Disclosure Requirements

• Administrative Personnel:
  - Name: ______________________________
  - Certification Status: ______________________________
  - State of Residence: ______________________________

• Instructional Personnel:
  - Name: ______________________________
  - Certification Status: ______________________________
  - State of Residence: ______________________________

List the hours of availability for instructional personnel.
Monday – Friday, 8:00 a.m. – 6:00 p.m. EST

Course/Grade: ______________________   Hours: ______________________

Provide data for each course offered.

• Course Title/Code: ______________________________
• Average Student-Teacher Ratio: ______________________________
• Average Teacher Load (total students per teacher): ______________________________
• Student Completion Rate (% of students enrolled >14 days who completed course): __________%
• Student Successful Completion Rate (% of completers achieving passing grade): __________%

Provide aggregated results while complying with FERPA and ss. 1002.22 and 1002.221, F.S.

• Student Performance Outcomes:
  - Statewide Standardized Assessment Results (aggregate only): ______________________
  - Other Applicable Assessment Results (if any): ______________________

• Teacher Performance Outcomes:
  - Percentage of educator evaluation including student performance results: __________%