Due Date: August 1, 2016

Check Status

License # / Provisional Approval to Operate

Is this a BranchYes No

Name of Institution:
Principal Location of Institution in New Mexico
Address:
City: / State: / Zip:
Chief Executive Officer: / Phone:
Email: / Fax:
Website
Branch Location
Address:
City: / State: / Zip:
Primary Contact & Title / Phone:
Email: / Fax:
Name of Person Preparing Report / Title:
Email: / Phone:

Please provide information for Enrollment and Area of Study, Completion, and Employment data. For schools that use a different term than a semester year, please use the data closest to summer & fall 2014 andspring 2015. Indicate “N/A” to questions for which there is no collected data. If your institution does not follow the semester system to measure academic years, please note the time frame for which data is being reported: (subsequent years need to be consistent with this reporting time frame).

Enrollment Numbers / New Mexico
Student Data
Headcount
Full time equals 24 or more semester credit hours in an academic year or the equivalent in quarter credit hours.
Part time equals less than 24 semester credit hours in anacademic year or the equivalent in quarter credit hours.
Other Definitions
Student Dropwill remove the class (es) from the student’s schedule with no record of the student’s enrollment in the class(es) on the official transcript.
Student Withdrawalwill remove the class (es) from the student’s schedule and will result in a grade of ‘W’ on the official transcript for each class withdrawn.
College transfer is the movement of students from the reporting postsecondary institution to another postsecondary institution by which academic credits are accepted or not accepted by a receiving institution. / Number of Students enrolled in continuing education courses:
a) Headcount of FULL TIME on campus students: / a)
b) Headcount of PART TIMEon campus students: / b)
c) Headcount of FULL TIME off campus students including students enrolled online
Report how many FULL TIMEoff campusstudents are studying solely onlineand addnumbers reporttotal in c. / c)
d) Headcount of PARTTIME off campus students including students enrolled online:
Report how many PART TIMEoff campus students are studying solely online and addnumbers report in total ind. / d)
e) Hybrid (a combination of online study combined with any of the other categories listed above): / e)
f) Total Headcount of all students: (a+b+c+d+e=f) / f)
Student Drops:
Student Withdrawals:
Student Transfers:
g) Total of all drops, withdrawals & transfers: / g)
h) Total Enrollment (f - g = h): / h)
First Time Student Enrollment / Number of students enrollment as first time student within 16 months of receiving a regular high school diploma:
Is your institution verifying legitimate High School Diplomas? / Yes
No
If yes, please attach Institution’s Policy/Procedure on method used to verify legitimate High School Diploma.
Enrollment Numbers / New Mexico
Student Data
Gender / Number of Males
Number of Females
Number of No Responses
Total
Age of Students Enrolled
Total should equal the Enrollment Total / Number of students under 17 years of age
Number of students 18 to 24 years of age
Number of students25 to 34 years of age
Number of students 35 to 44 years of age
Number of students 45 to 64 years of age
Number of students over 65 years of age
Number of No Responses
Total
Ethnicity / Number of Hispanic or Latino
Number of Non-Hispanic or Latino
Number of No Responses
Race / Number of Caucasian/White
Number of American Indian
Number of Black
Number of Asian
Number of Native Hawaiian or Pacific
Number of Two or more ethnicities or races
Number of No Responses
Area of Study with CIP Codes / Completion / Employment Numbers

Please provide program information on page 5.

Example:

Area of Study with CIP Codes, Completion & Employment Numbers
Type of Credential
(Click to select) / CIP Code/
Certificate or Degree Clusters If unknown, see reference below * / Name of Program / Program location:
On campus
Off Campus
On line
Hybrid
(Click to select the ) / Length of Program / Type of Credit Hours
(Click to select the ) / Total Program Cost / Number of Graduates or Completers within NM in the most recent academic year
** / Number of Graduates or Completers placed in employment appropriate for completed studies
**
Associate Degree / 51.3301 / Acupuncture, & Oriental Medicine / On Campus / 60 / Semester hours / $37,900.00 / 58 / 6
Certificate / 51.0601 / Dental Assistant / Hybrid / 35 / Clock hours / $1,400.00 / 43 / 2
Bachelors / 50.0913 / Music Technology / Off Campus / 180 / Quarter hours / $74,000.00 / 138 / 79

*Every Program must list a CIP code.

Reference: To learn more about the classification of Instructional programs (CIP) and how to determine the CIP Code for any offered program please click on the following link: IPEDS CIP INFORMATION (

If no CIP code relates to the offered program and assistance is needed, contact Private Postsecondary School Division via email:

**Please list, under each category, the number of students that completed in each area (Please indicate “N/A if not applicable to your institution). Please use the academic year of summer, fall 2014 and spring2015 to answer this section. If you do not use an academic year, please indicate how you calculated the data.

Area of Study with CIP Codes / Completion / Employment Numbers
Type of Credential
(Click to select) / CIP Code/
Certificate or Degree Clusters If unknown, see reference below * / Name of Program / Program location:
On campus
Off Campus
On line
Hybrid
(Click to select) / Length of Program / Type of Credit Hours
(Click to select) / Total Program Cost / Number of Students enrolled / Number of New Mexico Graduates or Completers in the most recent academic year / Number of New Mexico Graduates or Completers placed in employment appropriate for completed studies
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item.
Choose an item. / Choose an item.
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Choose an item. / Choose an item. /
Financial Aid
  • Is Federal Financial Aid available to students enrolled in this school?
/ Yes No
  • If yes, do you report information to IPEDS?
/ Yes No
  • If yes, please include the institutions IPEDS unit I.D. number here.

  • If yes, Student Default Rate (in percentage)
/ %
  • Are alternative loans available? (private or bank loans, payment plans, etc.)
/ Yes No
  • If yes, how many students are relying on alternative loan?

  • What is the average loan amount per student?

  • If you are subject to federal financial aid, attach electronic or hard copies of and web links to the following:
Include - “student-right-to-know” disclosure: ,
Include - gainful employment disclosure:,
Include - complaint policy with reference to the NMHED for NM students: ,
Include - student catalog:
Certification
As an authorized representative of this reporting institution, I hereby certify that the information provided in this report is accurate and complete, and commit the institution to abide by the conditions for operating as a licensed education institution pursuant to 5.100.2. NMAC, or as an out-of-state proprietary institutionpursuant to 5.100.3 NMAC, or as an institution exemptfrom regulation pursuant to 5.100.2 of the Post-Secondary Educational Institutional Act for New Mexico Higher Education Department (NMHED).
Typed Name and Title
Signature of CEO / Date
For this educational institution:

PLEASE MAILTHIS DEMOGRAPHIC DATA REPORT BY AUGUST 1, 2015.

Please sendto:

New Mexico Higher Education Department

Attn: Private Postsecondary Schools Division, 2044 Galisteo Street, Suite 4, Santa Fe, NM 87505

For questions,contact the Private Postsecondary Schools Division at:

505-476-8422 or Email to

Institution’s Name:

EnrollmentHead CountGender AgeEthnicity

Study Area Name of Programs CIP Codes Number of Graduates Employed Graduates

Total Enrolled CertificationCatalog

Demographic data CompleteDemographic Data Incomplete(items documented below in notes)

Date / Signature of PPS staff

Demographic data report processed:

Notes:

Revised 6/15/15/rlm

1