2014 OPSB CHARTER SCHOOL APPLICATION COVER SHEET & ENROLLMENT PROJECTION Name of non-profit applicant: OutLearn Charter School Primary contact person: Mailing address: Brennan Gage Street/PO Box: City: 1515 Poydras Street Suite 1880 New Orleans Phone Number: LA State day 512-573-5628 Fax Number: evening Email: Zip 70112 512-573-5628 Brennan Gage Names, roles, and current employment of all persons on applicant team (add lines as needed): Brennan Gage Full Name Current Job Title and Employer Teacher Development Specialist, Houston Independent School District Position with Proposed School School Leader Does this applicant team have charter school applications under consideration by any other authorizer(s) in the United States? Yes No If yes, complete the table below, adding lines as needed. State Authorizer Proposed School Name Application Due Date Decision Date Does this applicant team have new schools scheduled to open elsewhere in the United States in the 2014-2015 or 2015-16 school years? Yes No If yes, complete the table below, adding lines as needed. Proposed School Name City State Opening Date Does this applicant team have new schools approved but scheduled to open in years beyond 2014/15? Yes No If yes, complete the table below, adding lines as needed. Authorizer # of Schools 1 City State Opening Years Do any of the following describe your organization or any of the school(s) proposed in this application? 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 3991.1. If so, identify the partner: The primary learning environment for students enrolled in the school will be virtual. Already operates schools in Louisiana. Already operates schools elsewhere in the US. APPLICANTS WHO CURRENTLY OPERATE SCHOOLS OR PROPOSE TO PARTNER WITH AN ORGANIZATION THAT CURRENTLY OPERATES SCHOOLS, REGARDLESS OF LOCATION, MUST UPLOAD THE COMPLETED PORTFOLIO SUMMARY. List ALL schools proposed in this application. Add rows to the table as needed. Proposed School Name Opening Year 2 Grades served Year 1 Grades served at capacity School(s) Overview COMPLETE THE TABLES ON THIS PAGE FOR EACH SCHOOL PROPOSED TO OPEN IN YEAR ONE. Proposed School Name Opening Year OutLearn Charter School Grades served Year 1 9th and 10th 2016 Grades served at capacity 9th, 10th, 11th, and 12th Student Population Students not currently served by existing schools and students interested in career education School Model/Specialty (check all that apply) %FRL: 90 Alternative Arts Blended Learning Career and Technical Education College Prep Other (list): %SpEd: 30 Name of proposed principal candidate: Brennan Gage Current employment: Teacher Development Specialist, Houston Independent School District Phone Number: Day 512-573-5628 Evening 512-573-5628 Email: [email protected] Year 1 (specify) Year 2 Planned # of Students 90 215 Maximum # of Students 100 225 Year 3 (at capacity) 385 400 Academic Year 3 10 Disability (list):Learning Disabled, ADHD, Autism, Behavior Disorder Language Immersion Military Montessori STEM Virtual Proposed Principal/Head of School Information: School Enrollment Projection: %ELL: Grade Levels Served 9th and 10th 9th, 10th, and 11th 9th, 10th, 11th, and 12th