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Illinois Board of Higher Education
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Phone: (217) 782-2551 | Fax: (217) 782-8548 | TTY: (888) 261-2881
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Distance Education Programs - Online Request Form
Please complete all required fields (
*
) below:
Institution Information
OPEID
*
[
OPEID Search
]
Don't have an OPEID? Please use the acronym for your institution's name + the year i.e.,(ABC2020). Ten (10) characters allowed.
Institution
*
Address 1
*
Address 2
City
*
State
*
Zip Code
*
-
Web Address
*
Accreditor
*
Contact person for the program:
Title
First
*
Middle
Last
*
Suffix
Name
*
Phone
*
extension
Email
*
Contact person for reporting complaints (if different):
Title
First
Middle
Last
Suffix
Name
Phone
extension
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*
Are you currently authorized in another state?
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If yes, which state?
*
Do you have institutional accreditation by a body recognized by the U.S. Department of Education and/or the Council for Higher Education Accreditation?
Yes
No
If yes, which accrediting body?
*
Are you offering academic support services in the State of Illinois?
Yes
No
If yes, describe the services provided.
*
The undersigned hereby verifies that the information provided in this application is true, complete, and correct to the best of his or her knowledge; and that he or she has the authority to submit this application on behalf of the Institution; and that he or she is an authorized representative of said Institution.
Once you click submit, you will be directed to a printable version of the application. It will need to be printed, signed by an appropriate administrator, and mailed with the $250 fee.
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