Ce Elective Course Sponsor Application (Form Rec 7.06) - North Carolina Real Estate Commission
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1
2
3FOR COMMISSION USE
Date____________________
Comment________________
________________________
NORTH CAROLINA REAL ESTATE COMMISSION
Sponsor Code#_____________
P.O. Box 17100
Raleigh, N.C. 27619-7100
Phone (919) 875-3700 •
CONTINUING EDUCATION
ELECTIVE COURSE SPONSOR
APPLICATION
GENERAL INSTRUCTIONS: Application for approval as a continuing education elective 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 Continuing Education Rules and Elective Course Approval Guidelines. 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.]
7.
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
8.
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 7.06
9/11/13
Page 1 of 3
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