Charter School Facilities-Base Facility Survey

Charter School Facilities National Questionnaire

1855-New (04645) Base Facility Survey_Final

Charter School Facilities National Questionnaire

OMB: 1855-0024

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1855-0024 can be found here:

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2011 - 2012
Charter School Facilities Survey*
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U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email ICDocketMgr@ed.gov and
reference the OMB Control Number 1855-New (04645) Note: Please do not return the completed Charter School Facilities
National Questionnaire to this address.

Base Charter School Facilities Survey
Contact Information
State
School Name
Address
State School ID
School ID 2
Facility ID

Section 1 - General Facility Information
Section 1.1 – Basic Facility Information
S1.1.q1

Please indicate the grade levels served in this facility (select all that apply)
S1.1_Q1a
S1.1_Q1b
S1.1_Q1c
S1.1_Q1d
S1.1_Q1e
S1.1_Q1f
S1.1_Q1g
S1.1_Q1h

S1.1.q2

Pre-K
Kindergarten
st
1 grade
nd
2 grade
rd
3 grade
th
4 grade
th
5 grade
th
6 grade

S1.1_Q1i
S1.1_Q1j
S1.1_Q1k
S1.1_Q1l
S1.1_Q1m
S1.1_Q1n
S1.1_Q1o

7 grade
th
8 grade
th
9 grade
th
10 grade
th
11 grade
th
12 grade
th
Beyond 12 grade

How many years has the school been in operation including the 2011-2012 school year?
Base Survey 2011-2012

S1.1.q3

Does the school use an educational model that has explicit space/equipment implications for the facility?
1.
2.
3.
4.
5.
6.

No, the educational model has typical educational facility requirements
Yes, Montessori model
Yes, Expeditionary Learning model
Yes, Math/Science/Technology model
Yes, School of the Arts model
Yes, other

S1.1.q4
For the 2011-2012 school year, what is the usual maximum number of students served in the facility at any one
time? Note: Answer 450 if the school has 475 students enrolled but 50 are half-day kindergartners and 25 are served in the morning
and 25 are served in the afternoon. If the kindergartners are full-day or all 50 are served in the morning or afternoon, answer 475.
Answer 200 if 200 students are in a day program and 150 are in a night program and the programs do not overlap.
S1.1.q5
As of October 1st, 2011, how many eligible students (i.e., school age, grade level appropriate) remained on your
waiting list? (If none, enter 0; do not include children who are not yet old enough to attend the school.)
S1.1.q6
In the last three years (2008-2009, 2009-2010, and 2010-2011), how many student contact days did the school have
to be closed due to facilities-related issues (e.g., broken pipes, a furnace that needed repairing, air quality issues, etc.)? (Enter
whole numbers only)
Please indicate to what extent you agree with the following statements:
Strongly Disagree
S1.1.q7a
S1.1.q7b
S1.1.q7c

Disagree

Agree

Strongly Agree

Students with disabilities have access to the entire school facility.
The school facility contributes to student learning.
The school facility contributes to a positive school climate/culture.

Section 1.2 – Future Facility Plans
S1.2.q1

What is the school’s desired enrollment in five years (2016-2017)?

S1.2.q2
Does the school’s current facility have adequate space for the desired enrollment five years from now (2016-2017)?
[If yes, skip to S2.1.q1]
Yes

S1.2.q3
Does the school have a feasible, specific facility plan to construct or acquire adequate space for the desired
enrollment five years from now (2016-2017)?
Yes

Base Survey 2011-2012

Section 2 – General Facility Information
Section 2.1 – General Characteristics
S2.1.q1

In which time period was the original facility construction completed?
1.
2.
3.
4.
5.
6.

S2.1.q2

prior to 1920
1920s-1940s
1950s-1960s
1970s-1980s
1990s
2000 or newer
Was the original facility constructed to be a school?
Yes

S2.1.q3

Please select the statement that best applies to the permanence of the school’s current facility:
1.

2.
3.

The school has only trailers/modular classrooms.
The school has only permanent building(s) including prefabricated buildings.
The school has both trailers/modular classrooms and a permanent building(s).

