Memo to File

On-Site Evaluation

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Reference Number / Click here to enter text. / Visit Type / Choose an item. /
Anniversary Date / Click here to enter text. / Last Workshop Attended / Click here to enter text. /
Application Received / Click here to enter text. / ISS Received / Click here to enter text. /
Date of Visit / Click here to enter text. / Standards Used / Click here to enter text. /
On-site Administrator(s) Names & Titles / Click here to enter text. /
Address of Institution / Click here to enter text. /

Is there an expanded campus facility?Choose an item.

If so, where is it located?Click here to enter text.

Does it meet NACCAS requirements?Choose an item.

Was the most recent Annual Report verified as accurate?Choose an item.

Do the rates meet the Commission thresholds?Choose an item.

Number of Records Reviewed
PPA Expiration Date / Click here to enter a date. / Current / Click here to enter text. / out of / Click here to enter text. /
License Expiration Date / Click here to enter a date. / Graduates / Click here to enter text. / out of / Click here to enter text. /
Number of Students Interviewed / Click here to enter text. / Withdrawn / Click here to enter text. / out of / Click here to enter text. /

Program page of the ECAR is attached?Choose an item.

Does the institutional name and school ownership match between CRM, the Application, the License, the PPA, and the ECAR? Choose an item.

List Any Approved Alternate Name(s):

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Date and Type of Last On-Site Evaluation:Click here to enter text.

Limitations received on last on-site evaluation (Standard & Criteria and brief description):

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Other comments, compliments, issues, or areas of concern:

REVISED 12/17/2014