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["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Do not attempt to unlock or modify this application.  You will be required to submit a new application if the submitted application is unlocked, unprotected, edited, or modified in any way."]
["If you experience issues with the application or require assistance, call the Division at (717)783-8228."]
[]
["Board staff communicates with school personnel during the renewal process and not any external consultants contracted to assist with the renewal process."]
[]
["The Pennsylvania Department of Education, Division of Law Enforcement Education and Trade Schools, on behalf of the State Board of Private Licensed Schools, shall issue a renewed license/registration "]
["to a school if Board staff finds that a materially complete renewal application and renewal fees are received in our offices by the submission deadline, and that the school remains in compliance with the "]
["provisions of the statue, regulations, and Board policy memorandums."]
[]
["To request licensure/registration renewal this application must be completed in its entirety. "]
[]
["The renewal application must be uploaded to SharePoint no later than the 7th day of the month preceding license/registration expiration."]
[]
["Renewal fees must be received by the Division no later than the 7th day of the month preceding license/registration expiration."]
[]
["Fees / Fee Submission:"]
[null,"Fees must be received by the Division no later than the 7th day of the month preceding license/registration expiration."]
[]
[null,"In accordance with 22 Pa. Code § 73.151 (a) (3) schools are required to pay a biennial license/registration fee according to the gross tuition revenue collected during the previous fiscal year."]
[]
[null,"Gross tuition revenue is defined as the amount of all money received as tuition and fees assessed against students (net of refunds and the cost of tangible materials reimbursed by the student) for all Board-approved programs and courses."]
[null,"Gross tuition revenue includes tuition and fees (all monies) received against expenses and charges related to a student’s enrollment."]
[null,null,"Includes monies received via cash, credit card, federal student aid, private education loans, subsidized loans, unsubsidized loans, personal loans, tuition assistance, external funding, grants, scholarships, fund reimbursement, Workforce Innovation and Opportunity Act (WIOA), etc."]
[null,null,"Includes enrollment in Board-approved programs, as well as enrollment into select courses within a Board-approved program."]
[null,null,"Includes students at both the licensed school and any branch campus locations approved under the school's license."]
[null,null,"For licensed (in-state) schools, gross tuition revenue is based on all students enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"For registered (out-of-state) schools, gross tuition revenue is based on all PA residents enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"Exceptions:"]
[null,null,"Tuition and fees assessed against an employer for business-to-business contract training are not included in gross tuition revenue, providing the student at no time is charged any related tuition or fees, even if they cease enrollment, attending, or employment."]
[null,null,"Scholarships paid by the school via institutional grants. Reference: Private Licensed Schools Policy Memorandum # 82"]
[null,"Gross tuition is based on all students enrolled in Board-approved programs at both the licensed school and any branch campus locations approved under the school's license.  "]
[null,"Tuition income from students enrolled in non-Board-approved programs should be reported as other income on the PDE-2006."]
[]
[null,"Online Payment Center"]
[]
[null,"Effective June 30, 2023, check and money order payments are no longer accepted.  All payments need to be made using the Online Payment Center. "]
[]
[null,"Review and follow the instructions for making an online payment:"]
[null,"Payment for Private Licensed School Fees"]
[]
[null,"Important Notes: "]
[null,"Please be sure to carefully select the correct Program ID (which is the service/item you are paying the fee for). Selecting an incorrect Program ID may delay the processing of the school's request, as the payment will be applied to the selected Program ID (service/item). "]
[null,"Program ID – for in-state schools, including 1st time one-year renewals, select the Program ID: 060 BIENNIAL SCHOOL LICENSURE RENEWAL; for out-of-state schools, including 1st time one-year renewals, select the Program ID: 061 BIENNIAL SCHOOL REGISTRATION RENEWAL"]
[null,"Payment Reference – please be sure to provide your school's name and city as the 'Payment Reference'. Failure to provide this information may delay the processing of the school's request as we will need to verify the source of any anonymous payments. "]
[null,"Email – to receive an emailed receipt of your payment, you must provide your email address when processing the payment.  Receiving an emailed receipt is recommended for all transactions, especially in the event the school fails to provide the school's name and city as the 'Payment Reference'. "]
[null,"There is a 2% transaction fee charged for credit cards.  There is no fee charged for ACH transactions. "]
[]
["IMPORTANT - PLEASE READ"]
[]
["Carefully review the Statute, Regulations, and Board Policy Memos at:"]
[null,"Private Licensed Schools Act 174 of 1986"]
[null,"Act 110 of 2019"]
[null,"22 Pa. Code Chapter 73"]
[null,"Board Policy Memos"]
[]
["Complete all shaded boxes.  Information may be added in the following ways:"]
[null,"1. Type directly in the shaded box."]
[null,"2. Copy and paste text into the shaded box."]
[null,"3. Embed documents as an icon."]
[null,null,"On the insert tab, choose Object.  Select Create from File, check to display as an icon.  Browse for your document."]
[null,null,"NOTE:  Always embed the document as an icon.  You should see a symbol (icon) in the application rather than the entire document. "]
[null,null,"If the entire document appears, you have not embedded the document as an icon."]
[]
[null,"The application cannot exceed 200MB.  If your application is larger than 200MB, you may have included information that was not requested or you have embedded large files such as .jpg files.  "]
[null,"Change the format of any large files and eliminate anything that was not requested.  "]
[]
["File Naming Conventions"]
[null,"Begin the file name with the school name or abbreviation - if multiple campuses, note location."]
[null,"Do not use punctuation in the file name.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential to use the exact same filename.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential that the same registered user upload the revised application to SharePoint."]
[null,"Do not change the filename in any way.  Do not even add a number or date to indicate a new version."]
[]
["Right to Know"]
[null,"The Division of Law Enforcement Education and Trade Schools does not have the authority under the new Right to Know Law to determine that a specific document contains confidential or proprietary information.  "]
[null,"Any document submitted to the Division of Law Enforcement Education and Trade Schools may be considered public information that must be disclosed. This includes information in this application. "]
[null,"If a school wishes to have a document protected, the school must provide a written statement signed by a representative of the school indicating that the document contains confidential proprietary information or a trade secret.  "]
[null,"This office will notify the school if a request is submitted under Right to Know that includes such a document.  "]
[null,"The school will have the opportunity to provide input on the release of the document.  "]
[null,"Generally, the Department will deny a Right to Know request for information that the school has deemed to be confidential proprietary information.  "]
[null,"However, if a denial is appealed to the Office of Open Records (OOR), the school will be notified and can intervene and appeal to Commonwealth Court if the OOR rules that the information must be disclosed.  "]
[null,"If the school does not intervene and the OOR says the information must be disclosed, the Department will likely disclose it rather than filing an appeal with Commonwealth Court. "]
[]
["END OF INSTRUCTIONS - PROCEED TO NEXT WORKSHEET TAB"]
[]
["Updated:","2024-01-09"]

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["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"Name of School:"]
[null,null,"Board-approved name, as it appears on license/registration"]
[]
[null,"Address of School:"]
[]
[]
[]
[]
[null,null,"City, State and Zip Code",null,null,null,null,null,null,null,"`"]
[]
["Certification of the person completing this application:"]
[]
[null,"Name:",null,null,null,null,null,null,"Date:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"Affiliation with the school:"]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,"Date of Certification:"]
[]
["Certification of the school's Director:"]
[]
[null,"Name:",null,null,null,null,null,null,"Date:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,"Date of Certification:"]
[]
[null,"In accordance with Private Licensed Schools Memorandum #71, the school Director is required to attend a New Director Seminar within 6 months of the date of hire or promotion into the position.  "]
[null,"Embed the Director's certificate or letter of attendance to verify this requirement has been fulfilled."]
[null,"New Director Seminar Dates"]
[null,"New Director Seminar Registration Form"]
[]
[]
[]
[]
[]
[]
[]
[null,"Alternate School Names:"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Acting Directors:",null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
[null,null,null,null,null,null,null,null,"E-mail:"]
[]
["Higher Education Annual Institutional Reporting"]
[]
["Article XX-G of the Public School Code, Act 55 of 2022"]
["Sexual Violence, Dating Violence, Domestic Violence, and Stalking Education, Prevention, and Response"]
["Required by all higher education institutions, including all Private Licensed Schools."]
[]
[null,"Division of Higher Education, Access, and Equity - Act 55 of 2022 - Article XX-G"]
[]
[null,"By checking this box, the school certifies that it has received, read, and understands this information."]
[null,"For additional information regarding the Article or reporting requirements, schools may email RA-HigherEducation@pa.gov."]
[]
["Article XX-J of the Public School Code, Act 16 of 2019"]
["Sexual Violence Policy and Anonymous Online Reporting System"]
["Required by all higher education institutions, including Private Licensed Schools offering a specialized associate degree."]
[]
[null,"Division of Higher Education, Access, and Equity - Act 16 of 2019 - Article XX-J"]
[]
[null,"By checking this box, the school certifies that it has received, read, and understands this information."]
[null,"For additional information regarding the Article or reporting requirements, schools may email RA-HigherEducation@pa.gov."]
[]
["Accreditation - School"]
[]
["If the school is accredited, provide the most recent compliance letter(s) from the accreditor(s)."]
["Embed document(s) below:"]
[]
[]
[]
[]
[]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:"]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:"]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:"]
[]
["Accreditation - Programmatic"]
[]
["If the school has programmatic accreditation for any of its Board-approved programs, please provide the most recent compliance letters from the accreditors."]
["Embed document below:"]
[]
[]
[]
[]
[]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:",null,null,null,"Approved program:"]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:",null,null,null,"Approved program:"]
[]
[null,"Name of accreditor:",null,null,null,null,null,null,null,null,"Accreditation expiration date:",null,null,"Accreditation status:",null,null,null,"Approved program:"]
[]
["Fees / Fee Submission:"]
[null,"Fees must be received by the Division no later than the 7th day of the month preceding license/registration expiration."]
