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Home >> Programs >> Programs H-N >> Higher Education >> Institution Types >> Private Licensed Schools >> Applying to Become a Licensed or Registered School

Applying to Become a Licensed or Registered School

If you have any problems downloading these forms, please email us at ra-pls@pa.gov and we will send the form to you by mail or as an attachment via email.

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* The following marked (*) forms can be filled out on-line, printed and sent to our office. Each marked (*) form has a note at the beginning of the form explaining the submission procedures. Please contact our office at (717) 783-8228 with any questions or problems.

Form No.	Title	File Type
	2013 Board Meeting Dates	PDF
	2013 Applicant Orientation Dates	PDF

	Registration Sheet for New School Orientation Seminar*	PDF
	Application CoverLetter	PDF
	Application Materials Check Sheet	PDF
	Board Policy Memorandum #66 Regarding Certificate of Occupancy	PDF
PDE-3775	Instructions for Applying for Private School License/Registration	PDF
PDE-1003	Application for Private School License/Registration*	PDF
	Guidance and Instructions for Completing and Submitting Financial Statements	PDF
	Board Policy Memorandum #63 Regarding Financial Reporting	PDF
	Sample Pro Forma Income Statement	PDF
PDE-5004	Personal Data Sheet*	PDF
PDE-340	Qualifications of School Director or Acting Director*	PDF
AP176	Instructions for Preparation of the Private Licensed School Contract Bond	PDF
	Board Policy Memorandum #30 Regarding Surety and Bond Requirements	PDF
PDE-1619	Private Licensed School Surety Bond*	PDF
PDE-4670	Irrevocable Administrative Trust Agreement Form	PDF
PDE-1647	Statement on Reasonable Service and Business Ethics*	PDF
PDE-4627	Student Information Publication or Catalog Requirements and Instructions	PDF
PDE-3774	Enrollment Agreement Check Sheet	PDF
PDE-3776	Instructions for Applying for Program Approval	PDF
	Board Policy Memorandum #65 Regarding Limits on the Number of New Program Applications	PDF
	Memo Dated May 18, 2005 with Additional Instructions on Preparing New Program Applications	PDF
PDE-3003	Summary Information about Proposed Program or Course*	PDF
PDE-3004	Program/Course Outline*	PDF
	Sample Syllabus	PDF
PDE-279	Qualifications of Instructor*	PDF
PDE-5006	Application for Admissions Representative License*	PDF
PDE-3786	Review and Evaluation Guide for Resident Programs	PDF
PDE-3743	Review and Evaluation Guide for Distance Education Programs/Courses	PDF
	Statute - Board of Private Licensed Schools	PDF
	Regulations of the State Board of Private Licensed Schools
	New School Seminar (PPT) Electronic New School Application Electronic New Program Application Submit Your Application Sample New School Application Sample New Program Application	PowerPoint

Directions to our office

For additional information, please contact:

Division of Higher & Career Education |
Pennsylvania Department of Education - Postsecondary and Adult Education
333 Market Street. 12th Fl | Harrisburg, PA 17126-0333
Phone: 717.783.8228 | Fax: 717.772.3622
ra-pls@pa.gov | www.education.state.pa.us