Section 2.2 – Facility Ownership
Please provide the approximate percentage (between 0 and 100) of the school’s FACILITY that is owned by the following (NOTE: the
sum of the percentages listed should add to 100):
0 10 20 30 40 50 60 70 80 90 100%
S2.2.q1a
S2.2.q1b
S2.2.q1c
S2.2.q1d
S2.2.q1e
S2.2.q1f
S2.2.q1g
school)

The school (or building corporation formed by the school)
A school district
The state
A government entity other than a school district
A for-profit company
A non-profit organization unrelated to the school
A non-profit organization related to the school (e.g., the non-profit founded the school or has a partnership with the

Please provide the approximate percentage (between 0 and 100) of the school’s LAND that is owned by the following (NOTE: the sum
of the percentages listed should add to 100):
0 10 20 30 40 50 60 70 80 90 100%
S2.2.q2a
S2.2.q2b
S2.2.q2c
S2.2.q2d
S2.2.q2e
S2.2.q2f
S2.2.q2g
school)

Section 2.3 – Shared Use
Base Survey 2011-2012

S2.3.q1

Does the school share its facility with another group (co-location, shared use)? [If NO, skip to 12]
Yes

S2.3.q2

Please select the types of groups the school shares its facility with.
1.
2.
3.
4.
5.

Another public charter school
A public school that is not a charter
An organization (e.g., a church, non-profit group) that provides services to students or the school
An organization (e.g., a church, non-profit group) that does not provide services to students or the school
Other, please specify

S2.3.q2a

Narrative explanation of S2.3.q2 – response 5

S2.3.q3

Is the facility owned by a school district?

[If NO, skip to 12]
Yes

S2.3.q4

(Please select all that apply.)

How many schools, including yours, share this facility?
1.
2.
3.
4.
5.
6.

1
2
3
4
5
5+

S2.3.q5
What is the school’s current understanding (based on a written agreement or conversation with the district) about
how long it may remain in the facility?
1.
2.
3.
4.
5.
6.
7.
8.
9.
S2.3.q6

Through the end of the 2011-2012 school year
For one additional school year
Two more school years
Three more school years
Four more school years
Five more school years
More than five school years
Indefinitely
Do not know
How long does the school plan to remain in a shared use facility?

1.
2.
3.
4.
5.
6.
7.
8.
9.

Base Survey 2011-2012

Please select the response that most accurately describes the extent to which you agree or disagree with the following statements:
Strongly
Disagree

Disagree

Agree

Strongly Agree

NA – This is the
only school in
this facility

S2.3.q7a
Students from other co-located schools have a negative impact on the school’s climate and/or discipline.
S2.3.q7b
Administrative/systems issues (e.g., PA announcements, bell schedules) from other co-located schools have a
negative impact on the school’s climate and/or discipline.
S2.3.q7c
Adults from other co-located schools have a negative impact on the school’s climate and/or discipline.

S2.3.q8

What are the school’s greatest concerns about co-location (shared use)? (Check all that apply.)
1.

Implementing the school’s curriculum/educational program given the amount of exclusive space that it has been
allocated
2. Implementing the school’s curriculum/educational program given the amount of time (or time of day) that it has been
allocated use of shared space.
3. Keeping students safe in the facility
4. Keeping students safe on the school grounds
5. Maintaining a school climate consistent with the school’s mission and that is conducive to learning
6. The uncertainty about whether or not the school will be able to remain in the facility
7. The quality of the building-wide staff that are shared
8. Supervision of and/or interaction with the shared staff
9. The effectiveness of the building council
10. The amount of time spent in building council meetings
11. Securing matching funds for all co-located schools prior to being able to make capital improvements
State specific reason
State specific reason
State specific reason
12. Other

S2.3.q9

What are the greatest benefits of co-location (shared use) for the school? (Check all that apply)
1.
2.
3.
4.

Eliminates or reduces facility expenses from what they would be otherwise
Provides opportunities for faculty/administration from different schools to learn from each other
Provides opportunities for students from different schools to learn from each other
Facility’s amenities (gym, lunchroom, science labs, accessibility to individuals with disabilities, etc.) cannot feasibly be
duplicated in a space that the school could afford to own or rent
5. Makes it possible to phase in grades or grow enrollment over time
6. Vacant space that would meet the school’s facility needs is not available in the neighborhoods that the school serves
7. Vacant space that would meet the school’s facility needs at a cost that the school could afford to rent or own is not
available in the neighborhoods that the school serves
8. Eliminates the need to focus on facility related issues like maintenance and repairs
State specific reason
State specific reason
State specific reason
9. Other
10. No significant benefits

Base Survey 2011-2012

Please describe the extent to which you agree or disagree that the school has equitable access to the following :
Strongly Disagree
S2.3.q10a
S2.3.q10b
S2.3.q10c
S2.3.q10d
S2.3.q10e
S2.3.q10f
S2.3.q10g

Disagree

Agree

Not Applicable

Gym
Lunchroom
Athletic / Play Fields
Playgrounds
General Classrooms
Specialized Classrooms (e.g., science labs, art rooms)
Library

Please describe the extent to which you agree or disagree with the
Strongly Disagree
S2.3.q11a
S2.3.q11b

Strongly Agree

Disagree

following:

Agree

Strongly Agree

Information about space available for co-location is readily obtainable.
The selection of schools that are given the opportunity to use this space for co-location is fair and transparent.

