STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
03/20/2017 Page 1 of 1 749
3300 W. Sahara Ave., Suite 350, Las Vegas, Nevada 89102 * (702) 486-4033
e-mail: realest@red.nv.gov * http://red.nv.gov/
TIMESHARE INSTRUCTOR APPLICATION
PRE-LICENSING CONTINUING EDUCATION
Applicants E-Mail Address:
2. Name and address of Sponsor for which the applicant will instruct:
3. Title of Course which the applicant will instruct:
COURSE NUMBER #: ________________________
4. PROOF OF QUALIFICATION MUST BE ATTACHED to include:
Detailed resume defining dates (from-to) of schooling and experience. Describe experience in the field in which
applicant is applying to instruct so that resume clearly indicates how applicant is qualified to teach subject
matter of course per NAC 119A.380
;
Copies of applicable documents (licenses, certificates, etc).
QUESTIONS 5, 6 AND 7 MUST BE ANSWERED BY APPLICANT:
5. Have you ever been refused approval of a license or certificate by any Federal, State, County or City agency?
Yes No If yes, attach an explanation.
6. Has any license or certificate held by you been suspended, revoked or subject to discipline?
Yes No If yes, attach an explanation.
7. Have you ever been subject to disciplinary action by any Federal, State, County or City agency?
Yes No If yes, attach an explanation.
INCOMPLETE SUBMISSION WILL RESULT IN DELAY OF APPLICATION
I declare under penalty of perjury under laws of the State of Nevada that the foregoing attached statement
consisting of
pages is true and correct.
Executed on: , 20
(Date) (Signature)
(Print Name)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FOR NRED INTERNAL USE ONLY
Date: Approved / Denied By:
