Ncsb Form 2 - Non-Accredited Sponsor'S Application For Cle Credit
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2NCSB Form 2 rev. 1/2016
THE NORTH CAROLINA STATE BAR
BAR
FOR OFFICE USE ONLY
BOARD OF CONTINUING LEGAL EDUCATION
Sponsor Number: ________________
217 E. Edenton St., Raleigh NC 27601
Course Number: _________________
P.O. Box 26148, Raleigh, NC 27611
SA _____ E _____ G _____ T _____
(919) 733-0123
NON-ACCREDITED SPONSOR’S APPLICATION FOR CLE CREDIT
Note: This application should be transmitted to the CLE Board at least 50 days prior to
presentation of the CLE activity.
1.
Full Name of Sponsor:___________________________________________________________________________________
2.
Name of Contact Person: _________________________________ Telephone (______)______________________________
3.
Address _____________________________________________________________________________________________
4.
E-mail Address: __________________________________ Web Address: ________________________________________
5.
Title of CLE Activity: ____________________________________________________________________________________
6.
Type of Activity:
Interactive computer program (CD/Rom, Online, IPod or MP3)
(Describe the interactive component of the program)
Live program, presenters and attendees on-site
Live audio-only (telephone) hook-up Live audio and video transmission, with / without Web cast
Group video viewing
If the activity is pre-recorded, please provide the date of the original production: ____________________________________
7.
Date/Time of Live Activity: Begin (hour & date): _______________ End (hour & date): ______________________________
8.
Location (city, state/country):_____________________________________________________________________________
9.
Registration Fee(s):____________________________________________________________________________________
10. The CLE activity is being offered and advertised as follows
_____________________
(specify method and location of advertising):
11. The CLE activity ___ was / ____ was not open to and advertised to attorneys outside of the firm/company.
12. Please attach the following required information:
A description of the subject matter covered in the course. For longer programs, provide a description of the content of
A.
each section.
If
B.
the program has an ethics, professional responsibility, professionalism or substance abuse component, please submit the
course materials.
C.
Identification of all presenters by name and qualification.
D.
A real-time agenda. (See back for time and content requirements.)
13. Sponsor’s calculation of number of CLE minutes (for computer programs, give running time):
Ethics, professional responsibility, or professionalism:
_______________ minutes
Substance Abuse/Mental Health Awareness (must be a minimum of 60 minutes)
_______________ minutes
General/other:
_______________ minutes
(substantive law topics other than ethics, professional responsibility, or professionalism):
Total:
_______________ minutes
14. Did the sponsor accept compensation from a manufacturer, distributor, broker or merchandiser of an IT solution in return for a
presentation on the IT solution at this CLE program? _______ Yes
________ No (See 27 NCAC 1D Rule .1602(e))
(continued on page 2)
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