APPLICATION FOR ALTERNATIVE EDUCATIONAL
PROGRAMS
AND SERVICES PURSUANT TO SECTION 116.4 - PDF
(25KB)
Overview and Intent
The granting of approval for alternative educational programs and services pursuant to section 116.4 of the Regulations of the Commissioner of Education is intended for homes or facilities that provide educational programs and services provided by any State department or agency or political subdivision to populations that are small in number and either transient or confined in lieu of the requirements of section 116.3 of this Part.
Regulatory Requirements
Pursuant to section 116.4, the Commissioner may grant approval for alternative educational programs and services in lieu of the requirements of section 116.3 of this Part.
Application
Procedures
The application includes the following components:
2. Application Narrative that includes:
Submit the application to:
New York State Education Department
VESID/SEQA
One Commerce Plaza, Room 1623
Albany, New York 12234
ATTACHMENT A
COVER PAGE
APPLICATION FOR ALTERNATIVE EDUCATIONAL PROGRAMS AND SERVICES PURSUANT TO SECTION 116.4
Facility Name ______________________________________________________________
Facility Address _____________________________________________________________
Facility Address _____________________________________________________________
Name of Person Completing this Form ___________________________________________
Title ______________________________________________________________________
Telephone Number ___________________________________________________________
Effective Start Date ___________________________________________________________
Effective End Date ___________________________________________________________
For Department Use Only
Application Approved: o Date: ____________________
Application Denied: o Date: ____________________
Reasons for Denial: _______________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Please forward the application to:
New York State Education
Department
VESID/SEQA
One Commerce Plaza, Room
1623
Albany, NY 12234