Free 53496.FH11 - Indiana

APPLICATION FOR REAL ESTATE APPRAISER CONTINUING EDUCATION COURSE
State Form 53496 (2-08)

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REAL ESTATE APPRAISER LICENSURE AND CERTIFICATION BOARD PROFESSIONAL LICENSING AGENCY 402 West Washington Street, Room W072 Indianapolis, Indiana 46204 Telephone: (317) 234-3009 E-mail: [email protected] www.pla.IN.gov

FOR OFFICE USE ONLY
COURSE NUMBER DATE APPROVED (month, day, year)

DO NOT WRITE ABOVE THIS LINE CONTINUING EDUCATION COURSE APPLICANT INFORMATION
Title of course Name of applicant (first, middle, last, maiden or previous) Name of organization providing the continuing education course Address of organization (number and street or rural route, city, state and ZIP code) Work telephone number Other telephone number (cell or home) Length of course

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E-mail address

Website URL

INSTRUCTOR INFORMATION
Name of instructor (first, middle, last, maiden or previous) Current residential address of instructor (number and street or rural route, city, state and ZIP code) Work telephone number Other telephone number (cell or home)

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E-mail address

INSTRUCTOR QUALIFICATION REQUIREMENTS
Each instructor for an approved real estate appraiser continuing education course must possess at least one (1) on the following minimum requirements: 1. Is a licensed or certified real estate appraiser or licensed real estate broker and has a bachelors degree with a major or minor in real estate from an accredited college or university. Each instructor qualified under this subdivision must also meet the competency requirements of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that they teach. 2. Is a licensed or certified real estate appraiser or licensed real estate broker and has a bachelors degree from an accredited college or university and a minimum of two (2) years of experience in real estate appraising. Each instructor qualified under this subdivision must also meet the competency requirements of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that they teach. 3. Is a licensed or certified real estate appraiser and has a minimum of five (5) years of experience as a real estate appraiser. An instructor qualified under this subsection may not teach any course that contains subject matter that is beyond his or her licensed ability to appraise. Each instructor qualified under this subdivision must also meet the competency requirements of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that they teach. 4. Has two (2) years of experience as a qualified instructor or professor in the business, finance, or economics department of an accredited college or university. 5. Has an Indiana real estate brokers license and a minimum of five (5) years of experience as a real estate broker. Each instructor qualified under this subdivision must also meet the competency requirements of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that they teach. I have read the instructor qualifications requirement above and certify that I meet the qualifications to perform continuing education to appraisers. Yes No Page 1 of 13

INSTRUCTOR QUALIFICATION QUESTIONS
Below are questions that pertain to the qualifications to be an instructor for a continuing education course. Please include official documentation, including college transcripts with your application to support your affirmative response to any of the questions below. 1. I am a licensed or certified real estate appraiser or licensed real estate broker and I have a bachelors degree with a major or minor in real estate from an accredited college or university. I also meet the competency requirement of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that I teach. 2. I am a licensed or certified real state appraiser or licensed real estate broker and I have a bachelors degree from an accredited college or university and a minimum of two (2) years of experience in real estate appraising. I also meet the competency requirement of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course that I teach. 3. I have an Indiana real estate brokers license and a minimum of five (5) years of experience as a real estate broker. I also meet the competency requirements of the Uniform Standards of Professional Appraisal Practice (as adopted in 876 IAC 3-6-2 and 876 IAC 3-6-3) for each course I teach. 4. I have two (2) years of experience as a qualified instructor or professor in the business, finance, or economics department of an accredited college or university.

