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31

Application for HVAC Excellence Programmatic Accreditation

P.O. Box 491

Mt Prospect, IL 60056

Tel 800 394-5268

Fax 800 546-3726

Name of School: ________________________________________________________________________________

City:_______________________________________________ State: ___________ Zip: ___________________

Telephone: ___________________________ Ext: ________ Fax: ________________________________________

Website: _______________________________________________________________________________________

Mailing Address if Different from Above: ____________________________________________________________

City:_______________________________________________ State: ___________ Zip: ___________________

Campus Director: _______________________________________Title: ____________________________________

Telephone: ___________________________ Ext: ________ Cell: ________________________________________

Email: _________________________________________________________________________________________

Self Study Contact: _____________________________________Title: ____________________________________

Telephone: ___________________________ Ext: ________ Cell: ________________________________________

Email: _________________________________________________________________________________________

Annual Report Contact: _________________________________Title: ____________________________________

Telephone: ___________________________ Ext: ________ Cell: ________________________________________

Email: _________________________________________________________________________________________

Billing Contact: ____________________________________Title: ________________________________________

Telephone: ___________________________ Ext: ________ Cell: ________________________________________

Email: _________________________________________________________________________________________

HVACR Faculty:

Name ___________________________________________________ Title __________________________________

Tel _________________ Ext _____ Cell _________________ Email _______________________________________

Full Time or Adjunct _______________________________________________________________________________

Name ___________________________________________________ Title __________________________________

Tel _________________ Ext _____ Cell _________________ Email _______________________________________

Full Time or Adjunct _______________________________________________________________________________

Name ___________________________________________________ Title __________________________________

Tel _________________ Ext _____ Cell _________________ Email _______________________________________

Full Time or Adjunct _______________________________________________________________________________

If you have additional instructors, please provide a separate list.