/ APPLICATION FOR APPROVAL
CHANGE OF LOCATION

SUBMIT ONE HARD COPY:EMAIL ONE PDF COPY:

Council on Occupational

7840 Roswell Road, Bldg. 300, Suite 325

Atlanta, GA 30350

Attn: Dr. Alex Wittig

(800) 917-2081/ (770) 396-3898

NAME OF INSTITUTION
OLDSTREET ADDRESS
OLDCITY, STATE, ZIP CODE
NEW STREET ADDRESS
NEW CITY, STATE, ZIP CODE
CHIEF ADMINISTRATIVE OFFICER (CAO)
EMAIL ADDRESS OF CAO
DATE OF APPLICATION

This application must be typed; hand-written applications will not be accepted.

(January 2015)

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INSTRUCTIONS

When completing the application, please make sure to:

*Refer to the most current edition of Handbook of Accreditation.

*Provide complete answers to all questions.

*Include all requested documentation.

*Submit the original (typed) application and email a PDF copy as indicated on the cover page.

*Submit a check which includes the application fee ($1,000), and for non-public institutions, the site visit deposit ($3,000).

GENERAL INFORMATION

A change of location is defined as a physical relocation of an existing maincampus or non-main campus site including but not limited to students, faculty, instructional materials, equipment, and records.

An institution desiring to relocate a main, branch, or extension campus must submit an application to the Commission for approval at least 90 days prior to the change of location unless the move is an unplanned relocation, thereby constituting an unplanned substantive change. The application shall include the following:

1.Rationale for the change of location.

2.Documentation of planning that took place including advisory committee meeting minutes, long-range plan, annual report, needs assessment, and/or other relevant documentation.

3.Distance of the new location from the old location, and whether the new location is within the same marketing area.

4.Budget, to include major categories such as administration, instructional programs, personnel salaries, plant maintenance, lease or rent of building, insurance, custodial services, and security service. (Provide projected revenue, expenditures, and cash flow.)

5.Information concerning programs to be offered at the new location. (Submit a New Program application for each new program and/or Change in Existing Program application for any existing program to be changed in length by 25% or more.)

6.Single line drawing with dimensions of facilities to be used with each area identified.

7.Copy of approval letter from state licensing or post-secondary approval agency.

8.Copy of license, if required.

9.Copy of lease agreement, if applicable.

10.Copy of applicable insurance.

11.A check which includes the application fee ($1,000), and for non-public institutions, the site visit deposit ($3,000).

Upon receipt of all required documentation, the Executive Director shall review the application and may request additional documentation The Commission must grant initial approval for the change of location before the new site may be occupied. The Commission reserves the right to require a preliminary visit to the institution prior to granting initial approval of the change of location.

Failure to provide advance notification may call into question the entire institution’s accreditation.

Within 180 days after the new location is granted initial approval, an on-site visit will be conducted to the new location. The date of the on-site visit will be determined by Council staff. (Failure to implement the planned change of location within 180 days from the date of the Commission’s initial approval is a violation of Council policy and may result in a financial penalty.) The visiting team, which may include a Commission representative, will consider the adequacy of the new location. The visiting team will submit a written report to the Executive Director within 30 days after completing the site visit. A copy of the team report will be mailed to the institution. The institution must submit a response to all recommendations to the Executive Director within 30 days of the date that the report is mailed to the institution. The institution’s response report, if required, must provide documentation that deficiencies or violations of standards, criteria, and/or conditions of accreditation have been corrected.

Cost of the on-site evaluation will be borne by the institution. The Executive Director will determine the amount of the deposit for the team site visit that must be conducted.

The Commission shall review the application, the team report, and institutional response, if required, and will make a final decision on the change of location application at its next meeting.

APPLICATION CERTIFICATION AND DISCLOSURE STATEMENT
I certify that all appropriate documentation has been enclosed with this completed application
and that all information contained in the application is correct.
Signature of Chief Administrative OfficerDate

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1. / Which campus is changing location? (Check the appropriate box):

Main CampusExtension CampusInstructional Service Center

Branch CampusExtended Classroom
NEW Telephone Number: ( ) / NEW FAX Number: ( )
2. / When do you expect the new location to be operational with students attending?
3. / Documentation is attached as evidence that the planning of this change is included in the most recent long-range plan.

YES NO If no, please explain:
4. /
As a result of relocation, is the name of the institution to be changed?YES NO
If YES, you must complete a Name Change application.
5. /
The new facility will be located miles from the present location and IS or IS NOT
considered to be within the same marketing area.
If the new location is not within the same marketing area, the attached Employer Program Verification Form must be completed for each program offered at the new location.
6. /
The new location will be:OwnedLeased
7. / Describe all buildings and other facilities located on the new site and indicate their use (classroom instruction, student housing, student activities, administration, recruiting, parking, etc.)
Building or Area / Use
a)
b)
c)
d)
e)
8. / Provide a single line drawing of floor plans of buildings and areas used with dimensions, identification of rooms and areas (including media center).
9. / Provide a budget which includes major categories such as administration, instructional programs, personnel salaries, plant maintenance, lease or rent of building, insurance, custodial service, security service, projected revenue, expenditures, and cash flow.

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10. / List reasons for moving to the new location including the improvements that will result from the change of location. Provide documentation of planning that took place, including minutes, needs assessment, etc.
11. / Will any existing programs be changed in length by 25% or more after relocation?

YES NO
If YES, you must complete a Change in Existing Program application for each revised program AND list all revised programs in the Changes in Existing Educational Programs section of the attached table.
12. / Will any NEW programs be offered at the new facility that were not offered at the previous location?

