ARKANSAS REAL ESTATE COMMISSION
Phone: (501) 683-8010 Fax: (501) 683-8020
CONTINUING EDUCATION
COURSE RENEWAL
AREC 10/2014
2. Include $50 fee
1. Complete the entire form
INSTRUCTIONS:
Name of School: _______________________________________________________________________
How will the course be oered? Classroom Distance
AREC Topic Number: ____________ AREC Topic Title: ______________________________________
Is this course ARELLO approved? _________ If YES, please attach a copy of the ARELLO certication for
this course.
Mailing Address: ______________________________________________________________________
Principal Instructor: ___________________________ Instructor License Number: _________________
Course Title: _______________________________________ Number of Credit Hours: _____________
City: __________________________________ State: __________ Zip: _____________
PART I - SCHOOL INFORMATION:
PART II - COURSE INFORMATION:
Return to: Arkansas Real Estate Commission | 612 South Summit St | Little Rock, AR 72201
COMMISSION USE ONLY
Receipt # ______________
Date Paid ______________
Phone Number: ______________________ Email Address: ___________________________________
Current course code: ______________________________ Expiration Date: ______________________
Are there substantive changes in the approved course outline? _____ YES _____ NO (If yes, complete page 2)
(page 1 of 2)
Under penalty of perjury, I declare and arm that the statements made on this form, including the attached
sheets, are true, complete and accurate. I will operate in compliance with the laws of Arkansas and the regula-
tions of the Arkansas Real Estate Commission.
STATEMENT OF COMPLIANCE
Principal Instructor’s Name: ______________________________________
Principal Instructor’s Signature: ______________________________________ Date: ______________