Applicant Summary Sheet

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* 1. Course Provider Organization Information

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* 2. Organization's ACN Point of Contact Information

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* 3. Organization’s Governing Body

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

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

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* 6. Which best describes your organization?

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

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* 8. Primary contact and program lead

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