ATHEA Application for Candidacy

ATHEA Application for Candidacy

Complete this form as part of your candidacy application to ATHEA. Please ensure you have also submitted your signed Letter of Application for Candidacy. You can save your progress and return later to complete this form.
SECTION 1: INSTITUTION INFORMATION
Name of Institution*
Institution Type*

Private not-for-profitPrivate for-profitPublicOther
Year Institution Began Operations*
Please enter a 4-digit year (e.g., 2020)
Institutional Website URL*
Please include https://
Main Switchboard Telephone Number*
+COUNTRY (PREFIX) NUMBER
SECTION 2: MAILING ADDRESS
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SECTION 3: PHYSICAL ADDRESS

(if different from mailing address)
Is your physical address different from your mailing address?*

YesNo (same as mailing address)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SECTION 4: MULTI-LOCATION / MULTI-CAMPUS
Does your institution have multiple locations or branch campuses?*

YesNo
Multi-Location Details
For each location or branch campus, provide: 1) Complete address, 2) Public operating name (if different from applying institution). Separate multiple locations with a line break.
SECTION 5: CHIEF EXECUTIVE OFFICER INFORMATION

(Note: This is NOT necessarily the person responsible for Accreditation. This information will be entered later in this form.)
CEO Name*

First NameLast Name
CEO Title*
CEO Email*
(please enter a nominal email, not generic. Example: firstname.lastname@school.edu = good / office@school.edu = bad)
CEO Phone*
+COUNTRY (PREFIX) NUMBER
SECTION 6: ACADEMIC PROGRAMMES
Total Current Student Enrollment (all programmes)*
Enter a number
Average Number of Graduates Per Year*
Enter a number
Year of First Programme Graduates*
Enter a 4-digit year
Do you have multiple locations or branch campuses with students?*

Yes, I need to provide a breakdown by locationNo, all students are at one location
Student Enrolment and Graduates Breakdown by Location
Provide enrollment and graduate numbers for each location / campus
Website URL for Academic Programme Catalogues/Curriculum
SECTION 7: PROGRAMMES SEEKING CANDIDACY STATUS

List all academic programmes for which you are seeking candidacy status. Level codes: UG = Undergraduate/Bachelor; M = Master; D = Doctorate; C = Certificate
Programme 1 - Name*
Programme 1 - Level*
Hold "Ctrl" or "Command" to select multiple entries
Programme 1 - Number of Current Students
Programme 1 - Number of Graduates in Past 12 Months
Programme 1 - Year First Offered*
####
Do you have additional programmes to list?*

YesNo
Additional Programmes
For each additional programme, provide: Programme Name, Level (UG/M/D/C), Number of Current Students, Number of Graduates in Past 12 Months, Year First Offered. Separate programmes with a line break.
Are there any degree programmes or certificates offered by the institution that are NOT listed as candidates for accreditation?*

Yes (If yes, you must submit a separate letter outlining these programmes and justification for exclusion)No
Excluded Programmes
Briefly list the excluded programmes (detailed justification should be in separate letter)
SECTION 8: PROGRAMME DELIVERY MODALITY
Indicate the delivery methods used for your programmes*

Traditional (on-campus, face-to-face)OnlineBlended/HybridJoint programmes with partner institutionsOther
SECTION 9: FACULTY INFORMATION
Approximate number of full-time teaching faculty*
Approximate number of part-time teaching faculty*
SECTION 10: INSTITUTIONAL PARTNERS
Does your institution offer joint programmes or degrees with partner institutions?*

YesNo
Partner Institution Details
For each partner, provide: 1) Partner Institution Name, 2) Programme Name, 3) Degree Awarded By (Applicant Institution / Partner Institution / Joint). Separate multiple partners with a line break.
SECTION 11: ORGANIZATIONAL STRUCTURE
Briefly describe your institution's organisational governance structure*
100-200 words
SECTION 12: STRATEGIC PLANNING
Does your institution have a current strategic plan?*

