RFA-REQ1045791-2023_final.pdf

COMMONWEALTH OF VIRGINIA

DEPARTMENT OF EDUCATION

REQUEST FOR APPLICATIONS (RFA)

Issue Date: December 19, 2023 RFA No.: RFA-REQ1045791-2023

Project Title: Adult High School Services

Issuing Agency: Virginia Department of Education Office of Career, Technical, and Adult Education 101 N. 14th Street Richmond, Virginia 23219

Contact Information: Ebony Beaver Ebony.Beaver@doe.virginia.gov

(804) 225-3348

Application Due Date: January 23, 2024

All Inquiries for Information Should Be Directed To: Ebony Beaver via e-mail Ebony.Beaver@doe.virginia.gov . Questions will be accepted by e-mail only to Ebony Beaver up to and until 03:00 PM EST Friday, January 9, 2024.

All inquiries must be made in writing. No oral inquiries will be accepted. It is not permissible for an Offeror, or any entity working on behalf of an Offeror, to solicit information from any individual or government source (local, state or federal) other than from the official point of contact listed above.

Note: This public body does not discriminate against faith-based organizations in accordance with the Code of Virginia, § 2.2-

4343.1 or against a bidder or offer or because of race, religion, color, sex, national origin, age, disability, or any other basis prohibited by state law relating to discrimination in employment.

mailto:Ebony.Beaver@doe.virginia.gov mailto:Ebony.Beaver@doe.virginia.gov

Table of Contents

A. Purpose

B. Period of Performance

C. Background

D. Submission Requirements

E. Schedule of Events

F. Disclosure of Response Contents

G. Submittal Process

H. Program Requirements

I. Authorization Requirements

J. Guidelines

A. Purpose The Virginia Department of Education (Department) is issuing a request for applications (RFA) from qualified organizations for the purpose of authorizing entities to operate an adult high school pursuant to new legislation.

No funds will be made available through this RFA nor through any subsequent application process.

B. Period of Performance Authorization granted by the Department will be valid for a period of three years, contingent upon receipt of annual data, student performance, and cooperation with Departmental evaluation and monitoring activities.

Application periods will be open on an every-other year basis.

C. Background Virginia House Bill 1726 was passed by the General Assembly in the 2023 session and took effect July 1, 2023. It states:

As specified in § 22.1-225.1, the Department shall authorize a Virginia-based nonprofit organization with demonstrated evidence of positive student outcomes to provide schools for adults to earn (i) (a) an industry-recognized credential awarded through a partnership with a Virginia-based community college or an approved training provider or (b) dual college credit awarded through a partnership with a Virginia-based community college and (ii) a high school diploma on one or more diploma pathways set forth in subdivision 3 of 8VAC20-30-20 in which enrollment is open, on a space-available basis, to adults who reside throughout the Commonwealth.

As specified in 8VAC20-30-20, Adult high school programs are not part of the 9 through 12 high school program and shall meet minimum requirements. Such schools shall address quality standards and requirements.

D. Submission Requirements Applicants must follow requested naming conventions, page length requirements, and deadlines outlined in this Request for Applications. Failure to do so may result in disqualification. Respondents shall include a copy of Attachment A - APPLICATION FOR AUTHORIZATION AS AN ADULT HIGH SCHOOL within their submission file. Paper copies or faxed copies are not acceptable.

E. Schedule of Events Request for Applications released on December 19, 2023.

Questions will be accepted until 3 p.m. January 5, 2024 and answered via an addendum to the original eVA VBO posting.

Submissions are due to be received by the Department within eVA no later than Tuesday, January 23, 2024.

F. Disclosure of Response Contents Applicants should be aware that, with the exception of trade secrets or proprietary information invoked under § 2.2-4342 of the Code of Virginia, the contents of responses may be made public. The Department may use any ideas presented in any response.

G. Submittal Process Responses to this RFA will only be accepted electronically prior to the due date and time listed above.

Offerors shall submit responses via the Virginia Business Opportunities (VBO) portal of www.eVA.Virginia.gov; video instructions can be located here. Submissions should be contained in an electronic or zip file that is clearly labeled with the organization’s name within the VBO portal. Respondents shall include a copy of Attachment A - APPLICATION FOR AUTHORIZATION AS AN ADULT HIGH SCHOOL within their submission file. Paper copies or faxed copies are not acceptable.

