Real Estate Continuing Education Course Application printable pdf download

Real Estate Continuing Education Course Application (564)

Illinois Department of Financial and Professional Regulation - Division of Real Estate

320 West Washington Street, 3

Floor

Springfield, Illinois 62786

Real Estate Licensing - Phone: (800) 560-6420 Fax: (217) 782-3390

1. Complete the following information and certification below. Incomplete applications will not be processed.

School Name:

School License No.:

Course Name:

Hours Requested:

Check One:

Core A

Core B

Broker Management Course

Elective Curriculum

Curriculum

Check One:

Classroom or other interactive

Distance education

delivery method

Complete if

If “other interactive delivery method,”

If “distance education,” please check one of the following

applicable:

please describe (i.e. webinar, etc.):

delivery methods and complete description below:

print media (i.e. written materials, CD, DVD, video tape,

or audio recording)

internet delivery

Description:

2. Mail all of the following to the above address in a letter size (8½ x 11) manila file folder with the course name

and school name typed on the folder:

The original signed application;

b. Non-refundable $125 application fee in the form of a check or money order payable to the Illinois

Department of Financial and Professional Regulation; and

The following materials:

 Course Description

 Timed Comprehensive Outline (must contain length of time for each topic and total course time

excluding time spent on exam)

 Learning Objectives

 Exam (25 questions for every 3 hours)

 Exam Answer Key

 Exam Proctor Policy

 Written Proctor Agreement

 Copies of Student Material

3. To be considered at the next Education Advisory Council (EAC) meeting completed applications must be

received by IDFPR a minimum of 3 weeks prior to the meeting.

Certification

As an authorized representative of the licensed CE school, I understand that if I provide false or fraudulent information the CE school could be

disciplined and/or fined. I read this application in its entirety and to the best of my knowledge all statements are true, correct, and accurate. My

signature authorizes the Illinois Department of Financial and Professional Regulation to conduct a criminal background investigation.

Authorized Representative Printed Name:

Authorized Representative Signature:

Date:

IL 505-0646 (Rev 10/14)

Real Estate Continuing Education Course Application

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