOPS Administrative Consultant and Business Manager John McDonogh Senior High School - NOPS Social Studies Teacher - John McDonogh Senior High School NOPS Organizations and Affiliations Louisiana Retired Teacher Association Retired Administrators of New Orleans Public Schools (RANOPS) National Association for the Advancement of Colored People (NAACP) Urban League of New Orleans American Legion Southern University National Alumni Federation Tulane University Alumni Association 2001-2003 1997-2000 1977-1996 1984-1985 Summer 1983 1976-1977 1975-1976 1973-1975 1 972- 1973 JOSEPH T. RIDOLFO Work Experience 2011 Certified to evaluate students for State of Louisiana Talented in the Arts/Theatre August 2004 - People?s Program - Volunteer Teacher Computer course present 1990 2004 Principal Benjamin Banneker Elementary School (PreK-8), New Orleans, LA 1984 - 1990 Assistant Principal Livingston Middle School, New Orleans, LA 1976 - 1984 Teacher/English Department Chair Gregory Jr. High, New Orleans, LA 1973 - 1976 Executive Director Town Theatre, Columbia, SC Jan?June 1973 Teacher Lawless Jr. High, New Orleans, LA August-Dec 1972 Teacher New Rochelle Academy, New Rochelle, NY 1965 - 1969 Teacher (English/Speech) Martin Behrman High School, New Orleans, LA Education Class Pilot FAA Federal Aviation Administration - Helicopter Pilot 2010 Postgraduate (Education Administration) Peabody College, Nashville, TN 1978?1980 MA (Theatre) University of New Orleans, 1969- August 1972 BA (English/Speech/Education) Southeastern LA College, Hammond, LA December 1965 Diploma from Fortier High School, 1959 Organization Principals? Association of New Orleans Public Schools 1982-2004 RESUME WAYNE HET PERSONAL DATA: Bom: December 3 I, 1942, New Orleans, LA Marital Status: Married to Carol Johnston Crochet. 3 grown children Education. JD. Loyola University, BS Loyola University, I973- S. Army Artillery ?1 Missile ()tlicers Candidate School. 1966 Behrman High School. 1960 Business and Civic Af?liations: Past President Ben Franklin High School Assn. Past President Alice Harte Elementary PTO. Past President Harvey (?anal Industrial Association. SUMMARY OF EXPERIENCE: Includes 16 years ot?administrative and legal experience associated with offshore construction. 20 plus years in general civil practice as an attorney representing small businesses. in the construction industry. estate planning and succession practice. EMPLOYMENT HISTORY: March, l988 to Present-Full time legal practice. selfeinployed, New Orleans September, l968 to Febmary. l988-Brown Root, Inc.. New Orleans August. I965 to August. l968-U. S. Anny. Stateside and Republic ot?Vietnam June. l962 to August. 1965oBrown Root. Inc. South Louisiana MaryJo Lovie Roberts EDUCATION Loyola University New Orleans School of Law, New Orleans, Louisiana Juris Doctor, May 2006 Common Law, Day Division Certi?cates: Civil Law GPA: 3.5. Cum Laude Memberships Loyola Law Review Moot Court Staff Member Honors Academic Scholarship William L. Crowe Scholar (Top 10% of Graduating Class) International Law Institute of Widener University School of Law, Sydney, Australia Comparative Law Curriculum, July 2004 Coursework at the Law School of the University of Sydney GPA: 4.0 University of New Orleans, New Orleans, Louisiana Paralegal Studies Program and Certification, December 2002 GPA: 4.0 Honors Paralegal Studies Award for Excellence in Case Analysis and Writing Paralegal Studies Award for Excellence in Legal Research University of New Orleans, College of Liberal Arts, New Orleans, Louisiana Bachelor of Arts in Political Science, August 2002 Minor in Philosophy GPA: 4.0 Honors Graduated Summa Cum Laude Phi Eta Sigma National Honor Society Dean's List; Chancellor's Award UNO Early Achievement Award/Scholarship Advanced Placement in English Composition Distinguished Political Science Graduate Award WORK EXPERIENCE Phelps Dunbar, LLP, New Orleans, Louisiana Counsel, September 2007 - present Represent clients in federal and state courts throughout Louisiana and Texas in litigation including employment discrimination, retaliation, wage and garnishment disputes, wage and hour collective actions, non-competition agreements, breach of contract, defamation claims, and a host of employment law and general civil litigation claims. United States District Court - Middle District of Louisiana, Baton Rouge, Louisiana Law Clerk to District Court Judge James Brady - August 2006 - August 2007 Drafted orders and opinions in criminal and civil cases. Conducted legal research and writing. Assisted federal judge with preparation for trials, hearings, and conferences. JAMES DABNEY, PH.D. Website: http://www.linkedin.com/in/jdphd PROFESSIONAL EXPERIENCE Director of Development & Partnerships January 2016 – Present College Track New Orleans Responsible for establishing and leading a strong and diversified fundraising strategy targeting institutional philanthropy, corporations, individuals, and family foundations that supports significant growth and long-term sustainability. Academic Affairs Director College Track New Orleans April 2014-January 2016 Led a team of 30 personnel to provide meaningful and robust academic support programming for high school and college bound students served in the program. Served as a member of the site’s senior leadership team, creating policies and practices to impact organizational success. Worked with Academic Affairs Directors from the five other College Track sites across the nation and the National Vice President of Programming, to develop institutionalized policies and practices. Served as the site leader in the absence of the site director. AVP & Chief Development