[]
[null,"In accordance with 22 Pa. Code § 73.151 (a) (3) schools are required to pay a biennial license/registration fee according to the gross tuition revenue collected during the previous fiscal year."]
[]
[null,"Gross tuition revenue is defined as the amount of all money received as tuition and fees assessed against students (net of refunds and the cost of tangible materials reimbursed by the student) for all Board-approved programs and courses."]
[null,"Gross tuition revenue includes tuition and fees (all monies) received against expenses and charges related to a student’s enrollment."]
[null,null,"Includes monies received via cash, credit card, federal student aid, private education loans, subsidized loans, unsubsidized loans, personal loans, tuition assistance, external funding, grants, scholarships, fund reimbursement, Workforce Innovation and Opportunity Act (WIOA), etc."]
[null,null,"Includes enrollment in Board-approved programs, as well as enrollment into select courses within a Board-approved program."]
[null,null,"Includes students at both the licensed school and any branch campus locations approved under the school's license."]
[null,null,"For licensed (in-state) schools, gross tuition revenue is based on all students enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"For registered (out-of-state) schools, gross tuition revenue is based on all PA residents enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"Exceptions:"]
[null,null,"Tuition and fees assessed against an employer for business-to-business contract training are not included in gross tuition revenue, providing the student at no time is charged any related tuition or fees, even if they cease enrollment, attending, or employment."]
[null,null,"Scholarships paid by the school via institutional grants. Reference: Private Licensed Schools Policy Memorandum # 82"]
[null,"Gross tuition is based on all students enrolled in Board-approved programs at both the licensed school and any branch campus locations approved under the school's license.  "]
[null,"Tuition income from students enrolled in non-Board-approved programs should be reported as other income on the PDE-2006."]
[]
[null,"Online Payment Center"]
[]
[null,"Effective June 30, 2023, check and money order payments are no longer accepted.  All payments need to be made using the Online Payment Center. "]
[]
[null,"Review and follow the instructions for making an online payment:"]
[null,"Payment for Private Licensed School Fees"]
[]
[null,"Important Notes: "]
[null,"Payment Reference – please be sure to provide your school's name and city as the 'Payment Reference'. Failure to provide this information may delay the processing of the school's request as we will need to verify the source of any anonymous payments. "]
[null,"Email – to receive an emailed receipt of your payment, you must provide your email address when processing the payment.  Receiving an emailed receipt is recommended for all transactions, especially in the event the school fails to provide the school's name and city as the 'Payment Reference'. "]
[null,"Please be sure to carefully select the correct Program ID (which is the service/item you are paying the fee for). Selecting an incorrect Program ID may delay the processing of the school's request, as the payment will be applied to the selected Program ID (service/item). "]
[null,"There is a 2% transaction fee charged for credit cards.  There is no fee charged for ACH transactions. "]
[]
[null,null,"Gross tuition revenue:",null,null,null,null,"Renewal fee amount:",null,null,null,null,"Online payment center receipt:"]
[]
[null,"Gross Tuition Revenue",null,"Renewal Fee Amount"]
[null,0,4999,1000,"minimum fee"]
[null,5000,9999,2000]
[null,10000,49999,2500]
[null,50000,99999,2700]
[null,100000,149999,2800]
[null,150000,199999,3000]
[null,200000,249999,3500]
[null,250000,299999,4000]
[null,300000,399999,4500]
[null,400000,499999,5000]
[null,500000,749999,5500]
[null,750000,999999,6000]
[null,1000000,1499999,6500]
[null,1500000,1999999,7000]
[null,2000000,2499999,7500]
[null,2500000,2999999,8000]
[null,3000000,3499999,8500]
[null,3500000,3999999,9000]
[null,4000000,4499999,9500]
[null,4500000,4999999,10000]
[null,5000000,5499999,10500]
[null,5500000,5999999,11000]
[null,6000000,6499999,11500]
[null,6500000,6999999,12000]
[null,7000000,7499999,12500]
[null,7500000,7999999,13000]
[null,8000000,8499999,13500]
[null,8500000,8999999,14000]
[null,9000000,9499999,14500]
[null,9500000,9999999,15000]
[null,10000000,10499999,15500]
[null,10500000,10999999,16000]
[null,11000000,11499999,16500]
[null,11500000,11999999,17000]
[null,12000000,12499999,17500]
[null,12500000,12999999,18000]
[null,13000000,13499999,18500]
[null,13500000,13999999,19000]
[null,14000000,14499999,19500]
[null,14500000,14999999,20000]
[null,15000000,15499999,20500]
[null,15500000,15999999,21000]
[null,16000000,16499999,21500]
[null,16500000,16999999,22000]
[null,17000000,17499999,22500]
[null,17500000,17999999,23000]
[null,18000000,18499999,23500]
[null,18500000,18999999,24000]
[null,19000000,19499999,24500]
[null,19500000,19999999,25000]
[null,20000000,20499999,25500]
[null,20500000,20999999,26000]
[null,21000000,21499999,26500]
[null,21500000,21999999,27000]
[null,22000000,22499999,27500]
[null,22500000,22999999,28000]
[null,23000000,23499999,28500]
[null,23500000,23999999,29000]
[null,24000000,24499999,29500]
[null,24500000,24999999,30000]
[null,25000000,25499999,30500]
[null,25500000,25999999,31000]
[null,26000000,26499999,31500]
[null,26500000,26999999,32000]
[null,27000000,27499999,32500]
[null,27500000,27999999,33000]
[null,28000000,28499999,33500]
[null,28500000,28999999,34000]
[null,29000000,29499999,34500]
[null,29500000,"+",35000,"maximum fee (cap)"]
[]
["END OF PDE3123 - PROCEED TO NEXT WORKSHEET TAB"]

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["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["PDE-2006 Financial Report Instructions (PDF)"]
[]
["Complete the income statement and balance sheet below for the school.  "]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the audited financials must breakdown information to the school-level."]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the disclosures and key indicators must still be completed below."]
[]
["All reporting MUST use the accrual method of accounting."]
[]
["Gross tuition is based on all students enrolled in Board-approved programs at both the licensed school and any branch campus locations approved under the school's license.  "]
["Tuition income from students enrolled in non-Board-approved programs should be reported as other income."]
[]
[null,null,null,null,null,"Name of School:",{"$f":"'PDE3123'!C4","v":0}]
[]
[null,null,null,null,null,"Address of School:",{"$f":"'PDE3123'!C7","v":0}]
[]
[null,null,null,null,null,null,{"$f":"'PDE3123'!C9","v":0}]
[]
[null,null,null,null,null,null,{"$f":"'PDE3123'!C11","v":0}]
[]
[null,null,null,null,null,null,null,null,null,"Date the School Received Original License/Registration:"]
[]
["INCOME STATEMENT",null,null,null,null,null,null,null,null,null,null,null,"Latest Fiscal",null,null,null,"Previous Fiscal"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Year End",null,null,null,"Year End"]
[null,null,null,null,null,null,null,null,null,null,null,"From",null,null,null,"From"]
[null,null,null,null,null,null,null,null,null,null,null,"To",null,null,null,"To"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"(whole dollars only)",null,null,null,"(whole dollars only)"]
[null,"EDUCATIONAL REVENUES (Income)"]
[1,null,"Gross Tuition* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[2,null,null,"Less: Tuition Refunds (Current Year Only) . . . . . . . . . . . . . . . . "]
[3,null,null,"Less: Textbook and Supplies Expense . . . . . . . . . . . . . . . . . . . . . . . "]
[]
[null,null,"TOTAL EDUCATIONAL REVENUES  ",null,null,null,null,null,null,null,null,null,{"$f":"+M32-M33-M34","v":0},null,null,null,{"$f":"+Q32-Q33-Q34","v":0}]
[]
[null,"EDUCATIONAL EXPENSES (Operating Expenses)"]
[4,null,"Instructional Salaries and Expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(+M39/$M$32),+M39/$M$32,0)","v":0},null,null,null,{"$f":"IF(ISNUMBER(+Q39/$Q$32),+Q39/$Q$32,0)","v":0}]
[5,null,"Bad Debt Expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(+M40/$M$32),+M40/$M$32,0)","v":0},null,null,null,0]
[6,null,"Advertising / Student Recruitment . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[7,null,"Depreciation / Amortization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[8,null,"Occupancy Expense* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[9,null,"Administrative Expense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[10,null,"Student Personnel Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[]
[null,null,"TOTAL EDUCATIONAL EXPENSES  ",null,null,null,null,null,null,null,null,null,{"$f":"SUM(M39:N46)","v":0},null,{"$f":"IF(ISNUMBER(+M47/$M$32),+M47/$M$32,0)","v":0},null,{"$f":"SUM(Q39:R46)","v":0},null,{"$f":"IF(ISNUMBER(+Q47/$Q$32),+Q47/$Q$32,0)","v":0}]
[]
[null,null,null,"EDUCATIONAL INCOME"]
[null,null,null,"(Educational Revenues less Educational Expenses)",null,null,null,null,null,null,null,null,{"$f":"+M36-M47","v":0},null,{"$f":"IF(ISNUMBER(+M50/$M$32),+M50/$M$32,0)","v":0},null,{"$f":"+Q36-Q47","v":0},null,{"$f":"IF(ISNUMBER(+Q50/$Q$32),+Q50/$Q$32,0)","v":0}]
[]
[null,"OTHER INCOME AND EXPENSE"]
[null,"   Enter Net Loss or Net Expense as a Negative"]
[11,null,"Dormitory Income - Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISNUMBER(+M54/$M$32),+M54/$M$32,0)","v":0},null,null,null,{"$f":"IF(ISNUMBER(+Q54/$Q$32),+Q54/$Q$32,0)","v":0}]
[12,null,"Bookstore Operations - Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[13,null,"Management Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[14,null,"Interest Income & Expense - Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[15,null,"Other Income & Expense - Net . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[16,null,"Extraordinary and Unusual Income and Expense - Net . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,0,null,null,null,0]
[]
[null,null,"TOTAL OTHER INCOME AND EXPENSE  ",null,null,null,null,null,null,null,null,null,{"$f":"SUM(M54:N59)","v":0},null,{"$f":"IF(ISNUMBER(+M61/$M$32),+M61/$M$32,0)","v":0},null,{"$f":"SUM(Q54:R59)","v":0},null,{"$f":"IF(ISNUMBER(+Q61/$Q$32),+Q61/$Q$32,0)","v":0}]
[]
[null,null,null,"NET INCOME (Loss) BEFORE INCOME TAXES"]
[null,null,null,"(Education Income ± Total Other Income and Expenses)  ",null,null,null,null,null,null,null,null,{"$f":"+M50+M61","v":0},null,{"$f":"IF(ISNUMBER(+M64/$M$32),+M64/$M$32,0)","v":0},null,{"$f":"+Q50+Q61","v":0},null,{"$f":"IF(ISNUMBER(+Q64/$Q$32),+Q64/$Q$32,0)","v":0}]
[]
[17,null,null,"FEDERAL & STATE INCOME TAXES  ",null,null,null,null,null,null,null,null,0,null,null,null,0]
[]
[null,null,null,"NET INCOME (Loss) AFTER TAXES* ",null,null,null,null,null,null,null,null,{"$f":"+M64-M66","v":0},null,{"$f":"IF(ISNUMBER(+M68/$M$32),+M68/$M$32,0)","v":0},null,{"$f":"+Q64-Q66","v":0},null,{"$f":"IF(ISNUMBER(+Q68/$Q$32),+Q68/$Q$32,0)","v":0}]
[]
[null,"*Submit appropriate explanations (see disclosures) if these amounts are zero or negative."]
