Institution Name
[Credential Level] in {Program Name}
Program Length: [Program Length] [Weeks/Months/Years]
This program has not passed standards established by the U.S. Department of Education. The Department based these standards on the amounts students borrow for enrollment in this program and their reported earnings. If in the future the program does not pass the standards, students who are then enrolled may not be able to use federal student grants or loans to pay for the program, and may have to find other ways, such as private loans, to pay for the program.
Students graduating on time
NA* of Title IV students complete the program within [Program Length] [Weeks/Months/Years]
*Fewer than 10 students enrolled in this program. This number has been withheld to preserve the confidentiality of the students.
Program Costs*
$XX for in-state tuition and fees
$XX for out-of-state tuition and fees
$XX for books and supplies
$XX for off-campus room and board
$XX for on-campus room and board
Other Costs
*The amounts shown above include costs for the entire program, assuming normal time to completion.
Note that this information is subject to change.
Students Borrowing Money
NA* of students who attend this program borrow money to pay for it
*Fewer than 10 students enrolled in this program. This number has been withheld to preserve the confidentiality of the students.
The typical graduate leaves with
$XX in debt
*Fewer than 10 students completed this program within normal time. This number has been withheld to preserve the confidentiality of the students.
The typical monthly loan payment
$XX per month in student loans with interest rate.
*Fewer than 10 students completed this program within normal time. This number has been withheld to preserve the confidentiality of the students.
The typical graduate earns
$XX per year after leaving this program
Graduates who got jobs
N/A* of program graduates got jobs according to the 
state job placement rate
N/A* of program graduates got jobs according to the  accreditor job placement rate
Program graduates are employed in the following fields:
Licensure Requirements
This program meets licensure requirements in
StateA, StateB, StateC
This program does not meet licensure requirements in
StateD, StateE
There are no licensure requirements for this profession in:
StateF, StateG, StateH
Additional Information
Date Created XX/XX/XX
These disclosures are required by the U.S. Department of Education