ࡱ> y{xU@ hbjbj pj:::::::NtN42 v#####:%&&x3333333$5R,84:F*##F*F*4::##4---F*::#:#3-F*3-(--M0::0#& `6"k*Xe0U1404m0,8*80NN::::8:0&>'r-'\ (:&&&44NN$r - NNrform PEC 1100-01 revised 12/2/04 POSTSECONDARY EDUCATION COMMISSION CAREER SCHOOL LICENSING 3 Barrell Court Concord, NH 03301-8543 603-271-2555 X 354 or X 353 Fax # 603-271-2696 www.state.nh.us/postsecondary Date: FORMTEXT       $50.00 Pre-Application fee made payable to TREASURER, STATE OF NEW HAMPSHIRE Pre-Application CAREER SCHOOL REVIEW Chapter 1100 RULES Pos 1102.02 Pre-Application Requirements. (a) Entities maintaining a physical presence in this state, who are not currently licensed by the commission, prior to registering a business or trade name, or soliciting students for enrollment, shall be reviewed by the director to determine if the entity requires a license per RSA 188-D:20. Owners Name:  FORMTEXT       Director s Name:  FORMTEXT       Name of Business:  FORMTEXT      Address of Business:  FORMTEXT        FORMTEXT      Telephone Number:  FORMTEXT       Fax Number:  FORMTEXT      E-mail Address:  FORMTEXT       Web Site:  FORMTEXT       Type of Business:  FORMCHECKBOX  For Profit  FORMCHECKBOX  Non-Profit  FORMCHECKBOX  Sole-Proprietor  FORMCHECKBOX  Partnership  FORMCHECKBOX  Corporation Do you provide career, trade or professional pre-employment or supplementary training?  FORMCHECKBOX  Yes  FORMCHECKBOX  NoWhat type of training?  To whom do you provide training?  FORMCHECKBOX  Public  FORMCHECKBOX  Other Businesses  FORMCHECKBOX  My own employees Do you charge tuition or fees?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Number of students per  FORMCHECKBOX  Calendar or  FORMCHECKBOX  School year?  FORMTEXT      This number is  FORMCHECKBOX  actual  FORMCHECKBOX  estimated What programs do you offer? ProgramLengthCost FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Chapter Pos 1100 (RULES) can be found on the Postsecondary Education website at www.state.nh.us/postsecondary. If you believe that your business does not fall under the regulations of Chapter Pos 1100 (RULES) Licensing of Private Postsecondary Career Schools, please indicate which exemption(s) apply: EXEMPTIONS  FORMCHECKBOX  (1) Schools authorized to grant degrees pursuant to RSA 292; FORMCHECKBOX  (2) Schools licensed by a state agency other than the postsecondary education commission; FORMCHECKBOX  (3) Schools operated by a business organization exclusively for the training of that business own employees and at no charge to its employees; FORMCHECKBOX  (4) Schools offering noncredit courses exclusively for avocational purposes, as determined by the executive director during the application procedure per Pos 1103.01, in consultation with the postsecondary education commission; FORMCHECKBOX  (5) Schools directly supported, entirely or partly, by the state of New Hampshire; FORMCHECKBOX  (6) Noncredit courses or programs sponsored by recognized trade, business, or professional organizations solely for the instruction of their members that do