Ncsb Form 10 - Sponsor'S Application For Professionalism For New Attorneys Program
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2NCSB Form 10 – 1/2016
THE NORTH CAROLINA STATE BAR
BOARD OF CONTINUING LEGAL EDUCATION
217 East Edenton Street, Raleigh, NC 27601
P.O. Box 26148, Raleigh, NC 27611
(919) 733-0123
SPONSOR’S APPLICATION FOR PROFESSIONALISM FOR NEW ATTORNEYS PROGRAM
Note: This application should be transmitted to the Board of Continuing Legal Education
at least 45 days prior to presentation of the CLE activity.
1.
Full Name of Sponsor:__________________________________________________________________________________
2.
Name of Contact Person: _________________________________ Telephone (______)______________________________
3.
Address _____________________________________________________________________________________________
4.
E-mail Address: __________________________________ Web Address: _________________________________________
5.
Title of CLE Activity: ____________________________________________________________________________________
6.
Confirm that the program is being offered live: Yes or No (The program will not be approved unless it is live. 27 NCAC 1D, Rule
.1518(c)(3).)
7.
Date/Time of Live Activity: Begin (hour & date): ____________________ End (hour & date): _________________________
Day 2: Begin (hour & date):_____________________ End (hour & date): _________________________
8.
Location (city, state/country):_____________________________________________________________________________
9.
Registration Fee (s):____________________________________________________________________________________
10. The CLE activity _____ was / ____ was not open to and advertised to attorneys outside of the firm/company.
11. Please attach the following required information:
A.
A description of the subject matter covered in the course, including a description of the content of each section.
B.
Identification of all presenters by name and qualification.
C.
A real-time agenda. (See back for time and content requirements.)
12. The sponsor acknowledges that it will adhere to the content outline for the Professionalism for New Admittees Program.
Sponsor’s calculation of number of CLE minutes for each 6-hour block:
First 6-hour Block:
Second 6-hour Block
Ethics
_______________ minutes
Ethics
_______________ minutes
Substance Abuse/Mental Health Awareness _______________ minutes
Substance Abuse
_______________ minutes
(must be a total of 60 minutes)
Total:
_______________ minutes
Total
_______________ minutes
13. The Sponsor agrees to furnish to the Board of Continuing Legal Education, within thirty (30) days after the CLE activity,
the following :
A.
An alphabetical list of attendees, including their NC State Bar membership numbers and a statement of the ethics, substance
abuse/mental health awareness, general and total credit hours taken by each attendee.
B.
The required sponsor fee computed at $3.50 x total approved CLE hours x total number of NC attendees.
(See back for fee information.)
C.
Participant evaluations report as required by 27 NCAC 1D Rule .1518(c)(2).
14.
The Sponsor acknowledges that this activity may be disapproved and prior approvals of any CLE activity may be revoked for violations of
the Continuing Legal Education Rules and Regulations, or failure to comply with the agreements and affirmations contained on this form.
Date: ____________________________
CLE Sponsor: ______________________________________________
Signature: ___________________________________________________________
Title: _______________________________________________________________
SEE THE BACK OF THIS PAGE FOR A SUMMARY OF NORTH CAROLINA REQUIREMENTS
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