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New York CLE Certificate Of Attendance - New York

New York CLE Certificate Of Attendance Form. This is a New York form and can be used in Attorney Admission And Continuing Legal Education Attorneys Statewide .
 Fillable pdf Last Modified 1/27/2016
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NEW YORK CLE CERTIFICATE OF ATTENDANCE MAY BE USED ONLY FOR PROGRAMS ACCREDITED BY THE NYS CLE BOARD ALL INFORMATION MUST BE ENTERED BY THE CLE PROVIDER Revised 01/16 New York State CLE Board www.nycourts.gov/attorneys/cle This certificate is issued under §1500.4(b)(12) of the NYS CLE Program Rules and under §10(B) of the NYS CLE Board Regulations and Guidelines. By issuing this certificate, the CLE provider verifies that the attorney named below completed this program. Attorneys must retain their certificates of attendance for at least four (4) years from the date of the program. NAME OF ATTORNEY: TITLE OF PROGRAM: DATE(S) OF ATTENDANCE: (For self-study programs, indicate date attorney completed program.) LOCATION (City/State): (For self-study programs, check "Not Applicable.") FORMAT OF PROGRAM: (Check only the format completed by the attorney to whom this certificate is issued.) Not Applicable 1 3 5 TRADITIONAL LIVE CLASSROOM FORMAT 2 4 6 FULLY INTERACTIVE VIDEOCONFERENCE LIVE SIMULTANEOUS TRANSMISSION (webconference, teleconference, webcast, videoconference, satellite broadcast, etc.) QUESTIONS ALLOWED DURING PROGRAM (SYNCHRONOUS INTERACTIVITY) ON-DEMAND/RECORDED (audio/video) QUESTIONS NOT ALLOWED DURING PROGRAM OTHER (describe) Newly admitted attorney format restrictions (except as provided in '2(A) and '2(F) of the Regulations): Formats 1 & 2 --acceptable for credit in any category | Format 3 --not for Skills credit | Formats 4 & 5 --not for Skills or Ethics and Professionalism credit ATTORNEY'S METHOD OF PARTICIPATION: (check only one) GROUP SETTING or INDIVIDUAL/SELF-STUDY (including an attorney individually dialing in or logging in to a webconference, teleconference or webcast, or individually viewing/listening to a recorded program) LEVEL OF DIFFICULTY ­ the content of the course is appropriate for: (check only one) BOTH newly admitted and experienced attorneys (transitional/nontransitional), or experienced attorneys ONLY (nontransitional), or newly admitted attorneys ONLY (transitional) CREDIT for ATTENDANCE Credit is awarded in accordance with §8(A)(4)(a) of the Regulations. Enter number of credits earned in each category: Ethics and Professionalism Skills Areas of Professional Practice Law Practice Management In accordance with §10(B)(2) of the Regulations, for multiple breakout sessions, provider should attach a sheet indicating the sessions attended by the attorney. CREDIT for FACULTY PARTICIPATION (Experienced attorneys only) Award credit in accordance with §3(D) of the Regulations. Speaker Moderator Panel member Law competition faculty Enter number of credits earned in each category: Ethics and Professionalism Skills Areas of Professional Practice Law Practice Management C L E PR OV I D ER IN F OR MA TI ON PROVIDER ORGANIZATION: THE CLE PROVIDER: (check only one) has been certified as an Accredited Provider by the NYS CLE Board, or has had this individual course accredited by the NYS CLE Board as Course # ADDRESS: TELEPHONE: PROVIDER AGENT SIGNATURE: PRINT NAME: This certificate may NOT be used to award CLE credit to New York attorneys under New York's Approved Jurisdiction policy. American LegalNet, Inc. www.FormsWorkFlow.com
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