ALTERNATIVE PLAN SUBMITTAL SHEET

School Administrative Unit Submitting Alternative Plan:
•	     

Contact Information:  
	Name:	     
	Address:	     
		     
		     
	Telephone:	     
	email:	     

Date Plan Submitted by SAU:	     

The intent to submit an alternative plan has been approved by the Commissioner in the approval of the Notice of Intent?
 YES	 NO
(If NO, please explain.)