Form Rp-3042 - Application For Continuing Education Review
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1
2New York State Department of Taxation and Finance
Office of Real Property Tax Services, Educational Services
Application for Continuing Education Review
Please use this application form to apply for continuing education credit approval for supplemental training
(see guidelines
on the back page).
First name
Middle initial
Last name
E-mail address
Street address
Fax number
(
)
City, town, or post office
State
ZIP code
Name of course or seminar
Exam required?
Yes
No
Sponsoring organization
Instructor or presenter’s name(s)
Course location (county, town)
Course begin date
Course end date
to
/
/
/
/
Schedule/hours per day
Total classroom hours
Tuition amount
hours
$
You must include a detailed course syllabus, or course outline along with this completed application.
Briefly explain what you hope to gain by attending this training session, and how it will relate to the duties associated with
your position.
For ORPTS Use Only
(do not write in this space)
Approved
Number of continuing education credits:
Denied
Comments:
Reviewed by:
Date of review:
Clear Form
RP-3042 (1/13)
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Parent category: Financial