Update Course Sponsor Application (Form Rec 7.02) - North Carolina Real Estate Commission

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FOR COMMISSION USE
Date____________________
Comment________________
________________________
NORTH CAROLINA REAL ESTATE COMMISSION
P.O. Box 17100
Sponsor Code #____________
Raleigh, N.C. 27619-7100
Phone (919) 875-3700 •
CONTINUING EDUCATION
UPDATE COURSE SPONSOR
APPLICATION
GENERAL INSTRUCTIONS: Application for original approval as a continuing education Update course sponsor must be made on this form.
The application must be typed or printed in ink , and all items must be completed. If any item is not applicable, indicate “N/A” or “None” as
appropriate. Before completing this application, the applicant should read the Commission Rules regarding mandatory continuing education. The
Commission reserves the right to demand verification of any relevant information prior to making determination on any application. The applicant
should make and retain a copy of the completed application.
1.
Legal Name of Applicant_________________________________________________________________________________
2.
Applicant’s Assumed Business Name_______________________________________________________________________
[Provide the official name to be used in connection with offering continuing education courses if different from legal name.]
3.
Preferred Mailing Address________________________________________________________________________________
_______________________________ 9-Digit Zip_____________________ Telephone _(_____)______________________
4.
E-mail Address_________________________________________________________________________________________
5.
Web site______________________________________________________________________________________________
6.
Continuing Education Coordinator
______________________________________________________________Telephone _(_____)______________________
[Name the individual responsible for coordinating all the sponsor’s real estate continuing education courses and for complying with the
requirements prescribed in Rule E. 0405.]
Application Fee Enclosed _______ $100 for original approval
7.
[The application fee is non-refundable and must be submitted in the form of a certified check, bank check or money order payable to the
North Carolina Real Estate Commission. No fee is required if applicant is a community college, junior college, college or university located
in North Carolina and accredited by the Southern Association of Colleges and Schools.]
8.
Type of Entity [Indicate the applicant’s legal form of business. Check all that apply.]
Sole Owner
Corporation
Limited Liability Company (LLC)
Limited Partnership
General Partnership
College/University
Community College
Junior College
Licensed Private Business School
Licensed Private Real Estate
Association
Other [Specify.]
School
9.
Secretary of State Identification Number (SOSID) ___________________________________________________________
[NOTE: If applicant is a corporation, limited liability company (LLC), or limited partnership, the applicant must provide the SOSID. A
corporation, LLC, or limited partnership is required by North Carolina law to be registered with the office of the N. C. Secretary of State and to
maintain that registration on current status. Applicants must be in compliance with these requirements to be eligible for approval and compliance
will be verified by the Commission. A sole owner, general partnership or other business entity may enter “Not Applicable.”]
REC 7.02
Page 1 of 3
09/01/13

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