Nonpublic School Initial Approval Form

Nonpublic School Initial Approval Form - New School Opening
Instructions for Completing This Form:

Nonpublic schools requesting initial approval for the North Dakota Department of Public Instruction to open a new school for the upcoming academic year must complete this form in its entirety. This form must be submitted by April 1 of each year.
Section A - School Identification
School Name
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number
Please enter a valid phone number.
School Website
Section B - Administration and Contact
Primary Contact Name
Title/Position
Contact Phone/Cell
Please enter a valid phone number.
Email Address
example@example.com

Section C - Operational Information
Effective Date/School Year

MonthDayYear
Date
Grades Offered

Pre-KKindergartenGrades K-8Grades 1-6Grades 6-8Grades 7-8Grades 9-12
If you intend to implement a phased expansion of your grade offerings, please provide a summary to include the additional grade(s) and effective school year(s). Attached school board minutes must also include this information.

Section D - Supporting Documentation
Upload your school's dated and signed board minutes indicating the approval of a new school.

Cancelof
Upload dated and signed board minutes indicating the approval of the Computer Science and Cybersecurity Integration Plan (NDCC 15.1-21).

Cancelof
Upload document outlining all teaching staff, license numbers, and assigned courses.

Cancelof
Upload a valid Fire Marshal Report.

Cancelof
Upload course offerings (NDCC 15.1-21).

Cancelof
Upload your school calendar.

Cancelof

According to NDCC 15.1-06-06.1, all individuals hired after June 30, 2011, and having unsupervised contact with students at the school, have undergone a criminal history background check requested on behalf of the employing school, or undergone a criminal history background check in order to be licensed by the education standards and practices board or by any other state licensing board.
Please specify which vendor you intend to use for conducting background checks.
Below are two background check vendors for your consideration:

10-Code, LLC
Contact: Steven Lundin
Phone (701) 751-7844
Website www.10codellc.com

Mind Your Business, Inc.
Phone: (888) 758-3776
Website: https://mybinc.com

Section E - Assurances

Carefully review each assurance statement below. By checking each box, the school affirms that it is in full compliance with the listed requirements.
Click each to confirm*

All individuals hired after June 30, 2011, who have unsupervised contact with students at the school, have undergone a criminal history background check requested by the employing nonpublic school.I affirm that I understand and will comply with North Dakota Century Code Chapter 50-25.1, which requires all school personnel to report suspected child abuse or neglect when there is reasonable cause to believe a child is being harmed. Reports must be made immediately to the North Dakota Department of Health and Human Services or, in emergencies, to law enforcement. I acknowlege that failure to report it may result in legal consequences and that the school will support staff in fulfilling this legal obligation.I further affirm that the school will maintain policies and provide training to ensure all staff are aware of and understand their responsibilities as mandated reporters.I assure that I understand the requirements outlined in NDCC 15.1-06-06.1. If a nonpublic school does not meet the approval criteria, fails to annually submit the compliance report by October 1 at 5:00 p.m. CST, or does not request an extension by October 15 at 5:00 p.m. CST, the superintendent of public instruction will notify the parents of enrolled students, either directly or through local media, that the school is unapproved and that continued enrollment may place parents in violation of the state's compulsory attendance laws.If after being certified as approved, a nonpublic school experiences circumstances or events that would render the information contained in its compliance report inaccurate, the administrator of the nonpublic school shall notify the superintendent of public instruction and work with the superintendent of public instruction to address the circumstances or events at the earliest possible time.The institution certifies that it complies with all requirements outlined in the North Dakota Century Code and the North Dakota Administrative Code for nonpublic schools. North Dakota Century Code Elementary and Secondary Education (NDCC 15.1). North Dakota Administrative Code (NDAC Title 67).
Exceptions

All schools are expected to comply with statutory requirements for school approval. In exceptional circumstances, when substantial and documented efforts have been undertaken yet a specific requirement remains unmet, those exceptions must be clearly noted. Please provide a detailed summary of the actions taken toward compliance, accompanied by relevant documentation supporting those efforts. The NDDPI will review all documented exceptions and initiate appropriate follow-up actions.
Please note exceptions below:

Section F - Certification/Signature
I hereby certify that the school complies with all statutory requirements for school approval as outlined in the North Dakota Century Code and North Dakota Administrative Code, except for specific items noted on the previous page.

Clear
Should be Empty:

Nonpublic School Initial Approval Form - New School Opening

Section A - School Identification

Section B - Administration and Contact

Section C - Operational Information

Section D - Supporting Documentation

Section E - Assurances

Exceptions

Section F - Certification/Signature