noticeto comply- p c. 1 ' 7~7- '' '(fa. d. 3g c, .l .e … · state of...

4
STATE OF CALIFORNIA- STATE AND CONSUMER SERVICES AGENCY Governor Edmund G. Brown Jr. c::Ic:a Bureau for Private Postsecondary Education P.O. Box 980818, West Sacramento, CA 95798-0818 (888) 370-7589 / www.bppe.ca.gov NOTICE TO COMPLY- 000243 (Ed Code § 94935, 5 CCR § 75010) Institution p Name: '(fA. ',f'Yh',., ..J~(:i~ Institution Telephone: c. 1 ''"' esi 7~7- tJ 4-1 L lnst. Code: d. OJ 3G 9 7J.. C, Street Address: C I .L 300 ( "'.["1)0 I\V~ Administrator .e-: L. f C/ Signature: ~~;'-.J ." Inspector: 9--1.... () ~ - VIOLATION(S) Code of v Rees , Printed Name Date Educ. Code Description Description §94802 Continuance of Former Approvals. Subsection(s): §71705 Mission and Objectives. Educational Prograjn. ~J A r.r- J ,/i r: Subsection(s):,,;tj. " 1.Y( lf4. ), (CJ~}Jr 1& ),(,}fj) )94897 V Prohibited Bus!J;te{s.Fract~e~. J': J Subsection(s): Ci J (6 )JL 1 tt ft M) 1,., §71710 §94898 Instruction. '-- 'J/ ~ -A ., -.I v Subsection(s): Merging Classes, Convlr"ttng M.et~d'brDelivery, Changing Locations. Subsection(s): §71715 §94899 Approval Required for Programs Leading to Licensed Profession. §71716 Distance Educational Programs - Specific Provisions for Instruction Not in Real Time. Subsection(s): l)94899.5 Collection of Tr~tion.) (d ~') §71717 v' Subsection(s): -t., J §94900 Required Student Records. ' , \t ~71720 Subsection(s): V A94900.5 Required Institutional Records. LlJ 71730 Subsecti ones): §94901 Requirements for Recruiters. §71735 Subsection(s): §94902 General Enrollment Requirements. §71740 Subsection(s): §94903 Waiving Provisions Prohibited. §71750 IV' ~94904 Ability to Benefit Students. §71760 §94905 Professions Requiring Licensure, Internships. t.- ~1770 Subsection(s): §94906 Language of Enrollment Agreement. §71800 Subsection( s): §94907 Mandatory Internal Dispute Resolution Prohibited. Iv 1§'71810 §94908 Size of Text in Required Documents. §71850 Satellite Locations. Subsection(s): t. .•.• Adminlstratlqu, F- ./ Subsectiorusj[ 1.1 ((; J (F' J Facilities and Equillment: Subsection/s): Library and Other Learning Resources. Subsecti ones): Withdrawals and Refunds. Subsection(s): Self-Monitoring Procedures. §94910 V~ 'Min'irrfum Requtremerlts for School P&fonhance Fad' Sheet. Subsection(s): §71865 §71920 ....y Admissions StaJ!.dards ~d J.ransfeHed Credits Policy. Subsection(s): ~ ) i (6)(1~) Enrollment Ag'reement. "- Subsectionfsj.g ; ....•.••• ,... #,;< .. L .• Catalog. ~J~ "11(1]. (U,EIf) (Difd;! ~ OJ~rJ Subsection(s)~ 1 .t'lrt'J---:16"IXJ-: (fs.fu- ) .fl.~i"JI } Minimum Educadonal'Re~iremenYs.fn Order tIJ' '-~f 1.1) Award an Undergraduate Degree. . J 'rtJ Subsection(s): Minimum Educational Requirements in Order to Award a Graduate Degree. Subsection(s): Student Records. Irl~fc~n(s): §94911 Maint~ance 0J~l\ecords. Subsection(s): C..••. , Minimum Requirements for enrollment Agreement. Subsection(s): ",§71930 §94912 Signature, Initials Required. §74112 Uniform Data ~ Annual Report, Perform. Fact Sheet. Subsection(s): Retention of Advertising. §94916 Statement On Loans To Students. §74140 Use of Term "University." Subsection(s): §94918 Compliance with Federal Statutes. §74150 Agents for Service of Process; Changes. §94919 Institutions Participating in Federal Student Financial Aid Programs. Subsection(s): §74190 §94920 Record-Keeping Requirements. Subsection(s): Mandatory Cancellation, Withdrawal, and Refund Policies. Subsection(s): §76140 §94922 Student Tuition Recovery Fund Disclosures. Subsection(s): Waiving Provisions Prohibited. §76215 §94929 Reporting of Completion Rate. Subsection(s): Other v Violation Description §94929.5 Reporting of Student Performance Data. Subsectionls): §94929.7 Documentation of Performance Data. Subsection(s): §94943.5 (White) Bureau (Revised 08/05/2011) Agent for Service of Process. (Yellow) Inspector (Pink) Institution Page I of2 ~ asp 11123410

