ARIZONA STATE BOARD FOR PRIVATE POSTSECONDARY EDUCATION
GENERAL LICENSURE INFORMATION

LETTER OF INTENT

1.	Name, Title, Address to which correspondence may be mailed and telephone number at which you may be reached.

2.	Name under which the postsecondary entity will operate:

3.	Name of the owner of the postsecondary entity/include corporation name if applicable and names of all individual owners with 20% or more ownership:

4.	Is the postsecondary entity presently operating at this time?  If so, list each state of operation and current status of licensure:

5.	Has your postsecondary entity or have any persons named as owners ever been issued a school license in the state of Arizona?  If yes, please specify circumstances.

LETTER OF INTENT
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6.	List the vocational programs and/or degree programs you plan to offer in Arizona.  Include the complete degree designation for each degree program.

7.	Do you plan to offer any home-study programs?

8.	Will you be domiciled in Arizona, have a physical facility in Arizona, be primarily recruiting in Arizona?  Explain.

9.	Is the educational institution accredited?  If so, list name of each accrediting body.

10.	Please include any additional information regarding your educational intentions, as you deem appropriate and/or necessary.  Attach additional sheets as necessary.

PLEASE SUBMIT COPIES OF ALL ADVERTISING, STUDENT MATERIALS, PROGRAM MATERIALS, ETC.

RETURN THIS FORM TO:	ARIZONA STATE BOARD FOR PRIVATE           
	         POSTSECONDARY EDUCATION
	          1740 W ADAMS ST. SUITE 3008
	                   Phoenix, Arizona  85007
				OR
Keith.Blanchard@azppse.gov