Provider Application Applicant Summary Sheet Question Title * 1. Course Provider Organization Information Name of Course Provider Organization Organization Website Organization Address Years in Existence Number of Employees Question Title * 2. Organization Leader Information Name Title Phone Email Question Title * 3. Organization’s Governing Body Question Title * 4. Will new employees be hired to implement approved courses? Question Title * 5. If yes, how many and in what capacity? (50 words) Question Title * 6. Which best describes your organization? Private Postsecondary educational organization RI Non-profit Organization Rhode Island Local Education Agency/District or School Department of Labor and Training Approved Partner Question Title * 7. List title(s) of proposed course offering(s) Question Title * 8. Primary contact and program lead Name Title Address Phone: Landline Phone: Cell Email Next