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-434975-221673Accrediting Commission for SchoolsWestern Association of Schools and CollegesAccrediting Commission for SchoolsWestern Association of Schools and CollegesACS WASC APPLICATIONSCHOOL INFORMATION Date Submitted: FORMTEXT ?????School Name: FORMTEXT ????? Site Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Number and StreetCityStateZip Code Mailing Address (if different): FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Number and StreetCityStateZip CodeSchool Phone: FORMTEXT ?????School Email: FORMTEXT ?????School Website: FORMTEXT ?????Principal: FORMTEXT ????? FORMTEXT ?????NameTitle FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????EmailWork Phone and ext.Alt/Cell PhoneDistrict or Headquarters Contact and Address: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????NameTitleEmail FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Number and StreetCityStateZip CodeIndicate requested time for scheduling an initial visit: FORMCHECKBOX Fall 2020 FORMCHECKBOX Spring 2021 FORMCHECKBOX Fall 2021ATTACH $160.00 NONREFUNDABLE APPLICATION FEE TO THE COMPLETED FORMACS WASC Eligibility GuidelinesAll public and private schools must meet the legal requirements of the jurisdiction in which they are located in order for their request for ACS WASC affiliation to be considered. California schools must list with the California Department of Education submitting an affidavit indicating compliance with the Education Code. Schools located outside of California must meet local authorizing jurisdiction requirements.All schools must meet the conditions of eligibility to be considered for ACS WASC affiliation. Please review the Conditions of Eligibility on the ACS WASC website.Note: ACS WASC does not accredit programs or divisions within a school, nor does ACS WASC accredit for-profit or online postsecondary schools.School Category (select only one): FORMCHECKBOX Public School (non-charter) FORMCHECKBOX Charter School: include Charter School Number FORMTEXT ????? IMPORTANT: School Charter must accompany this application. FORMCHECKBOX Private Independent School FORMCHECKBOX Religious School: Include denomination FORMTEXT ????? FORMCHECKBOX Postsecondary School (non-profit only) FORMCHECKBOX Supplementary Education Program (CDS code not required)California Schools (required): CDS Code FORMTEXT ?????-74739587688 Barry R. Groves, President | Marilyn S. George, Executive Vice PresidentACS WASC | 533 Airport Boulevard, Suite 200, Burlingame, CA 94010 | mail@ | (650) 696-1060 Barry R. Groves, President | Marilyn S. George, Executive Vice PresidentACS WASC | 533 Airport Boulevard, Suite 200, Burlingame, CA 94010 | mail@ | (650) 696-1060School Type (check ALL that apply): FORMCHECKBOX Community Day School FORMCHECKBOX Comprehensive School FORMCHECKBOX Continuation School FORMCHECKBOX Independent Study School FORMCHECKBOX Juvenile Court and Community SchoolPostsecondary Schools: FORMCHECKBOX Necessary Small High School FORMCHECKBOX Online School FORMCHECKBOX Special Education FORMCHECKBOX Other (Specify) FORMTEXT ????? FORMCHECKBOX Adult Institution FORMCHECKBOX Adult School FORMCHECKBOX ROP or ROCPJoint Affiliation (Check the affiliation(s) that school is either accredited by or is currently seeking joint accreditation): FORMCHECKBOX American Montessori Society FORMCHECKBOX Association of Christian Schools International FORMCHECKBOX Association of Christian Teachers and Schools FORMCHECKBOX Association of Waldorf Schools of North America FORMCHECKBOX Bureau of Jewish Education Golden State FORMCHECKBOX California Charter School Association FORMCHECKBOX California Association of Independent Schools FORMCHECKBOX Christian Schools International FORMCHECKBOX Council on Occupational Education FORMCHECKBOX Hawaii Association of Independent Schools FORMCHECKBOX National Independent Private Schools Association (NIPSA) FORMCHECKBOX National Lutheran Schools Accreditation, Missouri Synod FORMCHECKBOX Pacific Union Conference of Seventh-day Adventists FORMCHECKBOX Western Catholic Educational Association FORMCHECKBOX Other (Specify): FORMTEXT ?????Additional School InformationEnrollment: FORMTEXT ???????????? Grade Span to be Accredited: FORMTEXT ?????? – FORMTEXT ????? Age of Student Population: FORMTEXT ?????? – FORMTEXT ?????Year school first opened: FORMTEXT ?????Does your school have plans to add grades or special programs in the near future? FORMCHECKBOX Yes FORMCHECKBOX NoIf Yes, please describe. FORMTEXT ?????Does the school have more than one campus? FORMCHECKBOX Yes FORMCHECKBOX NoIf Yes, attach a list of all campus/site names, addresses, and phone numbers to this form.Has the school previously been accredited by ACS WASC or applied for ACS WASC accreditation? FORMCHECKBOX Yes FORMCHECKBOX NoWho should be billed for ACS WASC services? FORMCHECKBOX District/Headquarters FORMCHECKBOX School FORMCHECKBOX Corporate CenterBilling address if different from information on cover page: FORMTEXT ?????Online CurriculumIf any portion of the school’s curriculum is delivered online, indicate what percentage of coursework is offered online FORMTEXT ?????% and the percentage of students utilizing the online system FORMTEXT ?????%.Provide details of online coursework offered: FORMTEXT ?????School Description (Provide a concise narrative that describes the school, include student populations, curricular program, any unique factors, etc.) FORMTEXT ?????PLEASE READ BEFORE SUBMITTING:The non-refundable application fee of $160.00 must be sent with the completed Affiliation Request in order to be processed. Payments may be made by check or PayPal, please see the Beginning the Accreditation Process page on the ACS WASC website for more information.Visit the ACS WASC website at to review the conditions of eligibility and other initial visit information. Review the ACS WASC Anti-Discrimination Policies and Procedures and Whistleblower Protection Policy. FORMCHECKBOX I have reviewed the conditions of eligibility and this school meets the requirements for ACS WASC accreditation. Name: FORMTEXT ?????Title: FORMTEXT ????? Date: FORMTEXT ?????-262255254000Directions for submission: Submit the affiliation request using the Document Upload link on the top navigation of the ACS WASC website: document-upload/. Select Affiliation Request from the School Documents drop-down list. 00Directions for submission: Submit the affiliation request using the Document Upload link on the top navigation of the ACS WASC website: document-upload/. Select Affiliation Request from the School Documents drop-down list. ................
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