Fillable FORM 579 COMMUNITY ASSOCIATION MANAGER CONTINUING EDUCATION: COMMON-INTEREST (Nevada Real Estate Division)

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FORM 579 COMMUNITY ASSOCIATION MANAGER CONTINUING EDUCATION: COMMON-INTEREST (Nevada Real Estate Division)

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The FORM 579 COMMUNITY ASSOCIATION MANAGER CONTINUING EDUCATION: COMMON-INTEREST (Nevada Real Estate Division) form is 3 pages long and contains:

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  • 34 check-boxes
  • 67 other fields

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File type: PDF

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY – REAL ESTATE DIVISION
COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
Revised 02/20/2018 Page 1 of 3 Form 579
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 • (702) 486-4033 • CAMEducation@red.nv.gov
FORM 579 – COMMUNITY ASSOCIATION MANAGER CONTINUING EDUCATION
COURSE APPLICATION
Date _________________________________________
Sponsor Information
1. Name of sponsor:
2. Mailing Address:
City, State & Zip:
3. Telephone:
Office:
Cell:
4. E-mail:
Fax:
5. Contact Person:
URL:
Course Information
6. Course Title:
7. Requested hours of classroom instruction or distance education:
8. Course Objectives / Learning Outcomes:
9. Course Fee Range: $
10. Select the qualifying standards in NAC 116A.232 under which this course is being submitted for approval:
1a
1b
2a
2b
2c
2d
2e
2f
2g
2h
2i
2j
2k
2l
2m
2n
2o
2p
2q
2r
2s
11. Select 1 Requested Designation:
Law & Legislative Update
General
12. Select 1 Delivery Method:
Classroom Instruction
Distance Education (select 1 below)
a. Internet
b. Correspondence
c. Other
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY – REAL ESTATE DIVISION
COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
Revised 02/20/2018 Page 2 of 3 Form 579
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 • (702) 486-4033 • CAMEducation@red.nv.gov
Instructor Information
13. List instructor applicants below and submit completed instructor application Form 670 for each applicant:
Individual instructor application for each instructor is required.
Retention of continuing education records
Sponsor verifies that attendance records will be retained in accordance with NAC 116A.230 at Sponsor’s location address
given below.
Written notice of any change in location must be given to the Real Estate Division, CIC Education Officer.
14. Address of location at which records will be held:
(City, State, Zip)
(Printed Name of Authorized Records Custodian)
(Signature of Authorized Records Custodian)
Regulatory Compliance
15. By signing and submitting this form to the Division, Sponsor agrees to comply with all Sponsor duties, including, but
not limited to, using:
a. Evaluation report form 592A or 592C
or the information prescribed in the form;
b. Attendance report form 579C or the information prescribed in the form;
c. Certificate of completion provided with the course approval notification or the information prescribed in it;
d. Evaluation summary report for 592B and 592D
or the information prescribed in the form;
e. And completed class roster on form 785A-CAM using instructions provided in form 785-CAM.
If course is by distance education delivery, you must also complete:
1. Distance Education Questionnaire, Form 671 (required, unless course delivery is ARELLO certified);
2. Application for Secure Electronic Method of Administering Final Exam, Form 672, if applicable;
3. Certificate of Test Proctor, Form 673, if applicable.
16. Course application fee is $100 per application.* Amount enclosed: $ _________ payable to NRED
“I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct.”
(Print Name)
(Signature of personal authorized to submit
application)
(Date)
INCOMPLETE SUBMISSIONS COULD RESULT IN DELAY OR DENIAL OF APPLICATION.
*COURSE APPLICATION FEE IS NON-REFUNDABLE.
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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY – REAL ESTATE DIVISION
COMMON-INTEREST COMMUNITIES AND CONDOMINIUM HOTELS
Revised 02/20/2018 Page 3 of 3 Form 579
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 • (702) 486-4033 • CAMEducation@red.nv.gov
Form 579 Checklist
Sponsor
Checkbox
Check for all items that have been completed, are included or applicable
before submitting application to the Division.
NRED
Checkbox
Sponsor Information completed
Course Information completed
Course objectives
Qualifying Standards selected
Requested Designation selected
Delivery Method
Retention of Records – completed and signed – Form 848
$100 Fee
Form 579 completed, signed and dated (page 2)
Instructor Applications (resume, license, certificate, etc. for each instructor) –
Form 670
ARELLO Certification or Distance Education Questionnaire
Application for Secure Electronic Method of Administering Final Exam (if
applicable) – Form 672
Certificate of Proctor (if applicable) – Form 673
Course Outline (segments of 5-20 minutes)
Course Materials (plus videos/CDs as applicable)
Sample Student Handouts
Sample Refund/Cancellation Policy
Copyright Authorization Letter (if applicable)
Exams, Quizzes and Answers (if applicable)
Submit completed application, with materials and fee to:
CIC Education and Information Officer, Office of the Ombudsman, Real Estate Division
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FOR NRED INTERNAL USE ONLY
Duplicate Course:
Yes
No
CE#
Duplicate Title:
Yes
No
CE#
Application Complete and accepted:
Yes
No
Date:
Initials:
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FORM 579 COMMUNITY ASSOCIATION MANAGER CONTINUING EDUCATION: COMMON-INTEREST (Nevada Real Estate Division)

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Completed 28 December 2021

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