[]
["BALANCE SHEET",null,null,null,null,null,null,null,null,null,null,null,"Latest Fiscal",null,null,null,"Previous Fiscal"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Year End",null,null,null,"Year End"]
[null,null,null,null,null,null,null,null,null,null,null,"From",{"$f":"M27","v":"00:00:00"},null,null,"From",{"$f":"Q27","v":"00:00:00"}]
[null,null,null,null,null,null,null,null,null,null,null,"To",{"$f":"M28","v":"00:00:00"},null,null,"To",{"$f":"Q28","v":"00:00:00"}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"(whole dollars only)",null,null,null,"(whole dollars only)"]
[null,"CURRENT ASSETS"]
[18,null,"Cash on Hand and in Banks - Unrestricted* . . . . . . . . . . . . . . . . . . . . . . ."]
[19,null,"Cash - Restricted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[20,null,"Accounts Receivable, Students - Net . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[21,null,"Accounts Receivable, Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[22,null,"Notes Receivable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[23,null,"Inventory - Books and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[24,null,"Other Current Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[null,null,null,"TOTAL CURRENT ASSETS  ",null,null,null,null,null,null,null,null,{"$f":"SUM(M79:N85)","v":0},null,null,null,{"$f":"SUM(Q79:R85)","v":0}]
[]
[25,null,"Property and Equipment, Gross . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[26,null,"Accumulated Depreciation (enter as a negative). . . . . . . . . . . . . . . . . . ."]
[]
[null,null,null,"Property and Equipment, Net",null,null,null,null,null,null,null,null,{"$f":"+M89+M90","v":0},null,null,null,{"$f":"+Q89+Q90","v":0}]
[]
[27,null,"Deposits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[28,null,"Prepaid Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[29,null,"Goodwill . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[30,null,"Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[null,null,null,"TOTAL ASSETS*  ",null,null,null,null,null,null,null,null,{"$f":"SUM(M87,M92:N97)","v":0},null,null,null,{"$f":"SUM(Q87,Q92:R97)","v":0}]
[]
[null,"CURRENT LIABILITIES"]
[31,null,"Accounts Payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[32,null,"Notes Payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[33,null,"Tuition Refunds Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[34,null,"Current Portion - Long-Term Debt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[35,null,"Unearned Tuition* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[36,null,"Unearned Dormitory Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[37,null,"Other Current Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[]
[null,null,null,"TOTAL CURRENT LIABILITIES  ",null,null,null,null,null,null,null,null,{"$f":"SUM(M102:N109)","v":0},null,null,null,{"$f":"SUM(Q102:R109)","v":0}]
[]
[38,null,"Notes or Bonds Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[39,null,"Due To / From Parent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[40,null,"Other Long-Term Liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[null,null,null,"TOTAL LIABILITIES  ",null,null,null,null,null,null,null,null,{"$f":"SUM(M110:N115)","v":0},null,null,null,{"$f":"SUM(Q110:R115)","v":0}]
[]
[null,"STOCKHOLDERS' EQUITY"]
[41,null,"Preferred Stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[42,null,"Common Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[43,null,"Other Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "]
[null,null,"Retained Earnings:"]
[44,null,null,"Beginning Balance "]
[45,null,null,"Add: Earnings (Loss) for Year "]
[46,null,null,"Deduct: Dividends "]
[47,null,null,"Other Retained Earnings Changes"]
[null,null,null,"Ending Balance*",null,null,null,null,null,null,null,null,{"$f":"+J123+J124+J125+J126","v":0}]
[48,null,"Deduct: Treasury Stock (at Cost) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[null,null,null,null,"TOTAL STOCKHOLDERS' EQUITY*",null,null,null,null,null,null,null,{"$f":"+M128+M121+M120+M119+M127","v":0},null,null,null,{"$f":"Q128+Q121+Q120+Q127+Q119","v":0}]
[]
[null,null,null,null,"TOTAL LIABILITIES AND EQUITY  ",null,null,null,null,null,null,null,{"$f":"+M130+M116","v":0},null,null,null,{"$f":"+Q130+Q116","v":0}]
[]
[null,"*Submit appropriate explanations (see disclosures) if these amounts are zero or negative."]
[]
["DISCLOSURES"]
[]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the disclosures below must still be completed."]
[]
[null,null,"METHODS USED TO DETERMINE"]
[]
[49,null,"Inventory - Books and Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[50,null,"Depreciation. . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[51,null,"Unearned Tuition / Dormitory Fees. . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[]
[null,null,"OTHER DISCLOSURES"]
[]
[52,null,"Default Rate for Past 3 Years. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,"Year",null,null,null,"Rate"]
[null,null,null,"(If students do not use loans (e.g. cash payment only) put 0%)",null,null,null,null,null,null,null,null,"Year",null,null,null,"Rate"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Year",null,null,null,"Rate"]
[]
[53,null,"Business Type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ."]
[null,null,"If \"Other\" enter business type:"]
[]
[54,null,"Terms of Significant Notes Receivable . . . . . . . . . . . . . . . . . . . . . "]
[null,null,null,"(Include Due From, Principal Amount, Interest Rate)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"S Corp"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"C Corp"]
[55,null,"Terms of Significant Notes Payable . . . . . . . . . . . . . . . . . . . . . . . .",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LLC"]
[null,null,null,"(Include Due To, Principal Amt, Interest Rate and Maturity Date)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Partnership"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Corporation"]
[null,null,"Parent Company Information (if applicable) - use information from latest Annual Report, 10K or annual audited report",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sole Proprietorship"]
[56,null,null,"Parent Company Name",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other"]
[57,null,null,"Total Revenue"]
[58,null,null,"Net Income (Loss) After Taxes",null,null,null,null,null,null,null,null,null,"Year Reported"]
[59,null,null,"Total Cash"]
[60,null,null,"Total Assets",null,null,null,null,null,null,null,null,61,"Year Company Acquired/School Founded"]
[62,null,null,"Total Stockholders' Equity"]
[]
[63,"Adverse Findings from Regulators (Accreditors, SEC, USDOE, etc.)"]
[]
[]
[]
[]
[]
[]
[64,"Pending Legal Action that could have material impact on Operations (Students, Shareholders, Employees, etc.)"]
[]
[]
[]
[]
[]
[]
["EXPLAINATIONS OF ZERO OR NEGATIVE BALANCES (from INCOME STATEMENT and BALANCE SHEET or AUDITED FINANCIALS)"]
[null,null,"*Submit appropriate explanations for zero or negative amounts below."]
[]
[65,null,"Tuition / Occupancy / Net Income"]
[]
[]
[]
[]
[]
[66,null,"Cash / Total Assets"]
[]
[]
[]
[]
[67,null,"Unearned Tuition"]
[]
[]
[]
[]
[68,null,"Retained Earnings / Total Stockholders' Equity"]
[]
[]
[]
[]
[]
[69,null,"Institutional Monetary Awards (scholarships, grants, etc. - monies awarded to students by the school)"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Latest Fiscal",null,null,null,"Previous Fiscal"]
[null,null,null,null,null,null,null,null,null,null,null,null,"Year End",null,null,null,"Year End"]
[null,null,null,null,null,null,null,null,null,null,null,"From",{"$f":"M27","v":"00:00:00"},null,null,"From",{"$f":"Q27","v":"00:00:00"}]
[null,null,null,null,null,null,null,null,null,null,null,"To",{"$f":"M28","v":"00:00:00"},null,null,"To",{"$f":"Q28","v":"00:00:00"}]
[]
[null,null,null,null,null,"Total sum of monies the school awarded to students"]
[]
["KEY INDICATORS"]
[]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the key indicators below must still be completed."]
[]
["List all Board-approved programs for the school, even if the program is not currently being offered (students are not being enrolled) "]
["and/or the program is not listed in the school catalog.  If it is on the school's PDE-3808 Program Profile it needs to be listed here."]
[]
[null,"AS OF THE LATEST REPORTING PERIOD",null,null,null,null,null,null,null,"End date:"]
[null,"Either by the annual statistical report, calendar",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"as advertised in all school communications, ",null,null,null,"Failure by a school to report changes in tuition and/or application/registration/enrollments fees "]
[null,"year, or last report for accreditation.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"publications, and documentation",null,null,null,"to Board staff at least 30 days prior to the effective date of change, for any reason, will subject the school to "]
[null,null,null,null,null,null,null,null,null,"Is Program",null,null,null,null,null,null,null,null,null,"Application/",null,"enforcement actions for the violation of regulatory mandates. "]
[null,null,null,null,null,null,null,null,null,"Currently","Ending","Students",null,null,null,null,null,null,null,"Registration/"]
[null,"list all Board-approved programs",null,null,null,null,null,null,null,"Accredited","Student","on Temp",null,"Attrition","Graduation",null,"Placement",null,null,"Enrollment",null,"Enforcement may include imposition of a civil penalty and/or suspension or revocation of school license/registration:"]
[null,null,"Program Name",null,null,null,null,null,null,"(Yes/No)","Population","Leave",null,"Rate","Rate",null,"Rate",null,"Tuition","Fee"]
[null,1,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Changes in tuition, fees and all costs under the school’s control may not become effective for currently "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"enrolled students unless students are notified of the change at least 60 calendar days prior to the effective date of the change."]
[null,2]
[]
[null,3]
[]
[null,4]
[]
[null,5]
[]
[null,6]
[]
[null,7]
[]
[null,8]
[]
[null,9]
[]
[null,10]
[]
[null,11]
[]
[null,12]
[]
[null,13]
[]
[null,14]
[]
[null,15]
[]
[null,16]
[]
[null,17]
[]
[null,18]
[]
[null,19]
[]
[null,20]
[]
[null,21]
[]
[null,22]
[]
[null,23]
[]
[null,24]
[]
[null,25]
[]
["Certification of the person completing this application:"]
[]
[null,null,null,null,null,null,"Name:"]
[null,null,null,null,null,null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,null,null,null,null,null,"Affiliation with the school:"]
[]
[null,null,null,null,null,null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,null,null,null,null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,null,null,null,null,"Date of Certification:"]
[]
["Certification of the school's Director:"]
[]
[null,null,null,null,null,null,"Name:"]
[null,null,null,null,null,null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,null,null,null,null,null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,null,null,null,null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,null,null,null,null,"Date of Certification:"]
[]
["Statement of Affirmation: "]
["(Business Officer or Stockholder)"]
[null,null,null,null,null,null,"Name:"]
[null,null,null,null,null,null,null,"By placing my name above, I hereby affirm that I am a business officer or stockholder of the above-named school and that this Financial Report has been prepared from the original records of the school and on an accrual basis."]
[]
[null,null,null,null,null,null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,null,null,null,null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,null,null,null,null,null,"Date of Certification:"]
[]
["END OF PDE2006 - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Audited Financials","index":3,"n_rows":27,"n_cols":8,"rows_kept":27,"cut":false,"hidden":false,"merged":[[20,1,24,8],[14,1,14,10]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Complete the income statement and balance sheet on the PDE2006 or provide audited financials.  "]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the audited financials must breakdown information to the school-level."]
[null,"If audited financials will be provided in lieu of completing the income state and balance sheet, the disclosures and key indicators must still be completed on the PDE2006."]
[]
["All reporting MUST use the accrual method of accounting."]
[]
[null,"Schools that participate in Title IV Federal Financial Aid must indicate the school's most recent 90-10 rate."]
[]
[null,null,"90-10 rate:",null,null,null,null,"Does the school participate in Title IV?"]
[]
[]
[null,"Specify the Gross Tuition Revenue for the school and the page on which this information is listed."]
[]
[null,null,"Gross Tuition Revenue:",null,null,"Page Number:"]
[]
[]
[null,"Embed the audited financials document."]
[]
[]
[]
[]
[]
[]
["END OF AUDITED FINANCIALS - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Surety","index":4,"n_rows":51,"n_cols":11,"rows_kept":51,"cut":false,"hidden":false,"merged":[[26,7,30,8],[44,2,48,6],[18,2,18,4],[21,2,21,4],[23,2,23,4],[37,2,37,4],[39,2,39,4],[41,2,41,4],[26,1,30,2],[26,4,30,5]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Failure by a school to provide the following documentation to Board staff within 30 days of surety alteration, for any reason, will subject the school to enforcement actions for the violation of regulatory mandates. "]
["Enforcement may include imposition of a civil penalty and/or suspension or revocation of school license/registration:"]
[]
[null,"1) a new original (and materially complete) surety bond, "]
[null,"2) a copy of any additional or revised bond riders, or "]
[null,"3) evidence of new or updated PTAF coverage."]
[]
["Surety must cover the school's main location address, as well as the addresses of all branch campuses and remote locations which is evidenced by a bond rider."]
["Surety must meet the required minimum surety level, according to the school's gross tuition, in accordance with § 73.54 (b)."]
[]
["Surety Bond"]
[]
["Embed a current paid receipt from the insurance company that indicates your bond number, the bond amount, and the policy effective dates."]
["If a paid receipt from the insurance company is not available, embed a letter from the insurance company that indicates your bond number, bond amount, and the policy effective dates."]
[]
[null,"Bond Number:",null,null,null,null,null,null,null,null,"Private Licensed School Surety Bond PDE-1619 (12/10)"]
[]
[null,null,null,null,null,null,null,null,null,null,"Surety bonds must utilize the PDE-1619 (12/10)."]
[null,"Bond Amount:",null,null,null,null,null,null,null,null,"Original bonds must be signed in ink and include the school's raised corporate seal and witness signature."]
[null,null,null,null,null,null,null,null,null,null,"Original bonds must be signed using one of the specified titles indicated at the signature line."]
[null,"Effective From/To Dates:",null,null,null,null,null,null,null,null,"Original bonds must be signed with at least two signatures, using two different titles, even if being signed by one sole proprietor."]
[null,null,null,null,null,null,null,null,null,null,"Original surety bond documents must be mailed to our offices, with all attachments, including the Power of Attorney."]
[null,"Embed the required documentation."]
[null,null,null,null,null,null,null,null,null,null,"Pennsylvania Department of Education"]
[null,null,null,null,null,null,null,null,null,null,"Division of Law Enforcement Education and Trade Schools"]
[null,null,null,null,null,null,null,null,null,null,"State Board of Private Licensed Schools"]
[null,null,null,null,null,null,null,null,null,null,"607 South Drive, Floor 3E"]
[null,null,null,null,null,null,null,null,null,null,"Harrisburg, PA 17120 "]
[null,"Surety Bond",null,null,"Bond Rider",null,null,"Letter of Continuation"]
[]
["PTAF (Pennsylvania Training Assurance Fund) "]
[]
["Embed the letter from the organization which indicates that surety is currently in effect."]
[]
[null,"Surety Number:"]
[]
[null,"Surety Amount:"]
[]
[null,"Effective From/To Dates:"]
[]
[null,null,"Embed the required documentation."]
[]
[]
[]
[]
[]
[]
["END OF SURETY - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Ethics","index":5,"n_rows":17,"n_cols":2,"rows_kept":17,"cut":false,"hidden":false,"merged":[[7,1,7,2],[10,1,14,3]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"The Owner/Director must sign, scan, and embed the required Statement of Reasonable Service and Business Ethics PDE-1647."]
[null,"The statement must be signed biennually at the time of licensure/registration renewal or upon a change in Owner/Director."]
[]
["               ","The statement to be submitted can be found on our website, using the following link."]
[null,"Ethics Statement"]
[]
[null,"Embed the required documentation."]
[]
[]
[]
[]
[]
[]
["END OF STATEMENT OF REASONABLE SERVICE AND BUSINESS ETHICS - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Repository","index":6,"n_rows":16,"n_cols":2,"rows_kept":16,"cut":false,"hidden":false,"merged":[[9,1,13,3]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"A school must provide for a method of maintenance of, and access to, a student's transcript of academic performance for 50 years after graduation, termination, or withdrawal."]
[]
[null,"The Board utilizes a central repository for all licensed/registered schools.  Information regarding contracting with the central repository is available on our website."]
[null,"Central Repository"]
[]
[null,"Embed a copy of your executed agreement with the central repository, which shall remain in effect through the school's licensure/registration renewal expiration date."]
[]
[]
[]
[]
[]
[]
["END OF STUDENT TRANSCRIPT REPOSITORY - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Program Profile","index":7,"n_rows":167,"n_cols":16,"rows_kept":167,"cut":false,"hidden":false,"merged":[[74,13,74,15],[149,2,149,3],[60,1,65,1],[26,1,31,6],[158,2,164,8],[74,5,74,7],[5,4,5,9],[141,2,141,7],[141,9,141,10],[144,2,144,7],[146,2,146,7],[146,9,146,10],[74,9,74,11],[45,1,50,6]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Follow the instructions below to obtain and review the school's PDE-3808 Program Profile; which lists key information related to the school's Board-approved programs."]
[]
[null,"1. Go to the PA Department of Education website at:",null,null,"PA Department of Education, Private Licensed Schools"]
[]
[null,"2. Select option 2 'Click here to search program profile'."]
[]
[null,"3. As requested, enter your school's name."]
[]
[null,"4. If more than one school selection appears, choose the appropriate school location."]
[]
[null,"5. You will then be able to select the 'Export drop down menu' to open and save the document as a PDF."]
[]
[null,"6. Choose the appropriate option below:"]
[]
["Program Names and Tuition"]
[]
[null,"Check the box to certify that the PDE-3808 Program Profile, which lists the program names and tuition on record with the Board, is accurate and representative of what is advertised and offered to students."]
[]
[null,"OR"]
[]
[]
[null,"Note the program information that is inconsistent on the PDE-3808 and provide an explanation as to "]
[null,"why the program profile on record with the Board differs from what is being advertised and offered at the school."]
[]
[]
[]
[]
[]
[]
[]
["CIP Codes "]
[]
[null,"Take this opportunity to review the CIP Codes assigned to your Board-approved programs, indicated on the PDE-3808 Program Profile."]
[null,"Visit the NCES CIP Code Search using the link below:"]
[]
[null,"Classification of Instructional Programs, National Center for Education Statistics, US Department of Education"]
[]
[null,"Check the box to certify that the PDE-3808 Program Profile, which lists the CIP Codes assigned to Board-approved programs, is accurate."]
[]
[null,"OR"]
[]
[null,"If you believe a CIP Code needs to be changed, indicate the current CIP Code, the program name, and the proposed CIP Code; as well as provide the rationale for the proposed change."]
