Out-of-state non-SARA institutions seeking approval to offer distance education in New York State may use this form to request that the application submission period be extended.
Institution
Institution Name *
OPEID *
Institution Address *
Accreditor *
President/CEO
President/CEO Name *
President/CEO Telephone *
Required phone number format: 555-555-1234
President/CEO Email *
Enter a valid email address (e.g., username@domain.com)
Primary Contact
Primary Contact Name *
Primary Contact Title *
Primary Contact Telephone *
Required phone number format: 555-555-1234
Primary Contact Email *
Enter a valid email address (e.g., username@domain.com)
Current New York State Distance Education Enrollment
Full-time Students *
Part-time Students *
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question *
3 + 10 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.