Chapter 30 Test Paypal | Wyoming Department of Education

Name of Institution *

Is the institution accredited through an accrediting body approved by the US Department of Education?

Yes

Name of accrediting association

Institution is in candidate status with the following approved accrediting association

Non-Accredited Institutions must be in the process of accreditation by an agency recognized by the US Department of Education. If the institution is currently in the process of accreditation, please contact Elaine Marces at 307-777-6210 for an application.

Registration Period (July 1 through June 30 annually) Registration Period (July 1 through June 30 annually)

Contact Name

Phone Number

Email Address

Website/URL

Physical Address

City

State/Province

Zip/Postal

Country

Mailing Address (if different)

City

State/Province

Zip/Postal

Country

This application is:

Initial Application

Renewal Application

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Local Information

Does the institution have any physical presence in Wyoming?

Yes

Local Director

Address of Instructional Site in Wyoming

City

State/Province

Zip/Postal

Country

Local Phone Number

LICENSED AGENTS:

Does the institution wish to license an agent?

Yes

An agent is defined as anyone who represents the institution who solicits students in the State of Wyoming. This includes events such as career fairs or school visits.

Please submit a Chapter 30 Application to License Agents for each agent

The institution is in compliance with all requirements of "Wyoming Private School Licensing Rules and Regulations" as well as Wyoming Statutes 21-2-401 through 21-2-407.

Name of Administrator:

PAYMENT INFORMATION:

A $100 fee is required for each application. Additionally, please submit $100 for each licensed agent. If paying by credit card, a processing fee will be calculated automatically.

Number of agents being licensed today *

Total Amount Due

Method of Payment *

Check

Credit Card

ACH Transfer

Check Number

If paying by ACH Transfer, please contact the Wyoming Department of Education for account information:

Please submit checks payable to the Wyoming Department of Education to the following address:

Wyoming Department of Education
Attn: Elaine Marces
122 W. 25th St. Suite 200
Cheyenne, WY 82002
For questions please call:
307-777-6210

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