LOCATION/OWNERSHIP/CONTROL/ACCREDITATION Name as it should appear on the school’s certificate to operate and all school publications. Physical Address of the School: Mailing Address if different: School Telephone Number: School Facsimile Number: School Website, if applicable: (Note: Electronic mail (e-mail) addresses are reported as part of the personnel information.) A. Indicate the form of school ownership/control by marking one of the following: Individual Partnership Private or Public Corporation (see B.1 & B.2) Board of Trustees/Directors Other – Specify: 1. If the ownership is a corporation, indicate the State in which incorporated: B. 2. If the ownership is a corporation, indicate For-Profit OR Not-for-Profit. Name of Owner: Address of Owner: D. If ownership is a partnership, or a for-profit corporation, give the name(s) of the person(s) holding an ownership interest of ten percent or more. If not-for-profit and controlled by a governing board, indicate board size and list the current officers.
CONTINUING EDUCATION INVENTORY INSTRUCTIONS APPLICATION ITEM 43a This item requests information about the inventory of continuing education programs to be offered by the school during the 2018-2019 certification year. Beginning August 28, 2016, certified schools could offer continuing education (CE) upon approval by the department and payment of a fee. CE is defined as “a course, module, or program of instruction no more than twenty-five (25) contact hours in length that is not portrayed or advertised as having a primarily vocational or academic objective but is designed for personal or professional development of a student and typically results in the awarding of a certificate of attendance and may carry continuing education credit.” The addition of CE should not be a part of the recertification process. Schools must follow the procedures on the for all new continuing education programs. During recertification, schools are required to submit to the department a list of all CE to be offered during the upcoming certification period and pay an annual fee of $100 for fifteen (15) or fewer programs or $500 for more than fifteen programs. Failure to submit a list of continuing education with the annual fee may result in denial of approval to offer CE for the next certification period. DO NOT SUBMIT PAYMENT OF THE CONTINUING EDUCATION FEE AT THIS TIME. PAYMENT WILL BE REQUESTED IN CONJUNCTION WITH THE CERTIFICATION FEE. Item 43a must include the following for each currently approved CE program offered: The campus location(s) where the CE will be offered (fee will be charged for the main campus only). The official title as it appears in school publications. The length of the program in weeks. The number of contact hours. Tuition, fees, and other costs of enrolling in and completing the CE. The inventory provided with this application will be compared to the school’s currently approved inventory to identify any variations. It will also be used as a basis for evaluating the disclosure of programmatic information in advertising and publications and for the department’s profile of the institution that is available to the public. Upon approval, the school’s official program inventory will reflect a generic program title of “Continuing Education” rather than listing all individual CE approved at the school. This form (application Item 43a) is available separately from the complete application. If additional pages of the form are necessary, please click for access as needed. BRANCH CAMPUSES AND EXTENSION SITES MAY BE APPROVED TO OFFER THE SAME CE AS THE MAIN CAMPUS. FEES ARE CHARGED TO THE MAIN CAMPUS ONLY. Item 43a: Continuing Education Inventory Form
School Name: Branch Code: - Location/City (Please identify all campus locations at which Continuing Education programs may be offered): For each CE program offered, provide the information requested below. See the previous page for additional information. Continuing Education Title Length (Weeks) Contact Hours Tuition Fees Cost of Books & Supplies Duplicate this page if additional space is needed and for additional CE programs. PERSONNEL DATA AND LISTING INSTRUCTIONS The information provided on this form verifies the institution employs adequate administrative and support staff and a sufficient number of qualified instructors.