Fillable Application for Continuing Education Course/Seminar Approval Checklist (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Application for Continuing Education Course/Seminar Approval Checklist (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
Application for Continuing Education
Course/Seminar Approval Checklist
Please utilize the following checklist when submitting a Sponsorship Application for Continuing Education. Failure to submit
all required information and documentation may delay application processing.
A complete application that includes the following:
Sponsor name, association or organization.
Contact information of sponsor, including address, telephone number, e-mail address, and fax number.
Name of contact person.
Course or seminar title and hours for each course you plan to offer. Note that breaks and Q&A periods are
not counted towards class time.
Detailed description for each course or seminar you plan to offer.
Name(s) of instructor(s) for each course or seminar.
Resume of instructor(s) for each course or seminar. The qualications listed on the resume must match the
course or seminar that is being offered.
If you are an existing sponsor with the Board, please provide your current sponsor number _________________ .
$200 continuing education sponsorship fee payable to the “State of New Jersey.” Checks and money orders
should be mailed immediately upon submitting application to:
Board of Examiners of Electrical Contractors
P.O. Box 45006
Newark, NJ 07101
E-mail completed application and supporting documentation to ElecCE@dca.lps.state.nj.us.
Please be advised that complete applications and fees must be submitted to the Board at least 60 days prior to the date the
course or seminar is scheduled to begin.
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
Instructions for Completing the Application for
Continuing Education Course/Seminar Approval
Prior to renewing his/her license in 2015, a licensee will be required to have taken a total of 34 hours of continuing
education during the triennial cycle of 2012-2015. This 34 hours of continuing education must consist of nine (9)
hours of Code; one (1) hour of Law; and 24 hours of trade-related subjects. You may view all applicable regulations
elsewhere on this website (N.J.A.C. 13:31-1.7, Continuing Education Requirements).
The Board appreciates your interest in sponsoring, specically, course(s)/seminar(s) which relate to the area termed
“trade-related subjects.” Below is an Application for Continuing Education Course/Seminar Approval. Please
provide all of the information requested; note that this application provides space for a total of four (4) specic
courses, but if that is not enough room to include all of the courses you wish to teach, the application may be
reproduced. You must provide a course title, a brief course description and the instructor’s name for each course/
seminar. You are also requested to provide information relating to the length of time necessary to complete the
course/seminar. Be sure to attach a detailed course outline for each course/seminar you wish to teach and a copy
of the resume/curriculum vitae for each instructor you list.
Please note that pursuant to N.J.A.C. 13:31-1.6, Fee Schedule, a sponsor is required to submit with his/her
application a Continuing Education Sponsor Fee in the amount of $200.00. Your certied check or money order
should be made payable to the “State of New Jersey.” Whether you are seeking Board approval for one (1) course
or numerous courses, only one (1) check for $200.00 is required, but only IF you submit all of your courses for
approval at the same time. In other words, if you subsequently come back to the Board with additional courses
and/or instructors for which you are seeking approval, you will be required to pay another Continuing Education
Sponsor Fee ($200.00). This “all-at-one-time submission” concept is to encourage sponsors to submit everything
at one time so that the Board can review the entire package. Your check must be included with your Application
for Continuing Education Course/Seminar Approval.
Please be aware that a sponsor of a course or program offering which has been previously approved by the Board
shall reapply to the Board for approval of the course or program if there are any changes to the course content,
hours of instruction or course lecturer. The sponsor shall resubmit to the Board the documentation and continuing
education sponsor fee. If there are no changes in course content, hours of instruction or course lecturer for a
previously approved course or program, the sponsor shall not be required to reapply to the Board for approval
prior to offering the course or program in subsequent renewal periods.
Please also be advised that the Board does not allow a quiz/exam to be part of the instructional hours and should
not be a requirement in order for the licensee to receive a certicate. Additionally, please do not request courses
in half-hour increments, as the Board only approves full-hour increments.
To avoid delay, please review your application and entire submission for completeness. Please feel free to contact
the Board if you have any questions regarding the application process for teaching continuing education. You may
contact the Board’s staff at (973) 504-6410.
Thank you for your interest in teaching continuing education. We look forward to hearing from you.
Sincerely,
Board of Examiners of Electrical Contractors
New Jersey Ofce of the Attorney General
Division of Consumer Affairs
New Jersey Board of Examiners of Electrical Contractors
124 Halsey Street, 6th Floor, P.O. Box 45006
Newark, New Jersey 07101
(973) 504-6410
Application for Continuing Education
Course/Seminar Approval
Information that you provide on this application may be subject to public disclosure as required by the Open Public Records Act (OPRA).
Date ___________________________________
Name of sponsor/provider: _____________________________________________________________________________________
Address: ____________________________________________________________________________________________________
Name of contact person: ______________________________________________________________________________________
Telephone number: ________________________________________ Fax number: _______________________________________
(include area code) (include area code)
E-mail address:_________________________________________________ Other: _______________________________________
Note: If, as a sponsor, you previously submitted courses to the Board for approval, please indicate your sponsor # _________________ .
Title of course(s)/seminar Length of course (Hrs)
1) ____________________________________________________________________ _____________
Course description:
Instructor: _____________________________________________________________
2) ____________________________________________________________________ _____________
Course description:
Instructor: _____________________________________________________________
Title of course(s)/seminar Length of course (Hrs)
3) ____________________________________________________________________ _____________
Course description:
Instructor: _____________________________________________________________
4) ____________________________________________________________________ _____________
Course description:
Instructor: _____________________________________________________________
Attach a detailed copy of each course outline that accurately describes the course’s content.
Instructor’s name Previous assigned instructor number
1) ____________________________________________________________ _____________________
2) ____________________________________________________________ _____________________
3) ____________________________________________________________ _____________________
4) ____________________________________________________________ _____________________
5) ____________________________________________________________ _____________________
6) ____________________________________________________________ _____________________
Attach a copy of each instructor’s resume/curriculum vitae.
Submit to:
DivisionofConsumerAffairs
BoardofExaminersofElectricalContractors
P.O.Box45006
Newark,NJ07101
Please feel free to call the Board ofce at (973) 504-6410 with any questions you may have regarding the completion of this
Application for Continuing Education Course/Seminar Approval.
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Application for Continuing Education CourseSeminar Approval Checklist (State of New Jersey, Dept. of Law & Pub. Safety, Office of the Attorney General)

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Completed 14 August 2020

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