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Page 1: NOTICETO COMPLY- p c. 1 ' 7~7- '' '(fA. d. 3G C, .L .e … · state of california - state and governorconsumer services agency edmund g. brown jr. bureau for private postsecondary

STATE OF CALIFORNIA- STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

cIca Bureau for Private Postsecondary EducationPO Box 980818 West Sacramento CA 95798-0818

(888) 370-7589 wwwbppecagov

NOTICE TO COMPLY- 000243 (Ed Code sect 94935 5 CCR sect 75010)Institution pName (fA fYh J~(i~

Institution Telephone c 1 esi 7~7- tJ 4-1Llnst Code d OJ 3G 97J CStreet Address C I L

300 ( [1)0 IV~Administrator e- L f CSignature ~~-J

Inspector 9--1 () ~-

VIOLATION(S)Code of

v Rees

Printed Name Date

EducCode DescriptionDescription

sect94802 Continuance of Former ApprovalsSubsection(s)

sect71705 Mission and Objectives

Educational Prograjn ~J A rr- J i rSubsection(s)tj 1Y( lf4 ) (CJ~Jr 1amp )(fj)

)94897V

Prohibited BusJtesFract~e~ J JSubsection(s) Ci J (6 )JL 1tt ft M)

1 sect71710

sect94898 Instruction -- J ~ -A -I vSubsection(s)

Merging Classes Convlrttng Met~dbrDeliveryChanging LocationsSubsection(s)

sect71715

sect94899 Approval Required for Programs Leading to LicensedProfession

sect71716 Distance Educational Programs - Specific Provisionsfor Instruction Not in Real TimeSubsection(s)

l)948995 Collection of Tr~tion) (d~)

sect71717v Subsection(s) -t J

sect94900 Required Student Records t ~71720Subsection(s)

VA949005 Required Institutional Records LlJ71730

Subsecti ones)sect94901 Requirements for Recruiters sect71735

Subsection(s)sect94902 General Enrollment Requirements sect71740

Subsection(s)sect94903 Waiving Provisions Prohibited sect71750

IV ~94904 Ability to Benefit Students sect71760

sect94905 Professions Requiring Licensure Internships t- ~1770Subsection(s)sect94906 Language of Enrollment Agreement sect71800

Subsection( s)sect94907 Mandatory Internal Dispute Resolution Prohibited

Iv1sect71810

sect94908 Size of Text in Required Documents sect71850

Satellite LocationsSubsection(s) t bullbull

Adminlstratlqu F- Subsectiorusj[ 11 (( J (FJFacilities and EquillmentSubsections)Library and Other Learning ResourcesSubsecti ones)Withdrawals and RefundsSubsection(s)Self-Monitoring Procedures

sect94910V~

Minirrfum Requtremerlts for School Pampfonhance FadSheetSubsection(s)

sect71865

sect71920y

Admissions StaJdards ~d JransfeHed Credits PolicySubsection(s) ~ ) i (6)(1~)Enrollment Agreement -Subsectionfsjg bullbullbullbull lt L bull

