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Uniform Application For Accredidation Of Continuing Legal Education Activity (Appendix D) - Rhode Island

Uniform Application For Accredidation Of Continuing Legal Education Activity (Appendix D) Form. This is a Rhode Island form and can be used in Mandatory Continuing Legal Education Supreme Court Statewide .
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APPENDIX D UNIFORM APPLICATION FOR ACCREDITATION OF CONTINUING LEGAL EDUCATION ACTIVITY To the State of:________________________________ 1. Name and address of organization providing or sponsoring the activity (not the name of person applying): NOTICE OF DECISION (To be completed by the state accreditation office and returned to the applicant.) The following action has been taken on this application: APPROVED for _______CLE credits, including ________ethics credits. ACCREDITATION DENIED. Reference ____ RETURNED for more information. 2. Phone number of provider/sponsor: (____) ______________________ Please complete each item on this form indicated 3. Title of the educational activiby the number(s) circled below: ty:________________________________________ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 4. Date(s) & location(s)________________________________________________ Please see attached materials. 5. Registration fee:______ 6. Writing surface availaDate__________ CLE Staff_____________ ble? Yes No 7. Method(s) of presentation: faculty in room with participants telephone to broadcast site satellite/microwave audiotape presentation videotape presentation discussion leader present 8. Advertised to: Lawyers Other--specify:__________________________________________________ 9. List any admission restrictions:________________________________________________________________________ 10. "In-house activity" requirements (see local rules to determine applicability): open/publicized to outside lawyers outsiders are ____% of faculty 11. Method of evaluation: participant critique independent evaluator none other______________________________________________________ 12. Description of materials to be distributed: total pages_____ looseleaf bound When are materials distributed? before program at program other______________________________ 13. REQUIRED ATTACHMENTS to this application: 14. Total minutes of instruction, not a. time schedule (brochure, course outline, including breaks, meals or introductions: course description) b. table of contents or equivalent c. faculty name(s) and credentials (if not in General (non-ethics)________________ d. brochure or description) Ethics______________________________ e. complete set of materials (only in states where required) Total_______________________________ 15. Approval by other states: Granted by_________________________________________________ Denied by (state reasons)______________________________________ 16. Submitted by: employee of sponsor/provider * individual lawyer SPONSOR'S OBLIGATIONS (does not apply to individual applicants): Sponsor acknowledges and agrees to comply with all applicable local rules and regulations. ____________________________________________ Name of person applying (type or print) * RI Bar # ________________________________________________________ Signature Date __________________________________ Address Phone ___________________________________________________ City/State/Zip *NOTE: Application submitted by RI attorney must be accompanied by a $5 processing fee--payable to RI Supreme Court/MCLE MAIL TO: RI MCLE Commission, John E. Fogarty Judicial Annex, 24 Weybosset Street, 3rd floor, Providence, RI 02903. American LegalNet, Inc. www.FormsWorkFlow.com
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