Green Apple Accreditation of Children's Services

Program Annual Report

CONTINUAL ACCREDITATION: To maintain accreditation, the Accredited Program must submit an annual report and applicable nonrefundable fee no later than June 30th every year with exception to the year of initial accreditation/re-accreditation. See Program Annual Report.
Who should complete the Program Annual Report - This form should be submitted by the designated representative (Accreditation File Builder) for the Organization. You may start the Program Annual Report, save it, and complete it later.
REMINDER: You may begin the Annual Report on March 1st. The Program Annual Report is due by June 30th, every year. Providers (behavioral health and education) must complete the Annual Report to maintain accreditation.


Provider Type *


Substantive and Other Program Changes

(Check all applicable): Has there been a change in the following program/services? *


Insurance [All Programs/Providers]:
All programs shall include a copy of the annual liability insurance showing Amen Always Ministries International, Inc., Green Apple Accreditation of Children’s Services as an additional insured. You will need to make sure the current mailing address is on the declaration page. The current mailing address is: 731 Duval Station Road #107-147, Jacksonville, Florida 32218
I/We acknowledge the Insurance [Additional Insured] Policy and will remain in compliance. *

Accreditation Notification [All Programs]

Accreditation Notification [All Programs/Providers]:
All programs shall include a parent handbook, brochure, or website address, etc., showing the most CURRENT
status of membership, affiliation, or accreditation with Green Apple Accreditation of Children’s Services, as
proper notice to parents/public. No program may continue to advertise itself as a member, affiliated with, certified by, or accredited with Green Apple Accreditation of Children's Services, if/when its status has been suspended, revoked, or terminated for cause.
I/We acknowledge the Accreditation Notification Policy and will remain in compliance. *


All Programs

Directions: Upload the required documentation if there have been any changes such as new inspection reports, personnel, etc. If there were no changes then upload a signed page stating there were no changes since last year or date of accreditation.

Provider Type Requirements

Behavioral Health Programs. NO ADDITIONAL REQUIREMENTS.
Early Education Centers and Enrichment Programs.

Public/NonPublic Schools.
Any and all student records which may become necessary if the school were to close.

Affirmation and Signature


Be it resolved that we, the governing body of this organization do hereby declare that we have answered the above statements honestly and in complete accordance with the basis, principles, and policies that govern this organization and that a motion to this effect is recorded in the official minutes of the organization. We indemnify and hold harmless Green Apple Accreditation of Children's Services (GAACS), its representatives, successors, and its members both now and forever. Furthermore, I certify that I have the authority to complete this application on behalf of the organization. I/We have read and agree to the REFUND POLICY, FEES, AND TERM LIMITS and understand that ALL FEES ARE NONREFUNDABLE and NONTRANSFERABLE. The transaction may not be canceled once it is processed. There are additional FEES for Site Visit (Survey) Inspections and Travel Expenses (may be assessed), which will be due in furtherance of this application for accreditation. I/We have also read and agree to the PRIVACY POLICY and POLICIES AND PROCEDURES MANUAL.

Signature *
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