ACN Existing Provider Course Proposals
(SY2018-19 - Summer, Fall, Year-long Courses)

Applicant Summary Sheet

Question Title

* 1. Course Provider Organization Information

Name of Course Provider Organization

Organization Address

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* 2. Organization's ACN Point of Contact Information

Name

Title

Phone

Email

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* 3. Past Provider Experience:
Please share lessons learned from offering courses in the ACN previously including what you plan to maintain and change about the way you would deliver courses.

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* 4. Supports for students requiring Special Education Services (150 words):
Describe the services provided by the organization to support students requiring special education services in achieving success in the proposed courses including the minimum supports required by law and additional services provided.
Note: Priority will be given to applications demonstrating strong supports for these students.

Question Title

* 5. Supports for students requiring English Language Learner Services (150 words): Describe the services provided by the organization to support students identified as English Language Learners in achieving success in the proposed courses including the minimum supports required by law and additional services provided.
Note: Priority will be given to applications demonstrating strong supports for these students.

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* 6. List title(s) of proposed course offering(s) that have been previously offered in the ACN.

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* 7. List title(s) of proposed course offering(s) that have not been previously been offered in the ACN.