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Intent to Apply for Approval to Offer Distance Education in New York State

Out-of-state non-SARA institutions seeking approval to offer distance education in New York State must complete this form as the first step in the application submission process.  Note that institutions will have 60 days from the date this form is completed to submit their application and send the application fee.

Institution
President/CEO
Required phone number format: 555-555-1234
Enter a valid email address (e.g., username@domain.com)
Primary Contact
Required phone number format: 555-555-1234
Enter a valid email address (e.g., username@domain.com)
Current New York State Distance Education Enrollment
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
4 + 14 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.