--- title: "Section 2 : Substantive Change" canonical: "https://resources.acenursing.org/space/ARI/1952907267/Section%202%20%3A%20Substantive%20Change" format: markdown --- This section requires a response for each item listed by program type. Only select “No” if a particular change IS possible to have occurred for your program(s) but did not occur during the reporting period. If a response for a particular substantive change question is “applicable” to one (1) or more program types, select “Yes.” Once you have selected “Yes,” you will have the option to select the “Program Type(s)” that experienced the substantive change—mark all that apply. Mark if the change was reported to ACEN by selecting “Yes” or “No.” Note: If you have had a substantive change prior to the completion of this report as defined by Policy #14 Reporting Substantive Changes in the ACEN Accreditation Manual and are unsure if it has been reported, select “no” and Please refer to Policy #14 for information on reporting this change immediately and email [subchange@acenursing.org](mailto:subchange@acenursing.org) if you have any questions. NOTE: MARKING “YES” IN SECTION 2 DOES NOT CONSTITUTE HAVING REPORTED THE SUBSTANTIVE CHANGE TO ACEN. ONLY MARK “YES” IF A SUBSTANTIVE CHANGE REPORT WAS SUBMITTED PRIOR TO 10/13/2025 ## Fiscal Monitoring   For the Fiscal Monitoring questions, we highly recommend reaching out to your program’s and/or governing organization’s financial professionals for the answers. The questions have been designed to be succinct and easily answered while still providing the ACEN with a general sense of the fiscal health of our nursing programs.