Accreditation Manual Appendix 2:

Changes in Programs and Personnel Form
Program Name:*
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*

Unyong StatwickStephenie Maddox HillMirjam BergerCrystal SchmalzVa'Nechia RayfordMary BrowneKraig BeardemphlYhanco MonetMary Stewart HallBen ItenTony MarshallJacob Atuahene-Nsowaah
Accreditation Area:
Effective Date:*

MonthDayYear
Date
Administrative Changes (Check all that apply):

Change in Program Name (Requires documentation)Change in Program AddressChange in Ownership of Program (Requires documentation)
Provide new information:
Upload supporting documentation:

Browse Files

Cancelof
Personnel Changes (Check all that apply):

Add a Contract Certified EducatorGive Contract Certified Educator access to SharePoint PortfolioAdd a Certified EducatorGive Certified Educator access to SharePoint PortfolioRemove a Certified EducatorProgram without a Certified EducatorPrimary Certified Educator*
Center Admin**

Add Program AdminRemove Program 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 Program Admin is a Certified Educator or administrator with permission to update program directory info, review/pay program fees, and monitor student unit reports. Programs may assign more than one admin. Admin privileges are granted for each center, component site, and satellite individually. The Program Admin is not designated in the public directory.
- Is this Program Admin an ACPE Certified Educator or member?*
  
  YesNo
- Program Admin Name:*
  
  First NameLast Name
- Program Admin Work Email:*
  example@example.com
- Program Admin Work Number:*
  
  Area CodePhone Number
- Program Admin Work Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- List personnel changes:
- Programmatic Changes (Check all that apply):
  
  Voluntary Withdrawal of Program Accreditation/Closure of ProgramVoluntary Withdrawal of Accreditation to offer Certified Educator CPE
- 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 Programs and Personnel Form