CESA Candidate Application

CANDIDATE SCHOOL APPLICATION
I. SCHOOL INFORMATION:
School Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Phone Number:
Please enter a valid phone number.
Date of Founding:

MonthDayYear
Date
Website:
Head of School:

First NameLast Name
Head of School Email:
II. SCHOOL PROFILE:
Grade Levels Served:

Day CarePreK3PreK4Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
Current Year Enrollment:
Annual Operating Budget: (no commas)
III. ACCREDITATION INFORMATION:
Name of Accrediting Body / Organization:
Date of Current Accreditation:

MonthDayYear
Date
Date Current Accreditation Expiration:

MonthDayYear
Date
Date of Most Recent Accreditation Visit:

MonthDayYear
Date
Do you plan to pursue Cognia dual accreditation:*
If you are pursuing Cognia dual accreditation, would you like CESA to be the managing partner with Cognia?

YesNo
Additional Accreditations: Please list name, date of current accreditation, date of expiration, date of most recent visit:
IV. STATEMENT OF FAITH:

We, as an institution, adhere to the tenets of the Nicene Creed and affirm that all faculty, staff, administration, and board members affirm the beliefs therin.
Does your school support the CESA Statement of Faith?
In the spaces below, please type in your signatures to record your affirmation of pursuing CESA membership.
Head of School:

First NameLast Name
Board Chair:

First NameLast Name
Should be Empty:

CANDIDATE SCHOOL APPLICATION