S2.3.q12
From the options below, select the reason(s) why the school is not currently in a co-located facility owned by the
school district. [Schools that answered YES to 1 and YES to 3 should skip this question and the following two questions]
1.
2.
3.
4.
5.

The school did not pursue co-location.
The school was offered the opportunity to co-locate, but did not accept the offer.
The school requested co-location, but the request was denied or has not been acted upon.
There were safety and security concerns with the offered space.
Co-location is not an option that is offered in this school district. [Skip to 14 if selected]
State specific reason
State specific reason
State specific reason
Other

Please describe the extent to which you agree or disagree that the school has equitable access to the following:

Strongly Disagree

Disagree

Agree

Strongly Agree

Co-location is
not an option in
this district.

S2.3.q13a
S2.3.q13b

Information about space available for co-location is readily obtainable.
The selection of schools that are given the opportunity to use this space for co-location is fair and transparent.

S2.3.q14

How long does the school plan to remain in this facility?
1.
2.
3.
4.
5.
6.
7.
8.
9.

Base Survey 2011-2012

Section 3 – Site and Facility Amenities
Section 3.1 – Site Amenities
S3.1.q1

Does the school have its own playground?
1.
2.
3.

Yes (Skip to 3 if selected)
No (Skip to 4 if selected)
No, but there is a local/adjacent park with a playground that we use for this purpose.

S3.1.q2 [For schools answering choice 3 to question Q1] Check the ways, from the following options, in which the local/adjacent
playground meets the students' needs.
1.
2.
3.
4.
S3.1.q3

Size is adequate
Number of hours per week of availability is sufficient
Times of availability are convenient
None of the above are true

Is there a separate playground for the early childhood and kindergarten students?
Yes

S3.1.q4

Does the school have its own play/athletic field(s)?
1.
2.
3.

S3.1.q5

Yes (Skip to 6 if selected)
No (Skip to 8 if selected)
No, but there is a local/adjacent park with an adequate athletic field that we use for this purpose.

Check the ways, from the following options, in which the local/adjacent athletic field meets the students' needs.
1.
2.
3.
4.

Size is adequate
Number of hours per week of availability is sufficient
Times of availability are convenient
None of the above are true

S3.1.q6
Is the play/athletic field for student use natural grass or artificial turf (schools with dirt, gravel or similar field
surfaces should answer ‘no’)?
Yes
S3.1.q7

S3.1.q8

Is the play field large enough for normal school activities?
Yes

Yes

Does the site have a perimeter fence?

Base Survey 2011-2012

Section 3.2 – Physical Education
S3.2.q1

Does the school have its own gymnasium?
1.
2.
3.

Yes (Skip to 3, if selected)
No (Skip to Section 3.3_1, if selected)
No, but there is a local/adjacent facility with a gym that the school uses for this purpose

[For schools answering choice 3 to question Q1] Check the ways, from the following options, in which the local/adjacent gym
meets the students' needs.
1.
2.
3.
4.
S3.2.q3

Size is adequate
Number of hours per week of availability is sufficient
Times of availability are convenient
None of the above are true

Was the gym designed to be a physical education space?
Yes

S3.2.q4
use?

Are there locker rooms and/or shower facilities associated with the gym (i.e., in close proximity) for student

Yes

Section 3.3 – Lunch Room
S3.3.q1

Does the school have a full preparatory food kitchen that meets school district requirements to prepare hot meals?
Yes

S3.3.q2
Does the school have dedicated space and equipment for keeping food for students warm (that typically has been
prepared at another location)?
Yes

S3.3.q3
Does the school have dedicated space and equipment for keeping food for students cold (that typically has been
prepared at another location)?
Yes

Section 4 - District Land and Facilities
Section 4.1 – Use of District Owned Facilities
S4.1.q1

Does the school currently use a district owned facility? [SKIP to S4.2_1 if responded YES]
Yes

Base Survey 2011-2012

S4.1.q2
NO]

To the best of your knowledge, is there a vacant district owned facility near the school? [SKIP to S4.2_1 if responded

Yes
S4.1.q3

Has the school ever approached the district about use of its vacant facility? [SKIP to S4.2_1 if responded NO]
Yes

S4.1.q4

Was the school offered use of the district’s vacant facility? [If YES, skip to S4.2_1]
Yes

S4.1.q5

What explanation was given for denying the school use of the district's unused facility?
1.
2.
3.
4.

