Form 1 (Board Reg. 5) NEVADA BOARD OF CONTINUING LEGAL EDUCATION 457 COURT STREET, SECOND FLOOR RENO, NV 89501 (775)329-4443, FAX (775)329-4291 email address: nevadacleboard@sbcglobal.net APPLICATION FOR STATUS OF ACCREDITED SPONSOR The undersigned (“applicant”) hereby applies to the Nevada Board of Continuing Legal Education (“Board”) for the status of an accredited sponsor pursuant to Regulation 4 adopted by the Board. Applicant represents that the information given below is true, complete, and accurate in all respects. 1. State full name, address, and telephone number of applicant. Please give the name and title of contact person:_______________________________________________________________ ___________________________________________________________________________ ______________________________________________________________ 2. State applicant’s legal status (i.e., corporation, partnership, co-operative venture, etc.) and the number of years applicant has held that status: _____________________________________ 3. State whether or not applicant is a nonprofit organization, or one engaged in the business of providing continuing legal education for profit:____________________________________ 4. State who is responsible for the planning, coordination, and supervision of applicant’s programs and the methods employed by applicant to ensure and control the quality of its programs: __________________________________________________________________________ __________________________________________________________________________ 5. State the primary source of funding for the programs presented applicant: ________________ ___________________________________________________________________________ 6. State the percentage of applicant’s courses which relate to continuing legal education and explain the nature of the courses which do not relate to continuing legal education: ______________ __________________________________________________________________________ __________________________________________________________________________ 7. State whether applicant has ever applied for and received the equivalent of status as an accredited sponsor in any other state requiring mandatory continuing legal education, and list the state(s) in which applicant holds that status: _____________________________________________ __________________________________________________________________________ 8. State whether applicant has ever applied for and been denied the equivalent of status as an accredited sponsor in any other state requiring mandatory continuing legal education, and list the state(s) in which applicant was denied that status: __________________________________ __________________________________________________________________________ 9. Attach a list of the educational activities sponsored by applicant in the preceding three calendar years, indicating for each program: (a) title of program, (b) date of program, (c) site of program (d) registration fee, (e) topics includes on program and time devoted to each, and (f) faculty members and their experience and qualifications.* 10. Enclose course materials from a least two of the programs enumerated in the preceding paragraph held during the last calendar year, and attach or enclose summaries of course evaluations completed by participants for these programs.* 11. Attach a list of the continuing legal education activities planned by applicant for the current year, and state the approximate number of credits that will be offered by each activity. *Unnecessary to provide this information if this is an application for renewal of accredited sponsorship status. APPLICANT REPRESENTS: a. Each activity will have significant intellectual or practical content, and its primary objective will be to increase the participant’s professional competence as an attorney. b. Each activity will deal primarily with matters related to the practice of law, professional responsibility or ethical obligations of attorneys. c. Each activity will be conducted by an individual or group qualified by practical or academic experience. d. Each activity will be conducted substantially as planned, subject to emergency withdrawals and alterations. e. Thorough, high quality, readable and carefully prepared written materials will be made available to all participants at or before the time each activity is conducted, unless clearly inappropriate for the particular course. f. Each activity will be conducted in a comfortable physical setting, conducive to learning and equipped with suitable writing surfaces. APPLICANT AGREES: a. To submit to an ongoing course evaluation program supervised by the Board and to pay all of a portion of the evaluation expenses, as specified by the Board. b. To permit monitoring of activities by the Board or its authorized representative. c. To maintain accurate records of attendance of each program participant who is an active member of the State Bar of Nevada, and to mail an accurate record of attendance of such participants to the Board within 30 days of the conclusion of the program, accompanied by the final program agenda. d. To give each participating attorney, at the conclusion of each program, the opportunity to complete an evaluation questionnaire addressing the quality, effectiveness and usefulness of the particular program. Within 30 days of the conclusion of the program, to forward a summary of the results of the questionnaires to the Board. e. To notify the Board in writing of all courses scheduled in Nevada 60 days in advance of the presentation of such course in Nevada. f. To apply for individual course accreditation under Regulation 6 of the regulations of the Board in any instance in which a course is co-sponsored with a sponsor who has not obtained the status of an accredited sponsor from the Board. g. Applicant understands that failure to adhere to this agreement is grounds for revocation of the status of accredited sponsor. _________________________________ Date: ________________________________________ Sponsor (Print Full Name) By: _____________________________________ Title: ____________________________________ **************************************************** APPROVED/DISAPPROVED Date: _________________ By: ________________ Comments: ____________________________________________________________________ _____________________________________________________________________________ Status commences: _________________ Status expires______________________________ Revised 03/30/10