FOR COMMISSION USE ONLY
COMMISSION FOR
THIS COURSE IS
NORTH
APPROVED/DISAPPROVED
CONTINUING LEGAL
DAKOTA
FOR ________ CREDIT HOURS
EDUCATION
INCLUDING ________ ETHIC
P.O. Box 2136 • Bismarck, North Dakota 58502 • (701) 255-1404
CREDITS
____________________________
SIGNATURE
INDIVIDUAL ATTORNEY APPLICATION
FOR APPROVAL OF CLE CREDIT
1.
Name and address of person requesting approval (attorney or person from sponsoring organization):
2.
Name, address, and telephone number of sponsoring organization:
___
3.
Title of Course:
4.
Dates and locations of course (city and state):
5.
Is this course being applied for credit under the uniquely connected exception?
(See Section 1(2) of Guidelines)
_______ Yes
_______ No
6.
Advertised to:
lawyers
Others - specify
7.
"In-house activity" requirements
open/publicized to outside lawyers
outsiders are
% of faculty
8.
REQUIRED ATTACHMENTS to this application
9.
Total Minutes of instruction, not including breaks,
a.
time schedule (brochure, course outline,
meals or introductions.
course description)
b.
faculty name(s) and credentials (if not in
General (non-ethics) _______
Ethics _______
in brochure description)
c.
If #5 was answered “Yes”, attach an explanation
on how the course is uniquely connected to your
Total __________
practice.
10. Approval by other states:
Granted by:___________________________________
Denied by (state reasons):__________________________________
__________________________________________________________________________________________________________
11. Submitted by: _______ employee of sponsor/provider
_______ individual lawyer
SPONSOR’S OBLIGATIONS (or individual applicants): Sponsor acknowledges and agrees to comply with all applicable local rules and
regulations listed on the backside of this form or attached hereto.
__________________________________________________________________________________________________________
Name of person applying (type or print)
Address
Phone
_____________________________________________________________
____________________
Signature
Title
Date
Submit
1
2
