Appraiser Qualifying Course Approval Application (2008 Courses)
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3NYS Department of State
Bureau of Educational Standards
DIVISION OF LICENSING SERVICES
P.O. Box 22001
Albany, NY 12201-2001
APPRAISER QUALIFYING
Phone: (518) 486-3803
Fax: (518) 408-2524
COURSE APPROVAL APPLICATION
(2008 courses)
PLEASE READ CAREFULLY, AS INCOMPLETE APPLICATIONS WILL BE RETURNED.
' All applications must be submitted 60 DAYS BEFORE the proposed course is to be conducted.
' The non-refundable fee must accompany this original, signed application (photocopies will not be accepted). Fees may be paid by check or money
order (made payable to the Department of State) or by MasterCard or Visa, using the enclosed credit card authorization form.
Do not send cash.
' Annual registration period runs from October 1st to September 30th.
' Attach to application: A detailed course outline and final exams for each course. See section eight of this application for further instructions.
1.
PLEASE INDICATE [/] THE COURSE(S) YOU HAVE SUBMITTED.
[
]
RESIDENTIAL - $250.00 - R-5 [
]
R-6 [
]
R-7 [
]
R-8 [
]
R-9 [
]
R-10 [
]
R-11 [
]
[
]
GENERAL - $250.00 - G-4 [
]
G-5 [
]
G-6 [
]
G-7 [
]
G-8 [
]
[
]
15 HOUR NATIONAL USPAP - $250.00
[
]
STATISTICS, MODELING AND FINANCE (SMF) - $25.00
[
]
RESIDENTIAL ELECTIVE (Introduction to Residential Income Properties-RE-1) - $25.00
[
]
RESIDENTIAL ELECTIVE (Fair Housing, Fair Lending and Environmental Issues (20 hours) - RE-2) - $25.00
[
]
GENERAL ELECTIVE 1 - (Fair Housing, Fair Lending and Environmental Issues (15 hours) - GE-1) - $25.00
[
]
GENERAL ELECTIVE 2 - (Specialty Appraisals - GE-2) - $25.00
[
]
GENERAL ELECTIVE 3 - (Using the HP12C Financial Calculator-GE-3) - $25.00
[
]
SECONDARY LOCATION 1 AND 2 - $250.00 EACH FOR R-5, R-6, R-7, R-8, R-9, R-10, R-11, USPAP, G-4, G-5, G-6, G-7, G-8
[
]
SECONDARY LOCATION 1 AND 2 - $25.00 EACH FOR Statistics, Modeling and Finance, RE-1, RE-2, GE-1, GE-2, GE-3
EXAMINATIONS FOR EACH COURSE MUST BE SUBMITTED WITH THIS APPLICATION. PARTIAL SUBMISSIONS WILL BE RETURNED.
2.
EDUCATIONAL ORGANIZATION DATA
SCHOOL NAME
ADDRESS (NUMBER AND STREET; ROOM/SUITE DESIGNATION)
CITY
STATE
ZIP+4
E-MAIL ADDRESS (IF ANY)
COORDINATOR’S NAME (person authorized to submit application on behalf of entity and responsible for administering Department of State regulations)
BUSINESS TELEPHONE (with area code)
(
)
E-MAIL ADDRESS (IF ANY)
DOES THIS INDIVIDUAL HOLD A NEW YORK STATE REAL ESTATE APPRAISER LICENSE/CERTIFICATION?
[
] YES
[
] NO
HOME ADDRESS (NUMBER AND STREET
CITY
STATE
ZIP+4
DOS-1765 (Rev. 12/07)
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