[]
[]
[]
[]
[]
[]
[]
["PDE-3808 Program Profile Requested Revisions"]
[]
[null,"Check the box to certify that no revisions are necessary to the PDE-3808 Program Profile."]
[]
[null,"OR"]
[]
[null,"If there are revisions that need to be made to the PDE-3808 Program Profile; "]
[null,"print the PDE-3808, note the revisions, sign and date the document, scan and embed the document here:"]
[]
[]
[]
[]
[]
[]
[]
["Program Enrollment Dates"]
[]
["List all Board-approved programs for the school - main facility and branch campuses - and the most current/recent enrollment date (last class start). "]
["List all programs and the program's most current/recent enrollment date (last class start), even if the program is not currently being offered and/or is not listed in the school catalog.  If it is on the PDE-3808, it needs to be listed here."]
[]
[null,"Main Campus",null,null,null,"Branch Campus",null,null,null,"Branch Campus",null,null,null,"Branch Campus"]
[null,null,null,null,null,"Campus Location:",null,null,null,"Campus Location:",null,null,null,"Campus Location:"]
[]
[]
[null,null,null,"Current Enrollment Date",null,null,null,"Current Enrollment Date",null,null,null,"Current Enrollment Date",null,null,null,"Current Enrollment Date"]
[null,"Board-Approved Program Name",null,"(i.e. Last class start)",null,"Board-Approved Program Name",null,"(i.e. Last class start)",null,"Board-Approved Program Name",null,"(i.e. Last class start)",null,"Board-Approved Program Name",null,"(i.e. Last class start)"]
[]
[1,null,null,null,1,null,null,null,1,null,null,null,1]
[]
[2,null,null,null,2,null,null,null,2,null,null,null,2]
[]
[3,null,null,null,3,null,null,null,3,null,null,null,3]
[]
[4,null,null,null,4,null,null,null,4,null,null,null,4]
[]
[5,null,null,null,5,null,null,null,5,null,null,null,5]
[]
[6,null,null,null,6,null,null,null,6,null,null,null,6]
[]
[7,null,null,null,7,null,null,null,7,null,null,null,7]
[]
[8,null,null,null,8,null,null,null,8,null,null,null,8]
[]
[9,null,null,null,9,null,null,null,9,null,null,null,9]
[]
[10,null,null,null,10,null,null,null,10,null,null,null,10]
[]
[11]
[]
[12]
[]
[13]
[]
[14]
[]
[15]
[]
[16]
[]
[17]
[]
[18]
[]
[19]
[]
[20]
[]
[21]
[]
[22]
[]
[23]
[]
[24]
[]
[25]
[]
[26]
[]
[27]
[]
[28]
[]
[29]
[]
[30]
[]
["Certification of the person completing this application:"]
[]
[null,"Name:",null,null,null,null,null,null,"Date:"]
[null,null,"By placing my name above, I certify with my electronic signature that the information contained in this application is accurate."]
[]
[null,"Affiliation with the school:"]
[]
[null,"E-mail:",null,null,null,null,null,null,"Phone:"]
[null,null,"The Division will communicate with the school using this e-mail address. Be sure that this e-mail address is valid and correct and that it is checked regularly."]
[]
[null,"Date of Certification:"]
[]
[null,null,"By checking this box, the school certifies:"]
[null,null,"The school is advertising and enrolling students in programs according to the program name approved by the Board"]
[null,null,"The school is advertising and charging program tuition amounts as listed on the program profile"]
[null,null,"The school is advertising, enrolling, and conducting programs according to the clock hours listed on the program profile"]
[null,null,"The school is advertising and issuing program awards as indicated on the program profile"]
[]
[null,null,"If any of the information to be certified differs from what the school is currently advertising or offering students, please explain:"]
[]
[]
[]
[]
[]
[]
[]
[]
["END OF PROGRAM PROFILE - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Enrollment Agreement","index":8,"n_rows":59,"n_cols":13,"rows_kept":59,"cut":false,"hidden":false,"merged":[[7,1,11,8]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Please be sure the address for complaints sent to the Board is updated to: 607 South Drive, Floor 3E, Harrisburg, PA 17120."]
[]
[null,"Embed the school's Enrollment Agreement below."]
[null,"If multiple Enrollment Agreements are used, include a copy of each agreement."]
[]
[]
[]
[]
[]
[]
[null,"Complete the following checklist to certify that all requirements are included."]
[1,"The name and address of the school the student will be attending."]
[2,"The student's name."]
[3,"The program name as approved by the Board and identified in the school’s student information publication (catalog). "]
[4,"The number of clock hours, credit hours, or lessons and the number of weeks or months required to complete the course or program."]
[5,"The type of award the student will receive upon successful completion of the program (certificate, diploma, AST, ASB)."]
[6,"The costs for the following when applicable: "]
[null,null,"Total tuition for the program (for programs which include nonresident and resident training, the tuition"]
[null,null,"for the nonresident training, the tuition for the resident training, and the total tuition for the complete "]
[null,null,"combined program shall be stated)."]
[null,null,"Estimated costs for books and supplies (if the costs for books and supplies are included in the tuition, "]
[null,null,"this shall be clearly stated)."]
[null,null,"If interest or finance charges, or both, will be charged, the total amount of these charges shall be listed",null,null,null,null,null,null,null,null,null,"n/a"]
[null,null,"in accordance with Federal truth-in-lending and State retail installment requirements."]
[null,null,"If the school provides room or board, or both, the enrollment agreement shall specify that a separate ",null,null,null,null,null,null,null,null,null,"n/a"]
[null,null,"agreement shall be entered into for that purpose. "]
[null,null,"Other costs and charges, such as application fee, student activity fee or laboratory fees, shall be listed. ",null,null,null,null,null,null,null,null,null,"n/a"]
[7,"The terms of payment. The method and terms of payment of costs shall be clearly stated and shall comply with Federal "]
[null,"truth-in-lending and State retail installment requirements. "]
[8,"Student's enrolled start date."]
[9,"Cancellation policy (cancellation of enrollment prior to the start of classes, including refund of fees and tuition)."]
[10,"Refund policy (student withdrawal or school termination after the start of classes)."]
[11,"If employment assistance is provided, an employment guarantee disclaimer must be included. ",null,null,null,null,null,null,null,null,null,null,"n/a"]
[null,"This disclaimer shall be printed in boldface type, in at least 10-point type. "]
[12,"Complaint procedure. A statement informing students that: "]
[null,null,"There is an individual at the school to whom questions or concerns may be directed regarding the school’s "]
[null,null,"satisfying the terms of the enrollment agreement. This individual shall be identified by title. "]
[null,null,"The school is licensed or registered—as applicable—by the Pennsylvania State Board of Private Licensed Schools. "]
[null,null,"Questions or concerns that are not satisfactorily resolved by the school may be brought to the attention of the "]
[null,null,"Pennsylvania State Board of Private Licensed Schools, Division of Law Enforcement Education and Trade Schools, "]
[null,null,"Pennsylvania Department of Education, 607 South Drive, Floor 3E, Harrisburg, PA 17120."]
[13,"A statement verifying that the student has received, read, and understands the school's student information publication (catalog)."]
[14,"A statement acknowledging that the agreement is not binding until it is accepted by a representative of the school."]
[15,"An acknowledgement that the signers have received, read, and understands an exact copy of the fully signed enrollment agreement."]
[16,"An enrollment agreement shall be dated and signed by the applicant."]
[null,"If the applicant is a minor, the enrollment agreement shall be dated and signed by the parent or guardian.",null,null,null,null,null,null,null,null,null,null,"n/a"]
[null,"An enrollment agreement shall be dated and signed by a representative of the school (this will become the effective date)."]
[17,"If the enrollment agreement is longer than one side of a single sheet of paper, each side shall clearly refer to the conditions on ",null,null,null,null,null,null,null,null,null,null,"n/a"]
[null,"the other side as being part of the agreement. If more than one page is used, each page shall be numbered: "]
[null,"page 1 of X pages, page 2 of x pages and the like."]
[18,"If the program includes mandatory or optional distance education, it must be fully disclosed and transparent to the student.",null,null,null,null,null,null,null,null,null,null,"n/a"]
[19,"If the program includes mandatory or optional distance education, the technology requirements must be fully disclosed.",null,null,null,null,null,null,null,null,null,null,"n/a"]
[20,"Consumer Protection Policies and Disclosures to be provided to students during admission. ",null,null,null,null,null,null,null,null,null,null,"n/a"]
[null,"Consumer Protection Policies and Disclosures are required for CDL programs. Please refer to Policy Memo #93 to ensure all required information is included."]
[]
["END OF ENROLLMENT AGREEMENT - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Catalog","index":9,"n_rows":34,"n_cols":16,"rows_kept":34,"cut":false,"hidden":false,"merged":[[5,1,9,8]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
[null,"Embed the school's catalog below."]
[null,"If more than one catalog is used, include a copy of each catalog."]
[]
[]
[]
[]
[]
[]
[null,"Complete the following list, indicating the corresponding page number where the information is located, to certify that all requirements are included within the student information publication (catalog)."]
[null,null,"Found on page number:"]
[null,null,null,1,"The name and address of the school."]
[null,null,null,2,"The date of publication—may not exceed 3 years from the date of submission. "]
[null,null,null,3,"Admission requirements and procedures. "]
[null,null,null,4,"The educational objectives of the program, including the name, occupation and level for which training is provided. "]
[null,null,null,5,"The number of clock hours or credit hours of instruction of each course, as well as the number of weeks or months required to complete the course or program."]
[null,null,null,6,"The courses offered, specifying sufficiently the subjects included to identify the coverage of the program and specifying sufficiently the modality(ies) by which the courses will be offered."]
