STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revision 12/17/2018 Page 1 of 3 613
FORM 613 REAL ESTATE POSTLICENSING EDUCATION
COURSE APPLICATION (Classroom Only)
*10. Instructor Names:
11. Location(s) of Offerings:
*Submit a completed instructor application form 635 for each instructor applicant named above.
12. Hours of Classroom Instruction:
13. Course Fee: $
Course to Meet the Educational Requirements for first renewal of a Nevada Real Estate license
Date _________________________
Sponsor Information
1. Name of sponsor:
2. Mailing Address:
City, State & Zip:
3. Telephone:
Fax:
4. E-mail:
URL:
5. Business Type (School, Brokerage, Title Company, etc.)
6. Contact Person (REQUIRED):
Course Information
7. Title of Course:
8. Credit Hours Requested:
9. Select the requested session (refer to NAC 645.4442 and NRED’s 10-Session Program):
SESSION 1:
MODULE E
SESSION 4:
MODULE B
SESSION 7:
MODULE L
MODULE M
SESSION 10:
MODULE I
MODULE K
MODULE O
SESSION 2:
MODULE H
SESSION 5:
MODULE D
SESSION 8:
MODULE J
MODULE F
SESSION 3:
MODULE A
SESSION 6:
MODULE N
MODULE G
SESSION 9:
MODULE C
Revision 12/17/2018 Page 2 of 3 613
REQUIRED as materials with course information:
14. Timed content outline: of topics and subtopics to covered in increments of 20 minutes or less. Include
breaks and final exam times in the outline.
15. Course Objectives/Learning Outcomes: One or more statements of the measurable outcomes the course
developer or sponsor seeks to achieve, i.e. what applicable knowledge and/or skills students will gain from the
course that will prepare them to perform competently as real estate licensees and in a manner that will protect
the public interest.
16. Final exam: at the end of each module or session. The minimum pass grade must be 75%. Provide a copy
of the final exam with the answer key or correct answers marked.
Retention of Postlicensing Education records
Sponsor verifies that attendance records will be retained in accordance with NAC 645.4444 at Sponsor’s
location address given below.
Written notice of any change in location must be given to the Real Estate Division, Education Section.
17. 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
18. 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 612A or the information prescribed in the form;
b. Attendance report form 740 or the information prescribed in the form;
c. Certificate of completion provided with course approval notification or the information prescribed in it;
d. Evaluation summary report form 612C or the information prescribed in the form; and
Submitting completed class rosters on form 785A using instructions provided in form 785.
Course application fee is $100 per application. Total amount enclosed : $
“I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct.”
(Print Name)
Executed on
(Date)
(Signature of person authorized to submit application)
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revision 12/17/2018 Page 3 of 3 613
Form 613 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 Session and Modules selected
Instructor Applications with Resumes (licenses, certificates, as relevant)
Timed Content Outline (item 14 on page 2 of 3)
Course Objectives/Learning Outcomes (item 15 on page 2 of 3)
Final Exam with Answer Key (item 16 on page 2 of 3)
Retention of Records completed and signed
Course Materials (plus videos/CDs as applicable)
Student Handouts
Refund/Cancellation Policy
Description of physical facility
Copyright Authorization from owners of materials used (if applicable)
Submit completed application, with materials and fee to:
Education Section, Real Estate Division
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102
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FOR NRED INTERNAL USE ONLY
Duplicate Course: Yes No POST# ____________ Duplicate Title: Yes No POST# ____________
Application complete and accepted: Yes No Date: __________________ Initials: _________