Multi-district Online School Authorizer Assurances Submission

Multi-district Online School Authorizer Assurances Submission

Please contact the Office of Blended and Online Learning with questions at onlinelearning@cde.state.co.us

Type of Submission*

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District Information

District Code*

School District*

Superintendent Name*

Superintendent Email*

Multi-district Online School Information

Name of Multi-District Online School*

School Code*

Address of Online School*

School/Program Primary Contact*

Primary Contact Email*

Primary Contact Phone Number*

File Upload

(1) Signed Authorizer Assurance document

(2) Local board-approved policy that defines and describes student enrollment, attendance, and participation in educational activities as described in the Authorizer Assurance document

(3) Samples of the types of documentation the Authorizer will submit to evidence participation.

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Authorizer Acknowledgement-Responsibility to Update*

The Authorizer understands that if an online school's policies or manner of operations change, it is the authorizer’s responsibility to update this document and accompanying attachments. Failure to do so may result in audit exceptions which could impact the district’s funded pupil count.

Authorizer Acknowledgement-Local Board Policy*

The Authorizer has attached local board policy defining and describing the activities that may be considered participation in the educational process for the purpose of establishing attendance in the authorizer’s online school.

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If not uploading local board policy at this time. please specify when you anticipate submission.*

Authorizer Acknowledgement-Sample Documentation*

The Authorizer has attached sample documentation for each activity that may be used to demonstrate a student has met the attendance requirement for funding (as outlined in the district or school’s local board policy).

Further, the Authorizer will be prepared to provide copies of these documents at the time of audit, for each student enrolled in an online school or program and submitted for funding, to demonstrate the attendance requirement has been met.

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If not uploading sample documentation at this time, please specify when you anticipate submission.*

Authorizer Acknowledgement-Residency Requirement*

The Authorizer has reviewed the Colorado residency requirement for students enrolled in an online school and will be prepared at the time of audit to provide, for each student enrolled, documentation demonstrating that this requirement has been met.

Authorizer Acknowledgement-Audit Resource Guide*

The Authorizer understands that it is the district or school’s responsibility to review the Student October Count Audit Resource Guide (found here) ahead of each school year to ensure continued compliance with the funding and audit documentation requirements described therein for all online schools and programs.

Authorizer Acknowledgement-Audit Exceptions*

The Authorizer understands that if the funding and audit documentation requirements outlined in the Authorizer Assurance document are not met, this may result in audit exceptions which could impact the district’s funded pupil count.

Name of Person Completing Submission*

Date of Submission*

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