Statutory Assurances February 15, 2017Formsbpannell Statutory Assurances School and District AssurancesPlease submit the Wyoming school and district assurances to WDE below. This is due by November 1st. Each district will need to complete this form, as well as each school. All responses must be completed with a yes, no or N/A answer. Information and links will be provided in the text boxes as indicated. Name * Email Address * Phone Number * Role * District Superintendent Principal Other Role School Configuration * Elementary School Middle School Junior High High School More than One School Other School Configuration District * Albany #1 Big Horn #1 Big Horn #2 Big Horn #3 Big Horn #4 Campbell #1 Carbon #1 Carbon #2 Converse #1 Converse #2 Crook #1 Fremont #1 Fremont #2 Fremont #6 Fremont #14 Fremont #21 Fremont #24 Fremont #25 Fremont #38 Goshen #1 Hot Springs #1 Johnson #1 Laramie #1 Laramie #2 Lincoln #1 Lincoln #2 Natrona #1 Niobrara #1 Park #1 Park #6 Park #16 Platte #1 Platte #2 Sheridan #1 Sheridan #2 Sheridan #3 Sublette #1 Sublette #9 Sweetwater #1 Sweetwater #2 Teton #1 Uinta #1 Uinta #4 Uinta #6 Washakie #1 Washakie #2 Weston #1 Weston #7 Other District Albany #1 School(s) (Check all that Apply) Snowy Range Academy Beitel Elementary Centennial Elementary Harmony Elementary Rock River Elementary Slade Elementary Valley View Elementary Velma Linford Elementary Spring Creek Elementary Indian Paintbrush Elementary UW Laboratory School Laramie Montessori Charter School Notch Peak Elementary Laramie Middle School Rock River Junior High School Laramie High School Rock River High School Whiting High School OtherOther Big Horn #1 School(s) (Check all that Apply) Burlington Elementary Rocky Mountain Elementary Burlington Middle School Rocky Mountain Middle School Burlington High School Rocky Mountain High School OtherOther Big Horn #2 School(s) (Check all that Apply) Lovell Elementary Lovell Middle School Lovell High School OtherOther Big Horn #3 School(s) (Check all that Apply) Greybull Elementary Greybull Middle School Greybull High School OtherOther Big Horn #4 School(s) (Check all that Apply) Laura Irwin Elementary Manderson Elementary Cloud Peak Middle School Riverside High School OtherOther Campbell #1 School(s) (Check all that Apply) 4-J Elementary School Cottonwood Elementary Hillcrest Elementary Little Powder Elementary Meadowlark Elementary Lakeview Elementary Rawhide Elementary Recluse School Rozet Elementary Prairie Wind Elementary Wagonwheel Elementary Paintbrush Elementary Conestoga Elementary Sunflower Elementary Pronghorn Elementary Buffalo Ridge Elementary Stocktrail Elementary Twin Spruce Junior High School Sage Valley Junior High School Campbell County High School Wright Jr. & Sr. High School Westwood High School OtherOther Carbon #1 School(s) (Check all that Apply) Rawlins Elementary Little Snake River Valley School Rawlins Middle School Rawlins High School Cooperative High OtherOther Carbon #2 School(s) (Check all that Apply) Elk Mountain Elementary Hanna Elementary Medicine Bow Elementary Saratoga Elementary HEM Junior/Senior High School Encampment K-12 School Saratoga Middle/High School OtherOther Converse #1 School(s) (Check all that Apply) Dry Creek Elementary Douglas Primary School Moss Agate Elementary Shawnee Elementary Walker Creek Elementary Douglas Upper Elementary School White Elementary Douglas Intermediate School Douglas Middle School Douglas High School OtherOther Converse #2 School(s) (Check all that Apply) Boxelder Elementary Grant Elementary Glenrock Intermediate School Glenrock Middle School Glenrock High School OtherOther Crook #1 School(s) (Check all that Apply) Sundance Elementary Moorcroft K-8 Sundance Secondary School Hulett School Moorcroft High School Bear Lodge High School OtherOther Fremont #1 School(s) (Check all that Apply) Jeffrey City Elementary Gannett Peak Elementary Baldwin Creek Elementary Lander