Application for Evaluation

Request for a Decennial Visiting Team

School Information
Name of School
Street address
City
State
Zip
Telephone No.
Fax

Indicate school’s preferred dates for the visiting team (Monday-Thursday):
Month Dates Year

The visit is 3½ consecutive days. Avoid weeks which may be vacation weeks for other schools in your general area. Avoid conflicts with teachers’ or administrative meetings or important school events. Monday, Tuesday, Wednesday and Thursday are typically evaluation days. Evaluations are usually not scheduled after May 10 or November 10.

Please check the following items to indicate awareness of CTCI policies and procedures regarding the evaluation process:

Self-Study documents and instructions (on website ctci.neasc.org)
Adequate financial appropriation to cover the cost of evaluation (cost relates to the size of the school, the committee, and location)

The evaluation fee is equal to the annual membership dues.

Steering Committee Co-Chairs:

	Name	Email	Phone
1.
2.

type for e-signature
Signature of Superintendent/Principal/Director

Request for a Decennial Visiting Team

**Each visiting team will be assigned a Chairperson, an Assistant Chairperson, and evaluators for Standard 5 (an administrator), and Standard 6 (guidance, and special education), in addition to the evaluators assigned to the following subjects and CTE programs.

Please check the Academic and CTE Program areas for which the school plans to write a self-study report and is requesting an evaluator

Number of evaluators requested for Academic and CTE programs:

Academic Subjects

Art	English Language Arts	Foreign Languages
Health/Phy. Ed.	Mathematics	Music
Science	Social Studies	ELL/ESL/Bilingual
Other (specify)

Career & Technical Education Clusters

1.	Agriculture and Natural Resources Cluster
	A. Horticulture and Plant Science
	B. Forestry & Heavy Equipment
	C. Landscape Design/Maintenance (Green Industry Tech.)
	D. Animal Science
	E. Aquaculture Production
	F. Bioscience/ Environmental Science &Technology
	G. Agricultural Mechanics
	H. Marine Technology/Service
	I. Other
2.	Arts and Communication Services Cluster
	A. Digital Media Production
	B. Sounds Production Technology
	C. Graphic Arts (Communication, Design, Printing)
	D. Gaming, Animation & Web Design
	E. Design & Visual Communication
	F. Other
3.	Business, Marketing and Consumer Services Cluster
	A. Business Management/Office Technology
	B. Cosmetology
	C. Fashion Technology/Marketing & Entrepreneurship
	D. Marketing, Management & Entrepreneurship
	E. Accounting & Finance
	F. Other
4.	Construction Cluster
	A. Sustainable Architecture
	B. Carpentry
	C. Cabinetmaking
	D. Electricity
	E. Facilities Management
	F. Heating, Ventilation, Air Conditioning & Refrigeration
	G. Masonry and Tile Setting
	H. Painting and Design Technology
	I. Plumbing
	J. Sheet Metal Working
	K. Stationary Engineering
	L. Other
5.	Education Cluster
	A. Early Education and Care
	Other
6.	Health Services Cluster
	A. Dental Assisting
	B. Health Technology
	C. Medical Assisting
	D. Certified Nursing Assistant
	E. Other
7.	Hospitality and Tourism Cluster
	A. Culinary Art and Science
	B. Tourism, Hospitality and Guest Services Management
	C. Other
8.	Information Technology Services Cluster
	A. Electronics
	B. Information Systems Technology/Networking
	C. Programming and Web Development
	D. Other
9.	Manufacturing, Engineering and Technology Cluster
	A. Biotechnology
	B. Computer Aided Drafting & Design/Manufacturing
	C. Mechanical Design and Engineering Technology
	D. Pre-Engineering Electrical
	E. Pre-Engineering Mechanical
	F. Engineering and Architectural Design
	G. Electromechanical
	H. Mechatronics
	I. Manufacturing/Machine Tool/Precision Machining Tech
	J. Automated Manufacturing Technology
	K. Welding/Metal Fabrication & Joining
	L. Robotics/Artificial Intelligence Technology
	M. Telecommunications & Fiber Optics
	N. Other
10.	Protective Services Cluster
	A. Fire Science
	B. Police Science/Law Enforcement
	C. Other
11.	Transportation Cluster
	A. Automotive Collision Repair and Refinishing
	B. Automotive Technology
	C. Diesel/Heavy Equipment
	D. Marine Service Technology
	E. Power Equipment Technology
	F. Other

We encourage you to print a copy for your own records before submitting.