Catalog ~J~ 11(1] (UEIf) (Difd ~OJ~rJSubsection(s)~ 1tlrtJ---16IXJ- (fsfu- ) fl~iJI Minimum EducadonalRe~iremenYsfn Order tIJ -~f11)Award an Undergraduate Degree J rtJSubsection(s)Minimum Educational Requirements in Order toAward a Graduate DegreeSubsection(s)Student RecordsIrl~fc~n(s)

sect94911 Maint~ance 0J~lecordsSubsection(s) Cbullbull

Minimum Requirements for enrollment AgreementSubsection(s)

sect71930

sect94912 Signature Initials Required sect74112 Uniform Data ~ Annual Report Perform Fact SheetSubsection(s)Retention of Advertisingsect94916 Statement On Loans To Students sect74140

Use of Term UniversitySubsection(s)

sect94918 Compliance with Federal Statutes sect74150

Agents for Service of Process Changessect94919 Institutions Participating in Federal Student FinancialAid ProgramsSubsection(s)

sect74190

sect94920 Record-Keeping RequirementsSubsection(s)

Mandatory Cancellation Withdrawal and RefundPoliciesSubsection(s)

sect76140

sect94922 Student Tuition Recovery Fund DisclosuresSubsection(s)

Waiving Provisions Prohibited sect76215

sect94929 Reporting of Completion RateSubsection(s)

Otherv Violation Description

sect949295 Reporting of Student Performance DataSubsectionls)

sect949297 Documentation of Performance DataSubsection(s)

sect949435

(White) Bureau

(Revised 08052011)

Agent for Service of Process

(Yellow) Inspector (Pink) Institution

Page I of2~ asp 11123410

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

bull TATlt 0 CAWOR N A Bureau for Private Postsecondary EducationdeB PO Box 980818 West Sacramento CA 95798-0818 cmiddotmiddotm bullbullbullbullbullmiddotmiddotmiddot bullbull (888) 370-7589 wwwbppecagov

NOTICE TO COMPLY -0 00243 INSTITUTION NAME C LP r JJ 1

A ( r 4r 1111 J- tJ -h J 0 INSPECTORS COMMENTS

-~+fri7(J(I] ~py()i4r ~tlv~rjISIJ5 C bull Ct)~ ar lI- afP~~jI6l -11~ 4) ff S~~ a r ~OV t 4j poundOn l1l P-e ~4H MR IIh d ~I (t~~r 6J~Jfll (j~--h(rrJ

14-ttt7QJ(iJ rhJ71- tAhtJf (y tl---ddr-J-rJ ( Jhr-k 60 govt- q5(t~J~

p~fI~ 11J1-1t ~fj(J eth~ 1 rt-A-(r 6~OJ frll 4(iOr-JfJIIs

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q~q(J9(6i)rt)tr) plrr ~r frllnJPr-(hmiddotIfJ fJrr- J-137 d-fttfO7J 1~

P~I~ pllJtd~ S-k-Itoh-~ q 4 q() cr tPl 6 ~J Pul (~ per- pr6t ~h t r ~ Iamp- I J ~ I JJ~) P 1bullbullt)Q tlt4

+htJ f -f bullbull~I~

q410 ~ ~J jJ Pt1tlJ (J-cr- ftl~ ~ldJ~1 P(~If~ pr(1A~ gt 6lttf o Comments continued on attached __ page(s)

Inspection Date Inspectors Printed Name Yl Inspector Initialed

Institution Administrator Printed Name () 14 SVt~ lkDr Administrator Initialed

IMPORTANT COMPLIANCE NOTICE

California Education Code sect94935 and California Code of Regulations sect75010 provide that the Bureau for Private Postsecondary Education (Bureau) shall issue a Notice to Comply for minor violations detected during an inspection by the Bureau

By no later than 30 days from the date of inspection you must either (1) Remedy the noncomptiance(s) and sign and submit this form to the Bureau along with documentation describing how compliance was achieved or (2) File with the Bureau a written notice of disagreement specifying the minor violations described in the Notice to Comply with which you disagree and appealing it by requesting an informal office conference If a written notice of disagreement is not timely filed with the Bureau the right to appeal is deemed to have been waived