The district said it had plans for future use or possible use as a school.
The district said it had plans for future use or possible use as a support facility (storage, office space, etc.).
The district gave another explanation.
The district gave no explanation.

Section 4.2 – Use of District Owned Land
S4.2.q1

Does the school currently have use of district owned land? [SKIP to S5.1_Q1 if responded YES]
Yes

S4.2.q2

To the best of your knowledge is there unused district owned land near the school? [SKIP to S4.3_1 if responded NO]
Yes

S4.2.q3

Has the school ever approached the district about use of its unused land? [SKIP to S4.3_1 if responded NO]
Yes

S4.2.q4

Was the school offered use of the district’s unused land? [SKIP to S4.3_1 if responded YES]
Yes

S4.2.q5

What explanation was given for denying the school use of the district's unused land?
1.
2.
3.
4.

The district said it had plans to for future use or possible use as a school site
The district said it had plans for future use or possible use as a support facility site (storage, office space, etc.).
The district gave another explanation.
The district gave no explanation.

Section 4.3 – Underutilized District Facilities
S4.3.q1
To the best of your knowledge, is there a district owned facility near the school that is significantly underutilized (30
percent or more unused capacity)?
Yes

Base Survey 2011-2012

Section 5 – Site and Facility Characteristics

Section 5.1 – School Site
Please select the response that most accurately describes the extent to which you agree with the following statements regarding the
school's site:
Strongly Disagree
S5.1.q1
S5.1.q2
S5.1.q3
S5.1.q4
S5.1.q5
S5.1.q6
S5.1.q7

Disagree

Agree

Strongly Agree

Not Applicable

The roof leaks rarely, if ever.
The site does not exhibit regular drainage problems such as standing water.
The site shows no signs of apparent erosion.
Sidewalks are adequately located and sized for student safety.
The site is adequately lighted.
The parking lot is adequately lighted.
The site is free of hazards like large cracks in the pavement or sidewalks and uneven ground.

Section 5.2 – Windows and Lighting
Please indicate the extent to which you agree with the following statements regarding the school's windows and lighting:
Strongly Disagree
S5.2.q1
S5.2.q 2
S5.2.q 3
S5.2.q 4
S5.2.q 5

Disagree

Agree

Strongly Agree

Most classrooms/instructional spaces have enough natural day-lighting, sufficient to occasionally turn off electric
lights.
Most classrooms/instructional spaces have windows permitting views of the outside.
Most classrooms/instructional spaces have windows that operate (open and close).
Most of the school's windows have insulated glass (thermal pane).
Electric lighting is adequate for a majority of the school's activities.

Section 5.3 – Noise
Please select the response that describes the extent to which you agree with each of the following:
Strongly Disagree
S5.3.q1
S5.3.q2
S5.3.q3
S5.3.q4

S5.3.q5
S5.3.q6

Disagree

Agree

Strongly Agree

Noise generated by the building mechanical systems (e.g., furnace, air conditioner, etc.) is disruptive in the
classrooms.
Exterior noise intrusion (e.g., traffic, trains, aircraft, and industry) is disruptive in the classrooms.
Noise generated from other classrooms or corridors is disruptive in the classrooms.
Noise generated by the building mechanical systems (e.g., furnace, air conditioner, etc.) can be heard
inside the specialized instructional spaces (e.g., library, computer lab, science lab, music room, etc.) and
learning is significantly impacted.
Noise from the gym, auditorium, or lunchroom impacts learning in classrooms.
Noise from the specialized instructional spaces (e.g., library, computer lab, science lab, music room, etc.) impacts
learning in other classrooms.

Base Survey 2011-2012

Section 5.4 – Air Quality
Please answer the following questions regarding the school's air quality:
Yes
S5.4.q1
S5.4.q2
S5.4.q3

Has the school experienced air quality problems due to mold or mildew?
Is the air quality in the majority of classrooms good?
Is the air quality throughout the rest of the facility good?

Section 5.5 – Mechanical and Electrical
Please respond to the following statements regarding the general temperature in the school:
Strongly Disagree
S5.5.q1
S5.5.q2
S5.5.q3

Disagree

Agree

Strongly Agree

The temperature in the classrooms is reasonably comfortable throughout the school year.
The temperature throughout the building is reasonably comfortable throughout the school year.
Most classrooms are air conditioned.