Yes

No

Yes

No

Yes

No

Yes

No

5. I hold a professional license and have taken the necessary continuing education hours needed to renew my professional license from the last renewal cycle. Yes No I do not hold a professional license 6. Have you had any continuing education or qualifying education course revoked, or rescinded by any State, the Appraisal Qualifications Board, or the Appraisal Subcommittee? 7. Have you (the instructor) ever been convicted of, plead guilty, or nolo contendre to a violation of Federal, State, or local law to any offense, misdemeanor, or felony in any State, or by the Federal Courts, or any agency of government, or are criminal charges now pending against you? (except for minor violations of traffic laws resulting in fines) 8. Have you (the instructor) ever been denied a license, certification, registration or permit to practice real estate or any other profession in this or any other state? 9. Has any complaint been filed against you in the State of Indiana, or in any other state, regarding any professional license you currently hold or have previously held or have you practiced real estate or appraising without a license? 10. Has disciplinary action ever been taken regarding any professional license, certification, registration, or permit that you currently hold or have held?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

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INSTRUCTOR EXPERIENCE
Please describe the instructors experience (include a brief work experience; teaching experience; then emphasize on appraisal experience including type properties appraised, courses taught; number of years or classroom hours teaching; whether full or part time).

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INSTRUCTOR EDUCATION BACKGROUND
Please describe the educational background of the instructor, general education, degrees, appraisal education including course titles, year taken and source of education.

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INSTRUCTOR PROHIBITIONS
876 IAC 3-5-8 states that a course provider of an approved real estate appraiser continuing education course is prohibited from hiring, or retaining in its employ, an instructor who has: 1. had a real estate appraiser license revoked or suspended by any jurisdiction; 2. obtained or used, or attempted to obtain or use, in any manner, Indiana real estate appraiser licensing examination questions to be used on future examinations, unless authorized by law; 3. been convicted of a crime which has a direct bearing on the individuals ability to competently instruct, including, but not necessarily limited to, violations of real estate appraiser laws and abuse of fiduciary responsibilities; 4. falsely certified hours of attendance or grades for any student; or 5. unless allowed by law, refused to appear and/or testify under oath at any hearing held by the board.

We / I comply with 876 IAC 3-5-8. We / I have taken appropriate steps to ensure compliance with 876 IAC 3-5-8. PLAN TO COMPLY WITH 876 IAC 3-5-8 Below, please detail your plans to ensure compliance with 876 IAC 3-5-8.

Yes Yes

No No

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RECORDS RETENTION POLICY
876 IAC 3-5-3 requires the provider of an approved real estate appraiser continuing education course must retain records of students who complete the course for a minimum of six (6) years. The records must include: 1. attendance records; 2. examination score records (if applicable); and 3. duplicate copies of completion certificates.

Appropriate measures are in place to ensure compliance with 876 IAC 3-5-3. PLAN TO COMPLY WITH 876 IAC 3-5-3 Below, please detail your plans to ensure compliance with 876 IAC 3-5-3.

Yes

No

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CONTINUING EDUCATION COURSE ELIGIBILITY
Courses not approved by the Appraiser Qualifications Board, as provided for in IC 25-1-4-0.5(1)(B) and Section 2 of this rule, must be by the Board under this section. The content of the course must comply with subsection (b)(3) or 1.5(a)(2) of this rule. In order to be an approved continuing education course, a course must satisfy the following criteria: 1. The course must involve a minimum of two (2) classroom hours of instruction on real estate appraisal or related topics. 2. The course must be an education offering that is consistent with the purpose of continuing education and covers real property related appraisal topics, including, but not limited to one of the following topics in the next section of this application. Courses greater than seven (7) hours in length, all USPAP courses, and all distance education course must apply for approval to through the Appraisal Qualifications Board.

I have read the above information and attest that my course conforms to 876 IAC 3-5-2.5. CONTINUING EDUCATION COURSE HOUR INFORMATION

Yes

No

Below are the acceptable course topics for continuing education that can be approved by the Board. Please indicate the number of hours the course focuses on each topic. A classroom hour of instruction is defined as fifty (50) minutes of each sixty (60) minute hour segment. Credit toward the classroom hour requirement may be granted only where the length of the educational offering is at least two (2) hours. Courses greater than seven (7) hours in length (including the total hours being offered), distance education and all USPAP courses must be approved by the Appraiser Qualifications Board. TOPIC Ad valorem taxation Arbitration, dispute resolution Courses related to real estate appraisal or consulting Development cost estimating Land use planning, zoning Management, leasing, timesharing Property development, partial interests Real estate law, easements, and legal interests Real estate litigation, damages, condemnation Real estate financing and investment Real estate appraisal-related computer applications Other: Other: Other: Other: Other: Other: Other: Other: Other: Other: Other: Other: Other: Total Number of Continuing Education Hours Course Being Offered HOURS

