Ce Elective Course Application (Form Rec 7.29 Distance) - North Carolina Real Estate Commission

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FOR COMMISSION USE
Date____________________
Comment________________
NORTH CAROLINA REAL ESTATE COMMISSION
________________________
P.O. Box 17100
Raleigh, N.C. 27619-7100
Course Code #_____________
Phone (919) 875-3700 •
CONTINUING EDUCATION
ELECTIVE COURSE APPLICATION
DISTANCE EDUCATION
[
]
This form must be submitted for each course for which the applicant seeks approval. If the applicant is not already approved as an elective course
sponsor, the Elective Course Sponsor Application form must also be submitted. Read the “Continuing Education Elective Course Approval Guidelines”
booklet in its entirety AND the Distance Education Guidelines prior to completing this application.
1.
Title of Proposed Elective DE Course _____________________________________________________________________
[As it will appear in advertisements and materials.]
2.
Proposed Delivery Method ______________________________________________________________________________
Note: If a course is offered via more than one delivery method, each delivery method is considered a different and separate course for purposes
of obtaining course approval. Therefore, a separate application and fee are required for each different delivery method.
3.
Legal Name of Applicant (Course Sponsor) _________________________________________________________________
4.
Preferred Mailing Address _______________________________________________________________________________
_______________________________________ 9-Digit Zip_________________Telephone (______)__________________
5.
E-mail Address ________________________________________________________________________________________
6.
Continuing Education Coordinator
_________________________________________________________________Telephone (_______)_________________
7.
If applicant is currently an approved sponsor, enter the applicant’s 4-digit sponsor code:_____________________________
If applicant is not currently approved, complete and submit an ELECTIVE SPONSOR APPLICATION with this form.
8.
Application Fee Enclosed ___________________($100 per elective course)
[An applicant who submits concurrently more than one Elective Course Application may write a single check for the combined total fee. The
application fee is non-refundable and must be paid by check or money order payable to the North Carolina Real Estate Commission. No fee
is required if applicant is a government agency or a community college, junior college, college or university located in North Carolina and
accredited by the Southern Association of Colleges and Schools.]
9.
Credit/Classroom Hour Equivalency
Rule 58E.0204(a)(4) requires that all elective courses consist of at least four (4) classroom hours (200 instructional minutes) or the
equivalent. Maximum credit hours awarded for any elective course is four hours.
YES
NO
This course fulfills the four classroom hours/200 instructional minutes equivalency requirement ........................
10.
Subject Matter
Attach a detailed outline of the course including time to be devoted to each major topic. The subject matter of the course must
comply with Commission Rule E.0305 and the Continuing Education Elective Course Approval Guidelines, Part 1, relating to
subject matter.
REC 7.29 - Distance
Page 1 of 2
6/01/12

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