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Online Registration Form

Name of School

Year of Establishment

School Address

City

State

Zip Code

School Phone Number

School Email Address

School Website

School Mission Statement

Head of School/President Name

Head of School/President Email

Is the school licensed with the Louisiana Board of Regents

Yes No

Accreditation Status

Number of Full Time Faculty

Number of Part Time Faculty

Number of Administrative Staff

Total Student Enrollment

Programs Offered

Briefly describe the educational programs and services offered by your school:

Highlight any unique or specialized programs that distinguish your institution:

List any regional, national, or specialized accreditations held by your school:

Specify any affliations or memberships with educational organizations:

Provide evidence of compliance with all applicable laws, regulations, and licensing requirements (attach below):

Attach copies of necessary licenses or permits:

Provide contact information for two professional references who can vouch for your school's commitment to educational excellence and adhere to ethical standards:

Statement of Interest: Describe why your school is interested in joining LAPCS and how you believe membership will benefit your institution, students, and the broader educational community.