The Commission on Applied and Clinical Sociology
 
Application (Type & Print)
  

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1. Name of the Program to be accredited
2. Name of Department or Unit in which the Program is housed
3. Name of College, School or Division in which Dept or Unit is housed
4. Name of Institution in which College, School or Division is housed
5. Institution Accredited by
5a. Next Institutional Re-accreditation date
6. Name of Program Director
7. Mailing address of Program
 
 
8. Telephone
9. FAX
10. E-mail
11. Program Director is a full time faculty member in Dept/Unit in which Program is housed Yes No
12. Department/Unit in which Program is housed has at least two full time faculty Yes No
13. Program requires practice experience Yes No
14. Program has been in existence for two years Yes No
15. Number of students currently enrolled in the program
16. Number of students completing program in last two years
17. Name of degree(s) received by students in program
18. Accreditation standards have been reviewed Yes No
     
The institution certifies that all information provided on this form is accurate to the best of its knowledge.
 I agree  
Program Director ____________________________ Date
Dean/Director ____________________________ Date
Department / Unit Chair ____________________________ Date
Chief Academic Officer ____________________________ Date

Please submit the following via postal mail:  
2 copies of the program description from Institution’s catalogue and/or published brochure describing the Program
   
Application Fee of $100 payable to: Commission on Applied and Clinical Sociology
Dr. Melodye Lehnerer, Chair
6375 West Charleston Blvd. - W10E
Las Vegas, NV 89146


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e-mail: melodye.lehnerer@csn.edu

Page last updated: 4/09/08