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Application For Self Study CLE Credit - Wyoming

Application For Self Study CLE Credit Form. This is a Wyoming form and can be used in State Bar Statewide .
 Fillable pdf Last Modified 6/14/2005
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APPLICATION FOR SELF-STUDY CLE CREDIT This form must be completed and returned to Wyoming State Bar, P.O. Box 109, Cheyenne, WY 82003. Applications for CLE Credit should be submittedimmediately after course attendance, th but no later than January 30 of the following year. Do NOT fax applications. I HEREBY APPLY FOR CLE CREDIT FOR THE FOLLOWING SELF-STUDY COURSE: Seminar Name: Type of Program:  Video  Audio  Online  Other Sponsor Name: Date(s) of Participation: For non-accredited courses, please enclose a course brochure or outline showing course description, topics,faculty, and actual lecture times. The Wyoming Board of CLE grants CLE credit on a 60-minute hour. The following jurisdictions grant CLE credit on a 50-minute hour: CO, FL, KS, MO, NM, NY, OK, RI, WV, AND WI. If you apply for credits based on a 50-minute hour, you will receive .83 of that credit in Wyoming. The following credits are based on a:  60-minute hour  50-minute hourI APPLY FOR __________ total CLE credit hours for attendance,(5 MAXIMUM) INCLUDING __________ ETHICS credit(s).(Ethics credits are included in the total CLE credit hours.) Signature: _____Check here if any of the information (firm name, addressAttorney Name: phone or e-mail address) (please type or print) provided to the left is to be accepted as an official change ofAttorney Number: address. (required) Firm Name: OFFICE USE ONLY: Mailing Address: Hours Credited: __________ City/State/Zip: Date Credited: __________ Telephone Number: Staff Initials: __________E-Mail Address: If you have questions regarding this form, or other CLE issues, please contact Kim Mayo at (307) 632-9061 or kmayo@wyomingbar.org. Revised 8/2003
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