H. Program Requirements For each numbered required prompt, provide a narrative response of no more than 200 words. Provide supporting documentation as indicated. Name the supporting documentation with the number of the prompt as the first character of the file name then a descriptive name, with no more than 25 characters (example:

“02_Corp501c3TaxStatus”).

I. Authorization Requirements

1. Provide evidence of established Virginia presence.

Name of file supplied as evidence:

2. Provide evidence of organizational corporate and tax status.

3. Provide evidence of financial stability, ownership, control, and legal responsibility, including:

a) Independent audit findings or other financial information that document financial stability from the previous three years, if available.

4. Provide evidence of physical accessibility and assurance of programmatic accessibility including:

a) Architectural plans, blueprints, inspection reports, or guidance demonstrating a commitment to physical accessibility.

Name of file supplied as evidence:

b) Written policies that will guide personnel to offer programmatic accessibility in enrollment, instruction, assessment, and training.

5. Provide evidence of authority structure, composition, and information about the leadership, organizational, and management structure of the provider, including:

a) Resumes of recruited board members (not to exceed 5 pages each) Name of file supplied as evidence:

b) Organizational chart that clearly labels positions with responsibility for fiscal, programmatic, and data accountability.

Name of file supplied as evidence:

c) Mission statement Name of file supplied as evidence:

d) Functions, organization, responsibilities, and membership of the governance organization Name of file supplied as evidence:

e) Stability of management structures http://www.eva.virginia.gov/ https://www.youtube.com/watch?v=KSxcAkOekW0

6. Provide evidence of recruitment, enrollment, and retention policies including:

a) Written policies that will guide recruitment, enrollment, attendance, and retention. These must include any criteria the provider would use to evaluate eligible students for acceptance and policies that will govern continued eligibility to attend.

7. Provide evidence of educational gains for adult students with sufficient citations and descriptions for each measure, including assessments, attendance hours, and gain types so that reviewers can determine the suitability of the data submitted and relevancy of the calculations. When providing percentages, also provide the numerator and denominator for the measure.

8. Provide planned credentials or dual enrollment pathways and outcome data to demonstrate students’ success rates. Provide sufficient citations, descriptions, and calculations so that reviewers can determine the suitability of the data submitted and the relevancy of the calculations.

a) Provide the full names and regulating bodies of industry-recognized credentials to be offered. The rigor of the proposed credentials should meet or exceed the criteria on the Board of Education-approved Career and Technical Education credential list.

b) Provide documentation to support the planned partnership with a Virginia community college or training partner including:

i) Provide the Memorandum of Understanding and/or Articulation Agreement with the partners.

Name of file supplied as evidence:

ii) Provide specific performance data on the credential or degree program of interest.

9. Documentation that the provider will deploy a student information management system that will reliably, accurately, and securely track and report student participation, progress, and transcripts.

a) Provide written policies that will guide data collection and reporting by provider personnel.

Name of file supplied as evidence:

b) Provide statistical information on system availability, security measures, downtime incidents, and back-up procedures.

Regulations Governing Adult High School Programs

10. Documentation that a local school division has agreed to award adult high school diplomas based on the proposed instructional model and curriculum.

a) Provide signed Memorandum of Understanding with the leadership of the local school division.

11. Documentation to support the process by which the provider will ensure that enrolled students are not subject to the compulsory attendance requirements of § 22.1-254 of the Code of Virginia.

a) Provide written policies that will guide student eligibility based on the compulsory attendance requirements of § 22.1-254 of the Code of Virginia.

https://law.lis.virginia.gov/vacode/22.1-254/

12. Documentation to support the credit policies the school will follow.

a) Provide the written policies that will guide the awarding of credit to students and their transferability to other secondary schools.

Name of file supplied as evidence:

b) Evidence that supports the quality of the course content, including evidence that the content of each course is accurate, rigorous, and meets or exceeds the content of the courses taught in traditional school environments should include:

(i) Provide documentation that the content of each course is accurate, rigorous, and meets or exceed the content of courses taught in traditional school environments.

(ii) Provide evidence that at least two subject matter experts have reviewed and validated the accuracy of the course content.

(iii)Provide evidence that the courses are aligned to the Virginia Standards of Learning.

13. Documentation to support the diploma path the school will offer. All applicants must respond with narrative to describe the proposed program. Only one diploma path (a-d) response is required.

a) Provide a description of the program to be offered to students such that the intended path to a diploma is clearly described including expected timelines to completion.

If applicant intends to offer Diploma option a:

a) Provide documentation that an accredited public school in Virginia will assume oversight and responsibility for all curriculum, instruction, guidance counseling, and graduation requirement transcript review for a high school diploma, in accordance with 8VAC20- 131-50 for the courses offered at the Adult High School. Clarify in this documentation whether students will work toward a Standard or an Advanced diploma.

If applicant intends to offer Diploma option b:

a) Provide documentation that an accredited public school in Virginia will assume oversight and responsibility for all curriculum, instruction, guidance counseling, and graduation requirement transcript review for an adult high school diploma, in accordance with 8VAC20-131-50, for the courses offered at the Adult High School.

If applicant intends to offer Diploma option c:

and responsibility of the issuance of an adult high school diploma upon completion of the National External Diploma Program through the Adult High School.

If applicant intends to offer Diploma option d:

and responsibility of the issuance of a general achievement adult high school diploma based on the proposed program of study that meets or exceeds all requirements as stated in elements (1) through (4) in 8 VAC 20-30-20, Diploma (d).

Name of file supplied as evidence:

https://law.lis.virginia.gov/admincode/title8/agency20/chapter131/section50/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter131/section50/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter131/section50/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section20/

14. Evidence that employed teachers meet the requirements set forth in sections §22.1-296.1 and

22.1-296.2 of the Code of Virginia and will be highly qualified, licensed by the Virginia Board of Education, and endorsed in their course content area. The established agreements between Virginia and other states for reciprocal teacher licensure are also in effect for adult high schools.

15. Evidence that library and media, science laboratories, and computer technology is available and accessible to instructional staff and adult learners.

16. Evidence that all administrators hired by the provider meet the requirements set forth in section §22.1-212.26B of the Code of Virginia.

17. Evidence that credentialed or licensed, as appropriate, guidance counselors and/or career coaches are available at a reasonable ratio of professionals to students such that each adult student has access to these services.

a) Provide the ratio of counselors to students.

b) Provide the model of guidance services that will be available to students.

If Applicable: Technology Requirements

18. OPTIONAL: Documentation to support provider assurance that the system used to support course delivery and management is effective and reliable.

a) Provide a description of the chosen instructional delivery and management system.

b) Provide statistical information on system availability, downtime incidents, and back-up procedures.

19. OPTIONAL: Documentation to support provider assurance that there is sufficient technical support.

a) Provide a description of technical support mechanisms in place and their schedule of availability to teachers and students.

J. Guidelines The following chart lists the regulations guiding this authorization, the Code citations, and the Code language. Requirements are numbered for ease of reference throughout the application package.

Prompt No.

Category and Code Reference

Criteria Applicant must provide:

§ 22.1-225.1 Authorization Requirements 1 Virginia-based The provider maintains an established

Virginia-based presence.

Evidence of established Virginia presence.

2 Status The provider maintains a non-profit status.

Evidence of organizational corporate and tax status.

3 Stability The provider has an effective and stable organizational and management structure. The provider is financially solvent. The legal status of the provider and proposed curriculum and products is clear with no ambiguities in ownership, control, or responsibility.

Evidence of financial stability, ownership, control, and legal responsibility, including:

• Independent audit findings or other financial information that document financial stability from the previous three years, if available.

4 ADA compliant The provider’s facilities are compliant as a public accommodation with the Americans with Disabilities Act of 1990 (Public Law 101-336) as amended in 2008.

Evidence of physical accessibility and assurance of programmatic accessibility.

• Provide architectural plans, blueprints, inspection reports, or guidance demonstrating a commitment to physical accessibility.

• Provide the written policies that will guide personnel to offer programmatic accessibility in enrollment, instruction, assessment, and training.

Category and Code Reference

Criteria Applicant must provide:

5 Oversight authority

The provider demonstrates a strong and established oversight authority that includes representation from the local school board pursuant to § 22.1- 225 and with responsibilities pursuant to 8 VAC 20-30-10 below.

Evidence of authority structure and composition.

