Accreditation Manual Appendix 2:

Changes in Centers, Programs, and Personnel Form
Most Center Directory changes can be made by Center Admins or by submitting the Center Directory Update form.
Center Name: *
Component/Satellite Center:
(If applicable)
ACPE Account Number:
(Please provide your account number if you know it.)
Name of Person Completing Form: *
Phone of Person Completing Form: *
Email of Person Completing Form: *
Your Assigned Accreditation Commissioner *

Katy Wilcox Debra Slade Alice Hernandez Jill Rowland Walter Balk Silvia Tiznado Ken Linder Tim Shipe Va'Nechia Rayford Adriana Cavina
Accreditation Area:
Effective Date: *

Month Day Year
Date
Administrative Changes (Check all that apply):

Change in Center Name (Requires documentation) Change in Center Address Change in Ownership of Center (Requires documentation)
Provide new information:
Upload supporting documentation:

Browse Files

Cancel of
Personnel Changes (Check all that apply):

Add a Certified Educator Remove a Certified Educator Center without a Certified Educator Change of Primary Certified Educator*
Center Admin**

Add Center Admin Remove Center Admin
*The Primary Certified Educator is the designated point of contact for staff and the Accreditation Commission. The Primary Certified Educator does not have special permissions. The Primary Certified Educator is not designated in the public directory.

**The Center Admin is a Certified Educator or administrator with permission to update center directory info, review/pay center fees, and monitor student unit reports. Centers may assign more than one admin. Admin privileges are granted for each center, component site, and satellite individually. The Center Admin is not designated in the public directory.

Center Admin Information
Is this Center Admin an ACPE Certified Educator or member? *

Yes No
Center Admin Name: *

First Name Last Name
Center Admin Work Email: *
example@example.com
Center Admin Work Number: *

Area Code Phone Number

Center Admin Work Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

List personnel changes:
Programmatic Changes (Check all that apply):

Closure of Satellite Closure of Component Site Voluntary Withdrawal of Center Accreditation/Closure of Center* Voluntary Withdrawal of Accreditation to offer Certified Educator CPE*
*These actions require the approval of the Accreditation Commission and should not be considered complete until notification is received from the commission after its fall or spring meeting.
Describe the nature of change and document effect on the CPE program(s), standards, policies, procedures, and contracts (if any).
You will receive an emailed confirmation after you hit "submit."
Should be Empty:

Changes in Centers, Programs, and Personnel Form