Program Participation Agreement - Alaska Comission Of Postsecondary Education Page 2
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1
2Organization Description (Non-accredited, non-authorized schools ONLY)
Ownership Type:
Number of years operating in AK:
Mission Statement:
Name of Owner or Administrative Official:
Address:
Phone Number:
Email Address:
Certifications and Representations
I, the undersigned, hereby affirm the information provided in this Program Participation Agreement is complete and accurate and that
I am authorized to bind the institution listed above in this Program Participation Agreement Renewal. I further affirm that the
institution will administer all APS funds awarded for attendance at this institution in accordance with the applicable statutes and
regulations, and in accordance with program policies, including:
- Fiduciary responsibility for APS funds
- Timely disbursement of funds to eligible students and the return of funds that cannot be promptly disbursed
- Appropriate documentation of student identity, student eligibility, the amount disbursed, and dates of disbursement
- Reporting of GPA, graduation, and other outcomes-related information
- Availability of student, administrative, and financial records for inspection by state officials
- Immediate notification to ACPE regarding any changes in staff with APS-related responsibilities
- Participation in the National Disbursement Network (NDN)
- Availability of counseling related to course selection, career choice, and personal challenges for incoming students
- Courses and credits result in the issuance of a degree or certificate available at the institution within a time frame expected
for that degree or certificate
I further understand that my institution is subject to compliance audits relative to APS participation and agree to cooperate with any
such audit.
Signature of Owner or Administrative Official:
Title of Administrative Official:
Date:
This agreement must be signed by the institution's CEO or senior financial aid official. APS statutes and regulations are available from ACPE or
online at acpe.alaska.gov. Do not sign this document if you have not reviewed the applicable statutes and regulations that govern the APS program
and Institutional Authorization (AS 14.43, 20AAC 16) as well as the Department of Labor regulations (8AAC 81).
APS PPA Application and Certification (Rev. 12/13)
Page 2 of 2
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