• Provide information about the leadership, organizational, and management structure of the provider, including:

o Resumes of recruited board members (not to exceed 5 pages each) o Organizational chart o Mission statement o Functions, organization, responsibilities, and membership of the governance organization o Stability of management structures

6 Enrollment The provider demonstrates that enrollment will be open, on a space-available basis, to adults who reside throughout the Commonwealth.

Evidence of recruitment, enrollment, and retention policies.

• Provide the written policies that will guide recruitment, enrollment, attendance, and retention. These must include any criteria the provider would use to evaluate eligible students for acceptance and policies that will govern continued eligibility to attend.

Category and Code Reference

Criteria Applicant must provide:

Demonstrated Evidence 7 Academic outcomes The provider demonstrates educational gain rates that meet or exceed those required by Virginia’s publicly funded adult education providers (negotiated measurable skills gain performance target for PY23-24 is 27.5%).

Evidence of educational gains for adult students.

• Provide sufficient citations and descriptions for each measure, including assessments, attendance hours, and gain types so that reviewers can determine the suitability of the data submitted and relevancy of the calculations.

8 Workforce development outcomes

a) The provider demonstrates measures of success in industry-recognized or postsecondary credential attainment that meet or exceed those required by Virginia workforce development programs as set forth in Policy #404-01 (required rates for PY23-24 are 70% completion and 70% credentials earned).

Planned credentials or dual enrollment pathways and outcome data provided to demonstrate students’ success rates.

• Provide sufficient citations, descriptions, and calculations so that reviewers can determine the suitability of the data submitted and the relevancy of the calculations.

• Provide the full names and regulating bodies of industry-recognized credentials to be offered. The rigor of the proposed credentials should meet or exceed the criteria on the Board of Education-approved Career and Technical Education credential list.

b) The provider demonstrates a partnership with a Virginia community college or a training provider that has been approved as an Eligible Training Provider under the quality standards of the WIOA Title I program as set forth in Policy #404- 01.

Documentation to support the planned partnership with a Virginia community college or training partner.

• Provide the Memorandum of

Understanding and/or Articulation Agreement with the partners.

• Provide specific performance data on the credential or degree program of interest.

https://virginiacareerworks.com/wp-content/uploads/VBWD-404-01-Change-1-ETPL-Policy-Approved.pdf https://virginiacareerworks.com/wp-content/uploads/VBWD-404-01-Change-1-ETPL-Policy-Approved.pdf https://virginiacareerworks.com/wp-content/uploads/VBWD-404-01-Change-1-ETPL-Policy-Approved.pdf

Category and Code Reference

Criteria Applicant must provide:

Data and Reporting 9 Data reporting Providers must provide data to the

DOE annually for the purposes of reporting information to the Governor and the General Assembly regarding student performance and outcomes in the adult high school.

Documentation that the provider will deploy a student information management system that will reliably, accurately, and securely track and report student participation and progress.

• Provide written policies that will guide data collection and reporting by provider personnel.

• Provide statistical information on system availability, security measures, downtime incidents, and back-up procedures.

Category and Code Reference

Criteria Applicant must provide:

8 VAC Chapter

Regulations Governing Adult High School Programs

8 VAC 20-30-10 Responsibility 10 Local school officials are responsible for evaluating and awarding credit for educational achievement, other than that earned in the high school program.

Documentation that a local school division has agreed to award adult high school diplomas based on the proposed instructional model and curriculum.

• Provide signed Memorandum of

Understanding with the leadership of the local school division.

8 VAC 20-30-20 Minimum requirements for adult high school programs.

11 Age Only those students who are not subject to the compulsory attendance requirements of § 22.1-254 of the Code of Virginia shall be enrolled in an adult high school program.

Documentation to support the process by which the provider will ensure that enrolled students are not subject to the compulsory attendance requirements of § 22.1-254 of the Code of Virginia.

Provide written policies that will guide student eligibility based on the compulsory attendance requirements of § 22.1-254 of the Code of Virginia.

12 Credit

a. Satisfactory completion of 108 hours of classroom instruction in a subject shall constitute sufficient evidence for one unit of credit toward a high school diploma.

b. When, in the judgment of the principal or the superintendent, an adult not regularly enrolled in the grades 9 through 12 high school program is able to demonstrate by examination or other objective evidence, satisfactory completion of the work, he may receive credit in accordance with policies adopted by the local school board. It is the responsibility of the school issuing the credit to document the types of examinations employed or other objective evidence used, the testing or assessment procedures, and the extent of progress in each case.

Documentation to support the credit policies the school will follow.

• Provide the written policies that will guide the awarding of credit to students and their transferability to other secondary schools.

Evidence that supports the quality of the course content, including evidence that the content of each course is accurate, rigorous, and meets or exceeds the content of the courses taught in traditional school environments should include:

• Provide documentation that the content of each course is accurate, rigorous, and meets or exceed the content of courses taught in traditional school environments.

https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section10/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section20/ https://law.lis.virginia.gov/vacode/22.1-254/

Category and Code Reference

Criteria Applicant must provide:

c. Credits earned in adult high school programs shall be transferable as prescribed in the Regulations Establishing Standards for Accrediting Public Schools in Virginia within the sponsoring school division and shall be transferable to public secondary schools outside of the sponsoring school division.

• Provide evidence that at least two subject matter experts have reviewed and validated the accuracy of the course content.

• Provide evidence that the courses are aligned to the Virginia Standards of Learning.

13 Diploma a. A diploma, as provided in 8VAC20-131-50, shall be awarded to an adult student who completes all requirements of the diploma regulated by the Board of Education, with the exception of health and physical education requirements, in effect at the time he will graduate.

b. An adult high school diploma shall be awarded to an adult student who completes the course credit requirements in effect for any Board of Education diploma, with the exception of health and physical education course requirements, at the time he first entered the ninth grade.

The requirement for specific assessments may be waived if the assessments are no longer administered to students in Virginia public schools.

c. An adult high school diploma shall be awarded to an adult student who demonstrates through applied performance assessment full mastery of the National External Diploma Program Competencies, version 5.0, January 2013, a CASAS program, as promulgated by the American Council on Education and validated and endorsed by the U.S. Department of Education.

d. A general achievement adult high school diploma shall be awarded to a student who is not subject to the compulsory attendance requirements

Documentation to support the diploma path the school will offer.

• Provide a description of the program to be offered to students such that the intended path to a diploma is clearly described including expected timelines to completion.

• If applicant intends to offer Diploma option a:

o Provide documentation that an accredited public school in Virginia will assume oversight and responsibility for all curriculum, instruction, guidance counseling, and graduation requirement transcript review for a high school diploma, in accordance with 8VAC20-131- 50 for the courses offered at the Adult High School.

o Clarify in this documentation whether students will work toward a Standard or an Advanced diploma.

Diploma option b:

o Provide documentation that an accredited public school in Virginia will assume oversight and responsibility for all curriculum, instruction, guidance counseling, and graduation requirement transcript review for an adult high school diploma, in https://law.lis.virginia.gov/admincode/title8/agency20/chapter131/section50/

Category and Code Reference

Criteria Applicant must provide:

of § 22.1-254 of the Code of Virginia and who:

(1) Successfully completes a high school equivalency examination approved by the Board of Education;

(2) Earns a Board of Education-approved career and technical education credential, such as the successful completion of an industry certification, a state licensure examination, a national occupational competency assessment, or the Virginia Workplace Readiness Skills Assessment; and

(3) Successfully completes the following courses that incorporate or exceed the applicable Standards of Learning:

Discipline Area Standard Units of Credit Required

English 4

Mathematics 3

Science 2

History and Social Sciences

Electives 9

TOTAL 20

Courses completed to satisfy the requirements in mathematics and science shall include content in courses that incorporate or exceed the content of courses approved by the Board of Education to satisfy any other board-recognized diploma.

Courses completed to satisfy the history and social sciences requirements shall include one unit of credit in Virginia and U.S. history and accordance with 8VAC20-131- 50, for the courses offered at the Adult High School.

Diploma option c:

o Provide documentation that an accredited public school in Virginia will assume oversight and responsibility of the issuance of an adult high school diploma upon completion of the National External Diploma Program through the Adult High School.

Diploma option d:

o Provide documentation that an accredited public school in Virginia will assume oversight and responsibility of the issuance of a general achievement adult high school diploma based on the proposed program of study that meets or exceeds all requirements as stated in elements (1) through

(4) in 8 VAC 20-30-20, Diploma (d).

https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section20/

Category and Code Reference

Criteria Applicant must provide:

one unit of credit in Virginia and U.S.

government in courses that incorporate or exceed the content of courses approved by the Board of Education to satisfy any other board-recognized diploma.