Please indicate the extent to which you agree with the following statements:
Strongly Disagree
S5.5.q4
S5.5.q5

Disagree

Agree

Strongly Agree

Most classrooms have a telephone available for teacher use.
Most classrooms have electrical power outlets adequate in number and location for the majority of activities.

Section 5.6 – Plumbing and Fixtures
Please select the response that describes the extent to which you agree with each of the following:
Strongly Disagree
S5.6.q1
S5.6.q2
S5.6.q3
S5.6.q4
S5.6.q5
S5.6.q6
S5.6.q7

Disagree

Agree

Strongly Agree

The water pressure inside the facility is adequate.
The quantity of student toilet rooms is adequate.
The student toilet rooms are well-located.
The quantity of adult toilet rooms is adequate.
The adult toilet rooms are well-located.
The quantity of drinking fountains is adequate.
The drinking fountains are well-located.

Section 6 – Facility Funding and Expenditures
Note: In this section you will be asked for dollars amounts. Please enter whole numbers rounded to the nearest dollar -- no dollar
signs, decimal points or commas.

Section 6.1 – Capital Projects
S6.1.q1
Has the school facility undergone, or will it undergo, any major capital projects between July 1, 2007, and June 30,
2012? [Skip to S6.1_4 if NO]
Yes

Base Survey 2011-2012

What types of capital project(s) has the facility undergone, or will it undergo, in this five year period (7/1/2007 through 6/30/2012)?
[Check all applicable]
S6.1.q2a
S6.1.q2b
S6.1.q2c
S6.1.q2d
S6.1.q2e
S6.1.q2f
S6.1.q2g

Purchased land and/or a facility
Constructed a facility
Constructed an addition to an existing facility
Renovated or upgraded an existing facility
Undertaken major facility repairs
Other
Narrative explanation if S6.1.q2f checked

Please list the amount of funding (enter whole numbers only – no dollar signs, decimal points or commas) from each of the following
sources and the total amount spent on capital projects during this five year period (7/1/2007 through 6/30/2012). For schools with
expenditures on capital projects in 2011-2012, include the estimate of the dollars that will be spent by the end of the school year.
Note: the sum of the funds from each source should be equal to the total amount spent over the five year period.
S6.1.q3a
S6.1.q3b
S6.1.q3c
S6.1.q3d
S6.1.q3e

S6.1.q3f

Cash from school district (other than bond dollars)
School PPR and reserve funds generated from PPR
Gifts and fundraising
Local tax revenue (e.g., district bonds, sales or property tax)
Bond(s) and/or loan(s)
other state specific options
other state specific options
other state specific options
other state specific options
Total spent over the last five years on capital projects (should equal the sum of a-e above)

S6.1.q4
Is the school currently (in 2011-2012) saving money from per pupil funding for any of the following? Note: answer
NO if the dollars being saved are a bond program reserve requirement for capital replacement or repair. Do not include dollars
that will be spent in 2011-2012
1.
2.
3.
4.
S6.1.q 4b

Yes, for the purchase of an existing facility (current facility or other)
Yes, for the renovation of the current facility
Yes, for the construction of a new facility
No, not currently saving from per pupil funding [SKIP TO S6.2_1, IF SELECTED]

Please estimate the amount that will be saved in the 2011-2012 school year.

Section 6.2 – Bond and Loan Information
S6.2.q1

Does the school have bond or loan expenditures for the current land and/or facility? [SKIP to S6.3_1 if answered NO]
Yes

S6.2.q2

What will be the total annual principal and interest payment for the bonds and/or loans in 2011-2012?

S6.2.q3

Does the school have a required reserve for capital replacement or repair? [SKIP to S6.3_1 if answered NO]
Yes

S6.2.q4

How much will the school pay into this reserve account in 2011-2012? (Whole numbers only)

Section 6.3 – Rental Information
S6.3.q1

Does the school currently pay rent for the school's land or facility? [SKIP to S6.4_1 if answered NO]
Yes

No
Base Survey 2011-2012

S6.3.q2

What is the total rental payment for 2011-2012?

Please check all items that are included in the rent:
S6.3.q3a
S6.3.q3b
S6.3.q3c
S6.3.q3d
S6.3.q3e
S6.3.q3f
S6.3.q3g
S6.3.q3h
S6.3.q4

Gas/fuel oil/propane
Electricity
Water
Sewage
Custodial services
None of the above
Other, please specify and briefly describe the purpose of the payment
Narrative explanation of S6.3.q3g
Does the school make any payments to the owner other than rent (including facility assessments paid to the

district)? [SKIP TO S6.4_1 IF NO]
Yes

S6.3.q4b

If yes, please provide the total payment for 2011-2012.

