STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 * (702) 486-4033
e-mail: realest@red.nv.gov * http://red.nv.gov/
Revised 03/20/17 597
INDEPENDENT APPRAISER
CONTINUING EDUCATION COURSE APPROVAL
Applicants Name:
Last First MI
License / Certificate Number
S.S. Number:
Business Name:
Phone Number:
Address:
Street City State Zip Code
LIST THE COURSE AND NUMBER OF ACTUAL CLASSROOM HOURS. YOU MUST FILL OUT ONE
APPLICATION PER COURSE UNLESS YOU ATTENDED A CONFERENCE, LIST EACH COURSE YOU
ATTENDED AT THE CONFERENCE INCLUDING THE NUMBER OF HOURSE PER COURSE.
City and State where course was taken:
Sponsor Name
Sponsor Address
Phone Number
Please Submit the following with this application
1. Fee of $100
2. Certificate of Completion
3. A copy of the student handout, and any other pertinent course material.
I certify that I actually attended the above listed course(s) for the number of hours indicated. I understand and
agree that a false certification is grounds for revocation of my license.
Signature
Date
INCOMPLETE APPLICATION WILL NOT BE PROCESSED