Accreditation Manual Appendix 2:
Changes in Centers and Programs
Date:
Sponsoring/Host Institution:
Address:
Phone:
E-mail
Fax:
Regional Accreditation Committee Chair:
Supervisor(s):
Form completed by:
Effective Date:
Indicate Change Request:
Change in center name/address
Center without a supervisor
Change of primary supervisor at a System Sponsored Center
Change in ownership
Change or addition of supervisor
Closure of a Satellite Program
Request of center to become Inactive*
Request of a center to become Active*
Voluntary withdrawal of center accreditation & closure of Accredited Member center*
Voluntary withdrawal of accreditation to offer programs of Supervisory Education*
Deletion of a Component Site*
Does this change require a new or revised directory listing?
Yes
No
Describe nature of change and document effect on the CPE program(s), standard, policies, procedures, and contracts (if any).
*
*These actions require the approval of the Accreditation Commission and should not be considered complete until notification is received from the Commission after its Fall or Spring meeting.
E-mail
Submit
Print Form
Should be Empty: