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

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Application for Continuing Education Course/Seminar/Program Approval (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
InteriorDesignExaminationandEvaluationCommittee
124HalseyStreet,3rdFloor,P.O.Box45001
Newark,NewJersey07101
(973)504-6385
Application for Continuing Education
Course/Seminar/Program Approval
Continuingeducationseminars,conferences,coursesorotherprogramsapprovedbytheInteriorDesignContinuingEducation
Council(I.D.C.E.C.),graduatelevelcourseworkaccreditedbytheCouncilforInteriorDesignAccreditation(C.I.D.A.)and/or
courses,programsorseminarsofferedorapprovedbytheNewJerseyDepartmentofCommunityAffairsthataredirectlyrelated
tothepracticeofinteriordesigndo notrequiresubmissiontotheInteriorDesignExaminationandEvaluationCommitteefor
approval.Applicationsforpre-approvalmustbesubmitted60dayspriortoenrollment.
Nameofprovider:____________________________________________________________________________________________
Streetaddress:_______________________________________________________________________________________________
City State ZIPcode
Contactperson:_____________________________________ Telephonenumber:__________________________ (include area code)
Titleofcourse/seminar/program:________________________________________________________________________________
Descriptionofcourse/seminar/program:
(A copy of the course/seminar/program outline and/or the syllabus is required.)
Thepurposeofcontinuingeducationistobuildupontheknowledgeofinteriordesignservicesinaccordancewiththeguidelines
establishedbytheI.D.C.E.C.,andwhichcontinuingeducationupdatesthecompetencyofthecerticateholder.Brieydescribe
howthiscourse/seminar/programfulllstherequirement:
Category: Health,safetyandwelfareissuesrelatedtointeriordesignservices
 Educationalactivitiesdirectlyrelatedtointeriordesign
Methodofpresentation: In-personconferences,seminarsandtrainingcourses Online Webinar
Date(s)ofcourse/seminar/program: From_________________________________To___________________________________
Locationofcourse/seminar/program:____________________________________________________________________________
Lengthofcourse/seminar/program:______________________________________________________________________________
(A C.E. hour means one 60-minute clock hour of an educational activity with no less than 50 minutes of instructional content within the hour.)
Nameofinstructor:_______________________________________________________(Attach a copy of the instructor’s biography.)
Submitallmaterialsto: DivisionofConsumerAffairs
InteriorDesignExaminationandEvaluationCommittee
P.O.Box45001
Newark,NJ07101
Attn:C.E.Approval
Please do not write below this line
for office use only
Similar course was approved by the Board. Date approved: _______________________________________
Title: ________________________________________________________________________________________
Provider: ________________________________________________________ Number of hours: ___________
Approved Denied Hold Approval code _______________ Hours __________
Approved for: Health, safety and welfare issues related to interior design services
Educational activities directly related to interior design
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Application for Continuing Education CourseSeminarProgram Approval (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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