Application For Accreditation Of Continuing Legal Education | Pdf Fpdf Doc Docx | Wyoming

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Application For Accreditation Of Continuing Legal Education | Pdf Fpdf Doc Docx | Wyoming

Application For Accreditation Of Continuing Legal Education

This is a Wyoming form that can be used for State Bar within Statewide.

Alternate TextLast updated: 11/30/2016

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Application for CLE Program Accreditation Sponsor Name ______________________________________________ Address____________________________________________________ City/State/Zip _______________________________________________ Phone _____________________ Fax __________________________ NOTICE OF DECISION The following action has been taken on this application: Approved for _______ CLE credits, including _______ Ethics credits Returned for more information (see note) E-mail _____________________________________________________ Website ___________________________________________________ Title of Education Activity _______________________________________ Date(s) ____________________________________________________ Location (City/State) __________________________________________ Registration Fee $ ____________________________________________ Type of Law Code(s) ___________________________________________ Admission Restrictions (if any) ___________________________________ Total minutes of instruction: (not including breaks, meals or introductions) Denied. _________________________________ Date ___________________________________ Method of Presentation: Live Lecture Live Video Teleconference Live Webcast Online On-Demand Self Study Audio/Video General (non-ethics): Ethics: Total Minutes: _______________ _______________ _______________ Advertised to: Lawyers Clients Others (specify) ______________________ Description of materials to be distributed: Looseleaf Bound Electronic Approval by other jurisdictions: Granted by Denied by ____________________________ ____________________________ REQUIRED ATTACHMENTS TO THIS APPLICATION Time Schedule Table of Contents or equivalent Faculty Name(s) $50 Application Fee (waived for programs offered free of charge) Credit Card Number _________________________________________ Billing Address _____________________________________________ City/State/Zip _____________________________________________ Security Code______________________________________________ Expiration Date ____________________________________________ Sponsor Representative _______________________ Title _____________________________________ Signature__________________________________ Date _____________________________________ SPONSOR OBLIGATIONS: Sponsor acknowledges and agrees to comply with all rules and regulations of the Wyoming State Bar Board of Continuing Legal Education. If you have questions regarding compliance, please contact Marie Ellis at mellis@wyomingbar.org or (307) 432-2103. P.O. Box 109, Cheyenne, WY 82003 · (307) 632-9061 · Fax: (307) 632-3737 American LegalNet, Inc. www.FormsWorkFlow.com

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