Administrator / Las Vegas, Nevada89123
/ Ph: 702 486-7330
Fx: 702 486-7340
Commission on Postsecondary Education
Dear Applicant:
Enclosed is the required application that must be completed for out-of-state institutions that provide education to individuals in Nevada. Only those schools that are accredited will be considered for approval. Nevada law defines “accredited“ as having met the standards of a U.S. Department of Education-recognized accrediting body.
Please make sure you read each form carefully and complete and/or attach the necessary documents. If you have any questions, please call this agency or contact me via email at .
Regulations pertaining to this authorization can be reviewed on line at Applicable regulations are contained in NRS and NAC Chapters 394.
David Perlman
Administrator
INITIAL AUTHORIZATION TO OPERATE EXPERIENTIAL COURSESIN NEVADA
Complete this checklist as indicated and submit with the application.
ENTER NAME OF SCHOOL BELOW: / WEB SITE:ENTER SCHOOL’S STREET ADDRESS BELOW: / SCHOOL’S CITY STATE ZIP BELOW:
ENTER NAME OF CONTACT PERSON BELOW: / PHONE NUMBER OF CONTACT PERSON
EMAIL ADDRESS OF CONTACT PERSON
ENTER SCHOOL MAILING ADDRESS IF DIFFERENT FROM ABOVE:
INITIALS / FORM# / FORM TITLE
10 / PRIVATE POSTSECONDARY EDUCATIONAL INSTITUTION BOND
Complete the bond form and submit with rider.
60 / OWNERSHIP
Complete as appropriate.
61 / Certification
Current copy of your catalog (pdf version preferred).
Fifteen hundred dollar ($1,500) non-refundable application fee payable to the “STATE OF NEVADA TREASURER”
Evidence of accreditation
Provide evidence of accreditation for each program you seek approval or evidence of institutional approval. Accreditor must be approved by the U.S. Department of Education.
Competency/skills checklist used to evaluate student performance
Submit a sample copy of the checklist/evaluation document that will be used to evaluate students in experiential courses.
Approval of Nevada Licensing Board as applicable
I declare that the postsecondary educational institution described in this application is in full compliance with the civil rights act as amended (Title VI) and the Americans with disabilities act and that the institution will in no way discriminate on the basis of race, color, creed, age, sex, or disability and I hereby certify that the information provided on this form and the attachments hereby submitted are complete and accurate.
TYPE NAME OF INDIVIDUAL SIGNING BELOW:
SIGNATURE OF SCHOOL OFFICIAL/DATE SIGNED
PRIVATE POSTSECONDARY EDUCATIONAL INSTITUTION LICENSE BOND - FORM 10
KNOW BY ALL THOSE PRESENT THAT AS PRINCIPAL,
NAME OF POSTSECONDARY EDUCATIONAL INSTITUTION / BOND NUMBERADDRESS / CITY/STATE/ZIP
AND
NAME OF SURETY COMPANY
HOME OFFICE ADDRESS / CITY/STATE/ZIP
as Surety, are held and firmly bound unto the STATE OF NEVADA, Commission on Postsecondary Education, in the sum of $10,000 (Ten Thousand Dollars), for the payment of which sum, well and truly be made, we bind ourselves, our successors and assigns, jointly and firmly by these present.
THE condition of this obligation is such that whereas Principal is desirous of obtaining a license to operate a Private Postsecondary Educational Institution pursuant to the provisions of Nevada Revised Statutes Chapter 394, as amended and the rules and regulations of the Commission on Postsecondary Education adopted pursuant thereto, commencing on ______, 20_____.
NOW, THEREFORE, if the above bounden Principal shall faithfully comply with all of the provisions of said statutes, rules and regulations and amendments, this obligation shall be null and void; otherwise to remain in full force and effect. This bond is provided by the Principal and surety pursuant to the provisions of Nevada Revised Statutes Chapter 394 and rules and regulations of the Commission on Postsecondary Education, and amendments of such statutes or rules and regulations in effect during the life of this bond. The requirements of such statutes, rules and regulations, or amendments thereto, and the terms, conditions and provisions thereof are and shall be deemed incorporated in and made a part of this bond as though fully set forth herein. The surety herein reserves the right to withdraw as such surety except as to any liability already incurred or accrued hereunder, and may do so upon the giving of written notice of such withdrawal to the Commission on Postsecondary Education; provided, however, that no withdrawal shall be effective for any purpose until thirty (30) days have elapsed from and after the receipt of such notice by said Commission on Postsecondary Education and further provided that no withdrawal shall in any way affect the liability of said surety arising out of the obligation herein created prior to the expiration of such period of thirty (30) days.
UPON notice by the Commission on Postsecondary Education with supporting evidence to Surety of claims against Principal, Surety is held to resolve such claims within a sixty (60) days period from date of notice by the Commission on Postsecondary Education.
IN WITNESS THEREOF, the Principal and said surety have hereunto caused this instrument to be executed at
______this ______day of ______, 20____.
PRINCIPAL (NAME OF POSTSECONDARY EDUCATIONAL INSTITUTION / SIGNATURE OF OWNER/DATENAME OF SURETY COMPANY / SIGNATURE OF SURETY COMPANY REPRESENTATIVE
STATE OF ______}County______}
ON this ______day of ______, 20____,before me, ______, a Notary Public in and for said County and State, personally appeared ______, known to me to be the person whose name is subscribed to the within instrument as Attorney-in-fact of the ______, and acknowledged to me that he subscribed the name of said company thereto as Principal, and his own name as Attorney-in-fact.
IN WITNESS THEREOF, I have hereunto set my hand and affixed my official seal at my office, in said County and State, this ______day of ______, 20____.
______
Notary Public
SEAL:
OWNERSHIP – FORM 60
Check the applicable organization of your institutions and provide applicable information.
SOLE PROPRIETORSHIPNAME OF OWNER / AREA CODE & PHONE NUMBER
FULL MAILING ADDRESS
NAME OF BUSINESS / AREA CODE & PHONE NUMBER
BUSINESS ADDRESS
PARTNERSHIP – submit a copy of partnership agreement and list all partners.
PARTNER NAME / ADDRESS / PHONE NUMBER
PARTNER NAME / ADDRESS / PHONE NUMBER
PARTNER NAME / ADDRESS / PHONE NUMBER
PARTNER NAME / ADDRESS / PHONE NUMBER
CORPORATION– list all who have 10% or more interest. Attach corporation certificate and if foreign, copy
of filing with the Nevada Secretary of State. Include a listing of all officers.
CORPORATE OFFICE/POSITION / ADDRESS / PHONE NUMBER
CORPORATE OFFICE/POSITION / ADDRESS / PHONE NUMBER
CORPORATE OFFICE/POSITION / ADDRESS / PHONE NUMBER
PUBLIC INSTITUTION – Attach a copy of your state charter
OWNERSHIP – FORM 61
The following is not an all inclusive list of Nevada state licensing boards or commissions which may require acceptance of your training if the training leads to licensure.
Complete this form as appropriate.
[ ] I certify the training that will be offered online to Nevada residents does not lead to licensure by a Nevada state agency.
[ ] I certify the training that will be offered online to Nevada residents leads to licensure by a Nevada state agency and approval is attached.
SIGNATURE OF SCHOOL REPRESENTATIVE/DATE SIGNED
Court Reporters
Insurance Division
Bar of Nevada
Real Estate Division
Audiology and Speech Pathology
Nevada Department of Education
Alcohol, Drug and Gambling Counselors
Barbers Health and Sanitation Board
Architecture, Interior Design and Residential Design
The Board of Examiners for Marriage and Family Therapists and Clinical Professional Counselors