Bureau of Proprietary School Supervision


Prototypes of Administrative Forms

Do not file any forms until you have formally applied for school licensure by completing the school license application and filing the required fee.  


The New York State Education Law and the Regulations of the Commissioner of Education mandate the use of various forms to guide the administrative and record keeping responsibilities of the school

This web site contains prototypes of administrative forms that are approved for use in non-degree licensed private career schools. These are to be used as a template for the forms that need to be created when applying for a school license. Each of the prototypes contain the required information and should be used routinely, if practicable. The State Education Department recommends that you carefully review each form so that you fully understand its purpose and usefulness in the administration of the school. You should be sure to add the name and proposed address of the school to each form. You may also determine that by altering the form it will better meet the specification of your school. Such changes are encouraged provided they still meet all requirements set forth in Law and Regulations.

If you are using the forms created by another school as template for your own forms, such as for your catalog, you must disclose that fact and show a letter from the other school’s owner allowing you to do so.

Many of the sample forms include a paragraph or more describing the form and its purpose.  Certain sections also contain checklists of required information that must be included on the specific form.

It is the hope of the Education Department that this information will assist you in your endeavor to become a licensed/registered school owner/director. 

The sample forms are available in PDF format that require the user to have Adobe Acrobat, which is a free programExternal Link Image Icon, installed on the computer.  Although PDF forms cannot be edited, they can be printed without the loss of any formatting. Or if the user prefers, they can be converted to Microsoft Word or Apache OpenOffice Writer, a free open source applicationExternal Link Image Icon, for editing.

Prototypes of Administrative Forms

Agent Training and Supervision Manual PDF Image Icon (99KB)

Attendance Record PDF Image Icon (50KB)

Catalog PDF Image Icon (25KB)

Counseling Plan (Ability to Benefit Schools) PDF Image Icon (73KB)

Description of how the school ensures good attendance PDF Image Icon (61KB)

Enrollment Agreement PDF Image Icon (29KB)

Leave of Absence Forms PDF Image Icon (48KB)

Master Teacher/Class Schedule Form PDF Image Icon (75KB)

Program Completion Certificate or Diploma PDF Image Icon (13KB)

Progress Record Form PDF Image Icon (58KB)

Refund Calculation Form PDF Image Icon (63KB)

Refund Policy Guidelines

Receipt Forms For Students PDF Image Icon (52KB)

Student Disclosure Pamphlet (Student Rights)PDF Image Icon (110KB)

Student Ledger Card PDF Image Icon (59KB)

Student Transcript PDF Image Icon (18KB)

Teacher Evaluation Forms PDF Image Icon (81KB)

Last Updated: July 21, 2015