Failure to timely remedy the noncompliance(s) or me a written request for an informal office conference may result in the Bureau taking administrative enforcement action

DECLARA TION

Attached to this document is a list describing how compliance for each violation was achieved I declare under penalty of perjury that all violations identified in this Notice to Comply are corrected as described in the attachment

Signature Date

Printed Name and Title

THIS DECLARATION OR A NOTICE OF DISAGREEMENT MUST BE SUBMITTED TO THE BUREAU BY S e (~ 61

(White) Bureau (Yelow) Inspector (Pink) Institution

To_ t l ch rJ A-~(JrJ-amp Page 2 of2 (Revised OSOS12011)CltIl) 4-31- C1 ~

~ asp 11123410

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION Po Box 980818 West Sacramento CA 95798-0818

Telephone (888) 370-7589

wwwbppecagov

Institution Na~ ~

middott1llr6rm~ JM-O ~n~+I-N

Comments

q+qcqPO(tS Tr~JFrrCf-ced(+- fttllrC InIJj I~ o~)~ 81111 C~+J

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10 J DegtJCY -j(1 J Pl~(I~ 111 c( (f

J(K()~)(V(J H6laquoallo MtJJItJ P~lf Ihe In c-f1d IhrfTlh4ilTl

4 S+ampt e~+- rl(vAnt to (JgtA ~ In (Ilit I (I~l

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q~40middot()(S c=c14ucl~( t-i(JJ - I~ JlIgtplek nl1tQ ptOUelq

Attachment Page -L of

(Rev 4171 I) ~ asp 11123418

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION PO Box 980818 West Sacramento CA 95798-0818

~ Telephone (888) 370-7589 CI i3 wwwbppecagov

ATTACHMENT TO NTC - 00014- 3

Comments

6 (i gt aP J-f-tt tl -t-Je ItA rrJ 1l1J J I 1

J 7ICfJoJSliJ flfIlJftr CJ(rI bullJ-pt51i~r ~IJJU (11$)-( ITbll1tlrr

JCJ6 ~XJ S-let+--AnfJJ flur nIJ)Il t n~JeJJVJldt~

Attachment Page

(Rev4711) (White) Bureau (Yellow) Inspector ~~ asp 11123418

Page 2: NOTICETO COMPLY- p c. 1 ' 7~7- '' '(fA. d. 3G C, .L .e … · state of california - state and governorconsumer services agency edmund g. brown jr. bureau for private postsecondary

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

bull TATlt 0 CAWOR N A Bureau for Private Postsecondary EducationdeB PO Box 980818 West Sacramento CA 95798-0818 cmiddotmiddotm bullbullbullbullbullmiddotmiddotmiddot bullbull (888) 370-7589 wwwbppecagov

NOTICE TO COMPLY -0 00243 INSTITUTION NAME C LP r JJ 1

A ( r 4r 1111 J- tJ -h J 0 INSPECTORS COMMENTS

-~+fri7(J(I] ~py()i4r ~tlv~rjISIJ5 C bull Ct)~ ar lI- afP~~jI6l -11~ 4) ff S~~ a r ~OV t 4j poundOn l1l P-e ~4H MR IIh d ~I (t~~r 6J~Jfll (j~--h(rrJ

14-ttt7QJ(iJ rhJ71- tAhtJf (y tl---ddr-J-rJ ( Jhr-k 60 govt- q5(t~J~

p~fI~ 11J1-1t ~fj(J eth~ 1 rt-A-(r 6~OJ frll 4(iOr-JfJIIs

-Q4Qo1(oJ (3)0) fJ0fW~J C1-eI Jf-~~~~+ftIJJn15 rrn(~( s-h-Pn-J-n (t-f-~Gj

-q4 eo 9 (a-) PrO(i116~ ~ P 141 f r trlaquo IlotII)J -fMtle~ -J- a t()lr 6 f- c~ ~j P rot I I ~ f III lf S +-~~ Ihp1

q~q(J9(6i)rt)tr) plrr ~r frllnJPr-(hmiddotIfJ fJrr- J-137 d-fttfO7J 1~

P~I~ pllJtd~ S-k-Itoh-~ q 4 q() cr tPl 6 ~J Pul (~ per- pr6t ~h t r ~ Iamp- I J ~ I JJ~) P 1bullbullt)Q tlt4

