Distance Learning Online School Membership Application Home > Membership > Distance Learning Online School Membership Application This application is for non-traditional, distance learning christian schools. It MUST be completed by the school Administrator/Headmaster. To appear in the FACCS 2016-2017 Directory of Schools Online this completed application must be received in the FACCS Office of Program Services by September 1, 2016. If you are not a Distance Education Christian School, please click here to locate the appropriate application for your school or home school group. Dues and Assessments: Annual Dues: $250 per school Assessment Fees: $2 per student & $8.50 per faculty member Only for accredited schools who have hosted an accreditation team visit Annual Accreditation Fee: $100 NCPSA Certificate Fee: $100 ($25 for each additional) Dues and fees will be invoiced upon receipt and acceptance into membership. SCHOOL INFORMATION School Status (select one) Choose... New Applicant School FACCS Accredited Member School (renewal) FACCS Participant Member School (renewal) School Name Street Address City State Zip Mailing Address (if different from above) Mailing City (if different from above) Mailing Zip (if different from above) County School Phone School Fax School E-mail Address School Web Site Administrator Title Choose... Dr. Mr. Mrs. Miss Rev. Administrator First Name Administrator Last Name Administrator E-mail Address Chairperson/Pastor Name Church/Sponsoring Organization Name Instructional Program Utilized (select all that apply) Correspondence Internet DVD/Video Satellite Virtual/Interactive ______________________________________________________________________________ STUDENT/FACULTY TOTALS Enter total enrolled for 16-17 school year for each section below. If none, enter 0. Early Childhood Total (2-K4) Elementary Total (K5-5th) Middle School Total (6th-8th) High School Total (9th-12th) --------------------------------------------------------------------- Student Total (add all above totals) Faculty/Admin Total (all full and part time faculty and administration) ______________________________________________________________________________ SIGNATURES Applicant schools must certify that the totals reported above are accurate and must read and agree to the FACCS/IACCS Statement of Faith (click here to view) By typing your full name in the boxes below, you, as a school official, are indicating that the preceding statements are true and accurate. I certify that all of the above information is accurate as of this date of submission. I have read and my school hereby subscribes to the FACCS Statement of Faith.