C. FOR THE DIRECTOR OR INDIVIDUAL IN CHARGE
Have you ever had a real estate or other professional or occupational license suspended or revoked for disciplinary reasons or been refused a
renewal of a license issued by any state or jurisdiction?
NO YES (attach explanation and copy of nal order/judgment)
Have you ever been convicted, issued any ne, placed on probation, received a withheld judgment, or completed any sentence of connement
for or on account of ANY felony or a misdemeanor involving fraud, misrepresentation, or dishonest or dishonorable dealing in a court of proper
jurisdiction? (“Convicted” means a plea of nolo contendere or guilty, a jury verdict of guilty, or a court decision of guilt, whether or not a
judgment or sentence has been imposed, withheld, or suspended.)
NO YES (attach explanation and copy of nal order/judgment)
D. REQUIRED ATTACHMENTS - Incomplete applications will be immediately returned without processing.
CHECKLIST REQUIRED ATTACHMENTS
IREC USE
ONLY
$75 non-refundable fee (check or credit card authorization form)
Authorization to do business in Idaho and/or certicate of assumed business name, if applicable
(Section A)
Copy of provider refund policy—how will you handle requests for refunds?
Copy of provider cancellation policy—how will you handle cancellations if you must cancel or reschedule the
course?
Copy of provider make-up work policy—how will you handle make-up work?
Explanation of how you will maintain condentiality and security for end-of-course exams and answer keys.
Explanation on how you intend to monitor and ensure 100% attendance in compliance with IREC’s
attendance policy (the current version of the policy can be found at irec.idaho.gov).
Sample course completion certicate (MUST include student’s full legal name, provider name, course title,
course approval number, course date(s), course delivery method, approved credit hours and signature of the
provider director)
Explanation and copy of nal order/opinion/judgment, if applicable (Section C)
Copy of driver’s license or other document showing legal name of Director or Individual in Charge
The Applicant acknowledges certain course materials may contain proprietary documents or information that is the property of private persons
or entities (including but not limited to Idaho REALTORS® Legal Forms) and are therefore limited to use in an educational environment and
may be subject to further protections outlined under terms immediately preceding those specic materials. Applicant agrees to recognize and
not infringe upon such copyright or other intellectual property rights.
I hereby appoint the Executive Director of the Idaho Real Estate Commission to act as my agent upon whom all judicial and other process or
legal notices directed to me may be served. I hereby consent that any lawful process against me that is served upon the Executive Director
shall be of the same legal force and validity as if served upon me and that this authority shall continue in force so long as any liability remains
outstanding in the state of Idaho.
I acknowledge it is my responsibility to provide written notice to the Idaho Real Estate Commission of any changes in ownership,
provider location, or provider name, or named individual in charge at least one (1) month in advance of the eective date of the
proposed change(s). (Idaho Code 54-2027(9))
I acknowledge it is my responsibility to provide written notice to the Idaho Real Estate Commission of any change of my personal
name, address of personal residence, or personal telephone number within ten (10) days of the change. (Idaho Code 54-2012(1)(k))
I certify that the foregoing information is true and correct to the best of my knowledge and belief.
_________________________________
Director Signature
NOTARY REQUIRED
State of )
) ss.
County of )
Signed (or attested) before me on ______________________________ by _______________________________________________.
Date Name of Individual (applicant)
___________________________________________________
Signature of Notary notary
seal
___________________________________________________
My Commission Expires
REE-037-28 Rev. 07/2020
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