P-26.2 REG 2 FORM A [Clause 4(a)] Category I School

PRIVATE VOCATIONAL SCHOOLS, 2014
P-26.2 REG 2
FORM A
[Clause 4(a)]
Category I School - Application for Issuance
of Initial Certificate of Registration
July 1, 20____ to June 30, 20____
Primary Applicant Contact Information
Full Name: ____________________________________________________________________
Mailing Address: _______________________________________________________________
Daytime Telephone: ____________________________________________________________
Other Telephone: ______________________________________________________________
Fax: __________________________________________________________________________
Email: ________________________________________________________________________
Business Information
Business/Corporate Name: ______________________________________________________
Registered Owner: _____________________________________________________________
Business Address: _____________________________________________________________
Date of Corporate Registration: _________________________________________________
(mm-dd-yy)
Business Classification
Is your business a
Sole Proprietorship
Partnership
Corporation
Not forProfit
(Include copy of
partnership agreement.)
Franchise
Yes
No
(If yes, include a copy of the franchise agreement.)
Fiscal year end for your business: _______________________________________________
(mmdd)
P-26.2 REG 2
PRIVATE VOCATIONAL SCHOOLS, 2014
Applicant Information
Please list the name of each applicant (i.e. sole proprietor in a proprietorship; all
partners in a partnership; all directors in a corporation) and attach a completed
Applicant Profile Form for each person named.
Applicant 1 Name: _____________________________________________________________
Applicant 2 Name: _____________________________________________________________
Applicant 3 Name: _____________________________________________________________
Applicant 4 Name: _____________________________________________________________
Applicant 5 Name: _____________________________________________________________
Applicant 6 Name: _____________________________________________________________
Applicant 7 Name: _____________________________________________________________
Applicant 8 Name: _____________________________________________________________
Applicant 9 Name: _____________________________________________________________
School Information
•
•
•
•
School Name: ______________________________________________________________
Address: ___________________________________________________________________
Other School Location(s): ____________________________________________________
Principal/Manager in Saskatchewan: _________________________________________
(Please attach an Applicant Profile Form for the Principal/Manager of the school in Saskatchewan, if he or
she is not identified above as an applicant.)
Telephone: ________________________
Fax: _______________________________
Email: ____________________________
Website: ___________________________
Course/Program Information
Please list the name of each course or program you are applying to offer. You must
attach a completed New Course/Program Registration Application for each
course or program listed here.
Course/Program 1: _____________________________________________________________
Course/Program 2: _____________________________________________________________
Course/Program 3: _____________________________________________________________
Course/Program 4: _____________________________________________________________
Course/Program 5: _____________________________________________________________
Registration Fee
• assessment of new courses/programs
• registration of first course/program
• registration of additional courses/programs x $75 each
+
Total =
$100
$300
$____
$
PRIVATE VOCATIONAL SCHOOLS, 2014
P-26.2 REG 2
*For the 2015-2016 private vocational
school year only, the Registration Fee is:
• assessment of new courses/programs
• registration of first course/program
• registration of additional courses/programs x $62.50 each
+
Total =
$100
$250
$____
$
Training Completions Fund Contribution
• An amount equal to the greater of:
(a) 1% of projected tuition revenue for first year of operation; and
(b) $2,000.
The Training Completions Fund Contribution must be paid on final approval of this
application and before the issuance of a Certificate of Registration.
Supporting Items
• Please check () that the following items are attached:
Copy of Certificate of Incorporation or Registration
(Obtain from Corporate Registry, Information Services Corporation (ISC) );
PVS Security;
Fire Safety Report;
Health Safety Report;
Building Safety Report;
Business Plan;
Applicant Profile Form(s);
Course/Program Registration Application Form(s);
Registration Fee (Cheque made payable to Minister of Finance).
The Training Completions Fund Contribution must be paid on final approval of this
application and before the issuance of a Certificate of Registration.
Declaration and Consent
I certify that the information provided in this application, including the attachments,
and in all other communications relating to this application, is correct.
I understand that registration fees paid are not refundable.
I understand that this application will expire six (6) months after the date on which it is
submitted to the Minister of Advanced Education (Saskatchewan) if I have not
successfully completed the application requirements within that period.
Applicant’s signature: __________________________________________________________
Applicant’s name (please print): ____________________________________________________
Date: _____________________________________