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32

Organization Type: □ Secondary □ Post Secondary □ JATC □ Charter □ Union □ Correctional □ Other

_______________________________________________________________________________________

School is: □ Profit □ Not-for-Profit □ Public Program is: □ Day Program □ Night Program

Are you eligible to receive Perkins Funding? □ Yes □ No

Number of full-time faculty members: ________

Number of part-time faculty members: ___________

Program Budget: ___________ Number of Classrooms: __________ Number of Labs: ___________

Square footage of each lab:______________________________________________________________

Current Program Enrollment: ____________________ Recent Completers: ______________________

Completers Placed in Industry: _____________________ General Education Hours: _____________

HVACR Course Hours: ______________________ Total Hours: _______________________________

Type of credentials received (certificate/diploma/degree): ___________________________________

The School is Applying for: □ Initial Accreditation □ Re-Accreditation

1. The school has been training HVAC/R students continuously (except for regularly scheduled vacation

periods) since: __________________________________________________________________________

2. Under what legal authority is the school operating? ___________________________________________

3. The school is currently licensed or approved to operate as a school by the State of __________________

4. Licensure or approval became effective on and expire on ______________________________________

5. The school is institutionally accredited by: __________________________________________________

6. Has the school been: □ Denied Accreditation □ Removed from Accreditation

□ Voluntarily withdrawn its Accreditation

7. If there are any pending adverse actions against the\school, please attach a detailed explanation of the cir-

cumstances involved in the action.

Application for HVAC Excellence Programmatic Accreditation

P.O. Box 491

Mt Prospect, IL 60056

Tel 800 394-5268

Fax 800 546-3726