YES NO
If YES, you must complete a New Program application for each new program AND list all new programs in the New Educational Programs section ofthe attached table.
13. / Using the rosters provided, list all NEW staff who will be employed at the new location who were not employed at the previous location AND complete the attached New Personnel Form for each new staff person hired in an instructional, administrative, or supervisory capacity.
14. / Provide a copy of the change of location approval letter issued by the institution’s state licensing or post-secondary approval agency. (Do not submit a copy of the application submitted to the state licensing or approval agency.)
15. / Enclose a check for $1,000.00 for the application fee made payable to the Council on Occupational Education.
Non-public institutions must include an additional $3,000 deposit for the site visit.

THIS APPLICATION WILL NOT BE PROCESSED UNTIL THE APPLICATION FEE

AND TEAM VISIT DEPOSIT HAVE BEEN RECEIVED.

Commission of the Council on Occupational Education

EMPLOYER PROGRAM VERIFICATION FORM (2015)

for Postsecondary Programs

INSTRUCTIONS:

Complete 3 three of these forms for each service area served by the program.Each form must be signed by an employee who is in a position to make hiring decisions on behalf of the employer.

Name of Institution
Address / City/State/Zip
Name of Program
Mode(s) of Delivery of Program (check ALL that apply):

100% Traditional Hybrid Distance Education

The length of this program is (indicate the number of hours in all boxes that apply):

Clock HoursSemester Credit HoursQuarter Credit Hours

The amount of tuition and fees charged for the total program is: $

EMPLOYERS’ VERIFICATION STATEMENT

I have reviewed the (name of program):
program and recommended requirements for admissions, program content, program length, program objectives, competency tests, instructional materials, equipment, method of evaluation, the skills and/or proficiency required for completion, and appropriateness of the instructional delivery method(s) for the program.
Name: / Title:
Company Name: / Phone Number:
Address: / City/State/Zip:
Verifiable range of remuneration (based on year-round, full-time employment) that can reasonably be expected by completers who enter this field upon completion of the program is from $ annually
to $ annually.
Signature:Date:

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CHANGES IN EXISTING EDUCATIONAL PROGRAMS

List all programs that will be changed in length after relocation. You must also submit a Change in Existing Program application for any existing program that is changed in length by 25% or more.

Check the method used to measure length of programs: Clock HoursSemester Credit HoursQuarter Credit Hours

PROGRAM NAME / CIP Code
This Number
Is REQUIRED / Credential
(Certificate, Diploma,
Degree, etc.) / DATE
PROGRAM WAS
IMPLEMENTED / LENGTH OF
PROGRAM IN HOURS / CURRENT NUMBER OF STUDENTS ENROLLED / CURRENT NUMBER OF INSTRUCTORS
Clock / Credit / Part-Time / Full-Time / Part-Time / Full-Time

NEW EDUCATIONAL PROGRAMS

List all NEW programs that will be offered at the new location that were not offered at the previous location. You must also submit a New Program Application for each program listed below.

Check the method used to measure length of programs: Clock HoursSemester Credit HoursQuarter Credit Hours

PROGRAM NAME / CIP Code
This Number
Is REQUIRED / Credential
(Certificate, Diploma,
Degree, etc.) / DATE
PROGRAM WAS
IMPLEMENTED / LENGTH OF
PROGRAM IN HOURS / CURRENT NUMBER OF STUDENTS ENROLLED / CURRENT NUMBER OF INSTRUCTORS
Clock / Credit / Part-Time / Full-Time / Part-Time / Full-Time

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ROSTER OF INSTRUCTIONAL STAFF

Complete this roster for all (full and part-time) instructional staff currently employed and on site. Indicate which instructors teach courses within Associate Degree Programs with an asterisk (*). Complete one chart per location.

NAME
Note: Group by program / YEAR
OF
EMPLOYMENT / MOST
ADVANCED
DEGREE / EXPERIENCE
IN FIELD AND/OR
IN CLASSROOM / COURSES
TAUGHT / CURRENT
INSTRUCTIONAL
LOAD – IN HOURS
Part-Time / Full-Time

ROSTER OF ADMINISTRATIVE AND SUPERVISORY STAFF

Complete this roster for all (full and part-time) administrative and supervisory staff currently employed and on site. Complete one chart per location.

NAME / YEAR
OF
EMPLOYMENT / EDUCATION / EXPERIENCE / NUMBER OF HOURS EMPLOYED
PER WEEK

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NEW PERSONNEL FORM

Complete this form for each NEW person employed in an instructional, supervisory, or administrative capacity, full- or part-time, who will be involved in the new program. Include descriptions of experience with and/or training for distance education administration and instruction, if applicable.

Full name:
School: / City: / State:
Date of initial employment: / Full-Time: / Part-Time:
Present title: / How long in position?
Describe primary responsibilities, including subjects taught:
Describe current instructional/supervisory/administrative licenses and/or credentials and ATTACH COPIES to this form:

Educational Background: (Attach additional sheets if necessary)

Institution Name & Address / Attendance / Major Studies / Award
Diploma/Degree
From / To

Related Work Experience:

Company Name & Address / Dates / Job Title & Duties
From / To
How do you maintain up-to-date professional knowledge? (Organization activities, self-study, publications, etc.)
CERTIFICATION STATEMENT
I certify that the information contained on this form and attached hereto is correct and complete.
Employee’s SignatureDate

(June 2012)

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