Fill and Sign the Work Plan and Job Safetyhazard Analysis Form

SAF Rev03.05.08 CHECKLIST: APPLICATION FOR RENEWAL CERTIFICATE OF APPROVAL (COA) Name of School_______________________________________________________________ School Contact Person________________________________ Date_________________________ ___I. Colorado Private Occupational School Application to Operate (notarized) ___ A. The required school renewal fee 1. $1,000 Standard COA (Non-Accredited School/Campus) 2. $500 Standard COA (Accredited School*/Campus) *“Accreditation” is a status granted to a school by one or more of the national and/or regional accreditation organizations approved by the U.S. Secretary of Education as having met a set of standards established by the organization. ___ B. A current bond calculation and documentation supporting calculation of the highest amount of actual prepaid, unearned tuition and fees held at any given time during the previous 12-months as required by C.R.S. 12-59-115(3). ___ C. Verification of surety bond or bonding instrument as required by C.R.S. 12-59-115, properly executed in the amount set forth in the calculation ___ D. A current balance sheet and current income statement (school itself and parent firm), using a format which reflects accepted accounting principles/procedures. It is to be prepared by a public accountant or certified public accountant that is independent from the school ___ E. Current Safety Inspection, showing NO violations. (Local fire department) ___ F. A copy of any franchise agreement, if applicable ___ G. A list of other locations where training is offered, if applicable ___ H. The name and Colorado physical address (no P.O. Box), other than the school address, of the required designated agent upon whom legal process may be served ___ I. Copies of current advertisements and other promotional materials ___ J. A description of the school’s placement assistance, if applicable ___ K. A copy of the school’s catalog ___ L. Copies of the school’s enrollment agreement (and credit instruments, if applicable) ___ M. Current Facilities Lease with signatures ___ N. Information regarding type of business, check one of the following three: ____ If a sole proprietorship, include the name__, home address__, phone number__, and title of position__. ____ If a partnership, include a list with the name__, home address__, phone number__, and title of position of each partner/owner__. Indicate which, if any, maintains controlling interest in the school__. ____ If a corporation or Limited Liability Company, include a list with the name__, home address__, phone number__, and title of each corporate officer/member__. In addition, attach a list showing the same information on any stockholder(s) having a controlling interest in the school. Include a copy of: ____ Current Certificate of Good Standing If the following have previously been submitted to the Division, please provide a written note affirming that the documents on file at the Division are the most current available: ____ Articles of Incorporation, and ____ Certificate of Authority to transact business in the State of Colorado (applicable only to schools owned by out-of-state corporations). ___II. Agent Permit Application(s) (notarized) ____ with the required agent renewal fee ($150 per agent) ____ ___III. A. Current faculty list prepared and proper files organized___ B. All instructor approvals properly documented showing required educational & occupational experience___ C. Has a background check been completed for any instructors that teach minors (under 16)?___ ___IV. Supervisory Onsite Visit completed by DPOS: _________________ Date Comments:___________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ DPOS Program Specialist:________________________________ Colorado Dept. of Higher Education, Division of Private Occupational Schools Application to Operate Checklist