S6.3.q4c

If yes, briefly describe the purpose of the payment.

Section 6.4 – Utilities
Provide the annual utility costs for the school in each of the following areas (please round to the nearest dollar -- no dollar signs,
decimal points or commas and use actual costs from the 2009-2010 school year). Enter a 0 if the cost is included in your lease
S6.4.q1a
S6.4.q1b

Gas, propane, fuel oil, and/or electricity
Water and/or sewage

Section 7 – Access to Special, State and Local Sources of Facility Funding
Section 7.1 – Local Funding Sources
S7.1.q1
Has the authorizing district had a general obligation bond election for facilities since July 1, 2006, or since the charter
school opened, whichever is later? [SKIP to S7.2_Q1 if NO]
Yes

Please answer the following questions regarding the school's participation in district bond elections.
Yes
S7.1.q2a
S7.1.q2b
S7.1.q2c
S7.1.q2d
S7.1.q2e

N/A

Has the authorizing school district ever given the school notice of a future bond election? [SKIP to 2c if NO]
Was the notice in time for the school to submit a request for inclusion on the bond?
Has the school ever been invited by the district to participate in a district bond election?
Has the school ever requested that it be included in a district bond election?
Did the district deny or discourage the school from being included?

S7.1.q3
Since July 1, 2006, has the authorizing district included funding for the school in a district bond election intended to
fund facility projects? [SKIP to S7.2_1 if NO]
Yes

Base Survey 2011-2012

Complete the following set of questions for each bond initiative for facilities since July 1, 2006. In the web version, additional bond
initiatives are added by clicking on the “Click to add another bond” button.
S7.1.q4a
S7.1.q4b
S7.1.q4c
S7.1.q4d
S7.1.q4e
S7.1.q4f

In what year was the election held?
What school district held the election?
What was the total amount requested? (Round to the nearest dollar - whole numbers only)
What amount was designated for the charter school?
Did the ballot measure pass?
Did the school experience any difficulty accessing its bond allocation? [Applicable only if S7.1.q5e is YES]
State specific
State specific

Section 7.2 – State Facilities Grants
S7.2.q1
Since July 1, 2006, has the school ever submitted an application to [THE STATE] Department of Education for a STATE
FACILITIES GRANT? [Skip to 3a if YES; go to 2a if NO]
Yes

Please select all applicable reasons why the school has not applied for a STATE FACILITIES GRANT since July 1, 2006.
S7.2.q2a
S7.2.q2b
S7.2.q2c
S7.2.q2d
S7.2.q2e
S7.2.q2f
S7.2.q2g

S7.2.q 2h

The school does not have capital construction needs qualified for support from the grant program.
The school does not have capital construction needs.
The application process was too cumbersome or confusing.
Lack of success of other charter schools discouraged us from applying.
The school could not obtain the required matching funds.
The size of the typical award amount does not warrant the effort required to complete an application.
The school was unaware of the grant program.
State specific response option
State specific response option
State specific response option
Other

Please describe each of the state grant applications that the school has submitted since July 1, 2006, whether awarded or not. In the
web version, additional bond initiatives are added by clicking on the “Click to add another bond” button.
S7.2.q3a
S7.2.q3b
S7.2.q3c

Year applied
Amount requested
Amount awarded
State specific response option
State specific response option
State specific response option

This ends your portion of the STATE Charter School Facilities Survey. Thank you for your participation. This information will
be used to create a charter school facilities database that identifies prominent strengths and shortcomings in multiple states’
facility landscapes and provides valid data for analysis that will enable states to develop policy responses.
If you have not already been contacted by the STATE CSO to make an appointment to come measure your school’s facility,
please contact CSO CONTACT immediately. If you have been contacted and have not yet set a time, please do so
immediately.
A final report outlining the results of the STATE charter school facilities survey will be available in ANITICIPATED MONTH.
Thank you!
Base Survey 2011-2012

CSO PRESIDENT

Section 8 – Total Facility and Site Measurements
Note:

All questions in Section 8 should be answered based on the 2011-2012 school year.

Section 8.1 - Facility and Site Size
S8.1.q1

How large is the facility in square feet (total square feet including modular classrooms)?

S8.1.q2
How large is the school site, in acres (space that is exclusively for the school’s use)? 1 acre = 43,560
sq. feet, so to get acres from square feet, divide the square footage by 43,560. Enter up to one decimal place.
Note: the site measurement includes the facility footprint. However, if the school does not have any dedicated
outdoor area, please enter 0.
S8.1.q3
Does this facility rely upon exterior (outside) space to connect different buildings serving a single population of
students? [Skip to S9.1_1 if NO]
Yes
S8.1.q4
1.
2.
3.
4.

