Form Dos-1698-F-A - Home Inspection Qualifying Course Approval Application
Download a blank fillable Form Dos-1698-F-A - Home Inspection Qualifying Course Approval Application in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Dos-1698-F-A - Home Inspection Qualifying Course Approval Application with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2New York State
Department of State
Division of Licensing Services
Bureau of Educational Standards
P.O. Box 22001
Albany, NY 12201-2001
(518) 486-3803
Home Inspection Qualifying Course Approval Application
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 of $25 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 a credit card authorization form. Do not send cash.
»
No fees are required for secondary locations.
st
st
»
Annual registration period runs from January 1
to December 31
.
»
Attach to application: a detailed outline with time sequence for each module and the final examination for each module with answer key:
reference source; reference page for each question; and where each question falls in the main topics of the curriculum.
»
ALL FIVE MODULES MUST BE SUBMITTED TOGETHER ON ONE APPLICATION. Also see items listed on page 2 of this application.
1. COURSE MODULES & FIELD-BASED TRAINING MODULE
MODULE 1 - 25-HOURS
MODULE 2 - 25-HOURS
MODULE 3 - 25-HOURS
MODULE 4 - 25-HOURS
MODULE 5 - 40-HOURS (FIELD-BASED)
EXAMINATIONS FOR MODULES 1 THROUGH 4 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
(
)
HOME ADDRESS (NUMBER AND STREET)
HOME TELEPHONE
(
)
CITY
STATE
ZIP+4
3.
PRIMARY COURSE LOCATION
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
CITY
STATE
ZIP+4
4.
SECONDARY LOCATIONS - NO FEE REQUIRED FOR THESE LOCATIONS, BUT YOU MUST HAVE A PRIMARY LOCATION.
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
CITY
STATE
ZIP+4
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
CITY
STATE
ZIP+4
LOCATION ADDRESS (PLACE, NUMBER AND STREET; ROOM/FLOOR/SUITE DESIGNATION)
CITY
STATE
ZIP+4
A fee of $20 will be charged for any check returned by a bank for insufficient funds.
DOS-1698-f-a (Rev. 11/15)
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal