Fillable Form 1.: Approval of Primary Training and Live (Kansas Judicial Branch)

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Form 1.: Approval of Primary Training and Live (Kansas Judicial Branch)

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  • 4 check-boxes
  • 33 other fields

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Approval of Primary Training and Live CDRE Activity –
Instructions
1.
This form should be submitted by approved programs sponsoring a primary training or
live CDRE activity prior to its presentation or individuals seeking CDRE credit for a live
presentation they have attended, but which has not been state-approved for approval
pursuant to Supreme Court Rules 916 and 917(b). This form should not be used for
prerecorded, live teleconference CDRE or webinar presentations.
a. Programs applying for CDRE credit should not complete Part B.
b. Individuals seeking CDRE credit must complete all parts.
NOTE: Only calculate and include total minutes actually attended in Part C.
Make sure the information is accurate since this form will serve as the affidavit of
participation. Office of Judicial Administration will enter the approved hours
directly into your file based on this information unless modification is required.
Credit will not be entered into your file unless your name and dispute resolution
provider number are printed clearly and your signature is included at the end of
the application.
2. Submit one application for each activity.
4. Approved individuals must be provided with high quality instructional materials at or
before the primary training or CDRE activity.
5. Notice of approval will be emailed to the program. For approved programs, approval of
CDRE credit for an activity is valid until the next calendar year pursuant to the
limitations of Rule 917(b)(2).
6. Completed applications (and any attachments) should be submitted to the Director of
Dispute Resolution via mail to:
Office of Judicial Administration
301 SW 10
th
Avenue
Topeka, KS 66612-1507
adr@kscourts.org
Required Attachments:
• A copy of the final version of the timed agenda of the activity.
Indicate beginning, ending, and break times.
Indicate on the agenda for which items you seek CDRE credit (specifying any
domestic violence and/or ethics components).
• A brochure, advertisement, or announcement for the activity.
INCOMPLETE APPLICATIONS WILL BE RETURNED WITHOUT REVIEW
1
Approval of Primary Training and Live CDRE Activity –
Application
Part A: Program Information (Required on all applications)
Organization/Program:
Contact Name:
Address:
City, State, Zip:
Phone:
Email (Required):
Web Address:
Part B: Individual Information (Should only be submitted by individuals seeking personal credit)
Name:
Address:
City, State, Zip:
Phone:
Email (Required):
Part C: Activity Information (Required on all applications)
Title of Activity:
Original Date of Activity:
Location of Activity:
Audience this activity is directed and advertised to. List all groups invited:
1.
2.
3.
Are "high quality" instructional materials distributed before or at the activity? Yes No
Was an evaluation distributed for the activity? Yes No
Is there a registration fee for the activity? Yes No
Activity Format (check all that apply): Live Video Satellite In-House
2
Approval of Primary Training and Live CDRE Activity
Application
Hours Calculation
Total minutes of instruction:
Divided by 50 minutes equals: CDRE Hours
Total minutes devoted to:
Domestic Violence Topics:
Ethics:
Part C: Verification
Program
I certify that this activity meets all rules and regulations required for primary training or CDRE credit in the
State of Kansas, and that the above information (including attachments) is true and complete.
Program Representative Name Program Representative Title
Signature Date
Individual
I certify that this information is true and complete. I have calculated my hours in Part C based on my
individual attendance. Based on this information, the Office of Judicial Administration will enter the approved
hours directly into my record unless a modification is required.
Name (Print) Signature
Date
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Form 1.: Approval of Primary Training and Live (Kansas Judicial Branch)

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Completed 20 March 2021

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