<p> ACCREDITING BUREAU OF HEALTH EDUCATION SCHOOLS 7777 Leesburg Pike, Suite 314 N. · Falls Church, Virginia 22043 APPLICATIONTel. 703/917.9503 FOR APPROVAL · Fax 703/917.4109 OF CHANGE · IN E-Mail: SCHOOL [email protected] NAME Must be submitted at least 15 days prior to changing name</p><p>To complete this document, place your cursor in each box or on each line and key the information. Answer spaces will expand to accommodate all your information.</p><p>Please provide the following information to support your application for approval from the Accrediting Bureau for Health Education Schools (ABHES) to change your institution’s name.</p><p>ABHES ID SCHOOL NAME: # PHON DIRECTOR: E: NEW NAME: FORMER NAME: DATE OF CHANGE: DATE STUDENTS WILL BE INFORMED OF NAME CHANGE:</p><p>Please attach the following: 1. Copy of the state authorization/approval for the new name. 2. Application fee See fees appendix in the Accreditation Manual. Application fee is not refundable.</p><p>Please sign and date the following certification statement. I hereby certify that students will be or have been informed of the school’s impending name change. We have informed all appropriate local, state, and Federal agencies of the name change, and we have complied with their requirements. There have been no changes in the school operations, programs, or curricula (other than those expressly approved by ABHES), and the school continues to operate in accordance with ABHES standards. </p><p>Dat Signature /Title e:</p><p>Change in Name Application 1/9/2018 Submission Requirements </p><p>One (1) USB or a CD Rom and one (1) hard copy of the completed application is required. The USB (stick) or CD copy must be in Microsoft Word-compatible files and labeled according to content and organized for ease of an electronic review. If exhibits are not currently in electronic format, these must be professionally scanned as “.PDF, JPG, TIF, or Microsoft-Compatible” files to ensure that all documents are legible. If the documents are scanned in per page and consist of more than two pages, please combine the documents into one. It is imperative that the CD is correctly labeled with the (1) institution’s name, (2) city/state, (3) ABHES ID #, (4) Type of Program Revision (e.g., Minor, Revised, New).</p><p>The application must be submitted at least fifteen (15) days prior to the requested approval date. </p><p>Applications will not be processed if all required items are not submitted, including the application fee. </p><p>Notification of Decision </p><p>ABHES will notify the institution in electronic format of the status of the application within six (6) weeks of receipt of the completed application. </p><p>If you have any questions regarding the application, please contact ABHES at (703) 917-9503.</p><p>BEFORE YOU MAIL</p><p>Check  that you have submitted all required items.</p><p> One (1) Hardcopy Application  One (1) USB or CD ROM  Appropriate Fee (Please See Fee Schedule in Accreditation Manual)</p><p>Change in Name Application 1/9/2018</p>