YesNo
Strategic Plan Time Period - From
Strategic Plan Time Period - To
Briefly describe your institution's strategic priorities*
100-200 words
SECTION 13: QUALITY ASSURANCE
Briefly describe your institution's approach to quality assurance*
100-200 words
SECTION 14: ACCREDITATION INTENTIONS
Why are you seeking Candidacy status with ATHEA?*
100-200 words
What is your intended timeline for achieving full accreditation?*
SECTION 15: PRIMARY CONTACT FOR ACCREDITATION
Primary Contact Name*

First NameLast Name
Primary Contact Title*
Dr. / Prof. / Mr. / Mrs. / Ms. / Other
Primary Contact Email*
name@example.com (please a name, not a generic address such as info@example.com)
Primary Contact Phone*
+Country (Prefix) Number
Primary Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SECTION 16: ALTERNATE CONTACT FOR ACCREDITATION

(Optional)
Alternate Contact Name

First NameLast Name
Alternate Contact Title
Dr. / Prof. / Mr. / Mrs. / Ms. / Other
Alternate Contact Email
name@example.com (please a name, not a generic address such as info@example.com)
Alternate Contact Phone
+Country (Prefix) Number
Alternate Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
SECTION 17: REQUIRED SUPPORTING DOCUMENTATION

Upload required documents here, or email them separately to membership@athea.org
Upload - Signed Letter of Application for Candidacy

Signed letter on official letterhead (can be emailed separately)
Cancelof
Upload - Legal Authorization

Copy of institution's license to operate as tertiary educational institution (include English translation if not in English)
Cancelof
Upload - Organizational Chart

Current organizational chart showing governance and administrative structure
Cancelof
Upload - Additional Supporting Documents

Any other supporting documents (multi-location details, partner agreements, etc.)
Cancelof
If you prefer to email documents separately*

I have uploaded all required documents aboveI will email documents separately to membership@athea.orgI have both uploaded some documents and will email others
SECTION 18: PAYMENT INFORMATION

Candidacy Application Fee: €3,500. ATHEA will invoice your institution after the candidacy application has been received and approved.
Institution Name (for invoice)*
Institution Tax ID Number
Billing Contact Name*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Billing Email*
example@example.com
SECTION 19: APPLICATION CERTIFICATION
Name of Person Completing This Form*
Title of Person Completing This Form*
Dr. / Prof. / Mr. / Mrs. / Ms. / Other
Date of Submission*

DayMonthYear
Date
Signature*
GDPR Compliance:

I consent to ATHEA collecting and processing this data for the purpose of reviewing my candidacy application.
Should be Empty:

ATHEA Application for Candidacy

SECTION 1: INSTITUTION INFORMATION

SECTION 2: MAILING ADDRESS

SECTION 3: PHYSICAL ADDRESS

SECTION 4: MULTI-LOCATION / MULTI-CAMPUS

SECTION 5: CHIEF EXECUTIVE OFFICER INFORMATION

SECTION 6: ACADEMIC PROGRAMMES

SECTION 7: PROGRAMMES SEEKING CANDIDACY STATUS

SECTION 8: PROGRAMME DELIVERY MODALITY

SECTION 9: FACULTY INFORMATION

SECTION 10: INSTITUTIONAL PARTNERS

SECTION 11: ORGANIZATIONAL STRUCTURE

SECTION 12: STRATEGIC PLANNING

SECTION 13: QUALITY ASSURANCE

SECTION 14: ACCREDITATION INTENTIONS

SECTION 15: PRIMARY CONTACT FOR ACCREDITATION

SECTION 16: ALTERNATE CONTACT FOR ACCREDITATION

SECTION 17: REQUIRED SUPPORTING DOCUMENTATION

SECTION 18: PAYMENT INFORMATION

SECTION 19: APPLICATION CERTIFICATION