not prepare or qualify individuals for employment in any occupation or trade, unless otherwise determined by the executive director during the application procedure per Pos 1103.01, in consultation with the postsecondary education commission; FORMCHECKBOX  (7) Schools that offer programs and courses exclusively on federal military installations; FORMCHECKBOX  "@B 4 B H h 9 : I _ ǼvqibZh.;hH(5 hC1`hqhXXh*CJOJQJ\^Jhh[VCJOJQJ\^J"h[Vh[V5CJOJQJ\^Jh[VCJOJQJ\^J X Z _>kdG$$Ifl+(, t644 la>kd$$Ifl+(, t644 la $IfgdRh gd Vgdrgd[V$a$gd[V ~      & ( R T V j l n x z 8:<PRT^`tvxͺŶͫ͠Ŝ͑͆jhRhUjhRhUh Vj hRhUjhRhUhRhjhRhUjhlUhljh VUmHnHuj\hlhlU hlhljhlhlU3  * , . 0 z<>kd$$Ifl+(, t644 la>kd$$Ifl+(, t644 la $IfgdRh>kd2$$Ifl+(, t644 la0 v8>kd$$Ifl+(, t644 la>kdj$$Ifl+(, t644 la>kd$$Ifl+(, t644 la @$Ifgd V ":JLNPlnprŸwshs]s׸j h VUj. h VUhlhH(ehrh[Vehrjh VUhRh hlh[VjBh VUhlhlZjhlhlUZh[V hC1`hH( hC1`h4 hlhljh VUmHnHujhlUjUhRhU$L H>kd $$Ifl+(, t644 la $IfgdRh>kd| $$Ifl+(, t644 la #`'n(@$IfgdRh h,PlgdRh p2 4@@@@gdRhgdr _bcqrstxy'.LMNPQqƿ~tmtmh`\U hC1`h*hh Vh VZ h VZ h V>*Zh Vh V>*Z h VhRhh Vj h VU hlhRhj h VUhlhRhZjhlhRhUZhRh hRhhRh hC1`hH( hC1`hlhl hlhljhlhlUZj h VUhlhlZ OPQFH|jja $Ifgdr  @ t"%@gdA  @ !R&`'@gdA  H@@@@gdRh d !gdTgdr>kdj $$Ifl+(, t644 la  @@@$IfgdRh qtu 8:<DFtvxѰթwohlhq&bZjhlhq&bUZhq&bhq&bZ hC1`hC1`jh VUjCh VU hC1`hH( hC1`h*j h VUjW h VUhRhhT hlhRhj h VUhlhRhZjhlhRhUZh[V*  "*@B^`bdrtŽܲܠyrgr` hC1`hAjh VU hlhAjh VUhlhAZjhlhAUZ hC1`hC1`hAjh VUmHnHujhAUjhq&bUhjh VUhlhq&bZhq&b hlhq&bjhlhq&bUZj/h VU#(*,68:<PRT^`bdxz| *,.0DjhAUjhAUjIhAUjhAUjhAUjmhAUjh VUmHnHujhAUhAjhAU hC1`h* hC1`hH(5:bhkd}$$IflFb!p t06    44 la  $Ifgdrqhhh $IfgdrkdY$$IflFb!p t06    44 la .V~qhhh $Ifgdrkd5$$IflFb!p t06    44 la DFHRTVXlnpz| "$8:<FHJL`bdnӽӲӧӜӑӆjShAUjhAUjghAUjwhAUjhAUjhAUjhAUhA hC1`h*jh VUmHnHujhAUj%hAU4~qhhh $Ifgdrkd$$IflFb!p t06    44 la "Jrqhhh $Ifgdrkd$$IflFb!p t06    44 la nptvBJ{𰣖wgh_h_5CJOJQJ^J"h*CJOJQJ^Jh (r5CJOJQJ^Jh_5CJOJQJ^Jh.;5CJOJQJ^Jh@LRT`fiu{}   , 2 4 @ F H T Z \ l   _ o qEUFFFFFFFFFFG$G$G$G$G$G$G$G$G$G$G$G$G$G$FG$G$FFFFFFFFFFFFFFFFFFG$G$G$G$G$G$G$G$G$G$G$FFText1Text2Text3Text4Text5Text6Text7Text8Text9Text10Check12Check13Text11Text12Text13Text14Check11Check10Check9Check8Check7Check6Check5Check4Check3Check1Check2Text15Text16&Rh"Jgb ]  ` rF 8dz4Zws* m  p V | T!}  ~ \; B  l       p 8\\mmvz++O O    lltx88\ \  >*urn:schemas-microsoft-com:office:smarttags PostalCode: *urn:schemas-microsoft-com:office:smarttagsStreet; *urn:schemas-microsoft-com:office:smarttagsaddress8 *urn:schemas-microsoft-com:office:smarttagsdate9*urn:schemas-microsoft-com:office:smarttagsState8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsplace 1222004DayMonthYear  ^e J U  ^_ 3333333%8Qdgz!4XYuvWXmnij01NOas*,?@STgi|}  3 4 G H [ k l     n o TUColbyLElbrocho87^J^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.o87^         )(?@ABCDEFGHIJLMNOPQRSTUVWXYZ[\]^_`abcdefgijklmnoqrstuvwzRoot Entry F@2k|Data 6()1TableK8WordDocumentpjSummaryInformation(hDocumentSummaryInformation8pCompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q