Eligibility Review
NEW Education or Access Organization

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* 1. Contact Information

Organization Name:

Organization Website:

Respondent Name:

Respondent Title:

Respondent Email Address:

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* 2. What is your organization's status?

Nonprofit

Private Nonprofit

Private For-Profit

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* 3. What is your organization's EIN (Employee Identification Number)?

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* 4. Does your organization partner with an education or government entity?

Yes

If Yes, please provide the partnership name.

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* 5. Does your organization offer college credit to the participants in your program(s)?

Yes, our organization provides college credit for our program(s).

Yes, our organization provides the option to receive college credit for our program(s).

No, our organization does not offer college credit for our program(s).

Please provide additional details for the option you selected above.

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* 6. How does your organization promote access or enhance readiness for postsecondary education (i.e. offer significant fundamentals)?

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* 7. What is your organization's funding model for providing program(s)?

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* 8. Are there any application, membership or other fees required of the student in order to participate?

Yes

If Yes, please explain.

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* 9. What is your organization's target audience for program(s) offered?

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* 10. Does your organization offer financial aid for those who wish to participate?

Yes

If Yes, how do students qualify for financial aid?

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* 11. How many students are awarded financial aid annually?

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* 12. If your organization is accredited, please identify the federally recognized accreditor for your institution. Check all that apply.

Middle States Commission on Higher Education

New England Commission on Higher Education

New York State Board of Regents, and the Commissioner of Education

Northwest Commission on Colleges and Universities

Southern Association of Colleges and Schools, Commission on Colleges

Western Association of Schools and Colleges

Accrediting Commission of Career Schools and Colleges

Accrediting Council for Continuing Education and Training (accreditation for Title IV programs)

Accrediting Council for Independent Colleges and Schools

Council on Occupational Education

Distance Education Accrediting Commission (accreditation for Title IV programs)

Higher Learning Commission

Does not apply

Other (please specify)

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* 13. Does your organization use a CRM system for outreach to students licensed through Student Search Service?

Yes

If Yes, please provide the name of the software or service.

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* 14. Please upload a copy of your intended initial student outreach material(s) (print and/or digital). Only your initial outreach is required; you do not need to provide your full communications flow.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File