Paralegal'S Request For Approval Of A Cpe Activity Form printable pdf download

Paralegal'S Request For Approval Of A Cpe Activity Form

NCSB Paralegal CPE

09/13

THE NORTH CAROLINA STATE BAR

BOARD OF PARALEGAL CERTIFICATION

217 E. Edenton Street

Post Office Box 25908

Raleigh, NC 27611

(919) 828-4620

PARALEGAL’S REQUEST FOR APPROVAL OF A CPE ACTIVITY

Note:

If advance approval is desired, this application and supporting documentation must be submitted at least 45

days prior to the date on which the activity is scheduled.

1. Name of Applicant:____________________________________________________________ CPID:_________________

2. Address: ________________________________________________________ Telephone (______)____________________

3. Email Address: ___________________________________ Web Address: ________________________________________

4. Sponsor of CPE Activity: _____________________________________________________________________________

5. Title of CPE Activity: _______________________________________________________________________________

6. Type of Activity:  Interactive computer program (on-line or on-demand)  Live program, presenters and attendees on-

site  Live audio-only (telephone) hook-up  Live audio and video transmission, with/without webcast  Group video

viewing

7. Date/Time of Live Activity: Begin (hour & date): _____________________ End (hour & date): ______________________

8. Location (city, state/country):_____________________________________________________________________________

9. The CPE activity ___ was / ____ was not open to and advertised to paralegals outside of the firm/company.

10. Request for number of CPE minutes (for computer programs, give running time):

Ethics, professional responsibility, or professionalism (including substance abuse):

_______________minutes

General/other (substantive law topics other than ethics, professional responsibility,

or professionalism):

_______________minutes

Total:

_______________minutes

11. Attach an agenda showing the amount of time allotted to each topic, describing the subject matter covered under each topic,

and identifying presenters by name and qualification.

Date:______________________________ Applicant: ___________________________________________________________

Signature: ___________________________________________________________

Title: _______________________________________________________________

Paralegal'S Request For Approval Of A Cpe Activity Form