What percentage of the exterior walkways are covered?
0-25%
26-50%
51-75%
76-100%

Section 9 - Classroom Summary
Section 9.1 - General Classroom Summary (enter whole numbers only)
S9.1.q1
S9.1.q2
S9.1.q3
S9.1.q4

How many early childhood education and or kindergarten classrooms does the school have?
How many elementary classrooms (grades 1-5) does the school have?
How many middle school classrooms (grades 6-8) does the school have?
How many high school classrooms (grades 9-12) does the school have?

Section 9.2 – Specialized Learning Spaces Summary (enter whole numbers only)
S9.2.q1
S9.2.q2
S9.2.q3

How many libraries/media centers does the school have?
How many computer labs does the school have?
Does the school have a mobile computer lab(s) in addition to, or instead of, a classroom lab(s)?
Yes

S9.2.q4
S9.2.q5
S9.2.q6
S9.2.q7
S9.2.q8
S9.2.q9

How many science labs does the school have?
How many art rooms does the school have?
How many music rooms does the school have?
How many special education recourse rooms does the school have?
How many gyms, auditoriums, and lunchrooms does the school have?
How many health clinics does the school have?
Base Survey 2011-2012

Section 10 - Classroom Measurements
Note: All questions in Section 9 should be answered based on the 2011-2012 school year. This section should be completed by the
school’s facility survey contractor. The number of classrooms entered must match the number reported in the section above.

Section 10.1 - Pre-K and/or Kindergarten Classrooms
Please describe all Pre-K and Kindergarten Classrooms in this section by answering the questions below for each classroom or group
of classrooms. In the web version, additional classrooms are added by clicking on the “Add a Pre-k and/or Kindergarten Classroom”
button.
S10.q1
S10.q2
S10.q3
S10.q4
S10.q5
S10.q6
S10.q7
S10.q8

# of rooms fitting this description
Maximum # of students (at one time)
Square footage
Is this a modular room (trailer)? Yes/No
Is there a bathroom inside the classroom? Yes/No
Is there a working sink inside the classroom? Yes/No
Is there a permanently mounted LCD projector and projecting surface?
Are Pre-K students served in this classroom? Yes/No
State specific standard

Yes/No

Section 10.2 - Elementary Classrooms (Grades 1-5)
Please describe all elementary classrooms (Grades 1-5) in this section by answering the questions below for each classroom or group
of classrooms. In the web version, additional classrooms are added by clicking on the “Add an Elementary School Classroom” button.
S10.q1
S10.q2
S10.q3
S10.q4
S10.q6
S10.q7

# of rooms fitting this description
Maximum # of students (at one time)
Square footage
Is this a modular room (trailer)? Yes/No
Is there a working sink inside the classroom? Yes/No
Is there a permanently mounted LCD projector and projecting surface?
State specific standard

Yes/No

Section 10.3 - Middle School Classrooms (Grades 6-8)
Please describe all middle school classrooms (Grades 6-8) in this section by answering the questions below for each classroom or
group of classrooms. In the web version, additional classrooms are added by clicking on the “Add a Middle School Classroom”.
S10.q1
S10.q2
S10.q3
S10.q4
S10.q7

# of rooms fitting this description
Maximum # of students (at one time)
Square footage
Is this a modular room (trailer)? Yes/No
Is there a permanently mounted LCD projector and projecting surface?
State specific standard

Yes/No

Section 10.4 – High School Classrooms (Grades 9-12)
Please describe all high school classrooms (Grades 9-12) in this section by answering the questions below for each classroom or group
of classrooms. In the web version, additional classrooms are added by clicking on the “Add a High School Classroom”.
S10.q1
S10.q2
S10.q3

# of rooms fitting this description
Maximum # of students (at one time)
Square footage
Base Survey 2011-2012

S10.q4
S10.q7

Is this a modular room (trailer)? Yes/No
Is there a permanently mounted LCD projector and projecting surface?
State specific standard

Yes/No

Section 11 - Specialized Learning Spaces
Section 11.1 - Library/Media Center
Please describe all the school’s library/media Center spaces in this section by answering the questions below for each library/media
center or group of centers. In the web version, additional library/media centers are added by clicking on the “Add New Library/Media
Center” button.
S11.q1
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6
S11.1.q1
S11.1.q2
S11.1.q3
S11.1.q4
S11.1.q5

