Pell-Eligible Prison Education Program Screening Form

After an institution receives HLC approval for its first Pell-eligible prison education program (also referred to as a PEP), it should use this form to report the following changes:

New PEP(s) started at a previously approved location.
New PEP(s) started at a third or subsequent PEP location. (Note: HLC approval is required for offering programs at an institution’s first two PEP locations.)
The introduction of a modality that differs from all the modalities HLC previously approved for any of the institution’s PEPs, regardless of location or program.

To confirm your institution’s PEP approval status, review your institution’s PEP stipulation (available to CEOs and Accreditation Liaison Officers in the Institutional Status and Requirements Report or Institutional Profile in Canopy).

Questions?

Contact HLC at pep@hlcommission.org

Questions with an asterisk (*) are required.

Contact Information

First name:(*)

First name required

Last name:(*)

Last name required

Title:(*)

Title required

Email address:(*)

Email address required

Institution name:(*)

Select your institution from the list provided

I certify I am authorized to submit this form on behalf of my institution. Please check the box to certify you are authorized to submit the form on behalf of your institution.

PEP Changes

Select the type of change your institution is planning to make (check all that apply):(*)

Starting new Pell-eligible prison education program(s) at a previously approved PEP location or the institution’s third or subsequent PEP location
Introducing a new modality (not currently approved for use in the PEP context) to a previously approved PEP Selection required

New Pell-Eligible Prison Education Program(s)

Will the new program(s) be offered at a previously approved PEP location?(*)

Yes
No Selection required

Has the institution been approved by HLC to offer PEPs at two (or more) locations?(*)

Yes
No Selection required

Prior approval is required for this program. Please submit the PEP application instead of this screening form.

Does your institution have appropriate approval from the oversight entity?(*)

Yes
No Selection required

Your institution must receive approval from the oversight entity before submitting this form.

Has the correctional facility where the PEP will be offered been approved by HLC as an additional location?(*)

Yes
No Selection required

The correctional facility must be approved as an additional location before submitting this form.

If your institution participates in the Notification Program for Additional Locations, your institution can submit the location in Canopy.

If your institution does not participate in the Notification Program, please submit an additional location application.

What is the address of the correctional facility where the program will be offered?

Name of correctional facility:(*)

Name of correctional facility required

Street address line 1:(*)

Street address required

Street address line 2:

Invalid Input

City:(*)

City required

State:(*)

State required

ZIP code:(*)

ZIP code required

Does your institution have HLC approval for each program it plans to offer, or is each program otherwise included within the institution’s accreditation? (*)

Yes
No Selection required

Provide the approval date(s) or explain the inclusion of the program(s) in the institution's accreditation (e.g., through a comprehensive evaluation for Reaffirmation of Accreditation, etc.).(*)

Approval date or explanation of inclusion in the institution's accreditation is required.

Your institution must obtain HLC approval, or otherwise ensure that each program is included in its accreditation, before submitting this form. See Substantive Change: New Academic Programs for details about HLC's requirements.

In which modality will the program(s) be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Does the new program(s) fall within the scope of the institution's correspondence education stipulation?(*)

Yes
No Selection required

Your institution must obtain approval to initiate or expand its correspondence education offerings before submitting this form. See Substantive Change: Distance and Correspondence Education for details on HLC's requirements.

Does your institution's competency-based education stipulation read "Approved for credit-based competency-based education"?(*)

Yes
No Selection required

Your institution must obtain approval to offer this program (or programs) through credit-based CBE before submitting this form. See Substantive Change: Competency-Based Education Programs for details about HLC's requirements.

Is each program that will be offered through direct assessment approved as a direct assessment program?(*)

Yes
No Selection required

Your institution must obtain approval to offer this program as a direct assessment program before submitting this form. See Substantive Change: Competency-Based Education Programs for details about HLC's requirements.

