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Application Disclaimer

Please read the "Continuing Education Administrative Rules" in their entirety prior to completing this application

Sponsor Profile

(

= Required Field )

Sponsor Name Value Required

Daytime Phone Value Required

Ext

Address

City

State Id

Zip Code

County (If in NC)

Workshop Date

Qualification Board staff offers a workshop for new sponsors that explains the Board requirements and our process. It is highly recommended that you attend a class at your earliest convenience. Please choose a class date.

Continuing Education Coordinator

Individual responsible for coordinating sponsor's continuing education courses and for complying with the requirements prescribed in Rule .11 NCAC 08 .0718

Salutation

First Name Value Required

Middle Name

Last Name

Primary Email Value Required

Business Phone Value Required

Ext

Change Password

Your Password must conform to the following Policy

I'm not a robot

Corporate Officer Responsible for Continuing Education

Provide name of the primary owner of the business. Indicate "N/A" if the
applicant is an individual.

Name of Corporate Officer Value Required

Title

Phone

Type of Business Entity

Indicate applicant's legal form of business. Check all that apply

Certificate of Application

I hereby certify that all information submitted in connection with this
application is accurate to the best of my knowledge and belief.

I further certify that the applicant and all persons in its employ will fully comply with the requirements of the North Carolina Qualification Board regarding the conduct of continuing education courses.

I further certify that, except for obtaining approval of the North Carolina Qualification Board to conduct code-related, continuing education courses, the applicant has complied with all legal requirements to engage in business in North Carolina.

By selecting the "Submit Application" button below, I certify that the answers and information given by me herein are true, complete and correct to the best of my knowledge. I understand that the disclosure of false, misleading or incomplete information may be grounds for application denial.

Cancel

Submit Application

Note

NOTE: Sponsor applications will only be processed in conjunction with a course application. An email will be sent to you with log-in information for creating a course application and with more information.

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