Applicant Summary Sheet

* 1. Course Provider Organization Information

* 2. Organization Leader Information

* 3. Organization’s Governing Body

* 4. Will new employees be hired to implement approved courses?

* 5. If yes, how many and in what capacity? (50 words)

* 6. Which best describes your organization?

* 7. List title(s) of proposed course offering(s)

* 8. Primary contact and program lead

T