State Charter Board Member Governance Training Certification

Pursuant to O.C.G.A. § 20-2-2084(f), state charter school governing board members are required to complete annual governance training. This form must be submitted by each state charter school (one form per school) to certify completion of governance training for Fiscal Year 2025.

Please review the Governance Training Policy and Governance Training Guidance documents for additional information and guidance on governance training requirements.

FY25 Governance Training Certification Application

Sumbission Deadline: Friday, October 3, 2025

School & Contact Info

State Charter School (required)

Submitter Contact Information

Full Name (required)

Role (required)

Email (required)

Governing Board Members for Certification

Governing Board as of March 31, 2025

Provide the first and last names of all individuals who were actively serving on your school’s governing board as of March 31, 2025, regardless of whether they continue to serve today.
Please reference the Governance Training Guidance document for more details.

Governing Board Members (required)

First and Last Name
First and Last Name (required)
First and Last Name (required)
First and Last Name (required)

Governing Board Member(s) Who Completed Approved Alternate Provider Training

Completed Hours and Verification Documentation

List the first and last name(s) of the governing board member(s) who fall into either of these categories:

Partially completed SCSC-offered training (i.e., completed some, but not all of the SCSC-offered governance training), OR
Did not complete SCSC-offered training,

AND who completed approved alternate provider training.
The number of hours completed and verification documentation is required for each member listed.

Please Click to View Verification Documentation Requirements & Upload Instructions

Requirements

Approved alternate provider training verification documentation must include the following information:

Name of the board member who completed the training,
Date of completed training,
Number of hours of training provided and completed,
Agenda/syllabus, topics, and
Signature of the approved alternate provider.

Upload Instructions

A separate upload is required for each board member.
If multiple documents exist for one board member, they must be combined into a single PDF file or compressed ZIP file before uploading.

Governing Board Member(s)

First and Last Name	Hours Completed	Verification Documentation
First and Last Name	Hours Completed	Verification Documentation One file only. 256 MB limit. Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Governing Board Member(s) Who Did Not Complete Required Training

Provide the first and last name(s) of the board member(s) who did not complete the required training from the SCSC or an approved alternate training provider.

Governing Board Member(s)

First and Last Name
First and Last Name

Attestation

I hereby attest that the information I provide is true and correct to the best of my knowledge. I acknowledge that I may be subject to a fine of not more than $1,000 or imprisonment for not less than one nor more than five years, or both, if I knowingly and willfully make a false or fraudulent statement or representation to the SCSC pursuant to O.C.G.A. § 16-10-20.

Signature (required)

Sign above