Seal of Biliteracy Participation Application (2017) Tweet School District or Charter School Name* District Mailing Address* City* State* Zip* County* District Office Phone Number* Designated Program Coordinator Name* First Last Designated Program Coordinator Email Address* Designated Program Coordinator Phone Number* Statement of Compliance* I agree to the terms of Arizona Department of Education Seal of Biliteracy Guidelines and Procedures and will abide by the requirements of this program as defined in Arizona Revised Statutes §15-258 and Arizona Administrative Code R7-2-317. √ Check here to verify your statement of compliance Reporting Requirements* Participating school districts or charter schools must submit a report no later than 90 days after the end of the school year containing information about the Seal of Biliteracy student participation. Participating school districts or charter school that fail to submit this required report may be denied participation in the following year. The report submission form is available on the Department website. √ Check here stating that you agree with the reporting submission required Phone This field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.