+htJ f -f bullbull~I~

q410 ~ ~J jJ Pt1tlJ (J-cr- ftl~ ~ldJ~1 P(~If~ pr(1A~ gt 6lttf o Comments continued on attached __ page(s)

Inspection Date Inspectors Printed Name Yl Inspector Initialed

Institution Administrator Printed Name () 14 SVt~ lkDr Administrator Initialed

IMPORTANT COMPLIANCE NOTICE

California Education Code sect94935 and California Code of Regulations sect75010 provide that the Bureau for Private Postsecondary Education (Bureau) shall issue a Notice to Comply for minor violations detected during an inspection by the Bureau

By no later than 30 days from the date of inspection you must either (1) Remedy the noncomptiance(s) and sign and submit this form to the Bureau along with documentation describing how compliance was achieved or (2) File with the Bureau a written notice of disagreement specifying the minor violations described in the Notice to Comply with which you disagree and appealing it by requesting an informal office conference If a written notice of disagreement is not timely filed with the Bureau the right to appeal is deemed to have been waived

Failure to timely remedy the noncompliance(s) or me a written request for an informal office conference may result in the Bureau taking administrative enforcement action

DECLARA TION

Attached to this document is a list describing how compliance for each violation was achieved I declare under penalty of perjury that all violations identified in this Notice to Comply are corrected as described in the attachment

Signature Date

Printed Name and Title

THIS DECLARATION OR A NOTICE OF DISAGREEMENT MUST BE SUBMITTED TO THE BUREAU BY S e (~ 61

(White) Bureau (Yelow) Inspector (Pink) Institution

To_ t l ch rJ A-~(JrJ-amp Page 2 of2 (Revised OSOS12011)CltIl) 4-31- C1 ~

~ asp 11123410

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION Po Box 980818 West Sacramento CA 95798-0818

Telephone (888) 370-7589

wwwbppecagov

Institution Na~ ~

middott1llr6rm~ JM-O ~n~+I-N

Comments

q+qcqPO(tS Tr~JFrrCf-ced(+- fttllrC InIJj I~ o~)~ 81111 C~+J

7~11J laquo QJ fJ)lhlth + fh-J d--) 6~ 11)J1-rCAcJ17 fJltAJf 111(e-rrf 11 (1ft~~

(6 gtj ) S~I-J~h tf- 1tCtlJ~-r+- J In (P~~l~ (l- I c -htt

10 J DegtJCY -j(1 J Pl~(I~ 111 c( (f

J(K()~)(V(J H6laquoallo MtJJItJ P~lf Ihe In c-f1d IhrfTlh4ilTl

4 S+ampt e~+- rl(vAnt to (JgtA ~ In (Ilit I (I~l

1 t71 tJ f(J e rcr~If ~ P r~hJ J f If ~ tfJ lul ( ~6v It fA M ~ofA J (tlt J +(f(J~+- fG1 ~ J 1

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717Jo a)~] fflt fir Jplusmnrwf1t ptoe )JIIJIf-( )1twM It1IJJ1~ fegttl( IJlIlIit()

Jl7gtO Ul pplJtJn~tl ~I)UAIYJJJIII f lan~gtUJull~

Q4110 flJl St-tt J4v1- Fit rl-- ~ It e-+ - fLLpoundt-~le-j-JPLL(~() 11fl~ _

q~40middot()(S c=c14ucl~( t-i(JJ - I~ JlIgtplek nl1tQ ptOUelq

Attachment Page -L of

(Rev 4171 I) ~ asp 11123418

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION PO Box 980818 West Sacramento CA 95798-0818

