State Authorization

Institution Name

Name of institution

Institution Web Address

Application Type

Please select whether this is a new application or a application renewal.

New Application Application Renewal

Institution Type:

Public/State Non-Profit For Profit/LLC

Contact Name

Contact Email

Contact Phone Number

Would you like to list an alternate contact?

Alternate Contact Name

Alternate Contact Email

Alternate Contact Phone Number

Street Address of Institution

Institution City

Institution State

Institution Zip Code

Do you have a physical presence in North Dakota?

What is the physical address of where your presence is located in North Dakota? (Street, City, State, Zip Code)

Please enter a physical address of your ND presence. (Street, City, State, Zip Code)

Ownership Structure

Do you offer an online program in North Dakota that requires students gain a North Dakota state license in order to be employed in the state of North Dakota?

Please describe the program you offer online in North Dakota that requires a North Dakota License. Remember to include your contact with the North Dakota Licensing Board for that program and the results of that contact.

Do you offer an online program in North Dakota that requires students to complete a practicum in North Dakota?

If your institution requires an internship, externship, or practicum in the state of North Dakota, describe requirements and how students go about completing those requirements.

Are your school's North Dakota activities entirely online?

Accrediting Agency

Accreditation Expiration Date

Accreditation Attachment

Provide most recent certificate or letter of accreditation as an attachment.

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Does your institution have any sanctions/warnings?

Please document/explain any sanctions or warnings your institution has incurred, including an estimated time of resolution (if any).

Federal Financial Responsibility Composite Score

Note: If non-public, the institution shall maintain a financial responsibility index score of 1.5 or above.

How would you like to pay for your institutions state authorization fees?

Please click on the link below to complete a credit card payment:

Please click on link to open a new browser and be sent to our TouchNet e-payment system to complete your payment via credit card.

Use link provided below to complete your payment via credit card. (NOTE: You may need to turn off your pop-up blocker on your browser to allow a new window to open.)

https://nduso-ndus.nbsstore.net/

Acknowledgement

Submission of this application indicates the following:
• The application has been reviewed by an authorized representative of the institution with authority to make binding commitment.
• Pertains to on-site institution delivery only: The institution does not qualify for an exemption from the authorization requirement under North Dakota Century Code 15-18.1-02.
• Appropriate officials have read and understand the laws and policies regarding authorization to operate a post-secondary institution in North Dakota.
• The material in this form is accurate. Inaccuracies may be considered misrepresentation that results in the revocation of authorization.
• Any institution offering programs that lead to professional certification or registration (e.g. Nursing, Education) is required to comply with North Dakota Century Code 15-18.1-17. By statute the institution is required to give written notification to the student whether their programs meet the requirements of the appropriate professional board in North Dakota, including notification upon any change in this status.

By clicking yes, you verify the above information to be true and correct to the best of your knowledge.

Your name

Your email address

Your phone number

Verification Code

State Authorization

Other Fields