Form Re-620-123 -Real Estate Continuing Education Course Approval Application - Washington Department Of Licensing

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Real Estate Continuing Education
Course Approval Application
For validation only
You can use this form to apply for or to renew approval of a real estate course.
Only an approved real estate provider/course developer can offer courses
for clock hour credit. Allow 45 days for processing original applications
and applications with changes. Approval is made upon receipt to renewal
applications with no changes. Approval is good for two years.
Send this completed form, any required attachments, and a check or money
order payable to the Department of Licensing to:
Indicate date of presentation if this is a
seminar, symposium, or conference.
Real Estate
Department of Licensing
Date__________________________
PO Box 9021
Olympia, WA 98507
Select one:
Original application – $50 non-refundable fee minimum, $5 per clock hour and attachments listed on page 3
Renewal application for course ID number _____________ – $50 minimum, $5 per clock hour
Select the medium by which this course is delivered:
Live lecture
Distance education – Delivery method _____________
attach Real Estate Distance Education Delivery Method Application (form BPD-600-002B) unless the course has
been certified by ARELLO for your school
Does this course include the current prescribed core curriculum?
Yes
No
Provider/ Course developer information
Name of provider/ Course developer
School ID number (if applicable)
Address (Street, PO Box, Suite number)
City
State
ZIP code
(Area code) Telephone number
(Area code) Fax number
email address
Contact person
(Area code) Telephone number (if different)
Course information
Course title as it will appear in the course catalog
Is this course ARELLO certified?
Yes
No (If Yes, attach ARELLO certificate)
Number of clock hours requested
Exam and key attached
Number of questions
(50 minutes equals one clock hour
(Required for 30 or more
(Minimum of 3 questions
Yes
No
-- minimum of 3 clock hours)
clock hour courses)
per clock hour)
Description of instructional materials (text, charts, examples of forms, handouts, pamphlets, booklets, etc.)
Specify the course learning objectives for each learning unit and describe how the learning objectives cover the subject matter (see page 2)
RE-620-123 (R/7/11)W Page 1 of 3

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