Free 46182.PDF - Indiana

APPLICATION FOR APPROVAL OF REAL ESTATE CONTINUING EDUCATION COURSE SPONSOR
State Form 46182 (R / 10-99) Approved by State Board of Accounts 1999

Indiana Professional Licensing Agency Indiana Real Estate Commission 302 W. Washington St., Rm E034 Indianapolis, IN 46204 Telephone: (317) 232-2980 Date of application (month, day, year)

TYPE OF SPONSORSHIP (check only one) Salesperson Broker

FEE: $50.00 All fees are non-refundable and non-transferable

NOTE: In order to sponsor both Salesperson and Broker courses, you must file two separate applications and submit appropriate fees with each. INSTRUCTIONS: (1) Include a school director resume listing experience in detail, and a college transcript if applicable. (2) Include descriptive course content outline for each course, including a cover sheet indicating the number of hours awarded. The outline must include a timeline for each item to be discussed. (3) Include instructor application for each instructor. (4) Include an example of the certificate which will be issued to licensees who complete the course. Certificate requirements are listed in 876 IAC 4-1-2. (5) Include fee of $50.00. SPONSOR INFORMATION
Name of course sponsor Business telephone number

(
Address of course sponsor (number and street, city, state and ZIP code)

) )

Fax number (if any)

( SCHOOL DIRECTOR INFORMATION

Pursuant to 876 IAC 4-1-2, you must submit the name, address and resume of the school director responsible for real estate administrative matters such as program development, scheduling of classes, advertising, maintaining facilities and equipment, recordkeeping and general supervision of the instructional program.
Name of School Director Business telephone number

(
Address of School Director (number and street, city, state and ZIP code)

) )

Fax number (if any)

( PARTNERSHIP / CORPORATION INFORMATION (do not complete this section if you are already an approved Real Estate school)

If the ownership of the sponsor is a partnership:
Name of partner

Address (number and street, city, state and ZIP code)

Name of partner Address (number and street, city, state and ZIP code)

If the ownership of the sponsor is a corporation:
Name of director / officer

Address of (number and street, city, state and ZIP code)

Name of director / officer Address (number and street, city, state and ZIP code)

Name of director / officer Address (number and street, city, state and ZIP code)

If the ownership of the sponsor is a limited liability company:
Name of manager

Address of (number and street, city, state and ZIP code)

(Continued on reverse side)

Name of member Address (number and street, city, state and ZIP code)

Name of member Address (number and street, city, state and ZIP code)

If additional space is required, attach names/addresses of remaining directors, officers or partners on a separate sheet of paper.
COURSE SPONSOR (check all that apply) College or university Community or junior college Proprietary school Other (specify) ___________________________________

Real Estate related organization (please specify) _____________________________________________________________________________ Sponsor having prior approval by the Indiana Real Estate commission

COURSE OFFERINGS (check all that apply)

The following courses will be offered, covering real estate and related topics which are consistent with the requirements of IC 2534.1-9-11. Pursuant to 876 IAC 4-2-1 and 4-2-2, the classroom hour of instruction is fifty (50) minutes of each sixty (60) minute hour segment, and credit toward the classroom hour requirement will only be granted when the length of the course is at least two (2) hours.
A. License and escrow law B. Anti-trust law C. Civil rights law D. Agency law E. Listing contracts and purchase agreements F. Ethics and professional standards G. Investment real estate analysis H. Industrial brokerage and leasing I. Settlement procedures J. Appraising K. Property management L. Farm property management M. Commercial brokerage and leasing N. Residential brokerage O. Land development P. Legislative issues affecting the real estate practice Q. Timeshares, condominiums and cooperatives R. Other courses approved by the commission (please specify)

ADVERTISING

A person may not advertise that the sponsor or the sponsor's course is required or recommended by the Commission.

NOTARY CERTIFICATE

I (we) the undersigned, submit this application in conformance with 876 IAC 4 pertaining to real estate continuing education sponsor approval. I (we) understand that I (we) shall conduct an instructor and course evaluation and that they shall be provided to the commission upon request. I (we) also understand that any violations of the license law or rules on my (our) part will subject me (us) to loss of approval.
STATE OF COUNTY OF

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SS:

I (we) certify that the information given in this application is true and correct to the best of my (our) knowledge.

Signature of principal officer, partner or manager

Signature of Notary Public

Printed or typed name of principal officer, partner or manager

Printed or typed name of Notary Public Date commission expires

Date subscribed and sworn to Notary Public

County of residence