NMLS Course Approval Application Form CE Online Self Study Format DIRECTIONS: This form is required for submission as part of the course approval process and is only applicable for online self-study courses. The answers provided help to explain how this course complies with the Functional Specifications for All NMLS Approved Courses. Please upload this form into the EMS upon application submission and payment. Section I. Basic Information Organization / Company Name: Provider ID: Click here to enter text. Click here to enter text. Course Name: Click here to enter text. Course Category: State Agency (If Applicable): Course Format: Click here to enter text. Click here to enter text. Click here to enter text. Contact Person: Email Address: Click here to enter text. Click here to enter text. Section II. Application Questions The questions on this form coincide with the Functional Specifications for All NMLS Approved Courses. All courses are required to meet the technical requirements as detailed in the functional specification. Completing this form and providing detailed responses to the questions will assist the evaluation team to understand how your course is constructed and meets the technical requirements. Additionally, it helps to ensure your course is reviewed as quickly as possible. Please also see the USER GUIDE: NMLS Course Approval Application Process for more detailed information regarding the course approval process. 1. In the chart below, list the three (3) separate logins required to provide access and the website address for the course. Open access is defined as entrance into a course without the same limitations on the system as a student user would experience. This can be in the form of “instructor” access where free movement is allowed or in a previously completed course that no longer has any restrictions on movement. Closed access is defined as containing all the technical features in the course as they will appear to a student in the “live” version. In addition to the logins, ensure all course content is submitted in a format that can be easily reviewed by an evaluator outside of the online environment. Website: Click here to enter text. Username Password Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. NMLS Course Application Form OSS 010513 V3.0 Access Type (Closed/Open) OPEN CLOSED CLOSED Page 1 2. What Learning Management System (LMS) is being used to deliver the course? If the LMS was developed internally or is proprietary, please describe the process used to ensure that the LMS created meets the guidelines as specified by NMLS. (references functional specification 5.1, 5.4) Click here to enter text. 3. Describe how student identity will be authenticated. Describe the policies and procedures being used to verify attendance and enforce seat time. (references functional specification 1.5, 5.3) Click here to enter text. 4. Describe how students and course provider are able to track progression and monitor activity within the course. (references functional specification 5.1, 5.3) Click here to enter text. 5. Describe how course content is delivered, i.e. text, video, audio, etc, and explain the significance within the course, and describe how the course materials to be submitted are used in class. (references functional specification 1.6, 5.2) Click here to enter text. 6. List the titles of each module and the units of instruction within each module in the order in which they will be presented. Is this represented in the course schedule located in the course syllabus? (references functional specification 1.9, 5.2) Click here to enter text. 7. List and explain how the course incorporates interaction throughout the class. For each quiz and activity, explain how the activity is connected to a specific learning objective as stated in the course syllabus; and the completion requirements for each. This includes but is not limited to activities, final exam, quizzes, case studies, etc. Is this represented in the course schedule located in the course syllabus? (references functional specification 1.10, 1.13, 5.2) Click here to enter text. 8. Describe what the completion requirements are for the course. Are these represented in the course syllabus? (references functional specification 1.12, 1.13, 5.2, 5.3) Click here to enter text. 9. Has the content in this course been submitted, approved, or otherwise reviewed in part or in whole by NMLS previously? If so, please provide the course or application IDs in which the material was reviewed along with an explanation. Click here to enter text. NMLS Course Application Form OSS 010513 V3.0 Page 2 10. Ensure that you have the following materials ready to submit before paying the application fees and uploading this form into the EMS. You will upload the following items into the course approval portal (basecamp) after you pay the application fee in the EMS. See the USER GUIDE: NMLS Course Approval Application Process for details on the process. The following items are needed in order for NMLS to review your course for approval. This list is not all inclusive but provides the basic items needed for review. Syllabus with a detailed timed outline and course schedule. See the Functional Specifications for All NMLS Approved Courses and Model Course Syllabus for more information on the requirements for a syllabus All course material to be used in the course including but not limited to instructor materials, student materials, presentations, text, handouts, etc All question and answer banks for any quizzes, exams, case study activities, other activities, etc Thank you for completing the Course Approval Application Form. Please save this form to your desktop electronically. You will be required to upload it into the EMS shortly. For the next step in the course approval process please go to the NMLS Resource Center at http://www.stateregulatoryregistry.org/NMLS/AM/Template.cfm?Section=Course_Providers and click on the “Submit Courses for Approval” link found in the blue box at the bottom right of the screen. For further steps, please consult the USER GUIDE: NMLS Course Approval Application Process located in the Course Provider Resources section of the NMLS Resource Center. NMLS Course Application Form OSS 010513 V3.0 Page 3