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APPRAISAL QUALIFICATION BOARD CRITERIA AND COMPLIANCE WITH TITLE XI The Appraisal Qualifications Board (AQB) and the Appraisal Subcommittee (ASC) require that all appraiser continuing education programs and courses meet their criteria of ensuring that it ensures an appraiser participates in a program that maintains and increases his / her skill, knowledge and competency in real estate appraising. Your course must also satisfy the education criteria established by the AQB for the licensure and certification of real estate appraisers pursuant to Title XI of the Financial Institutions Recovery, Reform, and Enforcement Act (FIRREA). Your course will be reviewed during a filed review by the ASC. If the ASC determines that your course does not meet AQB criteria, your course could be invalidated by the ASC and rescinded by the Board. The ASC could also invalidate the continuing education hours you awarded to your students.

1.

I understand the above information and accept responsibility for my course and students should it be questioned, invalidated, or rescinded by the Appraisal Subcommittee or the Board. This course satisfies the education criteria established by the AQB for the licensure and certification of real estate appraisers pursuant to Title XI of the Financial Institutions Recovery Reform and Enforcement Act (FIRREA). I agree to cooperate with any inquiry, investigation, questions, or requests made by the Board, the Appraisal Subcommittee, the Appraisal Qualifications Board, or any other government body about this course. I understand that this course will be reviewed and may be investigated by the Appraisal Subcommittee, or they could mandate the Appraiser Board to conduct an investigation or inquiry into this course. I understand that the Appraisal Subcommittee or the Board can determine that my course does not meet AQB criteria and that it could be invalidated by the ASC and / or the Board and / or be rescinded or revoked by the Board or the ASC without warning. I have instituted measures, safeguards, and / or other checks and balances to ensure compliance with Title XI and AQB Criteria. Does the instructor of this course conform to AQB criteria and Indiana Administrative Rules? I understand that there is an inherent risk in submitting my application to the Real Estate Appraiser Licensure and Certification Board for approval rather than the Appraisal Qualifications Board. I understand that the AQB, not the Real Estate Appraiser Licensure and Certification Board is the source for establishing educational and experience qualification criteria for the licensing, certification and recertification of appraisers, and that the only way to ensure that my course meets AQB criteria is to have it approved through the AQBs course approval program.

Yes

No

2.

Yes

No

3.

Yes

No

4.

Yes

No

5.

Yes Yes Yes

No No No

6. 7. 8.

Yes

No

If you answered NO to any of the questions above, please elaborate on your reasons for doing so.

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PLANS TO ENSURE COMPLIANCE WITH APPRAISAL QUALIFICATION BOARD CRITERIA AND TITLE XI
In the file below, please detail safeguards, measures, and plans you have in place to ensure your compliance with AQB criteria and Title XI. The Board strongly encourages all applicants to take a significant amount of time when completing this portion of the application. The Board can deny your application for failing to adequately present sufficient information and documentation to ensure compliance with AQB criteria.

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COURSE COMPLIANCE WITH APPRAISAL QUALIFICATION BOARD CRITERIA AND TITLE XI
In the file below, please explain how this course provides a program that maintains and increases an appraisers skill, knowledge, and competency in real estate appraising. The Board can deny your application for failing to adequately present sufficient information and documentation to ensure compliance with AQB criteria. This section continues to the next page should you require more room to answer this portion of the application.

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COURSE COMPLIANCE WITH APPRAISAL QUALIFICATION BOARD CRITERIA AND TITLE XI (Continued)
Continued from the previous page. If you do not need this page, skip it and proceed to the next page. In the file below, please explain how this course provides a program that maintains and increases an appraisers skill, knowledge, and competency in real estate appraising. The Board can deny your application for failing to adequately present sufficient information and documentation to ensure compliance with AQB criteria.

