Membership Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="043fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFBF0" FACE="Verdana" ><B>Worldwide Educational Accreditation Commission Inc.</B></FONT><FONT SIZE="1" COLOR="#FFFBF0" FACE="Verdana" ><B> </B></FONT><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B>  </B></FONT><FONT SIZE="2" COLOR="#000000" FACE="Verdana" ><B> </B></FONT><B> </B><B>| </B><FONT SIZE="2" COLOR="#000000" FACE="Verdana" ><B>   </B></FONT><B> </B><A HREF="index.htm" TARGET="_top" TITLE="Worldwide Educational Accreditation Comm"><U><B>home</B></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Purpose and Mission "><U><B>Purpose and Mission </B></U></A><B>   |   </B><A HREF="id18.htm" TARGET="_top" TITLE="Organization Patterns Events"><U><B>Organization Patterns Events</B></U></A><B>   |   </B><A HREF="id22.htm" TARGET="_top" TITLE="Membership"><U><B>Membership</B></U></A><B>   |   </B><A HREF="id23.htm" TARGET="_top" TITLE="Accredited Schools"><U><B>Accredited Schools</B></U></A><B>   |   </B><B>Membership Application</B><B>   |   </B><A HREF="id20.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A><B>   |   </B><A HREF="id21.htm" TARGET="_top" TITLE="Code of Ethics"><U><B>Code of Ethics</B></U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="044d2b03.jpg"> <div>   <IMG SRC="046b7220.png" border=0 width="183" height="290" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B>Membership Application</B></div> <bR> <div> <B>APPLICATION FOR ACCREDITATION</B></div> <bR> <div> DATE: _________________</div> <bR> <div> Full name of institution seeking accreditation: _______________________________________</div> <bR> <div> Address______________________________________________________________________</div> <bR> <div> City_____________________________ State____________________ Zip Code____________</div> <bR> <div> Telephone_____________________________ Fax____________________________________</div> <bR> <div> Email or Web Address__________________________________________________________</div> <bR> <div> Name of person filling out application and affiliation: _________________________________</div> <bR> <div> How many years has your school been in existence? _______________________________</div> <bR> <div> Is your institution accredited by any other organization? ____________________________ </div> <bR> <div> If yes, please give full name of that organization. __________________________________</div> <bR> <div> Have you ever been denied accreditation by any organization? _______________________</div> <bR> <div> If yes, please explain: ________________________________________________________</div> <bR> <div> Please check all applicable class types your institution offers:<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> Day___________ Evening__________ Correspondence & Extension__________________ </div> <bR> <div> Do you offer summer classes? _________________________________________________</div> <bR> <div> Do you use semester hours, quarter hours, or other type credits? Explain________________</div> <bR> <div> Has your institution ever been involved in legal litigation with either state or federal government? _____________ If so, please </div> <bR> <div> explain:_________________________________</div> <bR> <div> Have you ever been required to appear in court by a dissatisfied student(S)? _____________</div> <bR> <div> If so, please explain:_________________________________________________________</div> <bR> <div> <B>APPLICATION FOR ACCREDITATION</B></div> <bR> <div> What is your currently enrolled, or your last enrollment if not in session? _______________</div> <bR> <div> Is your school incorporated? ____________ If so, in what state(s)? _________________</div> <bR> <div> Does your state require approval for your school to operate? _______________________</div> <bR> <div> If so, have you met this approval? ____________________________________________<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> Please list all degrees, certificates, diplomas and etc. you offer: _____________________</div> <bR> <div> How many teachers or instructors do you now have? _____________________________</div> <bR> <div> Full-time_____________________ Part-time__________________________________</div> <bR> <div> Please list names of ALL of your instructors, level of degree, diploma or experience and institution in which they were certified and year of </div> <bR> <div> certification. Please list on separate sheet of paper.</div> <bR> <div> Is your college or school affiliated with any type of religious organization? ___________</div> <bR> <div> If so, please tell us which group. _____________________________________________</div> <bR> <div> Do you offer degrees and diplomas primarily for religious purposes? ________________<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <bR> <div> Do you have any totally secular certificates or diplomas? _____________________</div> <bR> <div> Are you or any of your staff employed by any State, Federal, or Government agency?</div> <bR> <div> ________________________________________________________________________</div> <bR> <div> How did you learn about Worldwide Educational Accrediting Commission (WEAC)?</div> <bR> <div> ________________________________________________________________________</div> <bR> <bR> <div> <B>APPLICATION FOR ACCREDITATION </B></div> <bR> <div> Note: Please send us a picture of your campus or facility with this application with application fee of $500.00 If you are exclusively correspondence in nature please sends a picture where your office is located.</div> <bR> <bR> <div> **You must have the following statement below signed and notarized by your school official who is responsible for this application.</div> <div> I have read and answered the questions on this application. I am hereby stating that all answers are true and correct to the best of my knowledge. I understand that if this application is accepted by WEAC we will receive candidate status. This status will end in six months from date signed if we have not had an onsite visit by that time.</div> <bR> <bR> <div> State of_________________) S .S. County of________________________)</div> <bR> <bR> <div> ___________________________, being by me duly sworn, declares that the above/foregoing statement is true and correct to the best of his/her knowledge and belief.</div> <bR> <div> ____________________________________<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <div> School Director Signature</div> <bR> <bR> <div> Subscribed and sworn/affirmed to before me by_____________________________________</div> <bR> <bR> <div> On this_____________ day of ________________________ 2004 </div> <bR> <bR> <div> ____________________________________<FONT SIZE="3" COLOR="#000000" FACE="Arial" > </FONT></div> <div> Notary Public</div> <bR> <div> (SEAL) Residing at__________________________</div> <bR> <bR> <div> My Commission expires: _______________</div> <bR> <bR> <bR> </td> </tr></table></body>