~ Telephone (888) 370-7589 CI i3 wwwbppecagov

ATTACHMENT TO NTC - 00014- 3

Comments

6 (i gt aP J-f-tt tl -t-Je ItA rrJ 1l1J J I 1

J 7ICfJoJSliJ flfIlJftr CJ(rI bullJ-pt51i~r ~IJJU (11$)-( ITbll1tlrr

JCJ6 ~XJ S-let+--AnfJJ flur nIJ)Il t n~JeJJVJldt~

Attachment Page

(Rev4711) (White) Bureau (Yellow) Inspector ~~ asp 11123418

Page 3: NOTICETO COMPLY- p c. 1 ' 7~7- '' '(fA. d. 3G C, .L .e … · state of california - state and governorconsumer services agency edmund g. brown jr. bureau for private postsecondary

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION Po Box 980818 West Sacramento CA 95798-0818

Telephone (888) 370-7589

wwwbppecagov

Institution Na~ ~

middott1llr6rm~ JM-O ~n~+I-N

Comments

q+qcqPO(tS Tr~JFrrCf-ced(+- fttllrC InIJj I~ o~)~ 81111 C~+J

7~11J laquo QJ fJ)lhlth + fh-J d--) 6~ 11)J1-rCAcJ17 fJltAJf 111(e-rrf 11 (1ft~~

(6 gtj ) S~I-J~h tf- 1tCtlJ~-r+- J In (P~~l~ (l- I c -htt

10 J DegtJCY -j(1 J Pl~(I~ 111 c( (f

J(K()~)(V(J H6laquoallo MtJJItJ P~lf Ihe In c-f1d IhrfTlh4ilTl

4 S+ampt e~+- rl(vAnt to (JgtA ~ In (Ilit I (I~l

1 t71 tJ f(J e rcr~If ~ P r~hJ J f If ~ tfJ lul ( ~6v It fA M ~ofA J (tlt J +(f(J~+- fG1 ~ J 1

J716f) h~ltlt4JeM~YJ+ (~ I~trn~ tgtvrttQhot1 m JJ~ n 1~He ~ rtJltI~ 7 J I

717Jo a)~] fflt fir Jplusmnrwf1t ptoe )JIIJIf-( )1twM It1IJJ1~ fegttl( IJlIlIit()

Jl7gtO Ul pplJtJn~tl ~I)UAIYJJJIII f lan~gtUJull~

Q4110 flJl St-tt J4v1- Fit rl-- ~ It e-+ - fLLpoundt-~le-j-JPLL(~() 11fl~ _

q~40middot()(S c=c14ucl~( t-i(JJ - I~ JlIgtplek nl1tQ ptOUelq

Attachment Page -L of

(Rev 4171 I) ~ asp 11123418

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION PO Box 980818 West Sacramento CA 95798-0818

~ Telephone (888) 370-7589 CI i3 wwwbppecagov

ATTACHMENT TO NTC - 00014- 3

Comments

6 (i gt aP J-f-tt tl -t-Je ItA rrJ 1l1J J I 1

J 7ICfJoJSliJ flfIlJftr CJ(rI bullJ-pt51i~r ~IJJU (11$)-( ITbll1tlrr

JCJ6 ~XJ S-let+--AnfJJ flur nIJ)Il t n~JeJJVJldt~

Attachment Page

(Rev4711) (White) Bureau (Yellow) Inspector ~~ asp 11123418

Page 4: NOTICETO COMPLY- p c. 1 ' 7~7- '' '(fA. d. 3G C, .L .e … · state of california - state and governorconsumer services agency edmund g. brown jr. bureau for private postsecondary

STATE OF CALIFORNIA - STATE AND CONSUMER SERVICES AGENCY Governor Edmund G Brown Jr

BUREAU FOR PRIVATE POSTSECONDARY EDUCATION PO Box 980818 West Sacramento CA 95798-0818

~ Telephone (888) 370-7589 CI i3 wwwbppecagov

ATTACHMENT TO NTC - 00014- 3

Comments

6 (i gt aP J-f-tt tl -t-Je ItA rrJ 1l1J J I 1

J 7ICfJoJSliJ flfIlJftr CJ(rI bullJ-pt51i~r ~IJJU (11$)-( ITbll1tlrr

JCJ6 ~XJ S-let+--AnfJJ flur nIJ)Il t n~JeJJVJldt~

Attachment Page

(Rev4711) (White) Bureau (Yellow) Inspector ~~ asp 11123418