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APPRAISAL QUALIFICATION BOARD CRITERIA AND COMPLIANCE WITH TITLE XI
Please answer and attest to the following questions below to ensure compliance with AQB criteria. 1. This course requires the passage of an exam that contains a sufficient number of questions to adequately test the subject matter covered in the course; the amount of time devoted to examinations must be appropriate for the course; individually and collectively, test at a difficulty level appropriate to measure student achievement of the stated course learning objectives; written in a clear and unambiguous manner; and does not permit open book exams. Does this course satisfy the education criteria established by the AQB for the licensure and certification of real estate appraisers pursuant to Title XI of the Financial Institutions Recovery, Reform, and Enforcement Act (FIRREA)? Does the course provide a program that maintains and increases an appraisers skill, knowledge and competency in real estate appraising? Do you agree to cooperate with Board, and / or the Appraisal Subcommittee should any questions be raised regarding this continuing education course? The AQB requires that a classroom hour is defined as fifty (50) minutes of teaching out of each sixty (60) minutes segment. Does your course meet this requirement? Credit toward the classroom hour requirement may be granted only where the length of the educational offering is at least two (2) hours. Does your course meet this requirement? Is the course accredited, approved, or offered by any real estate or appraiser board or trade commission? If Yes, explain (when, where, and approval number):

Yes

No

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Yes

No

3.

Yes

No

4.

Yes

No

5.

Yes

No

6.

Yes Yes

No No

7.

8.

If Yes to the question above, has this course had their accreditation or approval revoked or rescinded by any real estate or appraiser commission or trade commission? If Yes, explain (when, where, and approval number):

Yes

No

MATERIALS TO BE INCLUDED WITH YOUR APPLICATION Please include the following materials and information with your application. Failure to include any of these documents or insufficient information will result in your application being delayed for review by the Board. COURSE DETAILS COVERING: Course Description Course Prerequisites Learning Objectives Topic Matrix
Instructional Material for Students (Textbooks, notebooks, etc.)

MISCELLANEOUS: Course Tuition / Fees Course Schedule Instructors Resume / Bio Copy of Certification Awarded to Students Equivalency Matrix Completed Copies of your continuing educations certificates from your most recent renewal if you hold a professional license in Indiana. Be sure to include copies of your most recent USPAP course update certificates.

Material for Instructor Use (Overheads, etc.) (If applicable) Sample of Final Examination and Answer Key Times Course Outline POLICIES COVERING: Attendance Policy Cancellation and Refund Record Retention Policy Plan to ensure compliance with Appraisal Qualification Board Criteria and Title XI

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AUTHORIZATION FOR RELEASE OF INFORMATION I hereby authorize, request, and direct any person, firm, officer, corporation, association, organization or institution to release to the Indiana Professional Licensing Agency, or the Real Estate Appraiser Licensure and Certification Board, any files, documents, records or other information pertaining to the undersigned requested by the Agency, or the Board, or any of their authorized representatives, in connection with processing my application for licensure. I hereby release the aforementioned persons, firms, corporations, associations, organization and institutions from any liability with regard to such inspection or furnishing of any such information. I further authorize the Indiana Professional Licensing Agency, or the Real Estate Appraiser Licensure and Certification Board, to disclose to the aforementioned persons, firms, officers, corporations, associations, organizations, and institutions any information, which is material to my application, and I hereby specifically release the Agency, and the Board from any and all liability in connection with such disclosures. A photostatic copy of this authorization has the same force and effect as the original.

AFFIRMATION I hereby swear or affirm that I have read the above statements and agree to same.
Signature of Applicant Date of signature (month, day, year)

Signature of Reviewing Board Member

BOARD REVIEW SECTION - OFFICE USE ONLY APPLICATION APPROVED
Date of signature (month, day, year)

Signature of Reviewing Board Member

Date of signature (month, day, year)

Signature of Reviewing Board Member

APPLICATION TABLED
Date of signature (month, day, year)

Signature of Reviewing Board Member

Date of signature (month, day, year)

Reason for table:

Signature of Reviewing Board Member

APPLICATION DENIED
Date of signature (month, day, year)

Signature of Reviewing Board Member

Date of signature (month, day, year)

Reason for denial:

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