 | Application |
| W-9 Form |
| Liability Insurance Policy Face Sheet |
| Program License or Certification (for each program) |
| Quality Improvement Plan |
| Letter of Accreditation |
| Fire Inspection |
| Environmental Health Assessment |
| Verification of non-profit status |
| EEOC Policy |
| Program profile / description and brochures (for each program) |
| Staff Roster with Degrees / Licensure |
| Logic Model (for each program |
| Outcome Data including concurrent and retrospective |
| Cultural Competency Policy |
| List of Board of Directors |
| Training Schedule for last year and curriculum |
| Educational Profile (residential only) |
| Adventure-Based Profile (if applicable) |
| Mission, Values, Guiding Principles, etc. |
| Consumer Protection Policy / Procedures |
| Seclusion Policy / Procedure (residential only) |
| Behavior Management Policy / Procedure |
| Licensing / Rights Violations for past year |
