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Name	Telephone #
E-Mail Address	School Name
1. Courses Offered (Check all that apply):
Medical	Automotive
Computer	Culinary
Secretarial	Other (please specify)

2. Default Rate (last three years)

2007 % 2006 % 2005 %

3. Depreciation (last three years)

2007 $ 2006 $ 2005 $

4. Placement Rate (as percent of those graduated) %

5. Gross Revenue (last three years)

2007 $ 2006 $ 2005 $

6. EBITDA ( include owner perks, addbacks)

2007 $ 2006 $ 2005 $

7. Meets 90/10 rule @

8. Accrediting Commission Valid Until 2006 2007 2008 2009 2010

9. Average Tuition $

10. Number Years in Business

11. Acquisition Cost (as a percent of tuition) %

12. Retention (as a percent of those enrolled) %

13. Compliance Ratio

14. Credentials Given:

Certificate

Associates

Bachelors

15. Owners Salary & Bonus $

16. Owners Insurance Premium $

17. Owners Auto Expense $

18. Owners Travel Expense $