Open Doors Program Application

Open Doors Program Application

Purpose of this Form

Use this form to submit a program application or revision for OSPI's approval. This includes

Initiating a new Open Doors Program
Changing or updating an existing program.

This form should be completed for any of the following:

Adding a pathway or ending a pathway
Changing of partnership status
Changing the delivery model
Starting or launching a program for the first time
Obtaining a qualification code for added/changed pathways.

How it Works

Upload your completed application materials (below).
OSPI will review uploaded application package.
Upon approval, OSPI will generate and deliver to you the qualification codes needed to run an Open Doors Program.

Action type*

Initiate a new or first-time program or pathway

Program Details

Type of Open Doors model for which you're submitting:*

Learn more about Open Door models and required documents here:

Select

Name of Program*

What will your program be named?

Qualification Code(s)

If you are updating or changing an existing program, please enter your current Qualification Code(s) if you have them.

School District*

Site*

List the school building or host location. Examples: Edmonds CC, Bellingham HS, or Mason County

Pathways

Indicate the pathway(s) that will be offered to students. Indicate all that apply.

GED

HS Diploma

College

Career

Contact Information

Name of primary program contact*

Must be employed at the school or district.

Role or job title*

Email*

Phone*

Alternate Contact: Name, title, and email address

District Designated Waiver Manager*

Each Open Doors program may have one person who is responsible for reviewing and approving student waivers. The person must be at the school or district.

Enter their name and email address here:

Is this program affiliated with an ESD Consortium?*

If working with an ESD, then you are affiliated with a consortium and should indicate "yes".

Select

Is this program affiliated with any of the following entities?

Select or enter value

Which Consortium*

Select

Upload Section - Documentation

To complete your application, the following program files are required:

Letter of Intent (signed by district)
Narrative
Calendar
Flow Chart

See the Open Doors' "Getting Started" page for additional details and templates.

Documentation - File Upload

To complete your application, the following program files are required:

Scope of Work (signed by district and partner)
Letter of Intent (signed by district)
Narrative
Calendar
Flow Chart

See the Open Doors' "Getting Started" page for additional details and templates.

File Upload

To complete your application, the following program files are required:

Contracted Services Agreement (signed by district and contractor)
Letter of Intent (signed by district)
Scope of Work (signed by district and contractor)
Narrative
Calendar
Flow Chart

See the Open Doors' "Getting Started" page for additional details and templates.

File Upload*

Drag and drop files here or

Send me a copy of my responses

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