Fillable Form 1.: Section 1: School Information (State of Connecticut/Department of Administrative Services)

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Form 1.: Section 1: School Information (State of Connecticut/Department of Administrative Services)

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BROWSE STATE OF CONNECTICUT/DEPARTMENT OF ADMINISTRATIVE SERVICES (CT) FORMS

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This application is for a new course and renewal of an existing course. For a new course, complete Sections 1,2,3 and 6. For renewal of
an existing course complete sections 1,4,5 and 6. Complete application must be emailed or faxed to this office.
Section 1: School Information
School Code School Name:
Name of Contact Person Phone Number Fax Number
Email Address
Section 2: NEW Course Information
Minimum course hours: CE: 3-hrs.,Pre-License: 30-hrs.,P&P: 60-hrs. Distance Education (on-line) are only permitted for CE courses.
Exact Name of Course (if applicable, name must match Arello certificate)
Total Course Hours: ______ hrs.
Type of Instruction:
Classroom Distance Education (on-line) Both
Type of Course: Pre-Licensing Mandatory Subject Elective
If an elective course, check one or more of the following content areas covered in this course:
Agency Real Estate Contracts Real Estate Market Analysis
Brokerage Real Estate Finance Real Estate Math
Fair Housing Law Real Estate Investments Real Estate Taxation
Land Use Controls Real Estate Licensing Law Real Estate Transactions
Property Management Real Estate Appraisal Risk Reductions & Management
Client Representation/Advocacy/ Use of Technology Specifically Environmental Concern
Negotiating Counseling for Real Estate
Section 3: Required Documentation For NEW Course Applications
Course Outline/Syllabus- Syllabus/Outline must reflect the number of minutes devoted to each element
Copy of the inside cover page of all text to be used– Must include copyright or revision date of each text
Copies of all handouts
Primary Providers: Distance Education (On-line) copy of primary Arello certification
Primary Providers: Attach a list of all secondary providers granted permission teach your course. You must provide the school
name and school code.
Section 4: Existing Course RENEWAL Section
Exact Name of Course
Total Course Hours: ______ hrs.
Type of Instruction:
Classroom Distance Education (on-line) Both
Type of Course: Pre-Licensing: RENEWAL Mandatory Subject: RENEWAL Elective: RENEWAL
For Official Use Only
CONNECTICUT REAL ESTATE
COURSE APPLICATION
STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
Real Estate Division
450 Columbus Blvd, Hartford CT 06103
E-Mail: dcp.realestateschool@ct.gov
Fax No. (860) 706-1219
1.
Complete this form. Type or print CLEARLY.
2. Return form to Agency at via email or fax only.
REAL ESTATE EDUCATION COURSE APPLICATION CONT.
Section 5: RENEWAL Changes to Previously Approved Course
Text* Advertising*
Classroom Hours (not including exam) _____hrs. Exam*
Syllabus* Location of Classes*
Advertising* Schedule of Classes*
*Provide the appropriate document showing the proposed changes to the course.
Section 6: Certification of School Official
・ COURSES MAY NOT BE OFFERED AT A BROKERAGE OR APPRAISAL OFFICE.
・
SCHOOLS AND INSTRUCTORS ARE PROHIBITED FROM SOLICITING STUDENTS TO WORK FOR A SPECIFIC BROKERAGE OR APPRAISAL FIRM.
・
STUDENT RIGHTS FORM SHALL BE GIVEN TO EACH STUDENT UPON FIRST APPEARANCE IN CLASSROOM.
・
IF COURSE IS NOT HELD IN A PUBLIC BUILDING OR PLACE OF PUBLIC ASSEMBLY, COURSE FACILITY MUST BE ADEQUATE TO HOLD SUCH
AN OFFERING AND HAVE BEEN APPROVED BY THE LOCAL FIRE MARSHALL FOR SUCH PURPOSE.
・ ALL COURSE ADVERTISEMENTS MUST COMPLY WITH REAL ESTATE COMMISSION REGULATIONS REGARDING ADVERTISEMENTS.
・ REAL ESTATE COMMISSION MAY REQUEST ADDITIONAL INFORMATION REGARDING AN APPLICATION AND RESERVES THE RIGHT TO
AUDIT CLASSES ON RANDOM BASIS.
・ SCHOOL WILL SUBMIT A ROSTER OF LICENSEES THAT HAVE COMPLETED THE COURSE TO THE STATE CONTRACTED PROVIDER.
My school is aware of and will abide by the instructions provided within and the CT regulations regarding real estate school
and course offerings.
_____________________________________ __________________
Signature of School Representative Date
Please send this completed application and required documentation electronically to:
Email: dcp.realestateschool@ct.gov
Fax: (860)706-1312
FOR OFFICIAL USE ONLY – DCP REVIEW
APPROVED
Approval subject to:
DENIED
Reason for denial:
Date Approved
Signature of R E Commissioner
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Form 1.: Section 1: School Information (State of ConnecticutDepartment of Administrative Services)

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Completed 8 March 2022

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