##### SECTION II – Institutional Attestation

On behalf of the institution, I hereby attest to the following: That all educational activities offered as part of this proposed curriculum are aligned with the institutions’ goals and objectives and meet all statutory and regulatory requirements, including but not limited to Parts 50, 52, 53 and 54 of the Regulations of the Commissioner of Education (“Regulations”) and the following specific requirements: § That credit for study in the proposed program will be granted consistent with the requirements in §50.1(o). “Semester hour means a credit, point, or other unit granted for the satisfactory completion of a course which o requires at least 15 hours (of 50 minutes each) of instruction and at least 30 hours of supplementary assignments, except as otherwise provided pursuant to §52.2(c)(4) of this Subchapter. This basic measure shall be adjusted proportionately to translate the value of other academic calendars and formats of study in relation to the credit granted for study during the two semesters that comprise an academic year.” § That, consistent with §52.1(b)(3), a reviewing system has been devised to estimate the success of students and faculty in achieving the goals and objectives of the program, including the use of data to inform program improvements. The Department reserves the right to request this data at any time and to use such data as part of its evaluation o of future program registration applications submitted by the institution. § That, consistent with §52.2(a), the institution possesses the financial resources necessary to accomplish its mission and the purposes of each registered program, provides classrooms and other necessary facilities and equipment as described in §52.2(a)(2) and (3), sufficient for the programs dependent on their use, and provides library resources and maintains collections sufficient to support the institution and each registered curriculum as provided in §52.2(a)(4), including for the program proposed in this application. § That, consistent with §52.2(b), the information provided in this application demonstrates that the institution is in compliance with all requirements relating to faculty. § That all curriculum and courses are offered, and all credits are awarded, consistent with the requirements of §52.2(c). § That admissions decisions are made consistent with the requirements of §52.2(d) and 52.21(c) § That, consistent with §52.2(e) of the Regulations, overall educational policy and its implementation are the responsibility of the institution’s faculty and academic officers; that the institution establishes, publishes and enforces explicit policies as required by §52.2(e)(3); that academic policies applicable to each course, as required by §52.2(e)(4), including learning objectives and methods of assessing student achievement, are made explicit by the instructor at the beginning of each term; that the institution provides academic advice to students as required by §52.2(e)(5); and that the institution maintains and provides student records as required by §52.2(e)(6). § That, consistent with §52.2(f)(2) of the Regulations, the institution provides adequate academic support services and that all educational activities offered as part of a registered curriculum meet all State regulatory requirements.

####### All identified fields in this section must be completed in order to confirm attestation.

Name and Title of President/Chief Executive Officer (or institution’s designated SED contact) *:
Email Address:	Phone Number:
Signature:	Date:

####### If the program is a multiple-institution program, the partner institution must provide the following information:

Name and Title of Partner Institution President/Chief Executive Officer (or institution’s designated SED contact) *:
Partner SED Institution ID:	Partner Institution Name:
Email Address:	Phone Number:
Signature:	Date:

*NOTE: This application must be signed by either the institution’s President/Chief Executive Officer (CEO) or the designated contact on file with the Office of College and University Evaluation, as authorized by the President/CEO.

APPLICATION FORM FOR REVISING PROGRAMS LEADING TO SCHOOL BUILDING LEADER CERTIFICATION 2022 Page 2