[null,null,null,null,"If a course is offered both residentially/on-ground and via distance education, both course numbers are provided in the catalog"]
[null,null,null,7,"A general description of the school’s physical facilities. "]
[null,null,null,8,"Policies relating to tardiness, absences, makeup work, conduct, termination and other rules of the school or reference to the policies in another school publication which contains the information. "]
[null,null,null,9,"The grading system. "]
[null,null,null,10,"Requirements for graduation. "]
[null,null,null,11,"A statement which clearly defines whether a certificate, diploma, AST, or ASB is awarded upon graduation. "]
[null,null,null,12,"A statement of tuition and other student charges related to the enrollment, or reference to the statement in another school publication which contains the information."]
[null,null,null,13,"A statement of the school's cancellation policy (cancellation of enrollment prior to the start of classes, including refund of fees and tuition)."]
[null,null,null,null,"A statement of the school's refund policy (student withdrawal or school termination after the start of classes)."]
[null,null,null,14,"A description of placement assistance, if available, to students and graduates. ",null,null,null,null,null,null,null,null,null,null,"n/a"]
[null,null,null,15,"A description of available student services, if provided. ",null,null,null,null,null,null,null,"n/a"]
[null,null,null,16,"A school calendar, including holidays and either beginning and ending dates of courses and programs or a statement regarding the frequency of class starting policy or reference to the calendar in another student publication which contains the information. "]
[null,null,null,17,"A statement concerning transfer of credits that clarifies that there is no guarantee that credits earned at the school will transfer to another institution."]
[]
["END OF CATALOG - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"CDL Program","index":10,"n_rows":233,"n_cols":29,"rows_kept":233,"cut":false,"hidden":false,"merged":[[11,0,11,3],[38,1,43,5],[48,1,53,5],[73,1,77,1],[90,1,95,5],[90,22,95,26],[90,29,95,33],[100,1,105,5],[100,8,105,12],[100,15,105,19],[100,22,105,26],[100,29,105,33],[90,15,95,19],[109,15,114,19],[109,22,114,26],[109,29,114,33],[118,1,123,5],[118,8,123,12],[118,15,123,19],[118,22,123,26],[118,29,123,33],[157,22,162,26],[157,29,162,33],[132,1,137,5],[132,8,137,12],[132,15,137,19],[132,22,137,26],[132,29,137,33],[144,1,149,5],[157,1,162,5],[157,8,162,12],[157,15,162,19],[189,22,194,26],[189,29,194,33],[167,22,172,26],[167,29,172,33],[177,1,182,5],[177,8,182,12],[177,15,182,19],[177,22,182,26],[177,29,182,33],[167,1,172,5],[167,8,172,12],[167,15,172,19],[189,1,194,5],[189,8,194,12],[189,15,194,19],[199,15,204,19],[199,22,204,26],[199,29,204,33],[209,1,214,5],[209,8,214,12],[209,15,214,19],[209,22,214,26],[209,29,214,33],[220,0,220,1],[225,1,230,5],[20,1,25,5],[109,1,114,5],[109,8,114,12],[90,8,95,12],[199,1,204,5],[199,8,204,12]]}
["Licensure/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Effective February 7, 2022, all Private Licensed Schools offering entry-level driver training for commercial truck driver programs must be registered with the Federal Motor Carrier Safety Administration (FMCSA) as an Entry-Level Driver Training (ELDT) provider "]
["and must attest that all program requirements have been met in accordance with 49 CFR § 380.  "]
[]
["If at any time either FMCSA, PA Department of Transportation, or the Board determines that a training provider does not meet all applicable requirements, the provider may be removed the FMCSA list of approved training providers and will be required by the Board "]
["to suspend instruction until the requirements are met."]
[]
["Effective March 1, 2022, in addition to all other State Board of Private Licensed School License/Registration Renewal application requirements, the items requested on the CDL Program worksheet must be submitted by schools offering commercial truck driver training programs."]
[]
["Private Licensed Schools Memorandum #93 Commercial Truck Driving Programs"]
[]
["FMCSA ELDT Training Provider Registry"]
[]
["FMCSA ELDT Training Provider Registry (TRP) ID #"]
[]
[]
["Evidence of registration (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["Administration"]
[]
["Name of school administrator or personnel with a minimum of 2 years’ experience with Commercial Driver Training programs or other involvement in the training of Commercial Drivers."]
[]
[]
[]
[null,"Email address:"]
[]
[]
["Evidence of 2 or more years of experience (embed documents below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["List all Commercial Driver Training programs/facilities with which the individual has been affiliated."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["Name of the person who is responsible as the Designated Employer Representative in accordance with Federal Motor Carrier Safety Regulations."]
[]
[]
[]
[null,"Email address:"]
[]
[]
["Name of the qualified staff member who has received the supervisor drug and alcohol training in accordance with 49 CFR 382.603."]
[]
[]
[]
[null,"Email address:"]
[]
[]
["Signed statement by the owner/director that the school agrees to abide by all applicable US Department of Transportation Federal Motor Carrier Safety Regulations (embed document below)."]
["The attestation must be signed biennially at the time of licensure/registration renewal or upon a change in Owner/Director."]
["CDL Owner/Director Attestation"]
[]
[]
[]
[]
[]
[]
[]
["Instructor Qualifications"]
[]
[null,"> > > scroll right to continue to add additional instructors > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional instructors > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional instructors > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional instructors > > >"]
[]
["1. Instructor's name:",null,null,null,null,null,null,"2. Instructor's name:",null,null,null,null,null,null,"3. Instructor's name:",null,null,null,null,null,null,"4. Instructor's name:",null,null,null,null,null,null,"5. Instructor's name:"]
[]
[]
[]
["1a. Evidence of a minimum of 2 years’ working experience with a Commercial Driver’s License as a driver ",null,null,null,null,null,null,"2a. Evidence of a minimum of 2 years’ working experience with a Commercial Driver’s License as a driver ",null,null,null,null,null,null,"3a. Evidence of a minimum of 2 years’ working experience with a Commercial Driver’s License as a driver ",null,null,null,null,null,null,"4a. Evidence of a minimum of 2 years’ working experience with a Commercial Driver’s License as a driver ",null,null,null,null,null,null,"5a. Evidence of a minimum of 2 years’ working experience with a Commercial Driver’s License as a driver "]
["(embed documents below).",null,null,null,null,null,null,"(embed documents below).",null,null,null,null,null,null,"(embed documents below).",null,null,null,null,null,null,"(embed documents below).",null,null,null,null,null,null,"(embed documents below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1b. Valid and unexpired Commercial Driver’s License of the same class of commercial motor vehicle as that which the ",null,null,null,null,null,null,"2b. Valid and unexpired Commercial Driver’s License of the same class of commercial motor vehicle as that which the ",null,null,null,null,null,null,"3b. Valid and unexpired Commercial Driver’s License of the same class of commercial motor vehicle as that which the ",null,null,null,null,null,null,"4b. Valid and unexpired Commercial Driver’s License of the same class of commercial motor vehicle as that which the ",null,null,null,null,null,null,"5b. Valid and unexpired Commercial Driver’s License of the same class of commercial motor vehicle as that which the "]
["instructor will provide instruction to students (embed document below).",null,null,null,null,null,null,"instructor will provide instruction to students (embed document below).",null,null,null,null,null,null,"instructor will provide instruction to students (embed document below).",null,null,null,null,null,null,"instructor will provide instruction to students (embed document below).",null,null,null,null,null,null,"instructor will provide instruction to students (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1c. Unexpired medical examiner certificate (embed document below).",null,null,null,null,null,null,"2c. Unexpired medical examiner certificate (embed document below).",null,null,null,null,null,null,"3c. Unexpired medical examiner certificate (embed document below).",null,null,null,null,null,null,"4c. Unexpired medical examiner certificate (embed document below).",null,null,null,null,null,null,"5c. Unexpired medical examiner certificate (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1e. Current Motor Vehicle Report (embed document below).",null,null,null,null,null,null,"2e. Current Motor Vehicle Report (embed document below).",null,null,null,null,null,null,"3e. Current Motor Vehicle Report (embed document below).",null,null,null,null,null,null,"4e. Current Motor Vehicle Report (embed document below).",null,null,null,null,null,null,"5e. Current Motor Vehicle Report (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1f. Date of most recent drug test:",null,null,null,null,null,null,"2f. Date of most recent drug test:",null,null,null,null,null,null,"3f. Date of most recent drug test:",null,null,null,null,null,null,"4f. Date of most recent drug test:",null,null,null,null,null,null,"5f. Date of most recent drug test:"]
[]
[]
[]
["1g. Evidence of registration with the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House ",null,null,null,null,null,null,"2g. Evidence of registration with the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House ",null,null,null,null,null,null,"3g. Evidence of registration with the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House ",null,null,null,null,null,null,"4g. Evidence of registration with the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House ",null,null,null,null,null,null,"5g. Evidence of registration with the Federal Motor Carrier Safety Administration Drug and Alcohol Clearing House "]
["(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["Equipment"]
[]
["Description of the equipment maintenance program and how it impacts student training."]
["Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"> > > scroll right to continue to add additional tractors/vehicles > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional tractors/vehicles > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional tractors/vehicles > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional tractors/vehicles > > >"]
[]
["1. Tractor/Vehicle: year, make, model, mileage, automatic or manual transmission, synchronized or unsynchronized ",null,null,null,null,null,null,"2. Tractor/Vehicle: year, make, model, mileage, automatic or manual transmission, synchronized or unsynchronized ",null,null,null,null,null,null,"3. Tractor/Vehicle: year, make, model, mileage, automatic or manual transmission, synchronized or unsynchronized ",null,null,null,null,null,null,"4. Tractor/Vehicle: year, make, model, mileage, automatic or manual transmission, synchronized or unsynchronized ",null,null,null,null,null,null,"5. Tractor/Vehicle: year, make, model, mileage, automatic or manual transmission, synchronized or unsynchronized "]
["transmission, airbrake, number of axels, day/sleeper cab; as well as any additional descriptors.",null,null,null,null,null,null,"transmission, airbrake, number of axels, day/sleeper cab; as well as any additional descriptors.",null,null,null,null,null,null,"transmission, airbrake, number of axels, day/sleeper cab; as well as any additional descriptors.",null,null,null,null,null,null,"transmission, airbrake, number of axels, day/sleeper cab; as well as any additional descriptors.",null,null,null,null,null,null,"transmission, airbrake, number of axels, day/sleeper cab; as well as any additional descriptors."]
["Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["1a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"2a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"3a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"4a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"5a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information "]
["(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"2b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"3b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"4b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"5b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and "]
["expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"> > > scroll right to continue to add additional trailers > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional trailers > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional trailers > > >",null,null,null,null,null,null,"> > > scroll right to continue to add additional trailers > > >"]
[]
["1. Trailer: year, make, type, number of axels, length; as well as any additional descriptors.",null,null,null,null,null,null,"2. Trailer: year, make, type, number of axels, length; as well as any additional descriptors.",null,null,null,null,null,null,"3. Trailer: year, make, type, number of axels, length; as well as any additional descriptors.",null,null,null,null,null,null,"4. Trailer: year, make, type, number of axels, length; as well as any additional descriptors.",null,null,null,null,null,null,"5. Trailer: year, make, type, number of axels, length; as well as any additional descriptors."]
["Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box.",null,null,null,null,null,null,"Embed a document if the information extends beyond the provided text box."]
[]
[]
[]
[]
[]
[]
[]
[]
["1a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"2a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"3a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"4a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information ",null,null,null,null,null,null,"5a. Evidence of ownership or lease agreement that includes the owner’s/lessor’s name and contact information "]
["(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below).",null,null,null,null,null,null,"(embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["1b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"2b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"3b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"4b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and ",null,null,null,null,null,null,"5b. Evidence of insurance to include the insurer’s name, address, contact information, policy type, policy number and "]
["expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below).",null,null,null,null,null,null,"expiration date (embed document below)."]
[]
[]
[]
[]
[]
[]
[]
[]
["Program"]
[]
["The program must be of a sufficient length to enable the training provider to deliver the minimum required training based upon the stated objectives and stated purpose of the program to be approved. "]
["Justification of the number of program hours is necessary for an indication of how the program compares with other industry training programs and how the program sufficiently achieves the stated educational objectives of the program."]
["Refer to Memo #93 to ensure all requirements included."]
[]
["CDL FMCSA Bridge Worksheets"]
[]
[null,"Embed the completed CDL FMCSA Bridge Worksheets."]
[]
[]
[]
[]
[]
[]
[]
["END OF CDL PROGRAM - PROCEED TO NEXT WORKSHEET TAB"]

{"sheet":"Ownership-Operations","index":11,"n_rows":159,"n_cols":66,"rows_kept":159,"cut":false,"hidden":false,"merged":[[11,1,15,3],[53,64,53,71],[55,64,55,71],[59,64,59,71],[61,64,61,65],[53,52,53,59],[55,52,55,59],[59,52,59,59],[61,52,61,53],[53,40,53,47],[55,40,55,47],[59,40,59,47],[61,40,61,41],[44,28,44,35],[46,28,46,35],[48,28,48,35],[63,64,63,65],[37,65,37,67],[44,64,44,71],[46,64,46,71],[48,64,48,71],[51,64,51,71],[63,52,63,53],[37,53,37,55],[44,52,44,59],[46,52,46,59],[48,52,48,59],[51,52,51,59],[59,4,59,11],[61,4,61,5],[63,4,63,5],[44,4,44,11],[46,4,46,11],[48,4,48,11],[51,4,51,11],[53,4,53,11],[53,28,53,35],[55,28,55,35],[44,40,44,47],[46,40,46,47],[48,40,48,47],[46,16,46,23],[48,16,48,23],[51,16,51,23],[53,16,53,23],[55,16,55,23],[72,1,76,13],[107,1,111,6],[107,8,111,13],[107,15,111,20],[107,22,111,27],[84,1,88,3],[92,1,96,3],[114,1,118,6],[114,8,118,13],[114,15,118,20],[114,22,118,27],[140,1,144,6],[140,8,144,13],[140,15,144,20],[140,22,144,27],[122,1,126,6],[122,8,126,13],[122,15,126,20],[122,22,126,27],[134,1,138,6],[134,8,138,13],[134,15,138,20],[134,22,138,27],[146,1,150,6],[146,8,150,13],[146,15,150,20],[146,22,150,27],[152,1,156,6],[152,8,156,13],[152,15,156,20],[152,22,156,27],[19,1,23,3],[51,40,51,47],[51,28,51,35],[63,40,63,41],[59,28,59,35],[63,16,63,17],[59,16,59,23],[61,16,61,17],[61,28,61,29],[63,28,63,29],[37,5,37,7],[37,17,37,19],[37,29,37,31],[37,41,37,43],[55,4,55,11],[44,16,44,23]]}
["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["The questions below aim at determining changes made at the school since it was first licensed/registered or since the license/registration was last renewed.  "]
[]
["Did the school's ownership change?  "]
[]
[]
[]
[null,"Regardless of whether ownership has changed, embed a document that demonstrates the ownership structure of the school. Include information pertaining to parent company(ies), subsidiaries, and individuals with controlling authority over the school."]
[]
[]
[]
[]
[]
[]
[]
[null,"Regardless of whether ownership has changed, if the school is owned/operated/governed by a Board, please embed a document that lists the Board members and their respective position on the Board."]
[]
[]
[]
[]
[]
[]
[]
[null,"Individual owner(s) information:",null,null,null,null,null,null,null,null,null,null,null,null,null,"Sole Proprietor",null,"Second Partner",null,"Third Partner",null,"Fourth Partner",null,"Fifth Partner",null,"Sixth Partner"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Partner",null,"Corporate Vice President",null,"Corporate Secretary",null,"Corporate Treasurer"]
[null,"Individual owners are defined as:",null,null,null,null,null,null,null,null,null,null,null,null,null,"Corporate President"]
[]
[null,"For any corporation with subsidiaries, this is the subsidiary one level up from the school or the subsidiary that is closest to the school.  "]
[null,"For a closed corporation, this includes shareholders owning 5% or more of the outstanding stock whether the ownership is real or beneficial."]
[null,"For a publicly traded corporation, this includes the primary corporate officers."]
[]
[null,"For a proprietorship or partnership, this includes the individual owners.",null,null,null,null,null,null,null,null,null,null,null,null,null,"Sole Owner / Proprietor"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Partner",null,null,"Partner",null,null,"Partner",null,"Partner"]
[null,"For a limited liability corporation (LLC), this includes members with an interest of 5% or more.",null,null,null,null,null,null,null,null,null,null,null,null,null,"Corporate President",null,null,"Corporate Vice President",null,null,"Corporate Secretary",null,"Corporate Treasurer"]
[]
[null,null,"#1: ","select position title:",null,null,null,null,null,null,null,null,null,null,"#2: ","select position title:",null,null,null,null,null,null,null,null,null,null,"#3: ","select position title:",null,null,null,null,null,null,null,null,null,null,"#4: ","select position title:",null,null,null,null,null,null,null,null,null,null,"#5: ","specify position title:",null,"Fifth Partner",null,null,null,null,null,null,null,null,"#6: ","specify position title:",null,"Sixth Partner"]
[]
[null,null,"Complete the following for the sole owner/proprietor, partner, or corporate president.  ",null,null,null,null,null,null,null,null,null,null,null,"Complete the following for the second  partner or corporate vice-president.  ",null,null,null,null,null,null,null,null,null,null,null,"Complete the following for the third partner or corporate secretary. ",null,null,null,null,null,null,null,null,null,null,null,"Complete the following for the fourth partner or corporate treasurer.  "]
[null,null,"#1 must be completed for every application.",null,null,null,null,null,null,null,null,null,null,null,"#2 must be completed for corporations, partnerships, and LLC applications.",null,null,null,null,null,null,null,null,null,null,null,"#3 must be completed for corporations, partnerships consisting of 3 or more partners, and LLC applications.",null,null,null,null,null,null,null,null,null,null,null,"#4 must be completed for corporations, partnerships consisting of 4 or more partners, and LLC applications."]
[]
[null,null,null,"Name:",null,null,null,null,null,null,null,null,null,null,null,"Name:",null,null,null,null,null,null,null,null,null,null,null,"Name:",null,null,null,null,null,null,null,null,null,null,null,"Name:",null,null,null,null,null,null,null,null,null,null,null,"Name:",null,null,null,null,null,null,null,null,null,null,null,"Name:"]
[]
[null,null,null,"Home Address:",null,null,null,null,null,null,null,null,null,null,null,"Home Address:",null,null,null,null,null,null,null,null,null,null,null,"Home Address:",null,null,null,null,null,null,null,null,null,null,null,"Home Address:",null,null,null,null,null,null,null,null,null,null,null,"Home Address:",null,null,null,null,null,null,null,null,null,null,null,"Home Address:"]
[]
[]
[]
[]
[null,null,null,null,"City, State and Zip Code",null,null,null,null,null,null,null,null,null,null,null,"City, State and Zip Code",null,null,null,null,null,null,null,null,null,null,null,"City, State and Zip Code",null,null,null,null,null,null,null,null,null,null,null,"City, State and Zip Code",null,null,null,null,null,null,null,null,null,null,null,"City, State and Zip Code",null,null,null,null,null,null,null,null,null,null,null,"City, State and Zip Code"]
[]
[null,null,null,"Email Address:",null,null,null,null,null,null,null,null,null,null,null,"Email Address:",null,null,null,null,null,null,null,null,null,null,null,"Email Address:",null,null,null,null,null,null,null,null,null,null,null,"Email Address:",null,null,null,null,null,null,null,null,null,null,null,"Email Address:",null,null,null,null,null,null,null,null,null,null,null,"Email Address:"]
[]
[null,null,null,"Home/Cell Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Home/Cell Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Home/Cell Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Home/Cell Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Home/Cell Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Home/Cell Phone Number:"]
[]
[null,null,null,"Work Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Work Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Work Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Work Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Work Phone Number:",null,null,null,null,null,null,null,null,null,null,null,"Work Phone Number:"]
[]
[null,null,null,"Current Employer:",null,null,null,null,null,null,null,null,null,null,null,"Current Employer:",null,null,null,null,null,null,null,null,null,null,null,"Current Employer:",null,null,null,null,null,null,null,null,null,null,null,"Current Employer:",null,null,null,null,null,null,null,null,null,null,null,"Current Employer:",null,null,null,null,null,null,null,null,null,null,null,"Current Employer:"]
[]
[null,null,null,"Current Position Held:",null,null,null,null,null,null,null,null,null,null,null,"Current Position Held:",null,null,null,null,null,null,null,null,null,null,null,"Current Position Held:",null,null,null,null,null,null,null,null,null,null,null,"Current Position Held:",null,null,null,null,null,null,null,null,null,null,null,"Current Position Held:",null,null,null,null,null,null,null,null,null,null,null,"Current Position Held:"]
[]
[null,null,null,"Percentage of entity ownership:",null,null,null,null,null,null,null,null,null,null,null,"Percentage of entity ownership:",null,null,null,null,null,null,null,null,null,null,null,"Percentage of entity ownership:",null,null,null,null,null,null,null,null,null,null,null,"Percentage of entity ownership:",null,null,null,null,null,null,null,null,null,null,null,"Percentage of entity ownership:",null,null,null,null,null,null,null,null,null,null,null,"Percentage of entity ownership:"]
[]
[null,null,null,"Position with the school:",null,null,null,null,null,null,null,null,null,null,null,"Position with the school:",null,null,null,null,null,null,null,null,null,null,null,"Position with the school:",null,null,null,null,null,null,null,null,null,null,null,"Position with the school:",null,null,null,null,null,null,null,null,null,null,null,"Position with the school:",null,null,null,null,null,null,null,null,null,null,null,"Position with the school:"]
[]
["Did the school change its type, amount, or provider of surety?"]
