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Petition of Support from Employees

A suggested form to certify the petition. You MUST have signatures, which will be retained at the school. For the purpose of this renewal application, you will only need to submit the notarized form that certifies the petition.

A certified petition in support of the charter school renewing its charter status signed by not less than 65 percent of the employees in the charter school at Subsection J of 22-8B-12 NMSA 1978.

I am the head administrator of the __________________________________Charter School, hereinafter referred to as "the Charter School". I hereby certify that the attached petition in support of the Charter School renewing its charter was circulated to all employees of the Charter School.

There are ______ persons employed by the Charter School. The petition contains the signatures of employees, which represents ______ percent of the employees employed by the Charter School.

COUNTY OF________________________ )

I, ____________________________, being first duly sworn, upon oath state:

That I have read the contents of the attached Petition, and my statements herein are true and accurate to the best of my knowledge and belief.

Notary Public Name: ____________________________

Subscribed and sworn to before me this _____ day of _____ , 20____.

Notary Public Signature: ____________________________   My Commission Expires: