Fillable FORM 526 REAL ESTATE CONTINUING EDUCATION COURSE APPLICATION: (Nevada Real Estate Division)

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FORM 526 REAL ESTATE CONTINUING EDUCATION COURSE APPLICATION: (Nevada Real Estate Division)

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STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 1 of 7 Form 526
FORM 526 – REAL ESTATE CONTINUING EDUCATION COURSE APPLICATION
Date:
Sponsor Information
1. Name of Sponsor:
2. Mailing Address:
City: State: Zip Code:
3. Telephone: Fax:
4. Email: URL:
5. Contact Person:
Course Information
6. Course Title:
7. Requested Credit Hours:
8. Course Objective/Learning Outcomes:
9. Course Fee Range:
10. Select the qualifying standards in NAC 645.450 under which this course is being submitted for approval.
1a 1b 2a 2b 2c 2d 2e 2f 2g 2h 2i 2j 2k
2l 2m 2n 2o 2p 2q 2r 2s 2t 2u 2v 2w
11. Select 1 requested Designation: Mandatory
Agency
Broker Mgmt.
Contracts
Ethics
Law & Leg. Update
Permit Holders
Property Management
Business Broker
Electives
General
12. Select 1 Delivery Method: Classroom Instruction
Distance Education (Select one below)
a. Internet b. Correspondence c. Other:
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 2 of 7 Form 526
REQUIRED as materials with course information:
13. Course Timed Outline (526a): An outline of topics and subtopics to be covered in increments of 20 minutes or less.
For classroom courses, include break times. For distance education, include time for quizzes and final exam. NOTE:
Submit 526a to courseinfo@red.nv.gov.
14. Class Schedule: Provide proposed class schedule to be confirmed on notification of course approval for NRED’s
online calendar of classroom CE classes. NAC 645.4432(4).
Instructor Information
15. List instructor applicants below and submit completed instructor application form 635 for each applicant:
Individual instructor application is required for each instructor.
Retention of Continuing Education Records
Sponsor verifies that attendance records will be retained in accordance with NAC 645.455 at Sponsor’s location address
given below. Written notice of location change/address is required.
16. Address of location at which records will be held:
City: State: Zip Code:
Printed Name of Authorized Records Custodian Signature
Regulatory Compliance
17. 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 612B, 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 612D, or the information prescribed in the form; and
e. Submitting completed class rosters on form 785A using instructions provided in form 785.
Signatures throughout, including on instructor applications must be original as defined in NAC 645.0515.
Photocopied signatures are not acceptable.
18. Course application fee is $100 per application. 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: Signature: Executed On:
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 3 of 7 Form 526
COURSE APPLICATION FEE IS NON-REFUNDABLE
INCOMPLETE SUBMISSIONS COULD RESULT IN DELAY OR DENIAL OF APPLICATION.
REQUIRED with all course applications for distance education delivery, completed:
1. Distance Education Questionnaire (or ARELLO certification, if course is ARELLO certified);
2. Application for Secure Electronic Method of Administering Final Exam, if applicable;
3. Certificate of Test Proctor, if applicable.
DISTANCE EDUCATION QUESTIONNAIRE
MUST BE COMPLETED IF SPONSOR DOES NOT HAVE DISTANCE EDUCATION CERTIFICATION
See NAC 645.443
I. What is your mission statement?
II. Describe the design of the course:
III. What are your procedures for updating the course?
IV. Describe the type and frequency of interactivity of the instruction with the students:
V. How does the instruction provided teach mastery of the materials?
VI. What support services are available to students?
VII. How was a time study of the range of instructional hours for this course completed? Justify the number of hours
requested to be approved for this course:
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 4 of 7 Form 526
VIII. Describe and document how each module of instruction has:
a. At least one learning objective.
b. A structured learning method to enable the student to achieve the learning objective.
c. A method of assessment of the student’s performance during instruction.
d. A method of remediation if a student is deficient in mastering the course material to repeat the course until the
student understands.
e. A complete syllabus or student instruction manual (or both) provided in written form which includes accurate
and clearly stated information about admissions, progression, completion, criteria, dismissal and any
applicable licensing requirements.
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 5 of 7 Form 526
APPLICATION FOR SECURE ELECTRONIC METHOD OF ADMINISTERING
FINAL EXAM FOR DISTANCE EDUCATION COURSES
NAC 645.443 allows for a written final examination to be administered by a secure electronic method in lieu of
a proctored exam.
Describe your proposal for administering testing in electronic format. Your proposal should detail the
procedures, methods and components you plan to utilize to secure the electronic format and the test security to
assure that the person testing is the student.
Describe the elements and procedures you plan to utilize in grading the exam. Describe how the student will be
notified of a pass or fail grade. What will be necessary for the student to re-test?
Please provide copies of exam(s) and answer key(s). NAC 645.403.9
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Revised 11/04/2019 Page 6 of 7 Form 526
CERTIFICATE OF TEST PROCTOR
Proctor Verification
Submitting this completed form will allow (name of school)
to release the exam to the proctor via fax.
Nevada Administrative Code (NAC) 645.443 requires that a student who enrolls in a distance education program must pass a
proctored, written examination. The proctor (someone over 18 who is not related to the student / see section 1 below) must complete
this form and fax the completed form to:
Name of School: Phone Number:
All proctor signatures are required to be notarized. This ensures the proctor is a real and valid person. All sections of this form must
be completed for a test to be sent to the proctor.
Instructions to proctor: Complete this form then email or fax the form.
Name of School: will email or fax the exam to be proctored.
Name of the course taken (use the student’s receipt or the title of the workbooks):
Name of the student taking the test:
The proctor certifies that:
1. I am a disinterested third party in the administration of this examination. I am not related by blood, marriage or any other
relationship to the examinee that would influence me from properly administering the examination. I am not a real estate licensee
nor am I affiliated with a real estate brokerage firm.
2. The student taking the exam will show me positive photo identification prior to taking and completing the examination.
3. The enclosed examination will be administered under my supervision on the following date:
4. The student received no assistance in taking the examination.
5. The test should be sent to my attention at: Fax or Email
6. Name of School: may contact me with questions via phone at the
following number:
7. I will not permit the examination to be compromised, copied, or recorded in any way or by any method.
8. After examination is administered, I will fax/email completed examination to your school.
Printed Name of Proctor: Signature of Proctor:
Address:
City: State: Zip Code:
}
State of
County of
}SS
}
Subscribed and sworn to before me this day of , 20
My appointment expires on
(Notary Seal)
NRED
Checkbox
STATE OF NEVADA
DEPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
Page 7 of 7 Form 526
Form 526 Checklist
Please note that as of April 2019, all Course Timed Outlines must be submitted to courseinfo@red.nv.gov
Sponsor
Checkbox
Check for all items that have been completed, are included or
applicable before submitting application to the Division.
Sponsor Information completed
Course Information completed
Course objectives (1-2 measurable outcomes. May be attached if more
space is required.)
Qualifying Standards selected
Requested Designation selected
Delivery Method
Retention of Records –
completed and signed
$100 Fee
Form 526 completed, signed and dated
Instructor Applications (resumes, licenses, certificates, etc.)
ARELLO Certification or Distance Education Questionnaire
Application for Secure Electronic Method of Administering Final Exam
(if applicable)
Certificate of Proctor (if applicable)
New requirement: Tim
ed 2- to 3-point Content Outline submitted to
courseinfo@red.nv.gov using Form 526a
Course Materials (plus videos/CDs as applicable)
Sample Student Handouts
Sample Refund/Cancellation Policy
Description of physical facility (if applicable)
Copyright Authorization Letter (if applicable)
Exams, Quizzes and Answers (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
FOR NRED INTERNAL USE ONLY
Y N CE Number: Duplicate Title: Y N CE Number: Duplicate Course:
Date:
Revised 11/04/2019
Initials:
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FORM 526 REAL ESTATE CONTINUING EDUCATION COURSE APPLICATION: (Nevada Real Estate Division)

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Completed 28 December 2021

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