IBHE: Distance Education Programs

Distance Education Programs - Online Request Form
Please complete all required fields (*) below:
Institution Information
OPEID*	[ OPEID Search ]
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?
*Are you accredited 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.

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