Middle School Lander Valley High School Pathfinder High School OtherOther Fremont #2 School(s) (Check all that Apply) Dubois Elementary Dubois Middle School Dubois High School OtherOther Fremont #6 School(s) (Check all that Apply) Crowheart Elementary Wind River Elementary Wind River Middle School Wind River High School Wind River Learning Academy Fremont #14 School(s) (Check all that Apply) Wyoming Indian Elementary Wyoming Indian Middle School Wyoming Indian High School OtherOther Fremont #21 School(s) (Check all that Apply) Ft. Washakie Elementary Ft. Washakie Middle School Ft. Washakie High School OtherOther Fremont #24 School(s) (Check all that Apply) Shoshoni Elementary Shoshoni Junior High School Shoshoni High School OtherOther Fremont #25 School(s) (Check all that Apply) Ashgrove Elementary Rendezvous Elementary Jackson Elementary Aspen Early Learning Center Willow Creek Elementary Riverton Middle School Riverton High School Frontier Academy OtherOther Fremont #38 School(s) (Check all that Apply) Arapahoe Elementary Arapahoe Charter High School OtherOther Goshen #1 School(s) (Check all that Apply) Southeast Elementary La Grange Elementary Lingle-Ft. Laramie Elementary Trail Elementary Lincoln Elementary Lingle-Ft. Laramie Middle School Southeast Junior High School Torrington Middle School Southeast High School Lingle-Ft. Laramie High School Torrington High School OtherOther Hot Springs #1 School(s) (Check all that Apply) Ralph Witters Elementary Thermopolis Middle School Hot Springs County High School OtherOther Johnson #1 School(s) (Check all that Apply) Cloud Peak Elementary School Meadowlark Elementary Kaycee School Clear Creek Middle School Buffalo High School OtherOther Laramie #1 School(s) (Check all that Apply) Alta Vista Elementary Arp Elementary Baggs Elementary Bain Elementary Buffalo Ridge Elementary Cole Elementary Davis Elementary Deming Elementary Dildine Elementary Fairview Elementary Gilchrist Elementary Goins Elementary Hebard Elementary Henderson Elementary Hobbs Elementary Clawson Elementary Jessup Elementary Lebhart Elementary Miller Elementary Pioneer Park Elementary Rossman Elementary Willadsen Elementary Anderson Elementary Afflerbach Elementary Freedom Elementary Sunrise Elementary Saddle Ridge Elementary Prairie Wind Elementary Meadow Lark Elementary PODER Academy PODER Academy Secondary School Carey Junior High School Johnson Junior High School McCormick Junior High School Central High School East High School Triumph High School South High School OtherOther Laramie #2 School(s) (Check all that Apply) Albin Elementary Carpenter Elementary Pine Bluffs Elementary Burns Elementary Burns Jr & Sr High School Pine Bluffs Jr & Sr High School OtherOther Lincoln #1 School(s) (Check all that Apply) Kemmerer Elementary School Canyon Elementary School New Frontier High School Kemmerer Junior Senior High School OtherOther Lincoln #2 School(s) (Check all that Apply) Afton Elementary Cokeville Elementary Thayne Elementary Etna Elementary Osmond Elementary Star Valley Middle School Cokeville High School Star Valley High School Swift Creek High School OtherOther Natrona #1 School(s) (Check all that Apply) Alcova Elementary Crest Hill Elementary Evansville Elementary Cottonwood Elementary Ft. Caspar Academy Grant Elementary Sagewood Elementary Manor Heights Elementary Mills Elementary Mountain View Elementary Lincoln Elementary School Paradise Valley Elementary Park Elementary Pineview Elementary Poison Spider Elementary Powder River Elementary Red Creek Elementary Southridge Elementary University Park Elementary Verda James Elementary Willard Elementary Woods Learning Center Oregon Trail Elementary Bar Nunn Elementary Casper Classical Academy Summit Elementary School Frontier Middle School Midwest School C Y Junior High School Dean Morgan Junior High School Centennial Junior High School Kelly Walsh High School Natrona County High School