Change in Location/Added Facility Application



Commission on Postsecondary Education

8778 S. Maryland Parkway, Suite 115, Las Vegas, NV 89123

Change in Location Application

|SCHOOL NAME |NEW ADDRESS |

| | |

| | |

| | |

|NAME of INDIVIDUAL COMPLETING APPLICATION |POSITION |

| | |

|CONTACT PHONE # |CONTACT EMAIL |

| | |

|SCHOOLS NEW PHONE # |SCHOOLS NEW FAX # |SCHOOL WEB ADDRESS |

|REASON FOR RELOCATION |DATE OF RELOCATION |

| |

|Initial |Attachments |

| |Catalog Checklist Form (70) |Return this form to: |

| |(initialed and must include page # for required policies) | |

| | |CPE |

| | |8778 S Maryland Parkway Suite 115 |

| | |Las Vegas, NV 89123 |

| | | |

| | |Failure to complete and return this form with applicable |

| | |attachments within 10 days of moving or adding a new facility|

| | |is a violation of NRS 394.460(6) and will subject the |

| | |licensee to an administrative fine. |

| |Catalog reflecting location changes | |

| |Enrollment Agreement Checklist Form (70a)- initialed | |

| |Enrollment agreement reflecting changes | |

| | |

| |NV Secretary of State update | |

| |(if main location) | |

| |Local Business license update/filing | |

| |(based on facility location) | |

| | |

| |Line drawing showing dimensions | |

| |Fully executed lease agreement or MOU | |

I certify this application is for a change of location and does not constitute a change-in-ownership, name change, or alterations in curriculum.

Signature of Owner/Principal Date

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STATE OF NEVADA

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