Letter of Intent: Contract Information Form

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Letter of Intent: Contact Information Form
Created Monday, July 07, 2014
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All applicants seeking to establish a charter school authorized by the Board of Regents to open
in 2014 must submit a Letter of Intent to Apply, which requires completion of this contact form,
and an upload of your 5 page€Letter of Intent to Apply as outlined€in the 2014€RFP and
Application Kit.€€Please submit these tasks€by 3:00 PM on February 3, 2014. Applicants who do
not submit a complete Letter of Intent to Apply by the 3:00 PM€deadline will not be permitted to
submit a Full Application.
a. Proposed Charter School Name
(Please write out the formal and full name for the school you proposed, and include the words "charter" and "school" in the proposed
name).
CP Harlem Charter School
b. Preferred school location.
Select the preferred geographical area on the left and then select the preferred school district or community school district on the right.
NYC CSD-Manhattan: CSD 5
Select a second geographical area on left and then select the school district or community school district on right.
None
If necessary, select a third geographical area on left and then select the school district or community school district on right.
None
c. Applicant(s) information, including mailing address, phone number, and email address, and
information establishing that the applicant(s) is a parent, teacher, school administrator or
community resident.
(The entire chart may not be visible on your screen. Use the "tab" key to move from column to column. The first column will remain
static as you do so).
First and Last
Name
Best Phone Number
(###-###-####)
Email Address Street Address, City, State, Zip
Lead Applicant Dr. Stephen D
Perry
As the Lead Applicant(s), I (we) can best be described as a:
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