OFFICE OF BANKS AND REAL ESTATE
CONTINUING EDUCATION TRANSMITTAL
SECTION A
(TO BE COMPLETED FOR AN ELECTRONIC TRANSMITTAL)
SCHOOL NAME: _______________________________________________________
SCHOOL LICENSE NUMBER: 162-____________
DISK FOR THE MONTH OF: ______________________, 2000
NUMBER OF CLASSES: ___________ HOMESTUDY INCLUDED: YES o NO o
TOTAL NUMBER OF RECORDS: ____________
SECTION B
(TO BE COMPLETED FOR A HARD COPY TRANSMITTAL WITH FEE)
SCHOOL NAME: _______________________________________________________
SCHOOL LICENSE NUMBER: 162-____________
COURSE NAME: _______________________________________________________
COURSE LICENSE NUMBER: 164-_____________ NUMBER OF HOURS: _____
CATEGORY: ELECTIVE o CORE/MANDATORY o
NUMBER OF STUDENTS: _________ DATE: ____________ TIME: ___________
SECTION C
(TO BE COMPLETED WHEN NO CLASSES ARE OFFERED FOR THE MONTH)
SCHOOL NAME: _______________________________________________________
SCHOOL LICENSE NUMBER: 162-____________
NO COURSES OFFERED FOR THE MONTH OF ___________________, 2000
ADMINISTRATOR’S SIGNATURE_________________________DATE_________
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