NAC435.205. Contents of application.

     1. To qualify for funding, a center must file an application with the Division annually on or before April 1 at the office of the Coordinator of the Community Training Centers. The following information must be provided on the forms indicated, which will be furnished by the Division:

     (a) The name and address of the center on form CTC-1.

     (b) The names, addresses and qualifications of administrative personnel on form CTC-2.

     (c) An outline of the educational and vocational training or habilitation program to be offered, on forms CTC-3 and CTC-4.

     (d) The number of enrollees expected for the coming state fiscal year on form CTC-1.

     (e) A complete and detailed financial statement for the operations for the coming state fiscal year, including salaries, operations, transportation, equipment and other sources of income and expenses, on form CTC-5.

     2. An applicant also must provide the following information:

     (a) An affidavit that the center is nonsectarian and a nonprofit organization under the Internal Revenue Code of 1954, as amended, 26 U.S.C. § 501(c)(3), on form CTC-1.

     (b) Proof of insurance coverage. Except as otherwise provided in this paragraph, the insurance must provide coverage for a minimum liability of $1,000,000 per occurrence of bodily injury or equivalent coverage. The insurance must be current and the center shall, each year, verify this coverage to the Division on form CTC-1. A center may request, and the Division may grant, a reduction in the minimum insurance coverage required pursuant to this paragraph on the basis of financial hardship.

     (c) Proof of employer’s liability coverage under the State Industrial Insurance System or other similar coverage on form CTC-1.

     (d) An authorized signature of the applicant on form CTC-1b.

     (e) The name of the sponsoring organization on form CTC-1.

     (f) An affidavit stating that the ratio of the staff to the enrollees does not exceed:

          (1) One to 8 for regular programs for adults;

          (2) One to 5 for prework habilitation programs for adults; or

          (3) The ratio to be established for each enrollee for intensive training programs for adults,

Ê unless a smaller proportion of enrollees is required by the Division. The ratio must be based on the programmatic needs of the enrollees and be approved by the Division.

     (g) A signed subcontract for the provision of services pursuant to 42 U.S.C. §§ 1397 to 1397f, inclusive.

     (h) The total number of members of the staff, persons enrolled and days of care and training that the center provided during the previous state fiscal year, on form CTC-1.

     (i) The total number of enrollees at the center who have been certified by the Division as eligible for funding, and the days of care and training that the center provided during the previous state fiscal year to such enrollees, on form CTC-1.

     (j) A financial statement showing all income received by the center during the previous state fiscal year, and the sources of that income, on form CTC-6.

     [Men. Hygiene & Men. Retardation Div., Training Centers Art. I subart. A §§ 2 & 3, eff. 10-5-79; A 5-6-82]—(NAC A 6-23-86, eff. 7-1-86; 1-22-90; 1-5-94)