Courses completed to satisfy the electives requirement shall include at least two sequential electives in an area of concentration or specialization, which may include career and technical education and training.

8VAC20-30-30 Minimum qualifications of teachers for adult high schools.

14 Teachers teaching in the adult high school program shall be licensed and endorsed in the subject areas they teach.

Evidence that employed teachers meet the requirements set forth in sections §22.1-296.1 and 22.1-296.2 of the Code of Virginia and will be highly qualified, licensed by the Virginia Board of Education, and endorsed in their course content area.

The established agreements between Virginia and other states for reciprocal teacher licensure are also in effect for adult high schools.

8VAC20-30-40 Library facilities for adult high schools.

15 The adult high school program shall have library media services, science laboratories, and computer technology accessible to instructional staff and adult learners.

Evidence that library and media, science laboratories, and computer technology is available and accessible to instructional staff and adult learners.

https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section30/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section40/

Category and Code Reference

Criteria Applicant must provide:

8VAC20-30-60 Administration and supervision for adult high schools.

16 The adult high school program shall be under the supervision of the high school principal, assistant principal, or a qualified staff member approved by the division superintendent.

Evidence that all administrators hired by the provider meet the requirements set forth in section §22.1-212.26B of the Code of Virginia.

8VAC20-30-70 Guidance services for adult high schools.

17 The adult high school program shall have appropriate guidance services available.

Evidence that credentialed or licensed, as appropriate, guidance counselors and/or career coaches are available at a reasonable ratio of professionals to students such that each adult student has access to these services.

Provide the ratio of counselors to students.

Provide the model of guidance services that will be available to students.

Prompt No.

Category and Code Reference

Criteria Applicant must provide:

If applicable to the model

Technology Requirements

18 Reliability The system used to support course delivery and management shall be effective and reliable.

Documentation to support provider assurance that the system is effective and reliable.

Provide a description of the chosen instructional delivery and management system.

Provide statistical information on system availability, downtime incidents, and back-up procedures.

19 Support Technical support shall be consistently available on a timely basis for students and instructors.

Documentation to support provider assurance that there is sufficient technical support.

Provide a description of technical support mechanisms in place and their schedule of availability to teachers and students.

https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section60/ https://law.lis.virginia.gov/admincode/title8/agency20/chapter30/section70/

Attachment A –

APPLICATION FOR AUTHORIZATION AS AN ADULT HIGH SCHOOL

(This page of the application is to be printed, completed, signed, scanned, and submitted as a PDF document.)

In compliance with this Request for Applications (RFA) and all conditions imposed in this RFA, the undersigned firm hereby offers and agrees to furnish all goods and services in accordance with the attached signed proposal or as mutually agreed upon by subsequent negotiation. The undersigned firm hereby certifies that all information provided below and, in any schedule, attached hereto is true, correct, and complete.

Applicant Affidavit

Applicant: ___________________________________________________________________________

Primary Contact Person: ________________________________________________________________

Address: ___________________________________ City/State/Zip: _____________________________

Telephone: __________________________________ Fax:_____________________________________

E-Mail Address: ____________________________ Web Site: __________________________________

Printed Name: _____________________________ Signature: ___________________________________

Title: ____________________________________ Date Signed: _________________________________

Certification:

The applicant acknowledges that federal and state laws and regulations prohibit certain forms of discrimination. The applicant further acknowledges that, by entering into an agreement with a local school division for the provision of services, the applicant may become subject to such laws or regulations, either directly through the application of such laws or regulations to itself, or in the provision of services under the contract with the local school division.

I, ____________________________, certify that the information contained in, and attached to, this application is true and correct to the best of my knowledge and that the adult high school program conforms to the provisions of the Code of Virginia § 22.1-225.1 and Chapter 30. If changes occur in the operation or ownership of the program, I further certify that I will notify the Virginia Department of Education prior to or immediately following such changes. I understand that providing false, misleading, or incomplete information or failing to notify the Department of changes as they occur may result in the removal of the authority for the entity to operate the adult high school as provided for in the above-referenced Code.

Signature of Authorized Official/Date

Printed Name

Title