IBHE: Distance Education Programs

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
Email
* Are you currently authorized in another state?
Yes No 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.

IBHE Online Systems