FOR OFFICE USE
Approved __________
Fee Paid __________
Recorded __________
Charter # __________

Quill and Scroll Charter Application

High School:
School Address:	, ,
Contact info:	Email: ; Phone:
School Info:	Year school founded: ; Public Non-public; Enrollment: ; Grades:
Newspaper:	Name: ; Adviser: Staff size: ; # issues/year: ; Page in local paper Offset Desktop
Yearbook:	Name: ; Adviser: Staff size: ; Delivery date: ; Number of pages:
Magazine:	Name: ; Adviser: Staff size: ; Publication dates: ; Number of pages:
Broadcast or Web page:	Name: ; Adviser:
Journalism course(s)?	; Enrollment: ; Credit hours: ; Extra curricular
Briefly describe courses, staff organization, selection:

CHARTER FEE ($50) AND PUBLICATION COPY SHOULD ACCOMPANY APPLICATION

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Adviser's signature	Date signed