Subsequent Renewal Application Form – One

Texas Skill Standards Based Program Recognition

Institution name:
Award title & level of recognized program:

Statement of Assurance Regarding Program Recognition Subsequent Renewal Enter the name and title of the appropriate college authorities to indicate the institution’s commitment to the statement below. The statement of assurance must be signed by: 1) either the college president or the chief college officer in charge of instruction/curriculum (e.g., vice president of instruction or academic affairs); 2) the dean overseeing the program; and 3) the appropriate program representative, (e.g., department chair or lead faculty member).
The signature of the college representatives named below indicates that: 1) the institution will continue to teach the key activities as learning outcomes in the courses specified in the key activities-to-courses matrix, as submitted for Texas skill standards based program recognition (or if applicable, as revised in the last renewal application); 2) none of the courses or placement of key activities in the program recognition matrix has changed since renewal was last granted; 3) the institution has developed and is using assessments to evaluate students’ mastery of all the key activities (or equivalent element) and related criteria, skills and knowledge, as specified in the skill standards; 4) the college agrees to provide documentation of its compliance with these statements under a desk audit if requested by the Texas Workforce Investment Council; and 5) the individuals named below have the authority to commit the institution to fulfilling the statements listed above.

College president/chancellor or chief instructional officer:
Name	Title
Signature:	Date:

Dean with oversight responsibility for the recognized program:
Name	Title
Signature:	Date:

Program representative (college-wide program contact representing all campuses):
Name	Title
Signature:	Date: