E 6187eIntent to Amend Charter School Application

Application to Amend a Public School Charter
Kenai Peninsula Borough School District

Please complete all of the information required on this form. All intent forms for amending a charter school must be received by August 1 of the Amendment year. For further details see the following documents:

1. KPBSD Board Policy and Administrative Regulations on charter schools.
2. State of Alaska DEED charter school web site and amendment application.
3. Charter school guidelines and amendment procedures.

School Name: _______________________________________
School Address: _______________________________________
City, State, Zip Code: _______________________________________

School Contact Information:
Name: _______________________________________
Title: _______________________________________
Telephone: _______________________________________
Email Address: _______________________________________

Date of APC Approval of Amendment Application: ________________

Amendment Submission Date: ________________

Charter School Contract Amendment Process

For reference, see the following regulation:

4 AAC 33.113. Amendment of Charter; AS 14.07.060
A charter school may apply to the local school board for an amendment to its charter during the term of its contract. If the amendment is approved by the board, an amended contract must be executed and submitted to the Alaska Department of Education & Early Development (DEED).

Programmatic changes that do not require an amendment may be approved at the district level, except those involving the addition of an elementary or secondary program, which require approval by both the local and State Board of Education and Early Development.

1. Application for Amendment

• Submit a formal request to the Kenai Peninsula Borough School District Board of Education (BOE).
• Include a detailed description of the proposed changes and how they align with the original purpose of the charter.

2. Required Supporting Documents

Submit the following documentation for DEED review:

• Evidence of Local School Board Approval
• Amended Contract: This contract must reflect all approved changes and revised terms.
• Bylaws (if applicable): Provide an updated version or a signed assurance that existing bylaws remain unchanged.
• Evidence of Academic Policy Committee (APC) Involvement:
  Per AS 14.03.250(b), the APC must include parents of enrolled students, teachers, and school employees. Documentation must reflect the APC’s role in the amendment process.

3. Submission to DEED

• Once approved by the local school board, the District is responsible for forwarding the amended charter and contract to the Alaska Department of Education & Early Development.
• District-approved changes that do not require a formal charter amendment generally do not require DEED review, unless they involve adding an elementary or secondary program.

By submitting this application, the undersigned affirms that the APC has reviewed and approved the request for charter amendment and that all necessary documentation will be provided in accordance with district and state requirements.

NOTE: Upon receipt of the application for amendment form the Kenai Peninsula Borough School District administration will arrange for a meeting during which the content of this amendment will be discussed.

_________________________________________  ___________

Charter School Authorized Representative Signature      Date

________________________________________  ___________

KPBSD Representative Signature                                  Date

Return this Application for Amendment to:

Superintendent of Schools

Kenai Peninsula Borough School District

148 N. Binkley Street

Soldotna, AK 99669