Uniform Application For Accreditation Of Continuing Legal Education Activity
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1
2UNIFORM APPLICATION FOR ACCREDITATION
Activity Code:
OF CONTINUING LEGAL EDUCATION ACTIVITY
(CCLE Form 6)
The following action has been taken on this application:
APPROVED for _______ CLE credit(s), including _______ Professional
Please mail completed and typed form to:
Conduct Credit Hours.
The Supreme Court of Ohio
ACCREDITATION DENIED. Reference
Commission on CLE
65 South Front Street, 5
Floor
th
Columbus, Ohio 43215-3431
Date: _____________
CLE Staff: ___________
SPONSOR INFORMATION
1.
Name and address of organization providing or sponsoring the activity (not the name of person applying).
2.
Website:
4.
Telephone Number:
5. Email Address:
3.
Name of sponsor contact person:
ACTIVITY INFORMATION
1.
Title of Educational Activity:
2.
Date(s) and Location(s) (Including City and State):
3.
Methods of Presentation:
Faculty in room with participants
Live Technology in group setting (includes Satellite, Videoconference, and Teleconference)
If Live Technology, was there an opportunity to ask questions of faculty during or immediately following the presentation?
Yes
No
Prerecorded Presentation
Name of Qualified Speaker for prerecorded presentation (attach speaker biography):
Ohio Attorney Registration Number:
4.
Advertised to:
Lawyers
Others, please specify
If program is not primarily for attorneys, please attach a supplementary Form 13 (for sponsors) or Form 14 (for individual attorney
applicants) to apply for the program on an interdisciplinary basis.
5.
List any admission restrictions:
6.
Has the sponsor developed a method of evaluation for this activity?
Yes
No
Please note that a method of evaluation is required for the Activity to be eligible for CLE accreditation. If unknown, please contact the
sponsor to confirm that a method of evaluation was provided.
7.
Are course materials provided to attendees?
Yes
No Total Number of Pages:
When are materials distributed?
Before Program
At program
Electronic
Other, please explain
REQUIRED ATTACHMENTS
TOTAL HOURS REQUESTED
8.
Please attach the following documents to the application:
9.
Please state the total hours of instruction for which you are
requesting CLE credit, not including breaks, business meetings,
A. Detailed time schedule (must show times of day, not just
or opening or closing remarks:
length of time)
B. Brochure, course outline or course description
General Hours:
C. Faculty names and credentials
Professional Conduct Credit Hours:
D. Complete set of materials must be available upon request.
Do not send materials unless requested.
Total Hours:
Submitted By:
Telephone Number:
Email Address:
Representative of Sponsor
Individual lawyer, OH Registration #
Signature
Date
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