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[]
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[null,"If yes, describe the change(s)."]
[null,"Any changes to surety must be reported to the Board at the time of change. Updated documents must be promptly provided to Board staff."]
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["Does the school conduct enrollment/admissions at sites other than the school's location?"]
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["If yes, embed a document which lists the names and addresses of all enrollment/admission location sites."]
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["If yes, embed a document which list the licensed admission representatives, along with their license numbers and expiration date. "]
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["Does the school deliver instruction at a facility that is not situated at the school's location?"]
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[null,"If yes, list the names and addresses of all remote and/or branch location sites.  "]
[]
[]
[null,"Remote site:",null,null,null,null,null,null,"Remote site:",null,null,null,null,null,null,"Remote site:",null,null,null,null,null,null,"Remote site:"]
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[null,"Remote site:",null,null,null,null,null,null,"Remote site:",null,null,null,null,null,null,"Remote site:",null,null,null,null,null,null,"Remote site:"]
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[]
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[null,"Branch:",null,null,null,null,null,null,"Branch:",null,null,null,null,null,null,"Branch:",null,null,null,null,null,null,"Branch:"]
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["Does the school deliver non-residential instruction (any alternative delivery method which is not on-ground instruction)?"]
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[null,"For each program that offers non-residential instruction, provide the name of the program and the alternative delivery methods utilized."]
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["END OF OWNERSHIP/OPERATIONS - PROCEED TO NEXT WORKSHEET TAB"]

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["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Additional material may not be required for traditional applications.  However, this space is available to allow you to submit additional documentation if needed. "]
["Please do not submit large additional documentation files unless they are clearly needed."]
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["END OF DOCUMENTS - PROCEED TO NEXT WORKSHEET TAB"]

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["License/Registration Renewal Application"]
["Pennsylvania State Board of Private Licensed Schools"]
[]
["Do not attempt to unlock or modify this application.  You will be required to submit a new application if the submitted application is unlocked, unprotected, edited, or modified in any way."]
["If you experience issues with the application or require assistance, call the Division at (717)783-8228."]
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["Board staff communicates with school personnel during the renewal process and not any external consultants contracted to assist with the renewal process."]
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["The Pennsylvania Department of Education, Division of Law Enforcement Education and Trade Schools, on behalf of the State Board of Private Licensed Schools, shall issue a renewed license/registration "]
["to a school if Board staff finds that a materially complete renewal application and renewal fees are received in our offices by the submission deadline, and that the school remains in compliance with the "]
["provisions of the statue, regulations, and Board policy memorandums."]
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["To request licensure/registration renewal this application must be completed in its entirety. "]
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["The renewal application must be uploaded to SharePoint no later than the 7th day of the month preceding license/registration expiration."]
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["Renewal fees must be received by the Division no later than the 7th day of the month preceding license/registration expiration."]
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["Fees / Fee Submission:"]
[null,"Fees must be received by the Division no later than the 7th day of the month preceding license/registration expiration."]
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[null,"In accordance with 22 Pa. Code § 73.151 (a) (3) schools are required to pay a biennial license/registration fee according to the gross tuition revenue collected during the previous fiscal year."]
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[null,"Gross tuition revenue is defined as the amount of all money received as tuition and fees assessed against students (net of refunds and the cost of tangible materials reimbursed by the student) for all Board-approved programs and courses."]
[null,"Gross tuition revenue includes tuition and fees (all monies) received against expenses and charges related to a student’s enrollment."]
[null,null,"Includes monies received via cash, credit card, federal student aid, private education loans, subsidized loans, unsubsidized loans, personal loans, tuition assistance, external funding, grants, scholarships, fund reimbursement, Workforce Innovation and Opportunity Act (WIOA), etc."]
[null,null,"Includes enrollment in Board-approved programs, as well as enrollment into select courses within a Board-approved program."]
[null,null,"Includes students at both the licensed school and any branch campus locations approved under the school's license."]
[null,null,"For licensed (in-state) schools, gross tuition revenue is based on all students enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"For registered (out-of-state) schools, gross tuition revenue is based on all PA residents enrolled in Board-approved programs and enrolled in courses within Board-approved programs."]
[null,null,"Exceptions:"]
[null,null,"Tuition and fees assessed against an employer for business-to-business contract training are not included in gross tuition revenue, providing the student at no time is charged any related tuition or fees, even if they cease enrollment, attending, or employment."]
[null,null,"Scholarships paid by the school via institutional grants. Reference: Private Licensed Schools Policy Memorandum # 82"]
[null,"Gross tuition is based on all students enrolled in Board-approved programs at both the licensed school and any branch campus locations approved under the school's license.  "]
[null,"Tuition income from students enrolled in non-Board-approved programs should be reported as other income on the PDE-2006."]
[]
[null,"Online Payment Center"]
[]
[null,"Effective June 30, 2023, check and money order payments are no longer accepted.  All payments need to be made using the Online Payment Center. "]
[]
[null,"Review and follow the instructions for making an online payment:"]
[null,"Payment for Private Licensed School Fees"]
[]
[null,"Important Notes: "]
[null,"Payment Reference – please be sure to provide your school's name and city as the 'Payment Reference'. Failure to provide this information may delay the processing of the school's request as we will need to verify the source of any anonymous payments. "]
[null,"Email – to receive an emailed receipt of your payment, you must provide your email address when processing the payment.  Receiving an emailed receipt is recommended for all transactions, especially in the event the school fails to provide the school's name and city as the 'Payment Reference'. "]
[null,"Please be sure to carefully select the correct Program ID (which is the service/item you are paying the fee for). Selecting an incorrect Program ID may delay the processing of the school's request, as the payment will be applied to the selected Program ID (service/item). "]
[null,"There is a 2% transaction fee charged for credit cards.  There is no fee charged for ACH transactions. "]
[]
["IMPORTANT - PLEASE READ"]
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["Carefully review the Statute, Regulations, and Board Policy Memos at:"]
[null,"Private Licensed Schools Act 174 of 1986"]
[null,"Act 110 of 2019"]
[null,"22 Pa. Code Chapter 73"]
[null,"Board Policy Memos"]
[]
["File Naming Conventions"]
[null,"Begin the file name with the school name or abbreviation - if multiple campuses, note location - followed by the name or abbreviation of the program name."]
[null,"Do not use punctuation in the file name.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential to use the exact same filename.  "]
[null,"NOTE:  When resubmitting revisions to the application, it is absolutely essential that the same registered user upload the revised application to SharePoint."]
[null,"Do not change the filename in any way.  Do not even add a number or date to indicate a new version."]
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["SharePoint Submission"]
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["Licensed/Registered schools are expected to submit applications using the 'REGISTERED USER' option on SharePoint."]
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["Commonwealth SharePoint site users must be registered with a PA Login: ",null,null,null,null,null,null,"Register New PA Login"]
["Keystone Logins cannot be used to gain access to or log into the SharePoint site. "]
[]
["If this is your first time using the 'Registered User' option, once you have created your PA Login account, you must request access to the PLS SharePoint site."]
["When requesting access, please be sure to indicate the individual's name, username, and email associated with the PA Login."]
["To request access, or for general technical assistance, please email: ",null,null,null,null,null,null,"RA-PLS@pa.gov"]
[]
[null,"1.   Go to:","SharePoint Submission Site"]
[null,"2.   Registered User Application Submission"]
[null,"3.   Enter your PA Login username"]
[null,"4.   Enter your PA Login password"]
[null,"5.   Select 'Add document' and check the box 'Add as a new version to existing files'"]
[null,"6.   Select 'Choose File' and select the file from your own drive.  Click 'OK'."]
[null,"7.  Under 'Content Type', select 'License Renewal'."]
[null,"8.  Enter ALL OTHER INFORMATION as requested and click save."]
[null,null,"*You will now be able to view and independently confirm that your application has been successfully submitted."]
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[null,"NOTE:  Failure to enter ALL OTHER INFORMATION will result in your application not being submitted."]
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[null,"NOTE:  When resubmitting a revised application, it is absolutely essential to use the exact same filename as the original application."]
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["END OF SUBMISSION - PLEASE SUBMIT YOUR APPLICATION ACCORDINGLY"]