Does your institution's distance education stipulation read "Approved to offer distance education courses and programs"?(*)

Yes
No Selection required

Your institution must obtain approval to initiate or expand its distance education offerings before submitting this form. See Substantive Change: Distance or Correspondence Education for details about HLC's requirements.

How many new programs does the institution plan to offer at this location? (You may enter up to five programs per form submission.)(*)

Program 1

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality will the program be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 2

Full program name:(*)

Full program name required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

2020 CIP code and program name:(*)

Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality will the program be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 3

Full program name:(*)

Full program name required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

2020 CIP code and program name:(*)

Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality will the program be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 4

Full program name:(*)

Full program name required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

2020 CIP code and program name:(*)

Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality will the program be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 5

Full program name:(*)

Full program name required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

2020 CIP code and program name:(*)

Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality will the program be offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Change to Modality

Which new modality is your institution planning to introduce in a PEP context? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Do the programs that will be offered through correspondence education fall within the scope of the institution's correspondence education stipulation?(*)

Yes
No Selection required

Does your institution's competency-based education stipulation read "Approved for credit-based competency-based education"?(*)

Yes
No Selection required

Is each program that will be offered through direct assessment approved as a direct assessment program?(*)

Yes
No Selection required

Your institution must obtain approval to offer each program as a direct assessment program before submitting this form. See Substantive Change: Competency-Based Education Programs for details about HLC's requirements.

Does your institution's distance education stipulation read "Approved to offer distance education courses and programs"?(*)

Yes
No Selection required

What is the address of the relevant PEP location?

Name of correctional facility:(*)

Name of correctional facility required

Street address line 1:(*)

Street address required

Street address line 2:

Invalid Input

City:(*)

City required

State:(*)

State required

ZIP code:(*)

ZIP code required

How many programs at this location is your institution changing to a new modality? (You will need to fill out program information for each approved program at this location that is changing to a new modality.You may enter up to five programs per form submission.)(*)

Program 1

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality or modalities is the PEP currently offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Will the program continue to be offered in the current modality or modalities, in addition to the new modality?(*)

Yes
No
Other Selection required

Please explain:(*)

Explanation required

In which new modality is the institution planning to offer the program? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 2

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality or modalities is the PEP currently offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Will the program continue to be offered in the current modality or modalities, in addition to the new modality?(*)

Yes
No
Other Selection required

Please explain:(*)

Explanation required

In which new modality is the institution planning to offer the program? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 3

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality or modalities is the PEP currently offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Will the program continue to be offered in the current modality or modalities, in addition to the new modality?(*)

Yes
No
Other Selection required

Please explain:(*)

Explanation required

In which new modality is the institution planning to offer the program? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 4

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality or modalities is the PEP currently offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Will the program continue to be offered in the current modality or modalities, in addition to the new modality?(*)

Yes
No
Other Selection required

Please explain:(*)

Explanation required

In which new modality is the institution planning to offer the program? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Program 5

Full program name:(*)

Full program name required

2020 CIP code and program name:(*)

Selection required

Is the program a degree or certificate program?(*)

Degree
Certificate Selection required

Credential level: (*)
(e.g., A.A.S., A.A., A.S., B.A., B.S., M.A., M.S., Ed.D., Ph.D., M.F.A., M.B.A., certificate/diploma, etc.)(*)

Degree level required

In which modality or modalities is the PEP currently offered? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Will the program continue to be offered in the current modality or modalities, in addition to the new modality?(*)

Yes
No
Other Selection required

Please explain:(*)

Explanation required

In which new modality is the institution planning to offer the program? (Select all that apply.)(*)

Correspondence education
Credit-based competency-based education
Direct assessment
Distance education
In-person instruction Selection required

Click below to verify you are not a robot:(*)

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PEP Changes

New Pell-Eligible Prison Education Program(s)

Program 1

Program 2

Program 3

Program 4

Program 5

Change to Modality

Program 1

Program 2

Program 3

Program 4

Program 5