Officer/ Director, Early Childhood Learning Institute Hopkins House, Inc. July 2011-January 2014 Fundraising & Donor Relations: Prospected for new donors and grant opportunities. Drafted grant proposals and donor solicitation. Implemented special events. Coordinated volunteer engagement. Drafted acknowledgements and other donor correspondences. Wrote agency’s annual report. Under my leadership, Organization raised over $410,000 through contributed support in FY12 and $1.2 million in FY13. Director of Scholar Support Programs July 2008-May 2011 Project GRAD Atlanta Managed a professional team by employing transformational skills and sound transactional practices to ensure students from low-income backgrounds had the comprehensive resources needed to graduate high school and college. Assistant Program Coordinator February2007-June 2008 The Ohio State University Department of African American and African Studies Assisted in coordinating a leadership institute and summer residential program. Coordinated extracurricular activities for summer residential program participants. Assistant Editor September 2005-July 2008 American Educational Research Association Review of Educational Research Journal Oversaw the entire review process: solicited, assigned, and managed reviewers for over one hundred submitted manuscripts. EDUCATION The Ohio State University Degree Obtained: Doctor of Philosophy, Educational Policy & Leadership Graduation Date: June 2008 The Florida State University Degree Obtained: Master of Science, Higher Education Administration Graduation Date: April 2002 Southern University and A&M College Degree Obtained: Bachelor of Science, Secondary Education Graduation Date: May 1999 SHAWN JOHNSON-ROGERS 6/2007 Current Gulf Com Bank Gr Trust Merges: binder I Originate and close residential mortgage loan products of all types I Assist Bank Clients with mortgage needs I Conduct homebuyer education classes as needed I Develop and maintain client business on a day to day basis 4/2001 6/2007 Landmark Mortgage Corp, Mctairie, LA 110:! On'gnalar I On?ginate and close mortgage loan products of all types I Homebuyer Training coursa for consumers I Develop and maintain agent related client business I Develop and maintain investment client business I Top Producer for 2003 and 2006 (Purchase Money) 1995 - 2001 Colonial Construction and Development Corporation Cbirf Oprmting Executive . Responsible for day to day operation of {our companies to include. new construction, property management, new home sales. real estate investment Oversee project management of new home construction Oversee operations of property management division Maintain Vendor and subcontractor relations Responsible for management of accounting department 1993 ?1996 Allied Mortgage Corp Grema, LA 70056 Loan Pmr/ Original-r I Process Originals mortgage loans such as Conventional, FHA, VA and Second mortgages. - 2001 - 2005 Darryl S. Brister Bible College Theological Seminary 1983 4985 Los Angeles Southwest Community College W55 Thomas Walker Colonial Construction - 504-236-0533 Damian Randolph - General Contractor] Investor - 504-234-3072 Andre Lewis Loan Originator - 504.259.7039 Calyx Point Software, Microsoft Of?ce (Word, Excel, Powcrpomt) Typing-55 WPMAdvanced AY DA IEL Skilled trial attorney with litigation experience well beyond practice years. Effective communicator with a proven ability to provide effective and zealous representation in the most complex of legal matters. Licensed to practice in Louisiana. LEGAL EXPERIENCE Jay Daniels, Attorney at Law, LLC. 50/0 2009- Present Manages all aspects of cases, both criminal and civil, from inception to resolution. Advises various small businesses and closely held entities on a variety of legal matters John T. Fuller 8c Associates, New Orleans, Louisiana (if-(Jauntel, 2009-2013 Serves as deputy litigation coordinator for trial team Assists in the case management for a rapidly growing ?rm Orleans Public Defenders, New Orleans, Louisiana Sta?C/l ttomry/ Paralegal, 2008-2009 Provided high quality representation for indigent clients Received extensive training in trial procedure and preparation. EDUCATION Tulane University Law School, New Orleans, Louisiana j/m'x Doctor, May 2008 Certi?cate in Sports Law Frederick Douglass Moot Court Team Sports Law Society Howard University, Washington DC Barbe/or ({ffziem'e, May 2005 Division Salutatorian Graduated Magna Cum Laude Edna Kart High School, New Orleans, LA Highly/2001 Dip/(mm, May 2001 PROFESSIONAL AFFILIATION Louisiana State Bar Association American Bar Association (Business Law Section) Louis Martinet Legal Society National Association of Criminal Defense Lawyers Louisiana Association of Criminal Defense Lawyers DANA ROUTE-WADE EXPERIENCE i. ,2 I EDUCATION MCDONOGH 35 SENIOR HIGH SCHOOL 2008-20 2 BACHELOR OF ACCOUNTING CAPELLA UNIVERSITY The Parent Advocators Advocating on Behalf of Students and Parents December 2014 to present Parent Advocate Organizing meeting and Supporting Parents on using their voices on behalf of their scholars Consultant during transition process of choosing a new operator for turnaround schools with the Recovery School District and Orleans Parish School Board Member of Stand for Children (Lead Parent) Board Member for Inspire NOLA Schools VP for Andrew H. Wilson Parent Teacher Connection Assisted with recruitment for Andrew H. Wilson Ochsner Medical Center Full Time Accounting/Billing May 2013 to Present Processing patients accounts and setting up billing accouts Setting up accounts for doctors x/ Processing doctors ?nancial credentials and handling patients records associated with personal accounts