LOCATION/OWNERSHIP/CONTROL/ACCREDITATION Name as it should appear on the certificate to operate and all school publications. school’s Physical Address of the School: Mailing Address if different: School Telephone Number: School Facsimile Number: School Website, if applicable: (Note: Electronic mail (e-mail) addresses are reported as part of the personnel information.) A. Indicate the form of school ownership/control by marking one of the following: Individual Partnership Private or Public Corporation (see B.1 & B.2) Board of Trustees/Directors Other Specify: – 1. If the ownership is a corporation, indicate the State in which incorporated: If the ownership is a corporation, indicate For-Profit Not-for-Profit. B. 2. OR Name of Owner: Address of Owner: If ownership is a partnership, or a for-profit corporation, give the name(s) of the person(s) D. holding an ownership interest of ten percent or more. If not-for-profit and controlled by a governing board, indicate board size and list the current officers.
LOCATION/OWNERSHIP/CONTROL/ACCREDITATION Name as it should appear on the school’s certificate to operate and all school publications. Physical Address of the School: Mailing Address if different: School Telephone Number: School Facsimile Number: School Website, if applicable: (Note: Electronic mail (e-mail) addresses are reported as part of the personnel information.) A. Indicate the form of school ownership/control by marking one of the following: Individual Partnership Private or Public Corporation (see B.1 & B.2) Board of Trustees/Directors Other – Specify: 1. If the ownership is a corporation, indicate the State in which incorporated: B. 2. If the ownership is a corporation, indicate For-Profit OR Not-for-Profit. Name of Owner: Address of Owner: D. If ownership is a partnership, or a for-profit corporation, give the name(s) of the person(s) holding an ownership interest of ten percent or more. If not-for-profit and controlled by a governing board, indicate board size and list the current officers.
Form600ARecruit.docx