Number of rooms fitting this description
Maximum # of students (at one time)
Square footage
Lowest grade level served
Highest grade level served
Is this a modular room (trailer)? Yes/No
Is there a reading/instructional area? Yes/No
Is there a reference/ independent study area? Yes/No
Is there an office/workspace for the librarian? Yes/No
Is there a computer/ online reference area? Yes/No
Is there a stack area? Yes/No
State specific standard

Section 11.2 - Computer Labs
Does the school have a mobile computer lab(s) in addition to, or instead of, a classroom lab(s)?
Yes

Please describe all the school’s computer labs in this section by answering the questions below for each computer lab or group of
labs. In the web version, additional computer labs are added by clicking on the “Add New Computer Lab” button.
S11.q1
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6

Section 11.3 - Science Labs
Please describe all the school’s science labs in this section by answering the questions below for each science lab or group of labs. In
the web version, additional science labs are added by clicking on the “Add New Science Lab” button.
S11.q1
Number of rooms fitting this description
S11.q2
Maximum # of students (at one time)
S11.q3
Square footage
S11.q4
Lowest grade level served
S11.q5
Highest grade level served
S11.q6
Is this a modular room (trailer)? Yes/No
S11.3.q1
Is there a separate storage area for chemicals? Yes/No
Base Survey 2011-2012

S11.3.q2
S11.3.q3
S11.3.q4
S11.3.q5

Is there a separate prep room (to prepare demonstrations or lab assignments)? Yes/No
Is there a gas connection? Yes/No
Is there a built-in fume hood? Yes/No
Is biology or chemistry taught in this room? Yes/No
State specific standard
State specific standard

Section 11.4 - Art Rooms
Please describe all the school’s art rooms in this section by answering the questions below for art room or group of rooms. In the web
version, additional rooms are added by clicking on the “Add New Art Rooms” button.
S11.q1
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6
S11.q7
S11.q8
S11.4.q1

Number of rooms fitting this description
Maximum # of students (at one time)
Square footage
Lowest grade level served
Highest grade level served
Is this a modular room (trailer)? Yes/No
Is there a functioning sink (with water)? Yes/No
Is there a storage closet? Yes/No
Is there a functioning kiln? Yes/No
State specific standard

Section 11.5 - Music Rooms
Please describe all the school’s music rooms in this section by answering the questions below for music room or group of rooms. In
the web version, additional rooms are added by clicking on the “Add New Music Room” button.
S11.q1
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6
S11.q8

Section 11.6 - Special Education Resource Rooms
Please describe all the school’s special education resource rooms in this section by answering the questions below for each special
education resource room or group of rooms. In the web version, additional rooms are added by clicking on the “Add Special Education
Resource Room” button.
S11.q1
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6
S11.q7
S11.6.q1

Number of rooms fitting this description
Maximum # of students (at one time)
Square footage
Lowest grade level served
Highest grade level served
Is this a modular room (trailer)? Yes/No
Is there a functioning sink (with water)? Yes/No
Is there an accessible bathroom? Yes/No
State specific standard
State specific standard

Base Survey 2011-2012

Section 11.7 - Gym, Auditorium, and Lunchroom
Please describe all the school’s gyms, auditoriums, and lunchrooms in this section by answering the questions below for each gym,
auditorium, and lunchroom. In the web version, additional rooms are added by clicking on the “Add Gym, Auditorium, and
Lunchroom” button.
S11.q2
S11.q3
S11.q4
S11.q5
S11.q6
S11.7.q1

S11.7.q2

S11.7.q3

Maximum # of students (at one time)
Square footage
Lowest grade level served
Highest grade level served
Is this a modular room (trailer)? Yes/No
Room use #1
Gym
Auditorium (includes use for assemblies, plays, theater and rainy day room)
Lunchroom
Other
Room use #2
Gym
Auditorium (includes use for assemblies, plays, theater and rainy day room)
Lunchroom
Other
Room use #3
Gym
Auditorium (includes use for assemblies, plays, theater and rainy day room)
Lunchroom
Other

Section 11.8 - Health Clinic
Please describe all the school’s health clinics in this section by answering the questions below for each health clinic or group of clinics.
In the web version, additional clinics are added by clicking on the “Add Health Clinic” button.
S11.q2
S11.q3
S11.8.q1
S11.8.q2

Maximum # of students (at one time)
Square footage
Does the health clinic have a sink? Yes/No
Does the health clinic have a restroom? Yes/No
State specific standard
State specific standard

Base Survey 2011-2012

File Type	application/pdf
File Title	Snap Questionnaire
Author	Jody
File Modified	2011-12-21
File Created	2011-12-21