Please sign and mail this to: "The Cappies Inc., 7252 Evans Mill Rd, McLean, VA 22101"
Please submit an Online Charter Application, via Cappies Information Services (CIS), before submitting this Written Charter Application.
Program Name: __________________________________________ Program Year: ____________
Three-Letter Program Code: _______________ EIN (US Only): _____________________________
Geographical Boundaries: ___________________________________________________________
In consideration of the request for a Charter from The Cappies, Inc., Charter applicants described above (hereinafter “Cappies Program”) agree as follows:
The Cappies Program understands and agrees that any violation of the above agreement constitutes grounds for suspension or termination of this Charter. The undersigned Chair, by his/her signature, attests that the proposed Steering Committee of Cappies Program has reviewed the terms of this Charter and has agreed thereto.
Signature of Chair Date
_____ No member of the proposed steering committee has been convicted of, or is presently charged with, any felony offense.
_____ A signed Affirmation to this effect is included, for every Member of the Steering Committee who is not currently employed as a teacher or administrator at a Participating School, or in a school system that includes a Participating School.
_____ A signed Endorsement is included, from an administrator at a Participating School, for the Chair and/or Program Director, if this person did not hold this position during the prior Program Year, and is not currently employed as a teacher or administrator at a Participating School, or in a school system that includes a Participating School.
_____ As a Chartered Cappies Program, we agree to follow, and require all Schools, Advisors, Theater Directors, Mentors, Critics, and other Program Participants to follow, all Rules and Procedures.
We hereby request a Charter for a Cappies Program, for the geographical region designated in this Charter Application.
Signature of Program Chair Date
(on behalf of the Steering Committee of the Program)