Roosevelt High School OtherOther Niobrara #1 School(s) (Check all that Apply) Lance Creek Elementary Lusk Elementary Lusk Middle School Niobrara County High School OtherOther Park #1 School(s) (Check all that Apply) Clark Elementary Parkside Elementary Southside Elementary Westside Elementary Powell Middle School Powell High School Shoshone Learning Center OtherOther Park #6 School(s) (Check all that Apply) Eastside Elementary Sunset Elementary Valley Elementary Wapiti Elementary Glenn Livingston Elementary Cody Middle School Cody High School Heart Mountain Academy OtherOther Park #16 School(s) (Check all that Apply) Meeteetse School OtherOther Platte #1 School(s) (Check all that Apply) Chugwater Elementary Glendo Elementary Libbey Elementary West Elementary Wheatland Middle School Chugwater Junior High School Glendo Junior High School Chugwater High School Glendo High School Wheatland High School Peak High School OtherOther Platte #2 School(s) (Check all that Apply) Guernsey-Sunrise Elementary Guernsey-Sunrise Junior High Guernsey-Sunrise High School OtherOther Sheridan #1 School(s) (Check all that Apply) Big Horn Elementary Slack Elementary Tongue River Elementary The Bridge School Big Horn Middle School Tongue River Middle School Big Horn High School Tongue River High School OtherOther Sheridan #2 School(s) (Check all that Apply) Henry A. Coffeen Elementary Highland Park Elementary Story Elementary Woodland Park Elementary Meadowlark Elementary Sagebrush Elementary Sheridan Junior High School The Wright Place Ft. Mackenzie Sheridan High School OtherOther Sheridan #3 School(s) (Check all that Apply) Arvada Elementary Clearmont K-12 School OtherOther Sublette #1 School(s) (Check all that Apply) Bondurant Elementary Pinedale Elementary Pinedale Middle School Pinedale High School Skyline High School OtherOther Sublette #9 School(s) (Check all that Apply) Big Piney Elementary La Barge Elementary Big Piney Middle School Big Piney High School OtherOther Sweetwater #1 School(s) (Check all that Apply) Desert Elementary Desert View Elementary Farson-Eden Elementary Eastside Elementary Overland Elementary Walnut Elementary Northpark Elementary Westridge Elementary Pilot Butte Elementary Sage Elementary Lincoln Elementary Stagecoach Elementary Rock Springs Junior High Desert Middle School Farson-Eden Middle School Farson-Eden High School Rock Springs High School Black Butte High School OtherOther Sweetwater #2 School(s) (Check all that Apply) Granger Elementary Harrison Elementary McKinnon Elementary Thoman Ranch Elementary Washington Elementary Jackson Elementary Truman Elementary Monroe Intermediate School Lincoln Middle School Green River High School Expedition Academy OtherOther Teton #1 School(s) (Check all that Apply) Alta Elementary Kelly Elementary Moran Elementary Wilson Elementary Colter Elementary Jackson Elementary Jackson Hole Middle School Jackson Hole High School Summit High School OtherOther Uinta #1 School(s) (Check all that Apply) Clark Elementary Uinta Meadows Elementary North Evanston Elementary Aspen Elementary Davis Middle School Evanston Middle School Evanston High School Horizon Alternative School OtherOther Uinta #4 School(s) (Check all that Apply) Mountain View K-8 Mountain View High School OtherOther Uinta #6 School(s) (Check all that Apply) Urie Elementary Lyman Intermediate School Lyman High School OtherOther Washakie #1 School(s) (Check all that Apply) East Side Elementary South Side Elementary West Side Elementary Worland Middle School Worland High School OtherOther Washakie #2 School(s) (Check all that Apply) Ten Sleep K-12 OtherOther Weston #1 School(s) (Check all that Apply) Newcastle Elementary 3-5 Newcastle Elementary K-2 Newcastle Middle School Newcastle High School OtherOther Weston #7 School(s) (Check all that Apply) Upton Elementary Upton Middle School Upton High School OtherOther Next If you are human, leave this field blank.