DOUGLAS
A. DUCEY
GOVERNOR
JUDY LOWE
COMMISSIONER
form 301 rev 6-11-2018
Arizona Department of Real Estate (ADRE)
Enforcement & Compliance Division
www.azre.gov
100 North 15
th
Avenue, Suite 201, Phoenix, Arizona 85007
COMPLIANCE - CONTINUING EDUCATION
(Course Approval Request) (COM-301)
Licens
ee Name: _______________________________ License #: ____________________________
Print Name of Respondent
Consent Order Number: _________________________ Consent Order dated: __________________
i.e. =yearF-DI-000 Commissioner’s Signature Date
The course request and approval is due 30 ____ 60 ____ days after entry of Order. The Order was entered (signed by the
Commissioner) on Mo/Day/Year: _____-______-_____
The courses are to be completed within: 30 ____ 60 ____ 90 ____ 120 ____ days.
Total number of hours of Continuing Education (CE) required: ______
Are courses required to be in the category of Commissioner’s Standards? Yes ____ No ____
Are courses to have emphasis in a particular area(s)? Approved: Yes____ No____
If yes, what area(s) of emphasis?
_____________________________________________________________________________________________
Respondent: list all classes below
For more information or questions visit www.azre.gov
Note: Only ADRE approved courses will be accepted. Brokers will not be approved for BMC 1, 2, or 3 as this is a renewal CE requirement. CE requests may be
denied if the CE was used for recent renewal CEs.
This document may be scanned and submitted to "Compliance Submissions" through the Department's Message Center.
Complete Name of School: ___________________________________________________________________________
School Location: __________________________________________________________________________________
CE Hours: ____ Category: _______________ Exact Name of course:__________________________________________
Approved: Yes____ No____ Classroom: ____yes ____No
Complete Name of School: ___________________________________________________________________________
School Location: __________________________________________________________________________________
CE Hours: ____ Category: _______________ Exact Name of course:__________________________________________
Approved: Yes____ No____ Classroom: ____yes ____No
Complete Name of School: __________________________________________________________________________
School Location: _________________________________________________________________________________
CE Hours: ____ Category: _______________ Exact Name of course: ________________________________________
Approved: Yes____ No____ Classroom: ____yes ____No
Complete Name of School: __________________________________________________________________________
School Location: __________________________________________________________________________________
CE Hours: ____ Category: _______________ Exact Name of course:_________________________________________
Approved: Yes____ No____ Classroom: ____yes ____No
Complete Name of School: __________________________________________________________________________
School Location: _________________________________________________________________________________
CE Hours: ____ Category: _______________ Exact Name of course: ________________________________________
Approved: Yes____ No____ Classroom: ____yes ____No
