CONTINUING EDUCATION COURSE APPLICATION (Must be submitted to Commission office at least 60 days prior to the course offering)
By signing this document, the Course Provider agrees to cooperate and participate in the use of the Commission’s electronic system for tracking course attendance (CE UPLOAD). Separate instructions will be provided by the Commission upon approval of this course.
Name of provider:
PROVIDER INFORMATION
Name of contact person: Address:
Telephone number: Website address:
Email address:
Is the course accredited, approved or offered by any real estate commission or educational institution? Yes. If so, please provide proof.
No.
Does any school or course provider sponsor the course of study either jointly or independently? Yes. If yes, provide name of said entity and attach proof. No.
If this course is offered through distance education, attach a copy of the ARELLO certification.
Course provider:
COURSE INFORMATION
Course title:
Purpose of course:
How does this course relate to the practice of real estate and public protection?
Maximum number of participants: Registration fee:
Please provide a list of dates and locations where this course will be presented. Attach additional sheet, if necessary.
Instructor(s) for the course:
Duration of course (must be a minimum of 3 classroom hours): Explain in detail the attendance/monitoring system:
Pursuant to Commission Rules and Regulations, Chapter 5, Section 2(h), a Wyoming Real Estate
Commission member may monitor any class and the course fee will be waived. That member will not receive continuing education credit for attending such class. Date
Signature
Course Application Fee: $50.00 (payable to the Wyoming Real Estate Commission) Attach one (1) copy of the following documents:
Continuing Education Course Application • Complete and comprehensive outline of the course content • Instructor qualifications • Copy of ARELLO Certification for distance education and a Summary of Information from ARELLO (distance education format only) • Sample of proposed advertising • Sample of Certificate of Attendance/Completion which must contain the following: Name of provider Name and license number of participant Number of hours of instruction Date(s) of course Title of course Signature of person authorized to sign for the course provider
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