Change of Status Form

Grades and Levels Affected*
This change affects students in what levels/grades?
- Preschool
- K-12 School
- Preschool and K12 School
School/Center ID#:*
Lookup
School/Center Name:*
School Address:*
City*
State*
Zip:*
Phone:*
Name of person making this report:*
First Last
Email
Title of person making this report:*

Date the change will take effect:*
MM slash DD slash YYYY
Change of Status:*
Please indicate the nature of the change that you are reporting.
- Change of Ownership/Church Affiliation
- New Minister/Pastor
- New Administrator/Director
- Change in Capacity (adding rooms)
- Relocation/New Address
- Closed/Closing
- Substantive Change
If your center or school is accredited by ILCS or AdvancED, you will need to complete an ASPR within 60 days of the change. Failure to report substantive changes could result in change of accreditation status, or removal of accreditation.
Relevant Data*
Please provide additional relevant data and information concerning the change of status, including any new information that need to be communicated.
File Upload
If you have any files that need to be uploaded (i.e. new floor plan), please click the link below to select and upload your file.
Drop files here or

Max. file size: 20 MB.
Signature*